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Healthcare

Temporary Continuation of Coverage (TCC) Premium Rates and Former Spouse Premiums

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2021 TCC Premium 2022 TCC Monthly Premiums - Total Premium 2022 TCC Monthly Premiums - Government Pays 2022 TCC Monthly Premiums - Employee Pays 2022 TCC Monthly Premiums - Change in Employee Payment 2021 Former Spouse Premium 2022 Former Spouse Monthly Premiums - Total Premium 2022 Former Spouse Monthly Premiums - Government Pays 2022 Former Spouse Monthly Premiums - Employee Pays 2022 Former Spouse Monthly Premiums - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Alabama Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Alabama Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Alabama Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Alabama Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Alabama Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Alabama Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 495.57 637.16 0.00 637.16 141.59 485.85 624.67 0.00 624.67 138.82
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1139.85 1465.50 0.00 1465.50 325.65 1117.50 1436.76 0.00 1436.76 319.26
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1065.48 1369.93 0.00 1369.93 304.45 1044.59 1343.07 0.00 1343.07 298.48
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 784.42 864.25 0.00 864.25 79.83 769.04 847.30 0.00 847.30 78.26
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1961.09 2160.60 0.00 2160.60 199.51 1922.64 2118.24 0.00 2118.24 195.60
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1686.54 1858.12 0.00 1858.12 171.58 1653.47 1821.69 0.00 1821.69 168.22
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Alaska Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Alaska Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Alaska Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Alaska Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Alaska Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Alaska Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
Alaska Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Arizona Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Arizona Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Arizona Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Arizona Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Arizona Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Arizona Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Arizona Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Arizona Aetna Open Access - High Self WQ1 1372.58 1467.44 0.00 1467.44 94.86 1345.67 1438.67 0.00 1438.67 93.00
Arizona Aetna Open Access - High Self & Family WQ2 3332.60 3562.92 0.00 3562.92 230.32 3267.25 3493.06 0.00 3493.06 225.81
Arizona Aetna Open Access - High Self Plus One WQ3 3299.56 3527.60 0.00 3527.60 228.04 3234.86 3458.43 0.00 3458.43 223.57
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 828.48 890.61 0.00 890.61 62.13 812.24 873.15 0.00 873.15 60.91
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 1864.05 2003.85 0.00 2003.85 139.80 1827.50 1964.56 0.00 1964.56 137.06
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 1781.22 1914.78 0.00 1914.78 133.56 1746.29 1877.24 0.00 1877.24 130.95
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 662.20 678.76 0.00 678.76 16.56 649.22 665.45 0.00 665.45 16.23
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 1489.93 1527.17 0.00 1527.17 37.24 1460.72 1497.23 0.00 1497.23 36.51
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 1423.73 1459.33 0.00 1459.33 35.60 1395.81 1430.72 0.00 1430.72 34.91
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 582.38 596.92 0.00 596.92 14.54 570.96 585.22 0.00 585.22 14.26
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 1310.31 1343.06 0.00 1343.06 32.75 1284.62 1316.73 0.00 1316.73 32.11
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 1252.10 1283.42 0.00 1283.42 31.32 1227.55 1258.25 0.00 1258.25 30.70
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 731.42 778.98 0.00 778.98 47.56 717.08 763.71 0.00 763.71 46.63
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 1645.68 1752.65 0.00 1752.65 106.97 1613.41 1718.28 0.00 1718.28 104.87
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 1572.52 1674.74 0.00 1674.74 102.22 1541.69 1641.90 0.00 1641.90 100.21
Arizona Humana HDHP - HDHP Self BV1 New Plan 462.22 0.00 462.22 New Plan New Plan 453.16 0.00 453.16 New Plan
Arizona Humana HDHP - HDHP Self & Family BV2 New Plan 1151.59 0.00 1151.59 New Plan New Plan 1129.01 0.00 1129.01 New Plan
Arizona Humana HDHP - HDHP Self Plus One BV3 New Plan 1013.73 0.00 1013.73 New Plan New Plan 993.85 0.00 993.85 New Plan
Arizona Humana HDHP - HDHP Self BY1 New Plan 405.74 0.00 405.74 New Plan New Plan 397.78 0.00 397.78 New Plan
Arizona Humana HDHP - HDHP Self & Family BY2 New Plan 1010.32 0.00 1010.32 New Plan New Plan 990.51 0.00 990.51 New Plan
Arizona Humana HDHP - HDHP Self Plus One BY3 New Plan 889.42 0.00 889.42 New Plan New Plan 871.98 0.00 871.98 New Plan
Arizona Humana Health Plan, Inc. - Standard Self C74 911.74 934.52 0.00 934.52 22.78 893.86 916.20 0.00 916.20 22.34
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 2051.39 2102.68 0.00 2102.68 51.29 2011.17 2061.45 0.00 2061.45 50.28
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 1960.16 2009.23 0.00 2009.23 49.07 1921.73 1969.83 0.00 1969.83 48.10
Arizona Humana Health Plan, Inc. - Standard Self BF4 1271.52 1271.52 0.00 1271.52 0.00 1246.59 1246.59 0.00 1246.59 0.00
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 2860.94 2860.96 0.00 2860.96 0.02 2804.84 2804.86 0.00 2804.86 0.02
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 2733.81 2733.81 0.00 2733.81 0.00 2680.21 2680.21 0.00 2680.21 0.00
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 634.66 681.83 0.00 681.83 47.17 622.22 668.46 0.00 668.46 46.24
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1500.97 1612.53 0.00 1612.53 111.56 1471.54 1580.91 0.00 1580.91 109.37
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1364.53 1465.91 0.00 1465.91 101.38 1337.77 1437.17 0.00 1437.17 99.40
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 538.73 685.54 0.00 685.54 146.81 528.17 672.10 0.00 672.10 143.93
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1239.06 1576.77 0.00 1576.77 337.71 1214.76 1545.85 0.00 1545.85 331.09
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1158.26 1473.94 0.00 1473.94 315.68 1135.55 1445.04 0.00 1445.04 309.49
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 797.76 882.17 0.00 882.17 84.41 782.12 864.87 0.00 864.87 82.75
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1994.46 2205.40 0.00 2205.40 210.94 1955.35 2162.16 0.00 2162.16 206.81
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1715.20 1896.65 0.00 1896.65 181.45 1681.57 1859.46 0.00 1859.46 177.89
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 633.63 670.80 0.00 670.80 37.17 621.21 657.65 0.00 657.65 36.44
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1498.51 1586.50 0.00 1586.50 87.99 1469.13 1555.39 0.00 1555.39 86.26
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1362.29 1442.25 0.00 1442.25 79.96 1335.58 1413.97 0.00 1413.97 78.39
Arkansas Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Arkansas Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Arkansas Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Arkansas Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Arkansas Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Arkansas Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Arkansas Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Arkansas QualChoice - High Self DH1 782.61 743.43 0.00 743.43 -39.18 767.26 728.85 0.00 728.85 -38.41
Arkansas QualChoice - High Self & Family DH2 2041.22 1939.12 0.00 1939.12 -102.10 2001.20 1901.10 0.00 1901.10 -100.10
Arkansas QualChoice - High Self Plus One DH3 1520.24 1444.15 0.00 1444.15 -76.09 1490.43 1415.83 0.00 1415.83 -74.60
Arkansas QualChoice - Standard Self DH4 610.98 580.35 0.00 580.35 -30.63 599.00 568.97 0.00 568.97 -30.03
Arkansas QualChoice - Standard Self & Family DH5 1593.68 1513.76 0.00 1513.76 -79.92 1562.43 1484.08 0.00 1484.08 -78.35
Arkansas QualChoice - Standard Self Plus One DH6 1186.90 1127.39 0.00 1127.39 -59.51 1163.63 1105.28 0.00 1105.28 -58.35
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 495.57 637.16 0.00 637.16 141.59 485.85 624.67 0.00 624.67 138.82
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1139.85 1465.50 0.00 1465.50 325.65 1117.50 1436.76 0.00 1436.76 319.26
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1065.48 1369.93 0.00 1369.93 304.45 1044.59 1343.07 0.00 1343.07 298.48
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 784.42 864.25 0.00 864.25 79.83 769.04 847.30 0.00 847.30 78.26
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1961.09 2160.60 0.00 2160.60 199.51 1922.64 2118.24 0.00 2118.24 195.60
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1686.54 1858.12 0.00 1858.12 171.58 1653.47 1821.69 0.00 1821.69 168.22
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
California Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
California Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
California Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
California Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
California Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
California Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
California Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
California Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
California Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
California Aetna Open Access - High Self 2X1 955.40 1060.12 0.00 1060.12 104.72 936.67 1039.33 0.00 1039.33 102.66
California Aetna Open Access - High Self & Family 2X2 2243.00 2488.84 0.00 2488.84 245.84 2199.02 2440.04 0.00 2440.04 241.02
California Aetna Open Access - High Self Plus One 2X3 2199.02 2440.06 0.00 2440.06 241.04 2155.90 2392.22 0.00 2392.22 236.32
California Anthem Blue Cross Select HMO - High Self B31 789.61 792.77 0.00 792.77 3.16 774.13 777.23 0.00 777.23 3.10
California Anthem Blue Cross Select HMO - High Self & Family B32 1804.29 1818.72 0.00 1818.72 14.43 1768.91 1783.06 0.00 1783.06 14.15
California Anthem Blue Cross Select HMO - High Self Plus One B33 1673.98 1679.00 0.00 1679.00 5.02 1641.16 1646.08 0.00 1646.08 4.92
California Blue Shield of California - Access + HMO Self SI1 876.05 902.30 0.00 902.30 26.25 858.87 884.61 0.00 884.61 25.74
California Blue Shield of California - Access + HMO Self & Family SI2 2014.90 2075.34 0.00 2075.34 60.44 1975.39 2034.65 0.00 2034.65 59.26
California Blue Shield of California - Access + HMO Self Plus One SI3 1927.28 1985.11 0.00 1985.11 57.83 1889.49 1946.19 0.00 1946.19 56.70
California Health Net of California - Basic Self P61 371.32 413.80 0.00 413.80 42.48 364.04 405.69 0.00 405.69 41.65
California Health Net of California - Basic Self & Family P62 891.20 993.21 0.00 993.21 102.01 873.73 973.74 0.00 973.74 100.01
California Health Net of California - Basic Self Plus One P63 816.95 910.41 0.00 910.41 93.46 800.93 892.56 0.00 892.56 91.63
California Health Net of California - High Self LP1 1033.24 1098.88 0.00 1098.88 65.64 1012.98 1077.33 0.00 1077.33 64.35
California Health Net of California - High Self & Family LP2 2479.79 2637.37 0.00 2637.37 157.58 2431.17 2585.66 0.00 2585.66 154.49
California Health Net of California - High Self Plus One LP3 2273.14 2417.58 0.00 2417.58 144.44 2228.57 2370.18 0.00 2370.18 141.61
California Health Net of California - High Self LB1 1581.65 1651.07 0.00 1651.07 69.42 1550.64 1618.70 0.00 1618.70 68.06
California Health Net of California - High Self & Family LB2 3795.92 3962.56 0.00 3962.56 166.64 3721.49 3884.86 0.00 3884.86 163.37
California Health Net of California - High Self Plus One LB3 3479.58 3632.35 0.00 3632.35 152.77 3411.35 3561.13 0.00 3561.13 149.78
California Health Net of California - Basic Self T41 912.06 972.22 0.00 972.22 60.16 894.18 953.16 0.00 953.16 58.98
California Health Net of California - Basic Self & Family T42 2188.96 2333.36 0.00 2333.36 144.40 2146.04 2287.61 0.00 2287.61 141.57
California Health Net of California - Basic Self Plus One T43 2006.54 2138.88 0.00 2138.88 132.34 1967.20 2096.94 0.00 2096.94 129.74
California Kaiser Permanente - Fresno California - Standard Self NZ4 601.91 601.91 0.00 601.91 0.00 590.11 590.11 0.00 590.11 0.00
California Kaiser Permanente - Fresno California - Standard Self & Family NZ5 1391.15 1391.15 0.00 1391.15 0.00 1363.87 1363.87 0.00 1363.87 0.00
California Kaiser Permanente - Fresno California - Standard Self Plus One NZ6 1391.15 1391.15 0.00 1391.15 0.00 1363.87 1363.87 0.00 1363.87 0.00
California Kaiser Permanente - Fresno California - High Self NZ1 819.05 829.72 0.00 829.72 10.67 802.99 813.45 0.00 813.45 10.46
California Kaiser Permanente - Fresno California - High Self & Family NZ2 1892.98 1917.66 0.00 1917.66 24.68 1855.86 1880.06 0.00 1880.06 24.20
California Kaiser Permanente - Fresno California - High Self Plus One NZ3 1892.98 1917.66 0.00 1917.66 24.68 1855.86 1880.06 0.00 1880.06 24.20
California Kaiser Permanente - Northern California - Prosper Self KC1 665.12 671.73 0.00 671.73 6.61 652.08 658.56 0.00 658.56 6.48
California Kaiser Permanente - Northern California - Prosper Self & Family KC2 1556.37 1571.84 0.00 1571.84 15.47 1525.85 1541.02 0.00 1541.02 15.17
California Kaiser Permanente - Northern California - Prosper Self Plus One KC3 1556.37 1571.84 0.00 1571.84 15.47 1525.85 1541.02 0.00 1541.02 15.17
California Kaiser Permanente - Northern California - High Self 591 1034.83 1022.35 0.00 1022.35 -12.48 1014.54 1002.30 0.00 1002.30 -12.24
California Kaiser Permanente - Northern California - High Self & Family 592 2470.30 2440.44 0.00 2440.44 -29.86 2421.86 2392.59 0.00 2392.59 -29.27
California Kaiser Permanente - Northern California - High Self Plus One 593 2470.30 2440.44 0.00 2440.44 -29.86 2421.86 2392.59 0.00 2392.59 -29.27
California Kaiser Permanente - Northern California - Standard Self 594 839.13 831.18 0.00 831.18 -7.95 822.68 814.88 0.00 814.88 -7.80
California Kaiser Permanente - Northern California - Standard Self & Family 595 1963.61 1944.94 0.00 1944.94 -18.67 1925.11 1906.80 0.00 1906.80 -18.31
California Kaiser Permanente - Northern California - Standard Self Plus One 596 1963.61 1944.94 0.00 1944.94 -18.67 1925.11 1906.80 0.00 1906.80 -18.31
California Kaiser Permanente - Southern California - Prosper Self FL1 New Plan 372.94 0.00 372.94 New Plan New Plan 365.63 0.00 365.63 New Plan
California Kaiser Permanente - Southern California - Prosper Self & Family FL2 New Plan 1044.23 0.00 1044.23 New Plan New Plan 1023.75 0.00 1023.75 New Plan
California Kaiser Permanente - Southern California - Prosper Self Plus One FL3 New Plan 857.79 0.00 857.79 New Plan New Plan 840.97 0.00 840.97 New Plan
California Kaiser Permanente - Southern California - Standard Self 624 482.91 498.12 0.00 498.12 15.21 473.44 488.35 0.00 488.35 14.91
California Kaiser Permanente - Southern California - Standard Self & Family 625 1116.09 1151.19 0.00 1151.19 35.10 1094.21 1128.62 0.00 1128.62 34.41
California Kaiser Permanente - Southern California - Standard Self Plus One 626 1116.09 1151.19 0.00 1151.19 35.10 1094.21 1128.62 0.00 1128.62 34.41
California Kaiser Permanente - Southern California - High Self 621 765.19 775.84 0.00 775.84 10.65 750.19 760.63 0.00 760.63 10.44
California Kaiser Permanente - Southern California - High Self & Family 622 1768.51 1793.13 0.00 1793.13 24.62 1733.83 1757.97 0.00 1757.97 24.14
California Kaiser Permanente - Southern California - High Self Plus One 623 1768.51 1793.13 0.00 1793.13 24.62 1733.83 1757.97 0.00 1757.97 24.14
Colorado Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Colorado Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Colorado Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Colorado Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Colorado Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Colorado Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Colorado Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Colorado BlueAdvantageHMO - High Self WW1 649.08 691.26 0.00 691.26 42.18 636.35 677.71 0.00 677.71 41.36
Colorado BlueAdvantageHMO - High Self & Family WW2 1580.48 1724.31 0.00 1724.31 143.83 1549.49 1690.50 0.00 1690.50 141.01
Colorado BlueAdvantageHMO - High Self Plus One WW3 1476.61 1585.88 0.00 1585.88 109.27 1447.66 1554.78 0.00 1554.78 107.12
Colorado BlueAdvantageHMO - HDHP Self WW4 New Plan 652.55 0.00 652.55 New Plan New Plan 639.75 0.00 639.75 New Plan
Colorado BlueAdvantageHMO - HDHP Self & Family WW5 New Plan 1588.93 0.00 1588.93 New Plan New Plan 1557.77 0.00 1557.77 New Plan
Colorado BlueAdvantageHMO - HDHP Self Plus One WW6 New Plan 1484.53 0.00 1484.53 New Plan New Plan 1455.42 0.00 1455.42 New Plan
Colorado Humana Health Plan, Inc. - High Self NR1 980.40 990.22 0.00 990.22 9.82 961.18 970.80 0.00 970.80 9.62
Colorado Humana Health Plan, Inc. - High Self & Family NR2 2205.89 2227.97 0.00 2227.97 22.08 2162.64 2184.28 0.00 2184.28 21.64
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 2107.85 2128.96 0.00 2128.96 21.11 2066.52 2087.22 0.00 2087.22 20.70
Colorado Humana Health Plan, Inc. - Standard Self NR4 679.40 679.40 0.00 679.40 0.00 666.08 666.08 0.00 666.08 0.00
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 1528.70 1528.70 0.00 1528.70 0.00 1498.73 1498.73 0.00 1498.73 0.00
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 1460.72 1460.72 0.00 1460.72 0.00 1432.08 1432.08 0.00 1432.08 0.00
Colorado Humana Health Plan, Inc. - Basic Self RZ1 542.88 529.32 0.00 529.32 -13.56 532.24 518.94 0.00 518.94 -13.30
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 1221.47 1190.92 0.00 1190.92 -30.55 1197.52 1167.57 0.00 1167.57 -29.95
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 1167.22 1138.04 0.00 1138.04 -29.18 1144.33 1115.73 0.00 1115.73 -28.60
Colorado Humana Health Plan, Inc. - High Self NT1 850.27 892.80 0.00 892.80 42.53 833.60 875.29 0.00 875.29 41.69
Colorado Humana Health Plan, Inc. - High Self & Family NT2 1913.17 2008.83 0.00 2008.83 95.66 1875.66 1969.44 0.00 1969.44 93.78
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 1828.12 1919.52 0.00 1919.52 91.40 1792.27 1881.88 0.00 1881.88 89.61
Colorado Humana Health Plan, Inc. - Standard Self NT4 602.08 602.08 0.00 602.08 0.00 590.27 590.27 0.00 590.27 0.00
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 1354.68 1354.68 0.00 1354.68 0.00 1328.12 1328.12 0.00 1328.12 0.00
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 1294.51 1294.51 0.00 1294.51 0.00 1269.13 1269.13 0.00 1269.13 0.00
Colorado Humana Health Plan, Inc. - Basic Self R21 633.83 618.01 0.00 618.01 -15.82 621.40 605.89 0.00 605.89 -15.51
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 1426.13 1390.48 0.00 1390.48 -35.65 1398.17 1363.22 0.00 1363.22 -34.95
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 1362.75 1328.67 0.00 1328.67 -34.08 1336.03 1302.62 0.00 1302.62 -33.41
Colorado Kaiser Permanente - Colorado - Standard Self 654 674.05 672.35 0.00 672.35 -1.70 660.83 659.17 0.00 659.17 -1.66
Colorado Kaiser Permanente - Colorado - Standard Self & Family 655 1523.33 1519.50 0.00 1519.50 -3.83 1493.46 1489.71 0.00 1489.71 -3.75
Colorado Kaiser Permanente - Colorado - Standard Self Plus One 656 1523.33 1519.50 0.00 1519.50 -3.83 1493.46 1489.71 0.00 1489.71 -3.75
Colorado Kaiser Permanente - Colorado - High Self 651 788.35 788.35 0.00 788.35 0.00 772.89 772.89 0.00 772.89 0.00
Colorado Kaiser Permanente - Colorado - High Self & Family 652 1781.69 1781.69 0.00 1781.69 0.00 1746.75 1746.75 0.00 1746.75 0.00
Colorado Kaiser Permanente - Colorado - High Self Plus One 653 1781.69 1781.69 0.00 1781.69 0.00 1746.75 1746.75 0.00 1746.75 0.00
Colorado Kaiser Permanente - Colorado - Prosper Self N41 454.42 397.95 0.00 397.95 -56.47 445.51 390.15 0.00 390.15 -55.36
Colorado Kaiser Permanente - Colorado - Prosper Self & Family N42 1117.86 978.97 0.00 978.97 -138.89 1095.94 959.77 0.00 959.77 -136.17
Colorado Kaiser Permanente - Colorado - Prosper Self Plus One N43 1026.99 899.36 0.00 899.36 -127.63 1006.85 881.73 0.00 881.73 -125.12
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 538.73 685.54 0.00 685.54 146.81 528.17 672.10 0.00 672.10 143.93
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1239.06 1576.77 0.00 1576.77 337.71 1214.76 1545.85 0.00 1545.85 331.09
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1158.26 1473.94 0.00 1473.94 315.68 1135.55 1445.04 0.00 1445.04 309.49
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 797.76 882.17 0.00 882.17 84.41 782.12 864.87 0.00 864.87 82.75
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1994.46 2205.40 0.00 2205.40 210.94 1955.35 2162.16 0.00 2162.16 206.81
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1715.20 1896.65 0.00 1896.65 181.45 1681.57 1859.46 0.00 1859.46 177.89
Connecticut Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Connecticut Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Connecticut Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Connecticut Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Connecticut Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Connecticut Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
Connecticut Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Delaware Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Delaware Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Delaware Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Delaware Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Delaware Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Delaware Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
Delaware Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Delaware Aetna Open Access - Basic Self P34 1535.64 1756.20 0.00 1756.20 220.56 1505.53 1721.76 0.00 1721.76 216.23
Delaware Aetna Open Access - Basic Self & Family P35 3564.23 4076.22 0.00 4076.22 511.99 3494.34 3996.29 0.00 3996.29 501.95
Delaware Aetna Open Access - Basic Self Plus One P36 3528.92 4035.83 0.00 4035.83 506.91 3459.73 3956.70 0.00 3956.70 496.97
Delaware Aetna Open Access - High Self P31 1619.99 1797.79 0.00 1797.79 177.80 1588.23 1762.54 0.00 1762.54 174.31
Delaware Aetna Open Access - High Self & Family P32 3927.72 4358.74 0.00 4358.74 431.02 3850.71 4273.27 0.00 4273.27 422.56
Delaware Aetna Open Access - High Self Plus One P33 3888.83 4315.60 0.00 4315.60 426.77 3812.58 4230.98 0.00 4230.98 418.40
District Of Columbia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
District Of Columbia Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
District Of Columbia Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
District Of Columbia Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
District Of Columbia Aetna Open Access - High Self JN1 1200.10 1276.58 0.00 1276.58 76.48 1176.57 1251.55 0.00 1251.55 74.98
District Of Columbia Aetna Open Access - High Self & Family JN2 2697.95 2869.95 0.00 2869.95 172.00 2645.05 2813.68 0.00 2813.68 168.63
District Of Columbia Aetna Open Access - High Self Plus One JN3 2671.23 2841.51 0.00 2841.51 170.28 2618.85 2785.79 0.00 2785.79 166.94
District Of Columbia Aetna Open Access - Basic Self JN4 728.71 754.25 0.00 754.25 25.54 714.42 739.46 0.00 739.46 25.04
District Of Columbia Aetna Open Access - Basic Self & Family JN5 1667.62 1726.07 0.00 1726.07 58.45 1634.92 1692.23 0.00 1692.23 57.31
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 1531.36 1585.01 0.00 1585.01 53.65 1501.33 1553.93 0.00 1553.93 52.60
District Of Columbia Aetna Saver (Open Access) - Saver Self QQ4 607.11 607.11 0.00 607.11 0.00 595.21 595.21 0.00 595.21 0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.36 1389.36 0.00 1389.36 0.00 1362.12 1362.12 0.00 1362.12 0.00
District Of Columbia Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1275.84 0.00 1275.84 0.00 1250.82 1250.82 0.00 1250.82 0.00
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 905.57 923.69 0.00 923.69 18.12 887.81 905.58 0.00 905.58 17.77
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 2151.61 2194.62 0.00 2194.62 43.01 2109.42 2151.59 0.00 2151.59 42.17
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 1811.12 1847.34 0.00 1847.34 36.22 1775.61 1811.12 0.00 1811.12 35.51
District Of Columbia CareFirst BlueChoice - HDHP Self B61 581.49 616.40 0.00 616.40 34.91 570.09 604.31 0.00 604.31 34.22
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 1381.60 1464.51 0.00 1464.51 82.91 1354.51 1435.79 0.00 1435.79 81.28
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 1162.97 1232.74 0.00 1232.74 69.77 1140.17 1208.57 0.00 1208.57 68.40
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 738.14 738.14 0.00 738.14 0.00 723.67 723.67 0.00 723.67 0.00
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 1753.77 1753.77 0.00 1753.77 0.00 1719.38 1719.38 0.00 1719.38 0.00
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1476.24 1476.24 0.00 1476.24 0.00 1447.29 1447.29 0.00 1447.29 0.00
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 436.27 376.28 0.00 376.28 -59.99 427.72 368.90 0.00 368.90 -58.82
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 1121.51 1072.36 0.00 1072.36 -49.15 1099.52 1051.33 0.00 1051.33 -48.19
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 970.88 884.25 0.00 884.25 -86.63 951.84 866.91 0.00 866.91 -84.93
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 610.25 619.40 0.00 619.40 9.15 598.28 607.25 0.00 607.25 8.97
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1403.57 1424.56 0.00 1424.56 20.99 1376.05 1396.63 0.00 1396.63 20.58
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1403.57 1424.56 0.00 1424.56 20.99 1376.05 1396.63 0.00 1396.63 20.58
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self E31 761.16 771.73 0.00 771.73 10.57 746.24 756.60 0.00 756.60 10.36
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1750.68 1775.00 0.00 1775.00 24.32 1716.35 1740.20 0.00 1740.20 23.85
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1750.68 1775.00 0.00 1775.00 24.32 1716.35 1740.20 0.00 1740.20 23.85
District Of Columbia M.D. IPA - High Self JP1 969.91 1032.23 0.00 1032.23 62.32 950.89 1011.99 0.00 1011.99 61.10
District Of Columbia M.D. IPA - High Self & Family JP2 2719.61 2894.41 0.00 2894.41 174.80 2666.28 2837.66 0.00 2837.66 171.38
District Of Columbia M.D. IPA - High Self Plus One JP3 1894.23 2015.96 0.00 2015.96 121.73 1857.09 1976.43 0.00 1976.43 119.34
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 530.31 675.05 0.00 675.05 144.74 519.91 661.81 0.00 661.81 141.90
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1219.73 1544.48 0.00 1544.48 324.75 1195.81 1514.20 0.00 1514.20 318.39
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1140.17 1451.38 0.00 1451.38 311.21 1117.81 1422.92 0.00 1422.92 305.11
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 785.81 838.60 0.00 838.60 52.79 770.40 822.16 0.00 822.16 51.76
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1862.35 1987.52 0.00 1987.52 125.17 1825.83 1948.55 0.00 1948.55 122.72
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1689.46 1803.03 0.00 1803.03 113.57 1656.33 1767.68 0.00 1767.68 111.35
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 565.71 677.04 0.00 677.04 111.33 554.62 663.76 0.00 663.76 109.14
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1586.25 1618.14 0.00 1618.14 31.89 1555.15 1586.41 0.00 1586.41 31.26
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1104.84 1354.09 0.00 1354.09 249.25 1083.18 1327.54 0.00 1327.54 244.36
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Florida Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Florida Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Florida Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Florida Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Florida Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Florida Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Florida Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Florida AvMed - HDHP Self WZ1 777.32 757.11 0.00 757.11 -20.21 762.08 742.26 0.00 742.26 -19.82
Florida AvMed - HDHP Self & Family WZ2 1797.24 1748.29 0.00 1748.29 -48.95 1762.00 1714.01 0.00 1714.01 -47.99
Florida AvMed - HDHP Self Plus One WZ3 1559.24 1516.98 0.00 1516.98 -42.26 1528.67 1487.24 0.00 1487.24 -41.43
Florida AvMed - Standard Self ML4 837.39 817.92 0.00 817.92 -19.47 820.97 801.88 0.00 801.88 -19.09
Florida AvMed - Standard Self & Family ML5 2038.90 1991.50 0.00 1991.50 -47.40 1998.92 1952.45 0.00 1952.45 -46.47
Florida AvMed - Standard Self Plus One ML6 1758.54 1717.66 0.00 1717.66 -40.88 1724.06 1683.98 0.00 1683.98 -40.08
Florida Capital Health Plan - High Self EA1 704.28 745.10 0.00 745.10 40.82 690.47 730.49 0.00 730.49 40.02
Florida Capital Health Plan - High Self & Family EA2 1632.19 1726.79 0.00 1726.79 94.60 1600.19 1692.93 0.00 1692.93 92.74
Florida Capital Health Plan - High Self Plus One EA3 1540.19 1629.50 0.00 1629.50 89.31 1509.99 1597.55 0.00 1597.55 87.56
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 597.19 612.12 0.00 612.12 14.93 585.48 600.12 0.00 600.12 14.64
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 1343.68 1377.30 0.00 1377.30 33.62 1317.33 1350.29 0.00 1350.29 32.96
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 1283.97 1316.06 0.00 1316.06 32.09 1258.79 1290.25 0.00 1290.25 31.46
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 705.94 741.23 0.00 741.23 35.29 692.10 726.70 0.00 726.70 34.60
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 1588.32 1667.73 0.00 1667.73 79.41 1557.18 1635.03 0.00 1635.03 77.85
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 1517.74 1593.63 0.00 1593.63 75.89 1487.98 1562.38 0.00 1562.38 74.40
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 783.93 842.74 0.00 842.74 58.81 768.56 826.22 0.00 826.22 57.66
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 1766.19 1898.61 0.00 1898.61 132.42 1731.56 1861.38 0.00 1861.38 129.82
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 1687.67 1814.23 0.00 1814.23 126.56 1654.58 1778.66 0.00 1778.66 124.08
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 561.52 561.52 0.00 561.52 0.00 550.51 550.51 0.00 550.51 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 1263.37 1263.37 0.00 1263.37 0.00 1238.60 1238.60 0.00 1238.60 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 1207.23 1207.23 0.00 1207.23 0.00 1183.56 1183.56 0.00 1183.56 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 572.41 572.41 0.00 572.41 0.00 561.19 561.19 0.00 561.19 0.00
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 1287.92 1373.81 0.00 1373.81 85.89 1262.67 1346.87 0.00 1346.87 84.20
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 1230.68 1230.68 0.00 1230.68 0.00 1206.55 1206.55 0.00 1206.55 0.00
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 1044.40 1086.17 0.00 1086.17 41.77 1023.92 1064.87 0.00 1064.87 40.95
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 2349.88 2443.84 0.00 2443.84 93.96 2303.80 2395.92 0.00 2395.92 92.12
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 2245.47 2335.26 0.00 2335.26 89.79 2201.44 2289.47 0.00 2289.47 88.03
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 523.15 557.19 0.00 557.19 34.04 512.89 546.26 0.00 546.26 33.37
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 1177.13 1365.10 0.00 1365.10 187.97 1154.05 1338.33 0.00 1338.33 184.28
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 1124.83 1197.93 0.00 1197.93 73.10 1102.77 1174.44 0.00 1174.44 71.67
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 618.43 643.15 0.00 643.15 24.72 606.30 630.54 0.00 630.54 24.24
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 1391.50 1447.18 0.00 1447.18 55.68 1364.22 1418.80 0.00 1418.80 54.58
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 1329.65 1382.84 0.00 1382.84 53.19 1303.58 1355.73 0.00 1355.73 52.15
Florida Humana HDHP - HDHP Self BR1 New Plan 434.97 0.00 434.97 New Plan New Plan 426.44 0.00 426.44 New Plan
Florida Humana HDHP - HDHP Self & Family BR2 New Plan 1083.47 0.00 1083.47 New Plan New Plan 1062.23 0.00 1062.23 New Plan
Florida Humana HDHP - HDHP Self Plus One BR3 New Plan 953.77 0.00 953.77 New Plan New Plan 935.07 0.00 935.07 New Plan
Florida Humana HDHP - HDHP Self A41 New Plan 487.97 0.00 487.97 New Plan New Plan 478.40 0.00 478.40 New Plan
Florida Humana HDHP - HDHP Self & Family A42 New Plan 1215.96 0.00 1215.96 New Plan New Plan 1192.12 0.00 1192.12 New Plan
Florida Humana HDHP - HDHP Self Plus One A43 New Plan 1070.37 0.00 1070.37 New Plan New Plan 1049.38 0.00 1049.38 New Plan
Florida Humana HDHP - HDHP Self FF1 New Plan 414.64 0.00 414.64 New Plan New Plan 406.51 0.00 406.51 New Plan
Florida Humana HDHP - HDHP Self & Family FF2 New Plan 1032.58 0.00 1032.58 New Plan New Plan 1012.33 0.00 1012.33 New Plan
Florida Humana HDHP - HDHP Self Plus One FF3 New Plan 908.99 0.00 908.99 New Plan New Plan 891.17 0.00 891.17 New Plan
Florida Humana HDHP - HDHP Self AP1 New Plan 492.74 0.00 492.74 New Plan New Plan 483.08 0.00 483.08 New Plan
Florida Humana HDHP - HDHP Self & Family AP2 New Plan 1227.84 0.00 1227.84 New Plan New Plan 1203.76 0.00 1203.76 New Plan
Florida Humana HDHP - HDHP Self Plus One AP3 New Plan 1080.82 0.00 1080.82 New Plan New Plan 1059.63 0.00 1059.63 New Plan
Florida Humana Medical Plan, Inc. - Standard Self LL4 1217.07 1308.34 0.00 1308.34 91.27 1193.21 1282.69 0.00 1282.69 89.48
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 2738.34 2943.72 0.00 2943.72 205.38 2684.65 2886.00 0.00 2886.00 201.35
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 2616.64 2812.88 0.00 2812.88 196.24 2565.33 2757.73 0.00 2757.73 192.40
Florida Humana Medical Plan, Inc. - High Self LL1 1743.12 1830.26 0.00 1830.26 87.14 1708.94 1794.37 0.00 1794.37 85.43
Florida Humana Medical Plan, Inc. - High Self & Family LL2 3921.95 4118.05 0.00 4118.05 196.10 3845.05 4037.30 0.00 4037.30 192.25
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 3747.63 3935.02 0.00 3935.02 187.39 3674.15 3857.86 0.00 3857.86 183.71
Florida Humana Medical Plan, Inc. - High Self EE1 1273.91 1350.36 0.00 1350.36 76.45 1248.93 1323.88 0.00 1323.88 74.95
Florida Humana Medical Plan, Inc. - High Self & Family EE2 2866.35 3038.36 0.00 3038.36 172.01 2810.15 2978.78 0.00 2978.78 168.63
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 2739.01 2903.37 0.00 2903.37 164.36 2685.30 2846.44 0.00 2846.44 161.14
Florida Humana Medical Plan, Inc. - Standard Self EE4 1139.11 1207.46 0.00 1207.46 68.35 1116.77 1183.78 0.00 1183.78 67.01
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 2562.96 2716.75 0.00 2716.75 153.79 2512.71 2663.48 0.00 2663.48 150.77
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 2449.06 2596.02 0.00 2596.02 146.96 2401.04 2545.12 0.00 2545.12 144.08
Florida Humana Medical Plan, Inc. - Standard Self E24 781.45 820.53 0.00 820.53 39.08 766.13 804.44 0.00 804.44 38.31
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 1758.26 1846.17 0.00 1846.17 87.91 1723.78 1809.97 0.00 1809.97 86.19
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 1680.08 1764.09 0.00 1764.09 84.01 1647.14 1729.50 0.00 1729.50 82.36
Florida Humana Medical Plan, Inc. - High Self E21 1312.57 1378.20 0.00 1378.20 65.63 1286.83 1351.18 0.00 1351.18 64.35
Florida Humana Medical Plan, Inc. - High Self & Family E22 2953.18 3100.85 0.00 3100.85 147.67 2895.27 3040.05 0.00 3040.05 144.78
Florida Humana Medical Plan, Inc. - High Self Plus One E23 2821.93 2963.04 0.00 2963.04 141.11 2766.60 2904.94 0.00 2904.94 138.34
Florida Humana Medical Plan, Inc. - High Self EX1 1038.86 1090.79 0.00 1090.79 51.93 1018.49 1069.40 0.00 1069.40 50.91
Florida Humana Medical Plan, Inc. - High Self & Family EX2 2337.36 2454.23 0.00 2454.23 116.87 2291.53 2406.11 0.00 2406.11 114.58
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 2233.47 2345.14 0.00 2345.14 111.67 2189.68 2299.16 0.00 2299.16 109.48
Florida Humana Medical Plan, Inc. - Standard Self EX4 851.42 915.28 0.00 915.28 63.86 834.73 897.33 0.00 897.33 62.60
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 1915.71 2059.39 0.00 2059.39 143.68 1878.15 2019.01 0.00 2019.01 140.86
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 1830.56 1967.86 0.00 1967.86 137.30 1794.67 1929.27 0.00 1929.27 134.60
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 495.57 637.16 0.00 637.16 141.59 485.85 624.67 0.00 624.67 138.82
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1139.85 1465.50 0.00 1465.50 325.65 1117.50 1436.76 0.00 1436.76 319.26
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1065.48 1369.93 0.00 1369.93 304.45 1044.59 1343.07 0.00 1343.07 298.48
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 784.42 864.25 0.00 864.25 79.83 769.04 847.30 0.00 847.30 78.26
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1961.09 2160.60 0.00 2160.60 199.51 1922.64 2118.24 0.00 2118.24 195.60
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1686.54 1858.12 0.00 1858.12 171.58 1653.47 1821.69 0.00 1821.69 168.22
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 765.63 915.85 0.00 915.85 150.22 750.62 897.89 0.00 897.89 147.27
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2296.94 2747.51 0.00 2747.51 450.57 2251.90 2693.64 0.00 2693.64 441.74
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1646.17 1969.07 0.00 1969.07 322.90 1613.89 1930.46 0.00 1930.46 316.57
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Georgia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Georgia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Georgia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Georgia Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Georgia Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Georgia Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Georgia Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Georgia Aetna Open Access - High Self 2U1 1841.97 1764.22 0.00 1764.22 -77.75 1805.85 1729.63 0.00 1729.63 -76.22
Georgia Aetna Open Access - High Self & Family 2U2 4242.91 4063.81 0.00 4063.81 -179.10 4159.72 3984.13 0.00 3984.13 -175.59
Georgia Aetna Open Access - High Self Plus One 2U3 4200.90 4023.57 0.00 4023.57 -177.33 4118.53 3944.68 0.00 3944.68 -173.85
Georgia Blue Open Access POS - High Self QM1 669.54 715.75 0.00 715.75 46.21 656.41 701.72 0.00 701.72 45.31
Georgia Blue Open Access POS - High Self & Family QM2 1723.47 1880.31 0.00 1880.31 156.84 1689.68 1843.44 0.00 1843.44 153.76
Georgia Blue Open Access POS - High Self Plus One QM3 1475.55 1617.19 0.00 1617.19 141.64 1446.62 1585.48 0.00 1585.48 138.86
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 624.85 671.73 0.00 671.73 46.88 612.60 658.56 0.00 658.56 45.96
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 1405.92 1511.35 0.00 1511.35 105.43 1378.35 1481.72 0.00 1481.72 103.37
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 1343.44 1444.19 0.00 1444.19 100.75 1317.10 1415.87 0.00 1415.87 98.77
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 784.80 843.64 0.00 843.64 58.84 769.41 827.10 0.00 827.10 57.69
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 1765.77 1898.21 0.00 1898.21 132.44 1731.15 1860.99 0.00 1860.99 129.84
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 1687.29 1813.86 0.00 1813.86 126.57 1654.21 1778.29 0.00 1778.29 124.08
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 842.56 842.56 0.00 842.56 0.00 826.04 826.04 0.00 826.04 0.00
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 1895.69 1895.67 0.00 1895.67 -0.02 1858.52 1858.50 0.00 1858.50 -0.02
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 1811.47 1811.45 0.00 1811.45 -0.02 1775.95 1775.93 0.00 1775.93 -0.02
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 1111.98 1189.84 0.00 1189.84 77.86 1090.18 1166.51 0.00 1166.51 76.33
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 2501.92 2677.10 0.00 2677.10 175.18 2452.86 2624.61 0.00 2624.61 171.75
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 2390.74 2558.14 0.00 2558.14 167.40 2343.86 2507.98 0.00 2507.98 164.12
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 762.07 800.20 0.00 800.20 38.13 747.13 784.51 0.00 784.51 37.38
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 1714.74 1800.44 0.00 1800.44 85.70 1681.12 1765.14 0.00 1765.14 84.02
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 1638.54 1720.42 0.00 1720.42 81.88 1606.41 1686.69 0.00 1686.69 80.28
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 720.95 756.97 0.00 756.97 36.02 706.81 742.13 0.00 742.13 35.32
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 1622.10 1703.21 0.00 1703.21 81.11 1590.29 1669.81 0.00 1669.81 79.52
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 1550.03 1627.51 0.00 1627.51 77.48 1519.64 1595.60 0.00 1595.60 75.96
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 734.28 807.71 0.00 807.71 73.43 719.88 791.87 0.00 791.87 71.99
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 1652.13 1817.35 0.00 1817.35 165.22 1619.74 1781.72 0.00 1781.72 161.98
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 1578.69 1736.57 0.00 1736.57 157.88 1547.74 1702.52 0.00 1702.52 154.78
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 829.41 891.64 0.00 891.64 62.23 813.15 874.16 0.00 874.16 61.01
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 1866.12 2006.11 0.00 2006.11 139.99 1829.53 1966.77 0.00 1966.77 137.24
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 1783.20 1916.98 0.00 1916.98 133.78 1748.24 1879.39 0.00 1879.39 131.15
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 683.25 717.41 0.00 717.41 34.16 669.85 703.34 0.00 703.34 33.49
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 1537.36 1614.18 0.00 1614.18 76.82 1507.22 1582.53 0.00 1582.53 75.31
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 1469.03 1542.42 0.00 1542.42 73.39 1440.23 1512.18 0.00 1512.18 71.95
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 863.64 889.55 0.00 889.55 25.91 846.71 872.11 0.00 872.11 25.40
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 1943.21 2001.51 0.00 2001.51 58.30 1905.11 1962.26 0.00 1962.26 57.15
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 1856.84 1912.53 0.00 1912.53 55.69 1820.43 1875.03 0.00 1875.03 54.60
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 1160.65 1276.71 0.00 1276.71 116.06 1137.89 1251.68 0.00 1251.68 113.79
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 2611.52 2872.63 0.00 2872.63 261.11 2560.31 2816.30 0.00 2816.30 255.99
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 2495.44 2744.95 0.00 2744.95 249.51 2446.51 2691.13 0.00 2691.13 244.62
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 1326.78 1459.47 0.00 1459.47 132.69 1300.76 1430.85 0.00 1430.85 130.09
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 2985.24 3283.82 0.00 3283.82 298.58 2926.71 3219.43 0.00 3219.43 292.72
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 2852.64 3137.94 0.00 3137.94 285.30 2796.71 3076.41 0.00 3076.41 279.70
Georgia Humana HDHP - HDHP Self AZ1 New Plan 481.85 0.00 481.85 New Plan New Plan 472.40 0.00 472.40 New Plan
Georgia Humana HDHP - HDHP Self & Family AZ2 New Plan 1200.60 0.00 1200.60 New Plan New Plan 1177.06 0.00 1177.06 New Plan
Georgia Humana HDHP - HDHP Self Plus One AZ3 New Plan 1056.86 0.00 1056.86 New Plan New Plan 1036.14 0.00 1036.14 New Plan
Georgia Humana HDHP - HDHP Self B21 New Plan 496.76 0.00 496.76 New Plan New Plan 487.02 0.00 487.02 New Plan
Georgia Humana HDHP - HDHP Self & Family B22 New Plan 1237.89 0.00 1237.89 New Plan New Plan 1213.62 0.00 1213.62 New Plan
Georgia Humana HDHP - HDHP Self Plus One B23 New Plan 1089.67 0.00 1089.67 New Plan New Plan 1068.30 0.00 1068.30 New Plan
Georgia Humana HDHP - HDHP Self AR1 New Plan 487.00 0.00 487.00 New Plan New Plan 477.45 0.00 477.45 New Plan
Georgia Humana HDHP - HDHP Self & Family AR2 New Plan 1213.51 0.00 1213.51 New Plan New Plan 1189.72 0.00 1189.72 New Plan
Georgia Humana HDHP - HDHP Self Plus One AR3 New Plan 1068.21 0.00 1068.21 New Plan New Plan 1047.26 0.00 1047.26 New Plan
Georgia Kaiser Permanente - Georgia - High Self F81 766.12 785.10 0.00 785.10 18.98 751.10 769.71 0.00 769.71 18.61
Georgia Kaiser Permanente - Georgia - High Self & Family F82 1731.45 1774.36 0.00 1774.36 42.91 1697.50 1739.57 0.00 1739.57 42.07
Georgia Kaiser Permanente - Georgia - High Self Plus One F83 1731.45 1774.36 0.00 1774.36 42.91 1697.50 1739.57 0.00 1739.57 42.07
Georgia Kaiser Permanente - Georgia - Standard Self F84 592.72 612.72 0.00 612.72 20.00 581.10 600.71 0.00 600.71 19.61
Georgia Kaiser Permanente - Georgia - Standard Self & Family F85 1339.53 1384.74 0.00 1384.74 45.21 1313.26 1357.59 0.00 1357.59 44.33
Georgia Kaiser Permanente - Georgia - Standard Self Plus One F86 1339.53 1384.74 0.00 1384.74 45.21 1313.26 1357.59 0.00 1357.59 44.33
Georgia Kaiser Permanente - Georgia - Prosper Self LA1 427.28 406.62 0.00 406.62 -20.66 418.90 398.65 0.00 398.65 -20.25
Georgia Kaiser Permanente - Georgia - Prosper Self & Family LA2 965.59 1055.67 0.00 1055.67 90.08 946.66 1034.97 0.00 1034.97 88.31
Georgia Kaiser Permanente - Georgia - Prosper Self Plus One LA3 965.59 918.94 0.00 918.94 -46.65 946.66 900.92 0.00 900.92 -45.74
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 765.63 915.85 0.00 915.85 150.22 750.62 897.89 0.00 897.89 147.27
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2296.94 2747.51 0.00 2747.51 450.57 2251.90 2693.64 0.00 2693.64 441.74
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1646.17 1969.07 0.00 1969.07 322.90 1613.89 1930.46 0.00 1930.46 316.57
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Guam Calvo's SelectCare - Standard Self B44 438.38 386.49 0.00 386.49 -51.89 429.78 378.91 0.00 378.91 -50.87
Guam Calvo's SelectCare - Standard Self & Family B45 1273.69 1122.93 0.00 1122.93 -150.76 1248.72 1100.91 0.00 1100.91 -147.81
Guam Calvo's SelectCare - Standard Self Plus One B46 864.15 761.86 0.00 761.86 -102.29 847.21 746.92 0.00 746.92 -100.29
Guam Calvo's SelectCare - High Self B41 532.12 546.67 0.00 546.67 14.55 521.69 535.95 0.00 535.95 14.26
Guam Calvo's SelectCare - High Self & Family B42 1409.41 1447.93 0.00 1447.93 38.52 1381.77 1419.54 0.00 1419.54 37.77
Guam Calvo's SelectCare - High Self Plus One B43 1038.43 1066.81 0.00 1066.81 28.38 1018.07 1045.89 0.00 1045.89 27.82
Guam TakeCare - HDHP Self KX1 122.94 124.76 0.00 124.76 1.82 120.53 122.31 0.00 122.31 1.78
Guam TakeCare - HDHP Self & Family KX2 329.62 334.53 0.00 334.53 4.91 323.16 327.97 0.00 327.97 4.81
Guam TakeCare - HDHP Self Plus One KX3 296.76 301.13 0.00 301.13 4.37 290.94 295.23 0.00 295.23 4.29
Guam TakeCare - Standard Self JK4 412.54 413.89 0.00 413.89 1.35 404.45 405.77 0.00 405.77 1.32
Guam TakeCare - Standard Self & Family JK5 1168.30 1172.16 0.00 1172.16 3.86 1145.39 1149.18 0.00 1149.18 3.79
Guam TakeCare - Standard Self Plus One JK6 813.08 815.78 0.00 815.78 2.70 797.14 799.78 0.00 799.78 2.64
Guam TakeCare - High Self JK1 507.77 526.18 0.00 526.18 18.41 497.81 515.86 0.00 515.86 18.05
Guam TakeCare - High Self & Family JK2 1211.13 1255.04 0.00 1255.04 43.91 1187.38 1230.43 0.00 1230.43 43.05
Guam TakeCare - High Self Plus One JK3 1003.16 1039.54 0.00 1039.54 36.38 983.49 1019.16 0.00 1019.16 35.67
Hawaii Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Hawaii Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Hawaii Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Hawaii Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Hawaii Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Hawaii Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
Hawaii Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Hawaii HMSA Plan - High Self 871 643.86 643.86 0.00 643.86 0.00 631.24 631.24 0.00 631.24 0.00
Hawaii HMSA Plan - High Self & Family 872 1447.40 1447.40 0.00 1447.40 0.00 1419.02 1419.02 0.00 1419.02 0.00
Hawaii HMSA Plan - High Self Plus One 873 1410.73 1410.73 0.00 1410.73 0.00 1383.07 1383.07 0.00 1383.07 0.00
Hawaii HMSA Plan - Standard Self 874 462.91 462.91 0.00 462.91 0.00 453.83 453.83 0.00 453.83 0.00
Hawaii HMSA Plan - Standard Self & Family 875 1040.58 1040.58 0.00 1040.58 0.00 1020.18 1020.18 0.00 1020.18 0.00
Hawaii HMSA Plan - Standard Self Plus One 876 1014.17 1014.17 0.00 1014.17 0.00 994.28 994.28 0.00 994.28 0.00
Hawaii Kaiser Permanente - Hawaii - High Self 631 689.06 689.06 0.00 689.06 0.00 675.55 675.55 0.00 675.55 0.00
Hawaii Kaiser Permanente - Hawaii - High Self & Family 632 1536.64 1536.64 0.00 1536.64 0.00 1506.51 1506.51 0.00 1506.51 0.00
Hawaii Kaiser Permanente - Hawaii - High Self Plus One 633 1536.64 1536.64 0.00 1536.64 0.00 1506.51 1506.51 0.00 1506.51 0.00
Hawaii Kaiser Permanente - Hawaii - Standard Self 634 515.28 495.09 0.00 495.09 -20.19 505.18 485.38 0.00 485.38 -19.80
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family 635 1149.05 1104.03 0.00 1104.03 -45.02 1126.52 1082.38 0.00 1082.38 -44.14
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One 636 1149.05 1104.03 0.00 1104.03 -45.02 1126.52 1082.38 0.00 1082.38 -44.14
Idaho Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Idaho Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Idaho Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Idaho Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Idaho Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Idaho Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Idaho Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Idaho Altius Health Plan - High Self 9K1 1069.33 1173.87 0.00 1173.87 104.54 1048.36 1150.85 0.00 1150.85 102.49
Idaho Altius Health Plan - High Self & Family 9K2 2364.83 2596.00 0.00 2596.00 231.17 2318.46 2545.10 0.00 2545.10 226.64
Idaho Altius Health Plan - High Self Plus One 9K3 2341.41 2570.32 0.00 2570.32 228.91 2295.50 2519.92 0.00 2519.92 224.42
Idaho Altius Health Plan - HDHP Self 9K4 685.94 774.40 0.00 774.40 88.46 672.49 759.22 0.00 759.22 86.73
Idaho Altius Health Plan - HDHP Self & Family 9K5 1433.54 1618.45 0.00 1618.45 184.91 1405.43 1586.72 0.00 1586.72 181.29
Idaho Altius Health Plan - HDHP Self Plus One 9K6 1405.41 1586.67 0.00 1586.67 181.26 1377.85 1555.56 0.00 1555.56 177.71
Idaho Altius Health Plan - Standard Self DK4 900.77 961.39 0.00 961.39 60.62 883.11 942.54 0.00 942.54 59.43
Idaho Altius Health Plan - Standard Self & Family DK5 1989.20 2123.06 0.00 2123.06 133.86 1950.20 2081.43 0.00 2081.43 131.23
Idaho Altius Health Plan - Standard Self Plus One DK6 1969.49 2102.02 0.00 2102.02 132.53 1930.87 2060.80 0.00 2060.80 129.93
Idaho Kaiser Permanente - Washington Core - Standard Self 544 630.38 637.71 0.00 637.71 7.33 618.02 625.21 0.00 625.21 7.19
Idaho Kaiser Permanente - Washington Core - Standard Self & Family 545 1449.87 1466.76 0.00 1466.76 16.89 1421.44 1438.00 0.00 1438.00 16.56
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One 546 1449.87 1466.76 0.00 1466.76 16.89 1421.44 1438.00 0.00 1438.00 16.56
Idaho Kaiser Permanente - Washington Core - High Self 541 881.04 886.92 0.00 886.92 5.88 863.76 869.53 0.00 869.53 5.77
Idaho Kaiser Permanente - Washington Core - High Self & Family 542 1938.26 1951.19 0.00 1951.19 12.93 1900.25 1912.93 0.00 1912.93 12.68
Idaho Kaiser Permanente - Washington Core - High Self Plus One 543 1938.26 1951.19 0.00 1951.19 12.93 1900.25 1912.93 0.00 1912.93 12.68
Idaho Kaiser Permanente - Washington Core - Prosper Self PT4 397.80 397.80 0.00 397.80 0.00 390.00 390.00 0.00 390.00 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family PT5 1113.82 1113.82 0.00 1113.82 0.00 1091.98 1091.98 0.00 1091.98 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 963.56 963.56 0.00 963.56 0.00 944.67 944.67 0.00 944.67 0.00
Illinois Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Illinois Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Illinois Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Illinois Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Illinois Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Illinois Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Illinois Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Illinois Blue Preferred - High Self 9G1 891.71 923.82 0.00 923.82 32.11 874.23 905.71 0.00 905.71 31.48
Illinois Blue Preferred - High Self & Family 9G2 2024.21 2182.11 0.00 2182.11 157.90 1984.52 2139.32 0.00 2139.32 154.80
Illinois Blue Preferred - High Self Plus One 9G3 1899.36 2045.62 0.00 2045.62 146.26 1862.12 2005.51 0.00 2005.51 143.39
Illinois Blue Preferred - Standard Self 9G4 646.33 626.29 0.00 626.29 -20.04 633.66 614.01 0.00 614.01 -19.65
Illinois Blue Preferred - Standard Self & Family 9G5 1793.39 1827.45 0.00 1827.45 34.06 1758.23 1791.62 0.00 1791.62 33.39
Illinois Blue Preferred - Standard Self Plus One 9G6 1606.07 1630.16 0.00 1630.16 24.09 1574.58 1598.20 0.00 1598.20 23.62
Illinois Health Alliance HMO - Standard Self K84 697.23 718.16 0.00 718.16 20.93 683.56 704.08 0.00 704.08 20.52
Illinois Health Alliance HMO - Standard Self & Family K85 1616.04 1664.53 0.00 1664.53 48.49 1584.35 1631.89 0.00 1631.89 47.54
Illinois Health Alliance HMO - Standard Self Plus One K86 1490.84 1535.55 0.00 1535.55 44.71 1461.61 1505.44 0.00 1505.44 43.83
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 804.24 844.47 0.00 844.47 40.23 788.47 827.91 0.00 827.91 39.44
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 1809.48 1899.96 0.00 1899.96 90.48 1774.00 1862.71 0.00 1862.71 88.71
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 1729.06 1815.52 0.00 1815.52 86.46 1695.16 1779.92 0.00 1779.92 84.76
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 1252.29 1346.23 0.00 1346.23 93.94 1227.74 1319.83 0.00 1319.83 92.09
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 2817.64 3028.94 0.00 3028.94 211.30 2762.39 2969.55 0.00 2969.55 207.16
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 2692.44 2894.37 0.00 2894.37 201.93 2639.65 2837.62 0.00 2837.62 197.97
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 823.92 815.69 0.00 815.69 -8.23 807.76 799.70 0.00 799.70 -8.06
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1853.75 1835.26 0.00 1835.26 -18.49 1817.40 1799.27 0.00 1799.27 -18.13
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1771.40 1753.71 0.00 1753.71 -17.69 1736.67 1719.32 0.00 1719.32 -17.35
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 1046.48 1077.89 0.00 1077.89 31.41 1025.96 1056.75 0.00 1056.75 30.79
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 2354.65 2425.37 0.00 2425.37 70.72 2308.48 2377.81 0.00 2377.81 69.33
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 2249.98 2317.52 0.00 2317.52 67.54 2205.86 2272.08 0.00 2272.08 66.22
Illinois Humana HDHP - HDHP Self BB1 New Plan 454.20 0.00 454.20 New Plan New Plan 445.29 0.00 445.29 New Plan
Illinois Humana HDHP - HDHP Self & Family BB2 New Plan 1131.52 0.00 1131.52 New Plan New Plan 1109.33 0.00 1109.33 New Plan
Illinois Humana HDHP - HDHP Self Plus One BB3 New Plan 996.05 0.00 996.05 New Plan New Plan 976.52 0.00 976.52 New Plan
Illinois Humana HDHP - HDHP Self AW1 New Plan 429.11 0.00 429.11 New Plan New Plan 420.70 0.00 420.70 New Plan
Illinois Humana HDHP - HDHP Self & Family AW2 New Plan 1068.78 0.00 1068.78 New Plan New Plan 1047.82 0.00 1047.82 New Plan
Illinois Humana HDHP - HDHP Self Plus One AW3 New Plan 940.84 0.00 940.84 New Plan New Plan 922.39 0.00 922.39 New Plan
Illinois Humana Health Plan, Inc. - Standard Self 754 1066.26 1076.92 0.00 1076.92 10.66 1045.35 1055.80 0.00 1055.80 10.45
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 2399.07 2423.07 0.00 2423.07 24.00 2352.03 2375.56 0.00 2375.56 23.53
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 2292.48 2315.40 0.00 2315.40 22.92 2247.53 2270.00 0.00 2270.00 22.47
Illinois Humana Health Plan, Inc. - High Self 751 1396.39 1431.30 0.00 1431.30 34.91 1369.01 1403.24 0.00 1403.24 34.23
Illinois Humana Health Plan, Inc. - High Self & Family 752 3141.94 3220.44 0.00 3220.44 78.50 3080.33 3157.29 0.00 3157.29 76.96
Illinois Humana Health Plan, Inc. - High Self Plus One 753 3002.29 3077.32 0.00 3077.32 75.03 2943.42 3016.98 0.00 3016.98 73.56
Illinois Humana Health Plan, Inc. - High Self 9F1 2056.17 2158.97 0.00 2158.97 102.80 2015.85 2116.64 0.00 2116.64 100.79
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 4626.35 4857.69 0.00 4857.69 231.34 4535.64 4762.44 0.00 4762.44 226.80
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 4420.71 4641.75 0.00 4641.75 221.04 4334.03 4550.74 0.00 4550.74 216.71
Illinois Humana Health Plan, Inc. - Standard Self AB4 1266.53 1476.41 0.00 1476.41 209.88 1241.70 1447.46 0.00 1447.46 205.76
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 2849.78 3321.99 0.00 3321.99 472.21 2793.90 3256.85 0.00 3256.85 462.95
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 2723.11 3174.35 0.00 3174.35 451.24 2669.72 3112.11 0.00 3112.11 442.39
Illinois Humana Health Plan, Inc. - Basic Self AB1 802.65 862.85 0.00 862.85 60.20 786.91 845.93 0.00 845.93 59.02
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 1806.01 1941.47 0.00 1941.47 135.46 1770.60 1903.40 0.00 1903.40 132.80
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 1725.75 1855.19 0.00 1855.19 129.44 1691.91 1818.81 0.00 1818.81 126.90
Illinois Humana Health Plan, Inc. - Basic Self RW1 835.42 856.29 0.00 856.29 20.87 819.04 839.50 0.00 839.50 20.46
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 1879.72 1926.66 0.00 1926.66 46.94 1842.86 1888.88 0.00 1888.88 46.02
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 1796.18 1841.02 0.00 1841.02 44.84 1760.96 1804.92 0.00 1804.92 43.96
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 565.71 677.04 0.00 677.04 111.33 554.62 663.76 0.00 663.76 109.14
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1586.25 1618.14 0.00 1618.14 31.89 1555.15 1586.41 0.00 1586.41 31.26
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1104.84 1354.09 0.00 1354.09 249.25 1083.18 1327.54 0.00 1327.54 244.36
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Indiana Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Indiana Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Indiana Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Indiana Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Indiana Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Indiana Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
Indiana Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Indiana Health Alliance HMO - Standard Self K84 697.23 718.16 0.00 718.16 20.93 683.56 704.08 0.00 704.08 20.52
Indiana Health Alliance HMO - Standard Self & Family K85 1616.04 1664.53 0.00 1664.53 48.49 1584.35 1631.89 0.00 1631.89 47.54
Indiana Health Alliance HMO - Standard Self Plus One K86 1490.84 1535.55 0.00 1535.55 44.71 1461.61 1505.44 0.00 1505.44 43.83
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 823.92 815.69 0.00 815.69 -8.23 807.76 799.70 0.00 799.70 -8.06
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1853.75 1835.26 0.00 1835.26 -18.49 1817.40 1799.27 0.00 1799.27 -18.13
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1771.40 1753.71 0.00 1753.71 -17.69 1736.67 1719.32 0.00 1719.32 -17.35
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 1046.48 1077.89 0.00 1077.89 31.41 1025.96 1056.75 0.00 1056.75 30.79
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 2354.65 2425.37 0.00 2425.37 70.72 2308.48 2377.81 0.00 2377.81 69.33
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 2249.98 2317.52 0.00 2317.52 67.54 2205.86 2272.08 0.00 2272.08 66.22
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self TC1 753.34 772.20 0.00 772.20 18.86 738.57 757.06 0.00 757.06 18.49
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TC2 1695.03 1737.40 0.00 1737.40 42.37 1661.79 1703.33 0.00 1703.33 41.54
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TC3 1619.71 1660.19 0.00 1660.19 40.48 1587.95 1627.64 0.00 1627.64 39.69
Indiana Humana CoverageFirst and Humana Value Plan - Value Self TC4 New Plan 591.33 0.00 591.33 New Plan New Plan 579.74 0.00 579.74 New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family TC5 New Plan 1330.51 0.00 1330.51 New Plan New Plan 1304.42 0.00 1304.42 New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One TC6 New Plan 1271.37 0.00 1271.37 New Plan New Plan 1246.44 0.00 1246.44 New Plan
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 658.80 708.22 0.00 708.22 49.42 645.88 694.33 0.00 694.33 48.45
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1482.32 1593.47 0.00 1593.47 111.15 1453.25 1562.23 0.00 1562.23 108.98
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1416.43 1522.67 0.00 1522.67 106.24 1388.66 1492.81 0.00 1492.81 104.15
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 856.20 920.42 0.00 920.42 64.22 839.41 902.37 0.00 902.37 62.96
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1926.48 2070.95 0.00 2070.95 144.47 1888.71 2030.34 0.00 2030.34 141.63
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1840.87 1978.92 0.00 1978.92 138.05 1804.77 1940.12 0.00 1940.12 135.35
Indiana Humana HDHP - HDHP Self BB1 New Plan 454.20 0.00 454.20 New Plan New Plan 445.29 0.00 445.29 New Plan
Indiana Humana HDHP - HDHP Self & Family BB2 New Plan 1131.52 0.00 1131.52 New Plan New Plan 1109.33 0.00 1109.33 New Plan
Indiana Humana HDHP - HDHP Self Plus One BB3 New Plan 996.05 0.00 996.05 New Plan New Plan 976.52 0.00 976.52 New Plan
Indiana Humana HDHP - HDHP Self DT1 New Plan 505.64 0.00 505.64 New Plan New Plan 495.73 0.00 495.73 New Plan
Indiana Humana HDHP - HDHP Self & Family DT2 New Plan 1260.12 0.00 1260.12 New Plan New Plan 1235.41 0.00 1235.41 New Plan
Indiana Humana HDHP - HDHP Self Plus One DT3 New Plan 1109.22 0.00 1109.22 New Plan New Plan 1087.47 0.00 1087.47 New Plan
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 1255.40 1267.94 0.00 1267.94 12.54 1230.78 1243.08 0.00 1243.08 12.30
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2824.69 2852.89 0.00 2852.89 28.20 2769.30 2796.95 0.00 2796.95 27.65
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2699.11 2726.08 0.00 2726.08 26.97 2646.19 2672.63 0.00 2672.63 26.44
Indiana Humana Health Plan, Inc. - Standard Self 754 1066.26 1076.92 0.00 1076.92 10.66 1045.35 1055.80 0.00 1055.80 10.45
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 2399.07 2423.07 0.00 2423.07 24.00 2352.03 2375.56 0.00 2375.56 23.53
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 2292.48 2315.40 0.00 2315.40 22.92 2247.53 2270.00 0.00 2270.00 22.47
Indiana Humana Health Plan, Inc. - High Self 751 1396.39 1431.30 0.00 1431.30 34.91 1369.01 1403.24 0.00 1403.24 34.23
Indiana Humana Health Plan, Inc. - High Self & Family 752 3141.94 3220.44 0.00 3220.44 78.50 3080.33 3157.29 0.00 3157.29 76.96
Indiana Humana Health Plan, Inc. - High Self Plus One 753 3002.29 3077.32 0.00 3077.32 75.03 2943.42 3016.98 0.00 3016.98 73.56
Indiana Humana Health Plan, Inc. - Standard Self MH4 964.53 1012.76 0.00 1012.76 48.23 945.62 992.90 0.00 992.90 47.28
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 2170.17 2278.64 0.00 2278.64 108.47 2127.62 2233.96 0.00 2233.96 106.34
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 2073.71 2177.36 0.00 2177.36 103.65 2033.05 2134.67 0.00 2134.67 101.62
Iowa Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Iowa Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Iowa Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Iowa Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Iowa Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Iowa Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Iowa Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Iowa Health Alliance HMO - Standard Self K84 697.23 718.16 0.00 718.16 20.93 683.56 704.08 0.00 704.08 20.52
Iowa Health Alliance HMO - Standard Self & Family K85 1616.04 1664.53 0.00 1664.53 48.49 1584.35 1631.89 0.00 1631.89 47.54
Iowa Health Alliance HMO - Standard Self Plus One K86 1490.84 1535.55 0.00 1535.55 44.71 1461.61 1505.44 0.00 1505.44 43.83
Iowa HealthPartners - Standard Self V34 519.60 564.35 0.00 564.35 44.75 509.41 553.28 0.00 553.28 43.87
Iowa HealthPartners - Standard Self & Family V35 1265.76 1374.80 0.00 1374.80 109.04 1240.94 1347.84 0.00 1347.84 106.90
Iowa HealthPartners - Standard Self Plus One V36 1148.32 1247.24 0.00 1247.24 98.92 1125.80 1222.78 0.00 1222.78 96.98
Iowa HealthPartners - High Self V31 681.43 705.98 0.00 705.98 24.55 668.07 692.14 0.00 692.14 24.07
Iowa HealthPartners - High Self & Family V32 1659.93 1719.73 0.00 1719.73 59.80 1627.38 1686.01 0.00 1686.01 58.63
Iowa HealthPartners - High Self Plus One V33 1505.94 1560.17 0.00 1560.17 54.23 1476.41 1529.58 0.00 1529.58 53.17
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 706.72 759.44 0.00 759.44 52.72 692.86 744.55 0.00 744.55 51.69
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1625.43 1746.70 0.00 1746.70 121.27 1593.56 1712.45 0.00 1712.45 118.89
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1519.42 1632.78 0.00 1632.78 113.36 1489.63 1600.76 0.00 1600.76 111.13
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 792.38 891.43 0.00 891.43 99.05 776.84 873.95 0.00 873.95 97.11
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1980.95 2228.63 0.00 2228.63 247.68 1942.11 2184.93 0.00 2184.93 242.82
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1703.62 1916.62 0.00 1916.62 213.00 1670.22 1879.04 0.00 1879.04 208.82
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Kansas Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Kansas Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Kansas Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Kansas Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Kansas Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Kansas Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Kansas Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Kansas Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Kansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Kansas Aetna Open Access - High Self HA1 1179.65 1212.76 0.00 1212.76 33.11 1156.52 1188.98 0.00 1188.98 32.46
Kansas Aetna Open Access - High Self & Family HA2 2786.55 2864.71 0.00 2864.71 78.16 2731.91 2808.54 0.00 2808.54 76.63
Kansas Aetna Open Access - High Self Plus One HA3 2758.99 2836.39 0.00 2836.39 77.40 2704.89 2780.77 0.00 2780.77 75.88
Kansas Aetna Open Access - Standard Self HA4 919.39 927.56 0.00 927.56 8.17 901.36 909.37 0.00 909.37 8.01
Kansas Aetna Open Access - Standard Self & Family HA5 2170.09 2189.40 0.00 2189.40 19.31 2127.54 2146.47 0.00 2146.47 18.93
Kansas Aetna Open Access - Standard Self Plus One HA6 2148.61 2167.77 0.00 2167.77 19.16 2106.48 2125.26 0.00 2125.26 18.78
Kansas Humana CoverageFirst and Humana Value Plan - Value Self PH4 538.16 578.51 0.00 578.51 40.35 527.61 567.17 0.00 567.17 39.56
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 1210.86 1301.67 0.00 1301.67 90.81 1187.12 1276.15 0.00 1276.15 89.03
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 1157.05 1243.83 0.00 1243.83 86.78 1134.36 1219.44 0.00 1219.44 85.08
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 773.19 773.19 0.00 773.19 0.00 758.03 758.03 0.00 758.03 0.00
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1739.69 1739.71 0.00 1739.71 0.02 1705.58 1705.60 0.00 1705.60 0.02
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1662.37 1662.39 0.00 1662.39 0.02 1629.77 1629.79 0.00 1629.79 0.02
Kansas Humana HDHP - HDHP Self BK1 New Plan 411.19 0.00 411.19 New Plan New Plan 403.13 0.00 403.13 New Plan
Kansas Humana HDHP - HDHP Self & Family BK2 New Plan 1024.01 0.00 1024.01 New Plan New Plan 1003.93 0.00 1003.93 New Plan
Kansas Humana HDHP - HDHP Self Plus One BK3 New Plan 901.46 0.00 901.46 New Plan New Plan 883.78 0.00 883.78 New Plan
Kansas Humana Health Plan, Inc. - Standard Self MS4 1224.60 1316.45 0.00 1316.45 91.85 1200.59 1290.64 0.00 1290.64 90.05
Kansas Humana Health Plan, Inc. - Standard Self & Family MS5 2755.37 2962.06 0.00 2962.06 206.69 2701.34 2903.98 0.00 2903.98 202.64
Kansas Humana Health Plan, Inc. - Standard Self Plus One MS6 2632.95 2830.44 0.00 2830.44 197.49 2581.32 2774.94 0.00 2774.94 193.62
Kentucky Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Kentucky Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Kentucky Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Kentucky Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Kentucky Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Kentucky Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Kentucky Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Kentucky Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self TC1 753.34 772.20 0.00 772.20 18.86 738.57 757.06 0.00 757.06 18.49
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TC2 1695.03 1737.40 0.00 1737.40 42.37 1661.79 1703.33 0.00 1703.33 41.54
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TC3 1619.71 1660.19 0.00 1660.19 40.48 1587.95 1627.64 0.00 1627.64 39.69
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self TC4 New Plan 591.33 0.00 591.33 New Plan New Plan 579.74 0.00 579.74 New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family TC5 New Plan 1330.51 0.00 1330.51 New Plan New Plan 1304.42 0.00 1304.42 New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One TC6 New Plan 1271.37 0.00 1271.37 New Plan New Plan 1246.44 0.00 1246.44 New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self 6N1 844.60 865.73 0.00 865.73 21.13 828.04 848.75 0.00 848.75 20.71
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family 6N2 1900.33 1947.87 0.00 1947.87 47.54 1863.07 1909.68 0.00 1909.68 46.61
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One 6N3 1815.90 1861.31 0.00 1861.31 45.41 1780.29 1824.81 0.00 1824.81 44.52
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self 6N4 New Plan 646.50 0.00 646.50 New Plan New Plan 633.82 0.00 633.82 New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family 6N5 New Plan 1454.58 0.00 1454.58 New Plan New Plan 1426.06 0.00 1426.06 New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One 6N6 New Plan 1389.95 0.00 1389.95 New Plan New Plan 1362.70 0.00 1362.70 New Plan
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self X34 658.80 708.22 0.00 708.22 49.42 645.88 694.33 0.00 694.33 48.45
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1482.32 1593.47 0.00 1593.47 111.15 1453.25 1562.23 0.00 1562.23 108.98
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1416.43 1522.67 0.00 1522.67 106.24 1388.66 1492.81 0.00 1492.81 104.15
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self X31 856.20 920.42 0.00 920.42 64.22 839.41 902.37 0.00 902.37 62.96
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1926.48 2070.95 0.00 2070.95 144.47 1888.71 2030.34 0.00 2030.34 141.63
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1840.87 1978.92 0.00 1978.92 138.05 1804.77 1940.12 0.00 1940.12 135.35
Kentucky Humana HDHP - HDHP Self DT1 New Plan 505.64 0.00 505.64 New Plan New Plan 495.73 0.00 495.73 New Plan
Kentucky Humana HDHP - HDHP Self & Family DT2 New Plan 1260.12 0.00 1260.12 New Plan New Plan 1235.41 0.00 1235.41 New Plan
Kentucky Humana HDHP - HDHP Self Plus One DT3 New Plan 1109.22 0.00 1109.22 New Plan New Plan 1087.47 0.00 1087.47 New Plan
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self A64 1255.40 1267.94 0.00 1267.94 12.54 1230.78 1243.08 0.00 1243.08 12.30
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2824.69 2852.89 0.00 2852.89 28.20 2769.30 2796.95 0.00 2796.95 27.65
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2699.11 2726.08 0.00 2726.08 26.97 2646.19 2672.63 0.00 2672.63 26.44
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self W61 651.84 684.44 0.00 684.44 32.60 639.06 671.02 0.00 671.02 31.96
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1466.69 1540.02 0.00 1540.02 73.33 1437.93 1509.82 0.00 1509.82 71.89
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1401.49 1471.57 0.00 1471.57 70.08 1374.01 1442.72 0.00 1442.72 68.71
Kentucky Humana Health Plan, Inc. - Standard Self MI4 938.81 948.18 0.00 948.18 9.37 920.40 929.59 0.00 929.59 9.19
Kentucky Humana Health Plan, Inc. - Standard Self & Family MI5 2112.28 2133.38 0.00 2133.38 21.10 2070.86 2091.55 0.00 2091.55 20.69
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MI6 2018.42 2038.59 0.00 2038.59 20.17 1978.84 1998.62 0.00 1998.62 19.78
Kentucky Humana Health Plan, Inc. - Standard Self MH4 964.53 1012.76 0.00 1012.76 48.23 945.62 992.90 0.00 992.90 47.28
Kentucky Humana Health Plan, Inc. - Standard Self & Family MH5 2170.17 2278.64 0.00 2278.64 108.47 2127.62 2233.96 0.00 2233.96 106.34
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MH6 2073.71 2177.36 0.00 2177.36 103.65 2033.05 2134.67 0.00 2134.67 101.62
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 706.72 759.44 0.00 759.44 52.72 692.86 744.55 0.00 744.55 51.69
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1625.43 1746.70 0.00 1746.70 121.27 1593.56 1712.45 0.00 1712.45 118.89
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1519.42 1632.78 0.00 1632.78 113.36 1489.63 1600.76 0.00 1600.76 111.13
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 792.38 891.43 0.00 891.43 99.05 776.84 873.95 0.00 873.95 97.11
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1980.95 2228.63 0.00 2228.63 247.68 1942.11 2184.93 0.00 2184.93 242.82
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1703.62 1916.62 0.00 1916.62 213.00 1670.22 1879.04 0.00 1879.04 208.82
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Louisiana Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Louisiana Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Louisiana Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Louisiana Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Louisiana Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Louisiana Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Louisiana Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Louisiana Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self BC4 756.37 775.29 0.00 775.29 18.92 741.54 760.09 0.00 760.09 18.55
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family BC5 1701.83 1744.42 0.00 1744.42 42.59 1668.46 1710.22 0.00 1710.22 41.76
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One BC6 1626.19 1666.87 0.00 1666.87 40.68 1594.30 1634.19 0.00 1634.19 39.89
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self BC1 1011.30 1051.74 0.00 1051.74 40.44 991.47 1031.12 0.00 1031.12 39.65
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family BC2 2275.44 2366.47 0.00 2366.47 91.03 2230.82 2320.07 0.00 2320.07 89.25
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One BC3 2174.31 2261.30 0.00 2261.30 86.99 2131.68 2216.96 0.00 2216.96 85.28
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self AE1 1234.90 1296.68 0.00 1296.68 61.78 1210.69 1271.25 0.00 1271.25 60.56
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family AE2 2778.52 2917.42 0.00 2917.42 138.90 2724.04 2860.22 0.00 2860.22 136.18
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One AE3 2655.05 2787.78 0.00 2787.78 132.73 2602.99 2733.12 0.00 2733.12 130.13
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self AE4 930.68 958.59 0.00 958.59 27.91 912.43 939.79 0.00 939.79 27.36
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family AE5 2094.04 2156.87 0.00 2156.87 62.83 2052.98 2114.58 0.00 2114.58 61.60
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One AE6 2000.95 2061.00 0.00 2061.00 60.05 1961.72 2020.59 0.00 2020.59 58.87
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 495.57 637.16 0.00 637.16 141.59 485.85 624.67 0.00 624.67 138.82
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1139.85 1465.50 0.00 1465.50 325.65 1117.50 1436.76 0.00 1436.76 319.26
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1065.48 1369.93 0.00 1369.93 304.45 1044.59 1343.07 0.00 1343.07 298.48
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 784.42 864.25 0.00 864.25 79.83 769.04 847.30 0.00 847.30 78.26
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1961.09 2160.60 0.00 2160.60 199.51 1922.64 2118.24 0.00 2118.24 195.60
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1686.54 1858.12 0.00 1858.12 171.58 1653.47 1821.69 0.00 1821.69 168.22
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Maine Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Maine Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Maine Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Maine Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Maine Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Maine Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
Maine Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Maine Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Maine Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Maryland Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Maryland Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Maryland Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Maryland Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Maryland Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Maryland Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Maryland Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Maryland Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Maryland Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Maryland Aetna Open Access - High Self JN1 1200.10 1276.58 0.00 1276.58 76.48 1176.57 1251.55 0.00 1251.55 74.98
Maryland Aetna Open Access - High Self & Family JN2 2697.95 2869.95 0.00 2869.95 172.00 2645.05 2813.68 0.00 2813.68 168.63
Maryland Aetna Open Access - High Self Plus One JN3 2671.23 2841.51 0.00 2841.51 170.28 2618.85 2785.79 0.00 2785.79 166.94
Maryland Aetna Open Access - Basic Self JN4 728.71 754.25 0.00 754.25 25.54 714.42 739.46 0.00 739.46 25.04
Maryland Aetna Open Access - Basic Self & Family JN5 1667.62 1726.07 0.00 1726.07 58.45 1634.92 1692.23 0.00 1692.23 57.31
Maryland Aetna Open Access - Basic Self Plus One JN6 1531.36 1585.01 0.00 1585.01 53.65 1501.33 1553.93 0.00 1553.93 52.60
Maryland Aetna Saver (Open Access) - Saver Self QQ4 607.11 607.11 0.00 607.11 0.00 595.21 595.21 0.00 595.21 0.00
Maryland Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.36 1389.36 0.00 1389.36 0.00 1362.12 1362.12 0.00 1362.12 0.00
Maryland Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1275.84 0.00 1275.84 0.00 1250.82 1250.82 0.00 1250.82 0.00
Maryland CareFirst BlueChoice - Standard Self 2G4 905.57 923.69 0.00 923.69 18.12 887.81 905.58 0.00 905.58 17.77
Maryland CareFirst BlueChoice - Standard Self & Family 2G5 2151.61 2194.62 0.00 2194.62 43.01 2109.42 2151.59 0.00 2151.59 42.17
Maryland CareFirst BlueChoice - Standard Self Plus One 2G6 1811.12 1847.34 0.00 1847.34 36.22 1775.61 1811.12 0.00 1811.12 35.51
Maryland CareFirst BlueChoice - HDHP Self B61 581.49 616.40 0.00 616.40 34.91 570.09 604.31 0.00 604.31 34.22
Maryland CareFirst BlueChoice - HDHP Self & Family B62 1381.60 1464.51 0.00 1464.51 82.91 1354.51 1435.79 0.00 1435.79 81.28
Maryland CareFirst BlueChoice - HDHP Self Plus One B63 1162.97 1232.74 0.00 1232.74 69.77 1140.17 1208.57 0.00 1208.57 68.40
Maryland CareFirst BlueChoice - Blue Value Plus Self B64 738.14 738.14 0.00 738.14 0.00 723.67 723.67 0.00 723.67 0.00
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family B65 1753.77 1753.77 0.00 1753.77 0.00 1719.38 1719.38 0.00 1719.38 0.00
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1476.24 1476.24 0.00 1476.24 0.00 1447.29 1447.29 0.00 1447.29 0.00
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 436.27 376.28 0.00 376.28 -59.99 427.72 368.90 0.00 368.90 -58.82
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 1121.51 1072.36 0.00 1072.36 -49.15 1099.52 1051.33 0.00 1051.33 -48.19
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 970.88 884.25 0.00 884.25 -86.63 951.84 866.91 0.00 866.91 -84.93
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self E34 610.25 619.40 0.00 619.40 9.15 598.28 607.25 0.00 607.25 8.97
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1403.57 1424.56 0.00 1424.56 20.99 1376.05 1396.63 0.00 1396.63 20.58
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1403.57 1424.56 0.00 1424.56 20.99 1376.05 1396.63 0.00 1396.63 20.58
Maryland Kaiser Permanente - Mid-Atlantic States - High Self E31 761.16 771.73 0.00 771.73 10.57 746.24 756.60 0.00 756.60 10.36
Maryland Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1750.68 1775.00 0.00 1775.00 24.32 1716.35 1740.20 0.00 1740.20 23.85
Maryland Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1750.68 1775.00 0.00 1775.00 24.32 1716.35 1740.20 0.00 1740.20 23.85
Maryland M.D. IPA - High Self JP1 969.91 1032.23 0.00 1032.23 62.32 950.89 1011.99 0.00 1011.99 61.10
Maryland M.D. IPA - High Self & Family JP2 2719.61 2894.41 0.00 2894.41 174.80 2666.28 2837.66 0.00 2837.66 171.38
Maryland M.D. IPA - High Self Plus One JP3 1894.23 2015.96 0.00 2015.96 121.73 1857.09 1976.43 0.00 1976.43 119.34
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 530.31 675.05 0.00 675.05 144.74 519.91 661.81 0.00 661.81 141.90
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1219.73 1544.48 0.00 1544.48 324.75 1195.81 1514.20 0.00 1514.20 318.39
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1140.17 1451.38 0.00 1451.38 311.21 1117.81 1422.92 0.00 1422.92 305.11
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 785.81 838.60 0.00 838.60 52.79 770.40 822.16 0.00 822.16 51.76
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1862.35 1987.52 0.00 1987.52 125.17 1825.83 1948.55 0.00 1948.55 122.72
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1689.46 1803.03 0.00 1803.03 113.57 1656.33 1767.68 0.00 1767.68 111.35
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 565.71 677.04 0.00 677.04 111.33 554.62 663.76 0.00 663.76 109.14
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1586.25 1618.14 0.00 1618.14 31.89 1555.15 1586.41 0.00 1586.41 31.26
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1104.84 1354.09 0.00 1354.09 249.25 1083.18 1327.54 0.00 1327.54 244.36
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Massachusetts Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Massachusetts Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Massachusetts Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Massachusetts Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Massachusetts Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Massachusetts Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
Massachusetts Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Michigan Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Michigan Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Michigan Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Michigan Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Michigan Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Michigan Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Michigan Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Michigan Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Michigan Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Michigan Blue Care Network of Michigan - High Self LX1 781.13 806.25 0.00 806.25 25.12 765.81 790.44 0.00 790.44 24.63
Michigan Blue Care Network of Michigan - High Self & Family LX2 1905.95 1967.27 0.00 1967.27 61.32 1868.58 1928.70 0.00 1928.70 60.12
Michigan Blue Care Network of Michigan - High Self Plus One LX3 1796.62 1854.39 0.00 1854.39 57.77 1761.39 1818.03 0.00 1818.03 56.64
Michigan Blue Care Network of Michigan - High Self K51 1016.42 1062.96 0.00 1062.96 46.54 996.49 1042.12 0.00 1042.12 45.63
Michigan Blue Care Network of Michigan - High Self & Family K52 2480.09 2593.62 0.00 2593.62 113.53 2431.46 2542.76 0.00 2542.76 111.30
Michigan Blue Care Network of Michigan - High Self Plus One K53 2337.81 2444.79 0.00 2444.79 106.98 2291.97 2396.85 0.00 2396.85 104.88
Michigan Health Alliance Plan - High Self 521 859.02 928.31 0.00 928.31 69.29 842.18 910.11 0.00 910.11 67.93
Michigan Health Alliance Plan - High Self & Family 522 2096.03 2265.03 0.00 2265.03 169.00 2054.93 2220.62 0.00 2220.62 165.69
Michigan Health Alliance Plan - High Self Plus One 523 1975.74 2135.08 0.00 2135.08 159.34 1937.00 2093.22 0.00 2093.22 156.22
Michigan Health Alliance Plan - Standard Self GY4 568.70 540.76 0.00 540.76 -27.94 557.55 530.16 0.00 530.16 -27.39
Michigan Health Alliance Plan - Standard Self & Family GY5 1387.62 1319.44 0.00 1319.44 -68.18 1360.41 1293.57 0.00 1293.57 -66.84
Michigan Health Alliance Plan - Standard Self Plus One GY6 1307.99 1243.77 0.00 1243.77 -64.22 1282.34 1219.38 0.00 1219.38 -62.96
Michigan Priority Health - High Self LE1 1058.04 1128.84 0.00 1128.84 70.80 1037.29 1106.71 0.00 1106.71 69.42
Michigan Priority Health - High Self & Family LE2 2486.38 2652.75 0.00 2652.75 166.37 2437.63 2600.74 0.00 2600.74 163.11
Michigan Priority Health - High Self Plus One LE3 2327.68 2483.42 0.00 2483.42 155.74 2282.04 2434.73 0.00 2434.73 152.69
Michigan Priority Health - Standard Self LE4 599.13 629.56 0.00 629.56 30.43 587.38 617.22 0.00 617.22 29.84
Michigan Priority Health - Standard Self & Family LE5 1407.93 1479.46 0.00 1479.46 71.53 1380.32 1450.45 0.00 1450.45 70.13
Michigan Priority Health - Standard Self Plus One LE6 1318.06 1385.01 0.00 1385.01 66.95 1292.22 1357.85 0.00 1357.85 65.63
Michigan Priority Health - Value Self Y41 482.70 482.70 0.00 482.70 0.00 473.24 473.24 0.00 473.24 0.00
Michigan Priority Health - Value Self & Family Y42 1134.37 1134.37 0.00 1134.37 0.00 1112.13 1112.13 0.00 1112.13 0.00
Michigan Priority Health - Value Self Plus One Y43 1061.95 1061.95 0.00 1061.95 0.00 1041.13 1041.13 0.00 1041.13 0.00
Minnesota Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Minnesota Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Minnesota Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Minnesota Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Minnesota Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Minnesota Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Minnesota Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Minnesota Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Minnesota HealthPartners - Standard Self V34 519.60 564.35 0.00 564.35 44.75 509.41 553.28 0.00 553.28 43.87
Minnesota HealthPartners - Standard Self & Family V35 1265.76 1374.80 0.00 1374.80 109.04 1240.94 1347.84 0.00 1347.84 106.90
Minnesota HealthPartners - Standard Self Plus One V36 1148.32 1247.24 0.00 1247.24 98.92 1125.80 1222.78 0.00 1222.78 96.98
Minnesota HealthPartners - High Self V31 681.43 705.98 0.00 705.98 24.55 668.07 692.14 0.00 692.14 24.07
Minnesota HealthPartners - High Self & Family V32 1659.93 1719.73 0.00 1719.73 59.80 1627.38 1686.01 0.00 1686.01 58.63
Minnesota HealthPartners - High Self Plus One V33 1505.94 1560.17 0.00 1560.17 54.23 1476.41 1529.58 0.00 1529.58 53.17
Mississippi Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Mississippi Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Mississippi Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Mississippi Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Mississippi Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Mississippi Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Mississippi Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Mississippi Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 495.57 637.16 0.00 637.16 141.59 485.85 624.67 0.00 624.67 138.82
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1139.85 1465.50 0.00 1465.50 325.65 1117.50 1436.76 0.00 1436.76 319.26
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1065.48 1369.93 0.00 1369.93 304.45 1044.59 1343.07 0.00 1343.07 298.48
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 784.42 864.25 0.00 864.25 79.83 769.04 847.30 0.00 847.30 78.26
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1961.09 2160.60 0.00 2160.60 199.51 1922.64 2118.24 0.00 2118.24 195.60
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1686.54 1858.12 0.00 1858.12 171.58 1653.47 1821.69 0.00 1821.69 168.22
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Missouri Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Missouri Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Missouri Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Missouri Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Missouri Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Missouri Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Missouri Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Missouri Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Missouri Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Missouri Aetna Open Access - High Self HA1 1179.65 1212.76 0.00 1212.76 33.11 1156.52 1188.98 0.00 1188.98 32.46
Missouri Aetna Open Access - High Self & Family HA2 2786.55 2864.71 0.00 2864.71 78.16 2731.91 2808.54 0.00 2808.54 76.63
Missouri Aetna Open Access - High Self Plus One HA3 2758.99 2836.39 0.00 2836.39 77.40 2704.89 2780.77 0.00 2780.77 75.88
Missouri Aetna Open Access - Standard Self HA4 919.39 927.56 0.00 927.56 8.17 901.36 909.37 0.00 909.37 8.01
Missouri Aetna Open Access - Standard Self & Family HA5 2170.09 2189.40 0.00 2189.40 19.31 2127.54 2146.47 0.00 2146.47 18.93
Missouri Aetna Open Access - Standard Self Plus One HA6 2148.61 2167.77 0.00 2167.77 19.16 2106.48 2125.26 0.00 2125.26 18.78
Missouri Blue Preferred - High Self 9G1 891.71 923.82 0.00 923.82 32.11 874.23 905.71 0.00 905.71 31.48
Missouri Blue Preferred - High Self & Family 9G2 2024.21 2182.11 0.00 2182.11 157.90 1984.52 2139.32 0.00 2139.32 154.80
Missouri Blue Preferred - High Self Plus One 9G3 1899.36 2045.62 0.00 2045.62 146.26 1862.12 2005.51 0.00 2005.51 143.39
Missouri Blue Preferred - Standard Self 9G4 646.33 626.29 0.00 626.29 -20.04 633.66 614.01 0.00 614.01 -19.65
Missouri Blue Preferred - Standard Self & Family 9G5 1793.39 1827.45 0.00 1827.45 34.06 1758.23 1791.62 0.00 1791.62 33.39
Missouri Blue Preferred - Standard Self Plus One 9G6 1606.07 1630.16 0.00 1630.16 24.09 1574.58 1598.20 0.00 1598.20 23.62
Missouri Humana CoverageFirst and Humana Value Plan - Value Self PH4 538.16 578.51 0.00 578.51 40.35 527.61 567.17 0.00 567.17 39.56
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 1210.86 1301.67 0.00 1301.67 90.81 1187.12 1276.15 0.00 1276.15 89.03
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 1157.05 1243.83 0.00 1243.83 86.78 1134.36 1219.44 0.00 1219.44 85.08
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 773.19 773.19 0.00 773.19 0.00 758.03 758.03 0.00 758.03 0.00
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1739.69 1739.71 0.00 1739.71 0.02 1705.58 1705.60 0.00 1705.60 0.02
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1662.37 1662.39 0.00 1662.39 0.02 1629.77 1629.79 0.00 1629.79 0.02
Missouri Humana HDHP - HDHP Self BK1 New Plan 411.19 0.00 411.19 New Plan New Plan 403.13 0.00 403.13 New Plan
Missouri Humana HDHP - HDHP Self & Family BK2 New Plan 1024.01 0.00 1024.01 New Plan New Plan 1003.93 0.00 1003.93 New Plan
Missouri Humana HDHP - HDHP Self Plus One BK3 New Plan 901.46 0.00 901.46 New Plan New Plan 883.78 0.00 883.78 New Plan
Missouri Humana Health Plan, Inc. - Standard Self MS4 1224.60 1316.45 0.00 1316.45 91.85 1200.59 1290.64 0.00 1290.64 90.05
Missouri Humana Health Plan, Inc. - Standard Self & Family MS5 2755.37 2962.06 0.00 2962.06 206.69 2701.34 2903.98 0.00 2903.98 202.64
Missouri Humana Health Plan, Inc. - Standard Self Plus One MS6 2632.95 2830.44 0.00 2830.44 197.49 2581.32 2774.94 0.00 2774.94 193.62
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Montana Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Montana Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Montana Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Montana Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Montana Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Montana Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Montana Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Montana Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Montana Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Nebraska Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Nebraska Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Nebraska Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Nebraska Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Nebraska Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Nebraska Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Nebraska Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Nebraska Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Nevada Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Nevada Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Nevada Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Nevada Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Nevada Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Nevada Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Nevada Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Nevada Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Nevada Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Nevada Health Plan of Nevada, Inc. - High Self NM1 755.99 846.76 0.00 846.76 90.77 741.17 830.16 0.00 830.16 88.99
Nevada Health Plan of Nevada, Inc. - High Self & Family NM2 1791.63 2006.75 0.00 2006.75 215.12 1756.50 1967.40 0.00 1967.40 210.90
Nevada Health Plan of Nevada, Inc. - High Self Plus One NM3 1436.39 1608.86 0.00 1608.86 172.47 1408.23 1577.31 0.00 1577.31 169.08
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 634.66 681.83 0.00 681.83 47.17 622.22 668.46 0.00 668.46 46.24
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1500.97 1612.53 0.00 1612.53 111.56 1471.54 1580.91 0.00 1580.91 109.37
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1364.53 1465.91 0.00 1465.91 101.38 1337.77 1437.17 0.00 1437.17 99.40
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 538.73 685.54 0.00 685.54 146.81 528.17 672.10 0.00 672.10 143.93
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1239.06 1576.77 0.00 1576.77 337.71 1214.76 1545.85 0.00 1545.85 331.09
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1158.26 1473.94 0.00 1473.94 315.68 1135.55 1445.04 0.00 1445.04 309.49
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 797.76 882.17 0.00 882.17 84.41 782.12 864.87 0.00 864.87 82.75
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1994.46 2205.40 0.00 2205.40 210.94 1955.35 2162.16 0.00 2162.16 206.81
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1715.20 1896.65 0.00 1896.65 181.45 1681.57 1859.46 0.00 1859.46 177.89
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 633.63 670.80 0.00 670.80 37.17 621.21 657.65 0.00 657.65 36.44
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1498.51 1586.50 0.00 1586.50 87.99 1469.13 1555.39 0.00 1555.39 86.26
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1362.29 1442.25 0.00 1442.25 79.96 1335.58 1413.97 0.00 1413.97 78.39
New Hampshire Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New Hampshire Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New Hampshire Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New Hampshire Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
New Hampshire Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
New Hampshire Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
New Hampshire Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
New Jersey Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New Jersey Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New Jersey Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New Jersey Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
New Jersey Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
New Jersey Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
New Jersey Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
New Jersey Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
New Jersey Aetna Open Access - High Self JR1 1689.95 1688.28 0.00 1688.28 -1.67 1656.81 1655.18 0.00 1655.18 -1.63
New Jersey Aetna Open Access - High Self & Family JR2 3903.57 3899.70 0.00 3899.70 -3.87 3827.03 3823.24 0.00 3823.24 -3.79
New Jersey Aetna Open Access - High Self Plus One JR3 3864.89 3861.12 0.00 3861.12 -3.77 3789.11 3785.41 0.00 3785.41 -3.70
New Jersey Aetna Open Access - Basic Self JR4 1457.94 1456.84 0.00 1456.84 -1.10 1429.35 1428.27 0.00 1428.27 -1.08
New Jersey Aetna Open Access - Basic Self & Family JR5 3378.95 3376.39 0.00 3376.39 -2.56 3312.70 3310.19 0.00 3310.19 -2.51
New Jersey Aetna Open Access - Basic Self Plus One JR6 3345.48 3342.96 0.00 3342.96 -2.52 3279.88 3277.41 0.00 3277.41 -2.47
New Jersey Aetna Open Access - Basic Self P34 1535.64 1756.20 0.00 1756.20 220.56 1505.53 1721.76 0.00 1721.76 216.23
New Jersey Aetna Open Access - Basic Self & Family P35 3564.23 4076.22 0.00 4076.22 511.99 3494.34 3996.29 0.00 3996.29 501.95
New Jersey Aetna Open Access - Basic Self Plus One P36 3528.92 4035.83 0.00 4035.83 506.91 3459.73 3956.70 0.00 3956.70 496.97
New Jersey Aetna Open Access - High Self P31 1619.99 1797.79 0.00 1797.79 177.80 1588.23 1762.54 0.00 1762.54 174.31
New Jersey Aetna Open Access - High Self & Family P32 3927.72 4358.74 0.00 4358.74 431.02 3850.71 4273.27 0.00 4273.27 422.56
New Jersey Aetna Open Access - High Self Plus One P33 3888.83 4315.60 0.00 4315.60 426.77 3812.58 4230.98 0.00 4230.98 418.40
New Jersey Emblemhealth Plan, Inc. - Standard Self 804 1060.65 1060.65 0.00 1060.65 0.00 1039.85 1039.85 0.00 1039.85 0.00
New Jersey Emblemhealth Plan, Inc. - Standard Self & Family 805 2573.17 2573.17 0.00 2573.17 0.00 2522.72 2522.72 0.00 2522.72 0.00
New Jersey Emblemhealth Plan, Inc. - Standard Self Plus One 806 2467.11 2467.11 0.00 2467.11 0.00 2418.74 2418.74 0.00 2418.74 0.00
New Mexico Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New Mexico Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New Mexico Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New Mexico Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
New Mexico Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
New Mexico Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
New Mexico Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
New Mexico Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
New Mexico Presbyterian Health Plan - High Self P21 863.87 891.96 0.00 891.96 28.09 846.93 874.47 0.00 874.47 27.54
New Mexico Presbyterian Health Plan - High Self & Family P22 2030.15 2096.18 0.00 2096.18 66.03 1990.34 2055.08 0.00 2055.08 64.74
New Mexico Presbyterian Health Plan - High Self Plus One P23 1961.04 2024.82 0.00 2024.82 63.78 1922.59 1985.12 0.00 1985.12 62.53
New Mexico Presbyterian Health Plan - Standard Self PS4 720.44 739.73 0.00 739.73 19.29 706.31 725.23 0.00 725.23 18.92
New Mexico Presbyterian Health Plan - Standard Self & Family PS5 1693.04 1738.43 0.00 1738.43 45.39 1659.84 1704.34 0.00 1704.34 44.50
New Mexico Presbyterian Health Plan - Standard Self Plus One PS6 1635.45 1679.29 0.00 1679.29 43.84 1603.38 1646.36 0.00 1646.36 42.98
New Mexico Presbyterian Health Plan - Wellness Self PS1 644.70 666.89 0.00 666.89 22.19 632.06 653.81 0.00 653.81 21.75
New Mexico Presbyterian Health Plan - Wellness Self & Family PS2 1515.07 1567.16 0.00 1567.16 52.09 1485.36 1536.43 0.00 1536.43 51.07
New Mexico Presbyterian Health Plan - Wellness Self Plus One PS3 1463.49 1513.85 0.00 1513.85 50.36 1434.79 1484.17 0.00 1484.17 49.38
New York Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New York Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New York Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New York Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
New York Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
New York Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
New York Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
New York Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
New York Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
New York Aetna Open Access - High Self JC1 1488.77 1763.49 0.00 1763.49 274.72 1459.58 1728.91 0.00 1728.91 269.33
New York Aetna Open Access - High Self & Family JC2 3678.70 4357.57 0.00 4357.57 678.87 3606.57 4272.13 0.00 4272.13 665.56
New York Aetna Open Access - High Self Plus One JC3 3642.30 4314.43 0.00 4314.43 672.13 3570.88 4229.83 0.00 4229.83 658.95
New York Aetna Open Access - Basic Self JC4 1244.26 1492.09 0.00 1492.09 247.83 1219.86 1462.83 0.00 1462.83 242.97
New York Aetna Open Access - Basic Self & Family JC5 3035.02 3639.45 0.00 3639.45 604.43 2975.51 3568.09 0.00 3568.09 592.58
New York Aetna Open Access - Basic Self Plus One JC6 3004.98 3603.43 0.00 3603.43 598.45 2946.06 3532.77 0.00 3532.77 586.71
New York CDPHP - Standard Self SG4 718.65 789.24 0.00 789.24 70.59 704.56 773.76 0.00 773.76 69.20
New York CDPHP - Standard Self & Family SG5 1724.69 1894.15 0.00 1894.15 169.46 1690.87 1857.01 0.00 1857.01 166.14
New York CDPHP - Standard Self Plus One SG6 1595.40 1752.08 0.00 1752.08 156.68 1564.12 1717.73 0.00 1717.73 153.61
New York Emblemhealth Plan, Inc. - Standard Self 804 1060.65 1060.65 0.00 1060.65 0.00 1039.85 1039.85 0.00 1039.85 0.00
New York Emblemhealth Plan, Inc. - Standard Self & Family 805 2573.17 2573.17 0.00 2573.17 0.00 2522.72 2522.72 0.00 2522.72 0.00
New York Emblemhealth Plan, Inc. - Standard Self Plus One 806 2467.11 2467.11 0.00 2467.11 0.00 2418.74 2418.74 0.00 2418.74 0.00
New York HIP of Greater NY - Standard Self YL4 918.69 994.81 0.00 994.81 76.12 900.68 975.30 0.00 975.30 74.62
New York HIP of Greater NY - Standard Self & Family YL5 2670.60 2891.83 0.00 2891.83 221.23 2618.24 2835.13 0.00 2835.13 216.89
New York HIP of Greater NY - Standard Self Plus One YL6 1677.48 1816.49 0.00 1816.49 139.01 1644.59 1780.87 0.00 1780.87 136.28
New York HIP of Greater NY - High Self 511 1071.77 1071.77 0.00 1071.77 0.00 1050.75 1050.75 0.00 1050.75 0.00
New York HIP of Greater NY - High Self & Family 512 3115.48 3115.68 0.00 3115.68 0.20 3054.39 3054.59 0.00 3054.59 0.20
New York HIP of Greater NY - High Self Plus One 513 1957.00 1957.11 0.00 1957.11 0.11 1918.63 1918.74 0.00 1918.74 0.11
New York Independent Health - Standard Self C54 736.59 752.53 0.00 752.53 15.94 722.15 737.77 0.00 737.77 15.62
New York Independent Health - Standard Self & Family C55 1988.81 2031.83 0.00 2031.83 43.02 1949.81 1991.99 0.00 1991.99 42.18
New York Independent Health - Standard Self Plus One C56 1878.32 1918.99 0.00 1918.99 40.67 1841.49 1881.36 0.00 1881.36 39.87
New York Independent Health - High Self QA1 806.76 816.66 0.00 816.66 9.90 790.94 800.65 0.00 800.65 9.71
New York Independent Health - High Self & Family QA2 2178.26 2204.99 0.00 2204.99 26.73 2135.55 2161.75 0.00 2161.75 26.20
New York Independent Health - High Self Plus One QA3 2057.25 2082.48 0.00 2082.48 25.23 2016.91 2041.65 0.00 2041.65 24.74
New York Independent Health - HDHP Self QA4 611.29 613.21 0.00 613.21 1.92 599.30 601.19 0.00 601.19 1.89
New York Independent Health - HDHP Self & Family QA5 1582.39 1583.82 0.00 1583.82 1.43 1551.36 1552.76 0.00 1552.76 1.40
New York Independent Health - HDHP Self Plus One QA6 1505.28 1506.91 0.00 1506.91 1.63 1475.76 1477.36 0.00 1477.36 1.60
North Carolina Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
North Carolina Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
North Carolina Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
North Carolina Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
North Carolina Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
North Carolina Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
North Carolina Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
North Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
North Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 495.57 637.16 0.00 637.16 141.59 485.85 624.67 0.00 624.67 138.82
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1139.85 1465.50 0.00 1465.50 325.65 1117.50 1436.76 0.00 1436.76 319.26
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1065.48 1369.93 0.00 1369.93 304.45 1044.59 1343.07 0.00 1343.07 298.48
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 784.42 864.25 0.00 864.25 79.83 769.04 847.30 0.00 847.30 78.26
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1961.09 2160.60 0.00 2160.60 199.51 1922.64 2118.24 0.00 2118.24 195.60
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1686.54 1858.12 0.00 1858.12 171.58 1653.47 1821.69 0.00 1821.69 168.22
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
North Dakota Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
North Dakota Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
North Dakota Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
North Dakota Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
North Dakota Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
North Dakota Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
North Dakota Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
North Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
North Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
North Dakota HealthPartners - Standard Self V34 519.60 564.35 0.00 564.35 44.75 509.41 553.28 0.00 553.28 43.87
North Dakota HealthPartners - Standard Self & Family V35 1265.76 1374.80 0.00 1374.80 109.04 1240.94 1347.84 0.00 1347.84 106.90
North Dakota HealthPartners - Standard Self Plus One V36 1148.32 1247.24 0.00 1247.24 98.92 1125.80 1222.78 0.00 1222.78 96.98
North Dakota HealthPartners - High Self V31 681.43 705.98 0.00 705.98 24.55 668.07 692.14 0.00 692.14 24.07
North Dakota HealthPartners - High Self & Family V32 1659.93 1719.73 0.00 1719.73 59.80 1627.38 1686.01 0.00 1686.01 58.63
North Dakota HealthPartners - High Self Plus One V33 1505.94 1560.17 0.00 1560.17 54.23 1476.41 1529.58 0.00 1529.58 53.17
Northern Mariana Islands Calvo's SelectCare - Standard Self B44 438.38 386.49 0.00 386.49 -51.89 429.78 378.91 0.00 378.91 -50.87
Northern Mariana Islands Calvo's SelectCare - Standard Self & Family B45 1273.69 1122.93 0.00 1122.93 -150.76 1248.72 1100.91 0.00 1100.91 -147.81
Northern Mariana Islands Calvo's SelectCare - Standard Self Plus One B46 864.15 761.86 0.00 761.86 -102.29 847.21 746.92 0.00 746.92 -100.29
Northern Mariana Islands Calvo's SelectCare - High Self B41 532.12 546.67 0.00 546.67 14.55 521.69 535.95 0.00 535.95 14.26
Northern Mariana Islands Calvo's SelectCare - High Self & Family B42 1409.41 1447.93 0.00 1447.93 38.52 1381.77 1419.54 0.00 1419.54 37.77
Northern Mariana Islands Calvo's SelectCare - High Self Plus One B43 1038.43 1066.81 0.00 1066.81 28.38 1018.07 1045.89 0.00 1045.89 27.82
Northern Mariana Islands TakeCare - HDHP Self KX1 122.94 124.76 0.00 124.76 1.82 120.53 122.31 0.00 122.31 1.78
Northern Mariana Islands TakeCare - HDHP Self & Family KX2 329.62 334.53 0.00 334.53 4.91 323.16 327.97 0.00 327.97 4.81
Northern Mariana Islands TakeCare - HDHP Self Plus One KX3 296.76 301.13 0.00 301.13 4.37 290.94 295.23 0.00 295.23 4.29
Northern Mariana Islands TakeCare - Standard Self JK4 412.54 413.89 0.00 413.89 1.35 404.45 405.77 0.00 405.77 1.32
Northern Mariana Islands TakeCare - Standard Self & Family JK5 1168.30 1172.16 0.00 1172.16 3.86 1145.39 1149.18 0.00 1149.18 3.79
Northern Mariana Islands TakeCare - Standard Self Plus One JK6 813.08 815.78 0.00 815.78 2.70 797.14 799.78 0.00 799.78 2.64
Northern Mariana Islands TakeCare - High Self JK1 507.77 526.18 0.00 526.18 18.41 497.81 515.86 0.00 515.86 18.05
Northern Mariana Islands TakeCare - High Self & Family JK2 1211.13 1255.04 0.00 1255.04 43.91 1187.38 1230.43 0.00 1230.43 43.05
Northern Mariana Islands TakeCare - High Self Plus One JK3 1003.16 1039.54 0.00 1039.54 36.38 983.49 1019.16 0.00 1019.16 35.67
Ohio Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Ohio Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Ohio Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Ohio Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Ohio Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Ohio Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
Ohio Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Ohio Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Ohio Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Ohio AultCare Insurance Company - High Self 3A1 893.40 948.87 0.00 948.87 55.47 875.88 930.26 0.00 930.26 54.38
Ohio AultCare Insurance Company - High Self & Family 3A2 2206.56 2343.78 0.00 2343.78 137.22 2163.29 2297.82 0.00 2297.82 134.53
Ohio AultCare Insurance Company - High Self Plus One 3A3 1876.02 1992.69 0.00 1992.69 116.67 1839.24 1953.62 0.00 1953.62 114.38
Ohio AultCare Insurance Company - HDHP Self 3A4 475.20 451.68 0.00 451.68 -23.52 465.88 442.82 0.00 442.82 -23.06
Ohio AultCare Insurance Company - HDHP Self & Family 3A5 1521.61 1446.29 0.00 1446.29 -75.32 1491.77 1417.93 0.00 1417.93 -73.84
Ohio AultCare Insurance Company - HDHP Self Plus One 3A6 903.40 858.68 0.00 858.68 -44.72 885.69 841.84 0.00 841.84 -43.85
Ohio Humana CoverageFirst and Humana Value Plan - Value Self X34 658.80 708.22 0.00 708.22 49.42 645.88 694.33 0.00 694.33 48.45
Ohio Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1482.32 1593.47 0.00 1593.47 111.15 1453.25 1562.23 0.00 1562.23 108.98
Ohio Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1416.43 1522.67 0.00 1522.67 106.24 1388.66 1492.81 0.00 1492.81 104.15
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self X31 856.20 920.42 0.00 920.42 64.22 839.41 902.37 0.00 902.37 62.96
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 1926.48 2070.95 0.00 2070.95 144.47 1888.71 2030.34 0.00 2030.34 141.63
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1840.87 1978.92 0.00 1978.92 138.05 1804.77 1940.12 0.00 1940.12 135.35
Ohio Humana HDHP - HDHP Self DT1 New Plan 505.64 0.00 505.64 New Plan New Plan 495.73 0.00 495.73 New Plan
Ohio Humana HDHP - HDHP Self & Family DT2 New Plan 1260.12 0.00 1260.12 New Plan New Plan 1235.41 0.00 1235.41 New Plan
Ohio Humana HDHP - HDHP Self Plus One DT3 New Plan 1109.22 0.00 1109.22 New Plan New Plan 1087.47 0.00 1087.47 New Plan
Ohio Humana Health Plan of Ohio, Inc. - Standard Self A64 1255.40 1267.94 0.00 1267.94 12.54 1230.78 1243.08 0.00 1243.08 12.30
Ohio Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2824.69 2852.89 0.00 2852.89 28.20 2769.30 2796.95 0.00 2796.95 27.65
Ohio Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2699.11 2726.08 0.00 2726.08 26.97 2646.19 2672.63 0.00 2672.63 26.44
Ohio Humana Health Plan of Ohio, Inc. - Basic Self W61 651.84 684.44 0.00 684.44 32.60 639.06 671.02 0.00 671.02 31.96
Ohio Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1466.69 1540.02 0.00 1540.02 73.33 1437.93 1509.82 0.00 1509.82 71.89
Ohio Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1401.49 1471.57 0.00 1471.57 70.08 1374.01 1442.72 0.00 1442.72 68.71
Ohio Medical Mutual of Ohio - Basic Self YF1 423.35 425.07 0.00 425.07 1.72 415.05 416.74 0.00 416.74 1.69
Ohio Medical Mutual of Ohio - Basic Self & Family YF2 1016.02 1020.16 0.00 1020.16 4.14 996.10 1000.16 0.00 1000.16 4.06
Ohio Medical Mutual of Ohio - Basic Self Plus One YF3 931.36 935.14 0.00 935.14 3.78 913.10 916.80 0.00 916.80 3.70
Ohio Medical Mutual of Ohio - Standard Self YF4 1005.58 1217.47 0.00 1217.47 211.89 985.86 1193.60 0.00 1193.60 207.74
Ohio Medical Mutual of Ohio - Standard Self & Family YF5 2413.36 2921.91 0.00 2921.91 508.55 2366.04 2864.62 0.00 2864.62 498.58
Ohio Medical Mutual of Ohio - Standard Self Plus One YF6 2212.26 2678.41 0.00 2678.41 466.15 2168.88 2625.89 0.00 2625.89 457.01
Ohio Medical Mutual of Ohio - Standard Self 644 959.78 1068.80 0.00 1068.80 109.02 940.96 1047.84 0.00 1047.84 106.88
Ohio Medical Mutual of Ohio - Standard Self & Family 645 2303.49 2565.09 0.00 2565.09 261.60 2258.32 2514.79 0.00 2514.79 256.47
Ohio Medical Mutual of Ohio - Standard Self Plus One 646 2111.52 2351.33 0.00 2351.33 239.81 2070.12 2305.23 0.00 2305.23 235.11
Ohio Medical Mutual of Ohio - Standard Self X64 878.57 1132.18 0.00 1132.18 253.61 861.34 1109.98 0.00 1109.98 248.64
Ohio Medical Mutual of Ohio - Standard Self & Family X65 2108.56 2717.26 0.00 2717.26 608.70 2067.22 2663.98 0.00 2663.98 596.76
Ohio Medical Mutual of Ohio - Standard Self Plus One X66 1932.85 2490.83 0.00 2490.83 557.98 1894.95 2441.99 0.00 2441.99 547.04
Ohio Medical Mutual of Ohio - Basic Self X61 413.39 415.08 0.00 415.08 1.69 405.28 406.94 0.00 406.94 1.66
Ohio Medical Mutual of Ohio - Basic Self & Family X62 992.13 996.22 0.00 996.22 4.09 972.68 976.69 0.00 976.69 4.01
Ohio Medical Mutual of Ohio - Basic Self Plus One X63 909.46 913.20 0.00 913.20 3.74 891.63 895.29 0.00 895.29 3.66
Ohio Medical Mutual of Ohio - Basic Self UX1 419.43 421.16 0.00 421.16 1.73 411.21 412.90 0.00 412.90 1.69
Ohio Medical Mutual of Ohio - Basic Self & Family UX2 1006.66 1010.79 0.00 1010.79 4.13 986.92 990.97 0.00 990.97 4.05
Ohio Medical Mutual of Ohio - Basic Self Plus One UX3 922.76 926.57 0.00 926.57 3.81 904.67 908.40 0.00 908.40 3.73
Oklahoma Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Oklahoma Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Oklahoma Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Oklahoma Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Oklahoma Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Oklahoma Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
Oklahoma Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Oklahoma Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Oklahoma Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Oregon Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Oregon Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Oregon Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Oregon Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Oregon Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Oregon Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Oregon Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Oregon Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Oregon Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Oregon Kaiser Permanente - Northwest - Standard Self 574 702.12 682.27 0.00 682.27 -19.85 688.35 668.89 0.00 668.89 -19.46
Oregon Kaiser Permanente - Northwest - Standard Self & Family 575 1612.97 1567.37 0.00 1567.37 -45.60 1581.34 1536.64 0.00 1536.64 -44.70
Oregon Kaiser Permanente - Northwest - Standard Self Plus One 576 1612.97 1567.37 0.00 1567.37 -45.60 1581.34 1536.64 0.00 1536.64 -44.70
Oregon Kaiser Permanente - Northwest - High Self 571 766.71 772.81 0.00 772.81 6.10 751.68 757.66 0.00 757.66 5.98
Oregon Kaiser Permanente - Northwest - High Self & Family 572 1731.78 1745.57 0.00 1745.57 13.79 1697.82 1711.34 0.00 1711.34 13.52
Oregon Kaiser Permanente - Northwest - High Self Plus One 573 1731.78 1745.57 0.00 1745.57 13.79 1697.82 1711.34 0.00 1711.34 13.52
Oregon Kaiser Permanente - Northwest - Prosper Self AM1 399.62 399.62 0.00 399.62 0.00 391.78 391.78 0.00 391.78 0.00
Oregon Kaiser Permanente - Northwest - Prosper Self & Family AM2 945.00 991.09 0.00 991.09 46.09 926.47 971.66 0.00 971.66 45.19
Oregon Kaiser Permanente - Northwest - Prosper Self Plus One AM3 859.14 859.14 0.00 859.14 0.00 842.29 842.29 0.00 842.29 0.00
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 634.66 681.83 0.00 681.83 47.17 622.22 668.46 0.00 668.46 46.24
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1500.97 1612.53 0.00 1612.53 111.56 1471.54 1580.91 0.00 1580.91 109.37
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1364.53 1465.91 0.00 1465.91 101.38 1337.77 1437.17 0.00 1437.17 99.40
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 538.73 685.54 0.00 685.54 146.81 528.17 672.10 0.00 672.10 143.93
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1239.06 1576.77 0.00 1576.77 337.71 1214.76 1545.85 0.00 1545.85 331.09
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1158.26 1473.94 0.00 1473.94 315.68 1135.55 1445.04 0.00 1445.04 309.49
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 797.76 882.17 0.00 882.17 84.41 782.12 864.87 0.00 864.87 82.75
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1994.46 2205.40 0.00 2205.40 210.94 1955.35 2162.16 0.00 2162.16 206.81
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1715.20 1896.65 0.00 1896.65 181.45 1681.57 1859.46 0.00 1859.46 177.89
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 633.63 670.80 0.00 670.80 37.17 621.21 657.65 0.00 657.65 36.44
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1498.51 1586.50 0.00 1586.50 87.99 1469.13 1555.39 0.00 1555.39 86.26
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1362.29 1442.25 0.00 1442.25 79.96 1335.58 1413.97 0.00 1413.97 78.39
Palau Calvo's SelectCare - Standard Self B44 438.38 386.49 0.00 386.49 -51.89 429.78 378.91 0.00 378.91 -50.87
Palau Calvo's SelectCare - Standard Self & Family B45 1273.69 1122.93 0.00 1122.93 -150.76 1248.72 1100.91 0.00 1100.91 -147.81
Palau Calvo's SelectCare - Standard Self Plus One B46 864.15 761.86 0.00 761.86 -102.29 847.21 746.92 0.00 746.92 -100.29
Palau Calvo's SelectCare - High Self B41 532.12 546.67 0.00 546.67 14.55 521.69 535.95 0.00 535.95 14.26
Palau Calvo's SelectCare - High Self & Family B42 1409.41 1447.93 0.00 1447.93 38.52 1381.77 1419.54 0.00 1419.54 37.77
Palau Calvo's SelectCare - High Self Plus One B43 1038.43 1066.81 0.00 1066.81 28.38 1018.07 1045.89 0.00 1045.89 27.82
Palau TakeCare - HDHP Self KX1 122.94 124.76 0.00 124.76 1.82 120.53 122.31 0.00 122.31 1.78
Palau TakeCare - HDHP Self & Family KX2 329.62 334.53 0.00 334.53 4.91 323.16 327.97 0.00 327.97 4.81
Palau TakeCare - HDHP Self Plus One KX3 296.76 301.13 0.00 301.13 4.37 290.94 295.23 0.00 295.23 4.29
Palau TakeCare - Standard Self JK4 412.54 413.89 0.00 413.89 1.35 404.45 405.77 0.00 405.77 1.32
Palau TakeCare - Standard Self & Family JK5 1168.30 1172.16 0.00 1172.16 3.86 1145.39 1149.18 0.00 1149.18 3.79
Palau TakeCare - Standard Self Plus One JK6 813.08 815.78 0.00 815.78 2.70 797.14 799.78 0.00 799.78 2.64
Palau TakeCare - High Self JK1 507.77 526.18 0.00 526.18 18.41 497.81 515.86 0.00 515.86 18.05
Palau TakeCare - High Self & Family JK2 1211.13 1255.04 0.00 1255.04 43.91 1187.38 1230.43 0.00 1230.43 43.05
Palau TakeCare - High Self Plus One JK3 1003.16 1039.54 0.00 1039.54 36.38 983.49 1019.16 0.00 1019.16 35.67
Pennsylvania Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Pennsylvania Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Pennsylvania Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Pennsylvania Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Pennsylvania Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Pennsylvania Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Pennsylvania Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Pennsylvania Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Pennsylvania Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Pennsylvania Aetna Open Access - High Self YE1 1230.68 1205.31 0.00 1205.31 -25.37 1206.55 1181.68 0.00 1181.68 -24.87
Pennsylvania Aetna Open Access - High Self & Family YE2 3090.22 3026.53 0.00 3026.53 -63.69 3029.63 2967.19 0.00 2967.19 -62.44
Pennsylvania Aetna Open Access - High Self Plus One YE3 3059.63 2996.59 0.00 2996.59 -63.04 2999.64 2937.83 0.00 2937.83 -61.81
Pennsylvania Aetna Open Access - Basic Self P34 1535.64 1756.20 0.00 1756.20 220.56 1505.53 1721.76 0.00 1721.76 216.23
Pennsylvania Aetna Open Access - Basic Self & Family P35 3564.23 4076.22 0.00 4076.22 511.99 3494.34 3996.29 0.00 3996.29 501.95
Pennsylvania Aetna Open Access - Basic Self Plus One P36 3528.92 4035.83 0.00 4035.83 506.91 3459.73 3956.70 0.00 3956.70 496.97
Pennsylvania Aetna Open Access - High Self P31 1619.99 1797.79 0.00 1797.79 177.80 1588.23 1762.54 0.00 1762.54 174.31
Pennsylvania Aetna Open Access - High Self & Family P32 3927.72 4358.74 0.00 4358.74 431.02 3850.71 4273.27 0.00 4273.27 422.56
Pennsylvania Aetna Open Access - High Self Plus One P33 3888.83 4315.60 0.00 4315.60 426.77 3812.58 4230.98 0.00 4230.98 418.40
Pennsylvania Geisinger Health Plan - Standard Self GG4 930.94 1012.38 0.00 1012.38 81.44 912.69 992.53 0.00 992.53 79.84
Pennsylvania Geisinger Health Plan - Standard Self & Family GG5 2131.41 2317.87 0.00 2317.87 186.46 2089.62 2272.42 0.00 2272.42 182.80
Pennsylvania Geisinger Health Plan - Standard Self Plus One GG6 2011.52 2187.46 0.00 2187.46 175.94 1972.08 2144.57 0.00 2144.57 172.49
Pennsylvania Geisinger Health Plan - Basic Self AJ1 818.10 908.82 0.00 908.82 90.72 802.06 891.00 0.00 891.00 88.94
Pennsylvania Geisinger Health Plan - Basic Self & Family AJ2 1873.05 2080.76 0.00 2080.76 207.71 1836.32 2039.96 0.00 2039.96 203.64
Pennsylvania Geisinger Health Plan - Basic Self Plus One AJ3 1767.65 1963.71 0.00 1963.71 196.06 1732.99 1925.21 0.00 1925.21 192.22
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 530.31 675.05 0.00 675.05 144.74 519.91 661.81 0.00 661.81 141.90
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1219.73 1544.48 0.00 1544.48 324.75 1195.81 1514.20 0.00 1514.20 318.39
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1140.17 1451.38 0.00 1451.38 311.21 1117.81 1422.92 0.00 1422.92 305.11
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 785.81 838.60 0.00 838.60 52.79 770.40 822.16 0.00 822.16 51.76
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1862.35 1987.52 0.00 1987.52 125.17 1825.83 1948.55 0.00 1948.55 122.72
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1689.46 1803.03 0.00 1803.03 113.57 1656.33 1767.68 0.00 1767.68 111.35
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Pennsylvania UPMC Health Plan - HDHP Self 8W4 654.49 681.34 0.00 681.34 26.85 641.66 667.98 0.00 667.98 26.32
Pennsylvania UPMC Health Plan - HDHP Self & Family 8W5 1506.41 1569.98 0.00 1569.98 63.57 1476.87 1539.20 0.00 1539.20 62.33
Pennsylvania UPMC Health Plan - HDHP Self Plus One 8W6 1449.12 1509.08 0.00 1509.08 59.96 1420.71 1479.49 0.00 1479.49 58.78
Pennsylvania UPMC Health Plan - Standard Self UW4 695.86 737.67 0.00 737.67 41.81 682.22 723.21 0.00 723.21 40.99
Pennsylvania UPMC Health Plan - Standard Self & Family UW5 1633.28 1732.89 0.00 1732.89 99.61 1601.25 1698.91 0.00 1698.91 97.66
Pennsylvania UPMC Health Plan - Standard Self Plus One UW6 1564.41 1658.71 0.00 1658.71 94.30 1533.74 1626.19 0.00 1626.19 92.45
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self ZJ1 467.04 490.38 0.00 490.38 23.34 457.88 480.76 0.00 480.76 22.88
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self & Family ZJ2 1050.83 1103.36 0.00 1103.36 52.53 1030.23 1081.73 0.00 1081.73 51.50
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self Plus One ZJ3 1004.14 1054.32 0.00 1054.32 50.18 984.45 1033.65 0.00 1033.65 49.20
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self 891 397.84 397.84 0.00 397.84 0.00 390.04 390.04 0.00 390.04 0.00
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self & Family 892 911.07 911.07 0.00 911.07 0.00 893.21 893.21 0.00 893.21 0.00
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self Plus One 893 893.31 893.31 0.00 893.31 0.00 875.79 875.79 0.00 875.79 0.00
Rhode Island Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Rhode Island Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Rhode Island Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Rhode Island Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Rhode Island Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Rhode Island Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
Rhode Island Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Rhode Island Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Rhode Island Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
South Carolina Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
South Carolina Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
South Carolina Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
South Carolina Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
South Carolina Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
South Carolina Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
South Carolina Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
South Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
South Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
South Dakota Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
South Dakota Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
South Dakota Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
South Dakota Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
South Dakota Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
South Dakota Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
South Dakota Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
South Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
South Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
South Dakota HealthPartners - Standard Self V34 519.60 564.35 0.00 564.35 44.75 509.41 553.28 0.00 553.28 43.87
South Dakota HealthPartners - Standard Self & Family V35 1265.76 1374.80 0.00 1374.80 109.04 1240.94 1347.84 0.00 1347.84 106.90
South Dakota HealthPartners - Standard Self Plus One V36 1148.32 1247.24 0.00 1247.24 98.92 1125.80 1222.78 0.00 1222.78 96.98
South Dakota HealthPartners - High Self V31 681.43 705.98 0.00 705.98 24.55 668.07 692.14 0.00 692.14 24.07
South Dakota HealthPartners - High Self & Family V32 1659.93 1719.73 0.00 1719.73 59.80 1627.38 1686.01 0.00 1686.01 58.63
South Dakota HealthPartners - High Self Plus One V33 1505.94 1560.17 0.00 1560.17 54.23 1476.41 1529.58 0.00 1529.58 53.17
Tennessee Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Tennessee Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Tennessee Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Tennessee Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Tennessee Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Tennessee Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Tennessee Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Tennessee Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Tennessee Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self TT1 805.81 866.28 0.00 866.28 60.47 790.01 849.29 0.00 849.29 59.28
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TT2 1813.13 1949.13 0.00 1949.13 136.00 1777.58 1910.91 0.00 1910.91 133.33
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TT3 1732.55 1862.50 0.00 1862.50 129.95 1698.58 1825.98 0.00 1825.98 127.40
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self TT4 738.41 756.86 0.00 756.86 18.45 723.93 742.02 0.00 742.02 18.09
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self & Family TT5 1661.37 1702.92 0.00 1702.92 41.55 1628.79 1669.53 0.00 1669.53 40.74
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self Plus One TT6 1587.56 1627.25 0.00 1627.25 39.69 1556.43 1595.34 0.00 1595.34 38.91
Tennessee Humana HDHP - HDHP Self ER1 New Plan 405.74 0.00 405.74 New Plan New Plan 397.78 0.00 397.78 New Plan
Tennessee Humana HDHP - HDHP Self & Family ER2 New Plan 1010.32 0.00 1010.32 New Plan New Plan 990.51 0.00 990.51 New Plan
Tennessee Humana HDHP - HDHP Self Plus One ER3 New Plan 889.42 0.00 889.42 New Plan New Plan 871.98 0.00 871.98 New Plan
Tennessee Humana Health Plan, Inc. - Standard Self GJ4 923.01 946.10 0.00 946.10 23.09 904.91 927.55 0.00 927.55 22.64
Tennessee Humana Health Plan, Inc. - Standard Self & Family GJ5 2076.80 2128.72 0.00 2128.72 51.92 2036.08 2086.98 0.00 2086.98 50.90
Tennessee Humana Health Plan, Inc. - Standard Self Plus One GJ6 1984.51 2034.08 0.00 2034.08 49.57 1945.60 1994.20 0.00 1994.20 48.60
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 495.57 637.16 0.00 637.16 141.59 485.85 624.67 0.00 624.67 138.82
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1139.85 1465.50 0.00 1465.50 325.65 1117.50 1436.76 0.00 1436.76 319.26
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1065.48 1369.93 0.00 1369.93 304.45 1044.59 1343.07 0.00 1343.07 298.48
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 784.42 864.25 0.00 864.25 79.83 769.04 847.30 0.00 847.30 78.26
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 1961.09 2160.60 0.00 2160.60 199.51 1922.64 2118.24 0.00 2118.24 195.60
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1686.54 1858.12 0.00 1858.12 171.58 1653.47 1821.69 0.00 1821.69 168.22
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Texas Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Texas Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Texas Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Texas Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Texas Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Texas Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
Texas Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Texas Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Texas Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Texas Baylor Scott and White Health Plan - Basic Self A81 597.61 564.78 0.00 564.78 -32.83 585.89 553.71 0.00 553.71 -32.18
Texas Baylor Scott and White Health Plan - Basic Self & Family A82 1402.02 1324.88 0.00 1324.88 -77.14 1374.53 1298.90 0.00 1298.90 -75.63
Texas Baylor Scott and White Health Plan - Basic Self Plus One A83 1324.56 1251.68 0.00 1251.68 -72.88 1298.59 1227.14 0.00 1227.14 -71.45
Texas Baylor Scott and White Health Plan - Standard Self A84 878.45 1032.93 0.00 1032.93 154.48 861.23 1012.68 0.00 1012.68 151.45
Texas Baylor Scott and White Health Plan - Standard Self & Family A85 2062.22 2424.99 0.00 2424.99 362.77 2021.78 2377.44 0.00 2377.44 355.66
Texas Baylor Scott and White Health Plan - Standard Self Plus One A86 1948.25 2290.95 0.00 2290.95 342.70 1910.05 2246.03 0.00 2246.03 335.98
Texas Baylor Scott and White Health Plan - Basic Self P81 616.02 582.15 0.00 582.15 -33.87 603.94 570.74 0.00 570.74 -33.20
Texas Baylor Scott and White Health Plan - Basic Self & Family P82 1445.30 1365.78 0.00 1365.78 -79.52 1416.96 1339.00 0.00 1339.00 -77.96
Texas Baylor Scott and White Health Plan - Basic Self Plus One P83 1365.45 1290.31 0.00 1290.31 -75.14 1338.68 1265.01 0.00 1265.01 -73.67
Texas Baylor Scott and White Health Plan - Standard Self P84 986.01 1061.99 0.00 1061.99 75.98 966.68 1041.17 0.00 1041.17 74.49
Texas Baylor Scott and White Health Plan - Standard Self & Family P85 2314.82 2493.35 0.00 2493.35 178.53 2269.43 2444.46 0.00 2444.46 175.03
Texas Baylor Scott and White Health Plan - Standard Self Plus One P86 2186.84 2355.49 0.00 2355.49 168.65 2143.96 2309.30 0.00 2309.30 165.34
Texas Humana CoverageFirst and Humana Value Plan - Value Self T34 576.41 605.23 0.00 605.23 28.82 565.11 593.36 0.00 593.36 28.25
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family T35 1296.96 1452.57 0.00 1452.57 155.61 1271.53 1424.09 0.00 1424.09 152.56
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One T36 1239.32 1301.30 0.00 1301.30 61.98 1215.02 1275.78 0.00 1275.78 60.76
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self T31 828.11 890.22 0.00 890.22 62.11 811.87 872.76 0.00 872.76 60.89
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family T32 1863.20 2002.94 0.00 2002.94 139.74 1826.67 1963.67 0.00 1963.67 137.00
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One T33 1780.42 1913.95 0.00 1913.95 133.53 1745.51 1876.42 0.00 1876.42 130.91
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TV1 927.58 927.58 0.00 927.58 0.00 909.39 909.39 0.00 909.39 0.00
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TV2 2087.08 2087.10 0.00 2087.10 0.02 2046.16 2046.18 0.00 2046.18 0.02
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TV3 1994.34 1994.34 0.00 1994.34 0.00 1955.24 1955.24 0.00 1955.24 0.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self TV4 733.66 733.66 0.00 733.66 0.00 719.27 719.27 0.00 719.27 0.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TV5 1650.76 1650.76 0.00 1650.76 0.00 1618.39 1618.39 0.00 1618.39 0.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TV6 1577.41 1577.41 0.00 1577.41 0.00 1546.48 1546.48 0.00 1546.48 0.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self TU4 612.63 627.95 0.00 627.95 15.32 600.62 615.64 0.00 615.64 15.02
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TU5 1378.45 1412.89 0.00 1412.89 34.44 1351.42 1385.19 0.00 1385.19 33.77
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TU6 1317.21 1350.15 0.00 1350.15 32.94 1291.38 1323.68 0.00 1323.68 32.30
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TU1 744.32 788.99 0.00 788.99 44.67 729.73 773.52 0.00 773.52 43.79
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TU2 1674.76 1775.27 0.00 1775.27 100.51 1641.92 1740.46 0.00 1740.46 98.54
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TU3 1600.31 1696.37 0.00 1696.37 96.06 1568.93 1663.11 0.00 1663.11 94.18
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TP1 787.58 787.58 0.00 787.58 0.00 772.14 772.14 0.00 772.14 0.00
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TP2 1772.03 1772.03 0.00 1772.03 0.00 1737.28 1737.28 0.00 1737.28 0.00
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TP3 1693.28 1693.30 0.00 1693.30 0.02 1660.08 1660.10 0.00 1660.10 0.02
Texas Humana CoverageFirst and Humana Value Plan - Value Self TP4 461.52 496.13 0.00 496.13 34.61 452.47 486.40 0.00 486.40 33.93
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TP5 1038.41 1190.71 0.00 1190.71 152.30 1018.05 1167.36 0.00 1167.36 149.31
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TP6 992.27 1066.68 0.00 1066.68 74.41 972.81 1045.76 0.00 1045.76 72.95
Texas Humana HDHP - HDHP Self FD1 New Plan 405.74 0.00 405.74 New Plan New Plan 397.78 0.00 397.78 New Plan
Texas Humana HDHP - HDHP Self & Family FD2 New Plan 1010.32 0.00 1010.32 New Plan New Plan 990.51 0.00 990.51 New Plan
Texas Humana HDHP - HDHP Self Plus One FD3 New Plan 889.42 0.00 889.42 New Plan New Plan 871.98 0.00 871.98 New Plan
Texas Humana HDHP - HDHP Self AN1 New Plan 467.79 0.00 467.79 New Plan New Plan 458.62 0.00 458.62 New Plan
Texas Humana HDHP - HDHP Self & Family AN2 New Plan 1165.49 0.00 1165.49 New Plan New Plan 1142.64 0.00 1142.64 New Plan
Texas Humana HDHP - HDHP Self Plus One AN3 New Plan 1025.97 0.00 1025.97 New Plan New Plan 1005.85 0.00 1005.85 New Plan
Texas Humana HDHP - HDHP Self DX1 New Plan 412.65 0.00 412.65 New Plan New Plan 404.56 0.00 404.56 New Plan
Texas Humana HDHP - HDHP Self & Family DX2 New Plan 1027.65 0.00 1027.65 New Plan New Plan 1007.50 0.00 1007.50 New Plan
Texas Humana HDHP - HDHP Self Plus One DX3 New Plan 904.67 0.00 904.67 New Plan New Plan 886.93 0.00 886.93 New Plan
Texas Humana HDHP - HDHP Self CG1 New Plan 522.80 0.00 522.80 New Plan New Plan 512.55 0.00 512.55 New Plan
Texas Humana HDHP - HDHP Self & Family CG2 New Plan 1303.00 0.00 1303.00 New Plan New Plan 1277.45 0.00 1277.45 New Plan
Texas Humana HDHP - HDHP Self Plus One CG3 New Plan 1146.95 0.00 1146.95 New Plan New Plan 1124.46 0.00 1124.46 New Plan
Texas Humana Health Plan of Texas - Standard Self UC4 916.62 916.62 0.00 916.62 0.00 898.65 898.65 0.00 898.65 0.00
Texas Humana Health Plan of Texas - Standard Self & Family UC5 2062.40 2062.40 0.00 2062.40 0.00 2021.96 2021.96 0.00 2021.96 0.00
Texas Humana Health Plan of Texas - Standard Self Plus One UC6 1970.72 1970.72 0.00 1970.72 0.00 1932.08 1932.08 0.00 1932.08 0.00
Texas Humana Health Plan of Texas - Basic Self QX1 833.73 887.09 0.00 887.09 53.36 817.38 869.70 0.00 869.70 52.32
Texas Humana Health Plan of Texas - Basic Self & Family QX2 1875.87 1995.94 0.00 1995.94 120.07 1839.09 1956.80 0.00 1956.80 117.71
Texas Humana Health Plan of Texas - Basic Self Plus One QX3 1792.51 1907.23 0.00 1907.23 114.72 1757.36 1869.83 0.00 1869.83 112.47
Texas Humana Health Plan of Texas - Standard Self EW4 954.96 969.29 0.00 969.29 14.33 936.24 950.28 0.00 950.28 14.04
Texas Humana Health Plan of Texas - Standard Self & Family EW5 2148.63 2180.83 0.00 2180.83 32.20 2106.50 2138.07 0.00 2138.07 31.57
Texas Humana Health Plan of Texas - Standard Self Plus One EW6 2053.14 2083.92 0.00 2083.92 30.78 2012.88 2043.06 0.00 2043.06 30.18
Texas Humana Health Plan of Texas - Basic Self QY1 861.54 861.54 0.00 861.54 0.00 844.65 844.65 0.00 844.65 0.00
Texas Humana Health Plan of Texas - Basic Self & Family QY2 1938.48 1938.50 0.00 1938.50 0.02 1900.47 1900.49 0.00 1900.49 0.02
Texas Humana Health Plan of Texas - Basic Self Plus One QY3 1852.36 1852.38 0.00 1852.38 0.02 1816.04 1816.06 0.00 1816.06 0.02
Texas Humana Health Plan of Texas - Basic Self Q21 802.10 842.21 0.00 842.21 40.11 786.37 825.70 0.00 825.70 39.33
Texas Humana Health Plan of Texas - Basic Self & Family Q22 1804.71 1894.97 0.00 1894.97 90.26 1769.32 1857.81 0.00 1857.81 88.49
Texas Humana Health Plan of Texas - Basic Self Plus One Q23 1724.44 1810.67 0.00 1810.67 86.23 1690.63 1775.17 0.00 1775.17 84.54
Texas Humana Health Plan of Texas - Basic Self Q61 713.14 730.98 0.00 730.98 17.84 699.16 716.65 0.00 716.65 17.49
Texas Humana Health Plan of Texas - Basic Self & Family Q62 1604.63 1644.73 0.00 1644.73 40.10 1573.17 1612.48 0.00 1612.48 39.31
Texas Humana Health Plan of Texas - Basic Self Plus One Q63 1533.29 1571.65 0.00 1571.65 38.36 1503.23 1540.83 0.00 1540.83 37.60
Texas Humana Health Plan of Texas - Standard Self UU4 1640.35 1640.35 0.00 1640.35 0.00 1608.19 1608.19 0.00 1608.19 0.00
Texas Humana Health Plan of Texas - Standard Self & Family UU5 3690.77 3690.73 0.00 3690.73 -0.04 3618.40 3618.36 0.00 3618.36 -0.04
Texas Humana Health Plan of Texas - Standard Self Plus One UU6 3526.72 3526.70 0.00 3526.70 -0.02 3457.57 3457.55 0.00 3457.55 -0.02
Texas Humana Health Plan of Texas - Standard Self UR4 1090.94 1090.94 0.00 1090.94 0.00 1069.55 1069.55 0.00 1069.55 0.00
Texas Humana Health Plan of Texas - Standard Self & Family UR5 2454.58 2454.60 0.00 2454.60 0.02 2406.45 2406.47 0.00 2406.47 0.02
Texas Humana Health Plan of Texas - Standard Self Plus One UR6 2345.47 2345.50 0.00 2345.50 0.03 2299.48 2299.51 0.00 2299.51 0.03
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 565.71 677.04 0.00 677.04 111.33 554.62 663.76 0.00 663.76 109.14
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1586.25 1618.14 0.00 1618.14 31.89 1555.15 1586.41 0.00 1586.41 31.26
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1104.84 1354.09 0.00 1354.09 249.25 1083.18 1327.54 0.00 1327.54 244.36
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Utah Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Utah Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Utah Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Utah Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Utah Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Utah Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Utah Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Utah Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Utah Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Utah Altius Health Plan - High Self 9K1 1069.33 1173.87 0.00 1173.87 104.54 1048.36 1150.85 0.00 1150.85 102.49
Utah Altius Health Plan - High Self & Family 9K2 2364.83 2596.00 0.00 2596.00 231.17 2318.46 2545.10 0.00 2545.10 226.64
Utah Altius Health Plan - High Self Plus One 9K3 2341.41 2570.32 0.00 2570.32 228.91 2295.50 2519.92 0.00 2519.92 224.42
Utah Altius Health Plan - HDHP Self 9K4 685.94 774.40 0.00 774.40 88.46 672.49 759.22 0.00 759.22 86.73
Utah Altius Health Plan - HDHP Self & Family 9K5 1433.54 1618.45 0.00 1618.45 184.91 1405.43 1586.72 0.00 1586.72 181.29
Utah Altius Health Plan - HDHP Self Plus One 9K6 1405.41 1586.67 0.00 1586.67 181.26 1377.85 1555.56 0.00 1555.56 177.71
Utah Altius Health Plan - Standard Self DK4 900.77 961.39 0.00 961.39 60.62 883.11 942.54 0.00 942.54 59.43
Utah Altius Health Plan - Standard Self & Family DK5 1989.20 2123.06 0.00 2123.06 133.86 1950.20 2081.43 0.00 2081.43 131.23
Utah Altius Health Plan - Standard Self Plus One DK6 1969.49 2102.02 0.00 2102.02 132.53 1930.87 2060.80 0.00 2060.80 129.93
Utah SelectHealth Plan - Standard Self SF4 641.19 655.95 0.00 655.95 14.76 628.62 643.09 0.00 643.09 14.47
Utah SelectHealth Plan - Standard Self & Family SF5 1602.98 1639.86 0.00 1639.86 36.88 1571.55 1607.71 0.00 1607.71 36.16
Utah SelectHealth Plan - Standard Self Plus One SF6 1410.62 1443.07 0.00 1443.07 32.45 1382.96 1414.77 0.00 1414.77 31.81
Utah SelectHealth Plan - HDHP Self WX1 550.27 583.82 0.00 583.82 33.55 539.48 572.37 0.00 572.37 32.89
Utah SelectHealth Plan - HDHP Self & Family WX2 1375.66 1459.55 0.00 1459.55 83.89 1348.69 1430.93 0.00 1430.93 82.24
Utah SelectHealth Plan - HDHP Self Plus One WX3 1210.58 1284.38 0.00 1284.38 73.80 1186.84 1259.20 0.00 1259.20 72.36
Vermont Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Vermont Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Vermont Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Vermont Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Vermont Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Vermont Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 856.42 946.33 0.00 946.33 89.91 839.63 927.77 0.00 927.77 88.14
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 1961.13 2166.99 0.00 2166.99 205.86 1922.68 2124.50 0.00 2124.50 201.82
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 1922.66 2124.50 0.00 2124.50 201.84 1884.96 2082.84 0.00 2082.84 197.88
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1147.14 1179.50 0.00 1179.50 32.36 1124.65 1156.37 0.00 1156.37 31.72
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2616.18 2689.86 0.00 2689.86 73.68 2564.88 2637.12 0.00 2637.12 72.24
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2590.25 2663.23 0.00 2663.23 72.98 2539.46 2611.01 0.00 2611.01 71.55
Vermont Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Vermont Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Vermont Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self 851 692.61 692.61 0.00 692.61 0.00 679.03 679.03 0.00 679.03 0.00
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self & Family 852 1586.12 1586.12 0.00 1586.12 0.00 1555.02 1555.02 0.00 1555.02 0.00
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self Plus One 853 1555.17 1555.17 0.00 1555.17 0.00 1524.68 1524.68 0.00 1524.68 0.00
Virginia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Virginia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Virginia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Virginia Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Virginia Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Virginia Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
Virginia Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Virginia Aetna Open Access - High Self JN1 1200.10 1276.58 0.00 1276.58 76.48 1176.57 1251.55 0.00 1251.55 74.98
Virginia Aetna Open Access - High Self & Family JN2 2697.95 2869.95 0.00 2869.95 172.00 2645.05 2813.68 0.00 2813.68 168.63
Virginia Aetna Open Access - High Self Plus One JN3 2671.23 2841.51 0.00 2841.51 170.28 2618.85 2785.79 0.00 2785.79 166.94
Virginia Aetna Open Access - Basic Self JN4 728.71 754.25 0.00 754.25 25.54 714.42 739.46 0.00 739.46 25.04
Virginia Aetna Open Access - Basic Self & Family JN5 1667.62 1726.07 0.00 1726.07 58.45 1634.92 1692.23 0.00 1692.23 57.31
Virginia Aetna Open Access - Basic Self Plus One JN6 1531.36 1585.01 0.00 1585.01 53.65 1501.33 1553.93 0.00 1553.93 52.60
Virginia Aetna Saver (Open Access) - Saver Self QQ4 607.11 607.11 0.00 607.11 0.00 595.21 595.21 0.00 595.21 0.00
Virginia Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.36 1389.36 0.00 1389.36 0.00 1362.12 1362.12 0.00 1362.12 0.00
Virginia Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1275.84 0.00 1275.84 0.00 1250.82 1250.82 0.00 1250.82 0.00
Virginia CareFirst BlueChoice - Standard Self 2G4 905.57 923.69 0.00 923.69 18.12 887.81 905.58 0.00 905.58 17.77
Virginia CareFirst BlueChoice - Standard Self & Family 2G5 2151.61 2194.62 0.00 2194.62 43.01 2109.42 2151.59 0.00 2151.59 42.17
Virginia CareFirst BlueChoice - Standard Self Plus One 2G6 1811.12 1847.34 0.00 1847.34 36.22 1775.61 1811.12 0.00 1811.12 35.51
Virginia CareFirst BlueChoice - HDHP Self B61 581.49 616.40 0.00 616.40 34.91 570.09 604.31 0.00 604.31 34.22
Virginia CareFirst BlueChoice - HDHP Self & Family B62 1381.60 1464.51 0.00 1464.51 82.91 1354.51 1435.79 0.00 1435.79 81.28
Virginia CareFirst BlueChoice - HDHP Self Plus One B63 1162.97 1232.74 0.00 1232.74 69.77 1140.17 1208.57 0.00 1208.57 68.40
Virginia CareFirst BlueChoice - Blue Value Plus Self B64 738.14 738.14 0.00 738.14 0.00 723.67 723.67 0.00 723.67 0.00
Virginia CareFirst BlueChoice - Blue Value Plus Self & Family B65 1753.77 1753.77 0.00 1753.77 0.00 1719.38 1719.38 0.00 1719.38 0.00
Virginia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1476.24 1476.24 0.00 1476.24 0.00 1447.29 1447.29 0.00 1447.29 0.00
Virginia Healthkeepers, Inc. HDHP - HDHP Self 9V1 New Plan 547.94 0.00 547.94 New Plan New Plan 537.20 0.00 537.20 New Plan
Virginia Healthkeepers, Inc. HDHP - HDHP Self & Family 9V2 New Plan 1334.22 0.00 1334.22 New Plan New Plan 1308.06 0.00 1308.06 New Plan
Virginia Healthkeepers, Inc. HDHP - HDHP Self Plus One 9V3 New Plan 1246.53 0.00 1246.53 New Plan New Plan 1222.09 0.00 1222.09 New Plan
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 436.27 376.28 0.00 376.28 -59.99 427.72 368.90 0.00 368.90 -58.82
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 1121.51 1072.36 0.00 1072.36 -49.15 1099.52 1051.33 0.00 1051.33 -48.19
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 970.88 884.25 0.00 884.25 -86.63 951.84 866.91 0.00 866.91 -84.93
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 610.25 619.40 0.00 619.40 9.15 598.28 607.25 0.00 607.25 8.97
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1403.57 1424.56 0.00 1424.56 20.99 1376.05 1396.63 0.00 1396.63 20.58
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1403.57 1424.56 0.00 1424.56 20.99 1376.05 1396.63 0.00 1396.63 20.58
Virginia Kaiser Permanente - Mid-Atlantic States - High Self E31 761.16 771.73 0.00 771.73 10.57 746.24 756.60 0.00 756.60 10.36
Virginia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1750.68 1775.00 0.00 1775.00 24.32 1716.35 1740.20 0.00 1740.20 23.85
Virginia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1750.68 1775.00 0.00 1775.00 24.32 1716.35 1740.20 0.00 1740.20 23.85
Virginia M.D. IPA - High Self JP1 969.91 1032.23 0.00 1032.23 62.32 950.89 1011.99 0.00 1011.99 61.10
Virginia M.D. IPA - High Self & Family JP2 2719.61 2894.41 0.00 2894.41 174.80 2666.28 2837.66 0.00 2837.66 171.38
Virginia M.D. IPA - High Self Plus One JP3 1894.23 2015.96 0.00 2015.96 121.73 1857.09 1976.43 0.00 1976.43 119.34
Virginia Optima Health - HDHP Self PG4 617.19 580.17 0.00 580.17 -37.02 605.09 568.79 0.00 568.79 -36.30
Virginia Optima Health - HDHP Self & Family PG5 1361.48 1279.76 0.00 1279.76 -81.72 1334.78 1254.67 0.00 1254.67 -80.11
Virginia Optima Health - HDHP Self Plus One PG6 1334.77 1254.70 0.00 1254.70 -80.07 1308.60 1230.10 0.00 1230.10 -78.50
Virginia Optima Health - High Self PG1 733.94 733.94 0.00 733.94 0.00 719.55 719.55 0.00 719.55 0.00
Virginia Optima Health - High Self & Family PG2 1773.46 1773.46 0.00 1773.46 0.00 1738.69 1738.69 0.00 1738.69 0.00
Virginia Optima Health - High Self Plus One PG3 1773.33 1773.33 0.00 1773.33 0.00 1738.56 1738.56 0.00 1738.56 0.00
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 611.46 663.93 0.00 663.93 52.47 599.47 650.91 0.00 650.91 51.44
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1446.12 1570.25 0.00 1570.25 124.13 1417.76 1539.46 0.00 1539.46 121.70
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1314.67 1427.48 0.00 1427.48 112.81 1288.89 1399.49 0.00 1399.49 110.60
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 530.31 675.05 0.00 675.05 144.74 519.91 661.81 0.00 661.81 141.90
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1219.73 1544.48 0.00 1544.48 324.75 1195.81 1514.20 0.00 1514.20 318.39
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1140.17 1451.38 0.00 1451.38 311.21 1117.81 1422.92 0.00 1422.92 305.11
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 785.81 838.60 0.00 838.60 52.79 770.40 822.16 0.00 822.16 51.76
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1862.35 1987.52 0.00 1987.52 125.17 1825.83 1948.55 0.00 1948.55 122.72
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1689.46 1803.03 0.00 1803.03 113.57 1656.33 1767.68 0.00 1767.68 111.35
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 565.71 677.04 0.00 677.04 111.33 554.62 663.76 0.00 663.76 109.14
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1586.25 1618.14 0.00 1618.14 31.89 1555.15 1586.41 0.00 1586.41 31.26
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1104.84 1354.09 0.00 1354.09 249.25 1083.18 1327.54 0.00 1327.54 244.36
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 588.25 592.88 0.00 592.88 4.63 576.72 581.25 0.00 581.25 4.53
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1391.22 1402.18 0.00 1402.18 10.96 1363.94 1374.69 0.00 1374.69 10.75
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1264.74 1274.70 0.00 1274.70 9.96 1239.94 1249.71 0.00 1249.71 9.77
Washington Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Washington Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Washington Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Washington Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Washington Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Washington Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 731.38 851.07 0.00 851.07 119.69 717.04 834.38 0.00 834.38 117.34
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1675.12 1949.29 0.00 1949.29 274.17 1642.27 1911.07 0.00 1911.07 268.80
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1642.29 1911.10 0.00 1911.10 268.81 1610.09 1873.63 0.00 1873.63 263.54
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1079.94 1157.80 0.00 1157.80 77.86 1058.76 1135.10 0.00 1135.10 76.34
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2463.38 2640.99 0.00 2640.99 177.61 2415.08 2589.21 0.00 2589.21 174.13
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2439.02 2614.87 0.00 2614.87 175.85 2391.20 2563.60 0.00 2563.60 172.40
Washington Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Washington Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Washington Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Washington Kaiser Permanente - Northwest - Standard Self 574 702.12 682.27 0.00 682.27 -19.85 688.35 668.89 0.00 668.89 -19.46
Washington Kaiser Permanente - Northwest - Standard Self & Family 575 1612.97 1567.37 0.00 1567.37 -45.60 1581.34 1536.64 0.00 1536.64 -44.70
Washington Kaiser Permanente - Northwest - Standard Self Plus One 576 1612.97 1567.37 0.00 1567.37 -45.60 1581.34 1536.64 0.00 1536.64 -44.70
Washington Kaiser Permanente - Northwest - High Self 571 766.71 772.81 0.00 772.81 6.10 751.68 757.66 0.00 757.66 5.98
Washington Kaiser Permanente - Northwest - High Self & Family 572 1731.78 1745.57 0.00 1745.57 13.79 1697.82 1711.34 0.00 1711.34 13.52
Washington Kaiser Permanente - Northwest - High Self Plus One 573 1731.78 1745.57 0.00 1745.57 13.79 1697.82 1711.34 0.00 1711.34 13.52
Washington Kaiser Permanente - Northwest - Prosper Self AM1 399.62 399.62 0.00 399.62 0.00 391.78 391.78 0.00 391.78 0.00
Washington Kaiser Permanente - Northwest - Prosper Self & Family AM2 945.00 991.09 0.00 991.09 46.09 926.47 971.66 0.00 971.66 45.19
Washington Kaiser Permanente - Northwest - Prosper Self Plus One AM3 859.14 859.14 0.00 859.14 0.00 842.29 842.29 0.00 842.29 0.00
Washington Kaiser Permanente - Washington Core - Standard Self 544 630.38 637.71 0.00 637.71 7.33 618.02 625.21 0.00 625.21 7.19
Washington Kaiser Permanente - Washington Core - Standard Self & Family 545 1449.87 1466.76 0.00 1466.76 16.89 1421.44 1438.00 0.00 1438.00 16.56
Washington Kaiser Permanente - Washington Core - Standard Self Plus One 546 1449.87 1466.76 0.00 1466.76 16.89 1421.44 1438.00 0.00 1438.00 16.56
Washington Kaiser Permanente - Washington Core - High Self 541 881.04 886.92 0.00 886.92 5.88 863.76 869.53 0.00 869.53 5.77
Washington Kaiser Permanente - Washington Core - High Self & Family 542 1938.26 1951.19 0.00 1951.19 12.93 1900.25 1912.93 0.00 1912.93 12.68
Washington Kaiser Permanente - Washington Core - High Self Plus One 543 1938.26 1951.19 0.00 1951.19 12.93 1900.25 1912.93 0.00 1912.93 12.68
Washington Kaiser Permanente - Washington Core - Prosper Self PT4 397.80 397.80 0.00 397.80 0.00 390.00 390.00 0.00 390.00 0.00
Washington Kaiser Permanente - Washington Core - Prosper Self & Family PT5 1113.82 1113.82 0.00 1113.82 0.00 1091.98 1091.98 0.00 1091.98 0.00
Washington Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 963.56 963.56 0.00 963.56 0.00 944.67 944.67 0.00 944.67 0.00
Washington Kaiser Permanente Washington Options Federal - Standard Self L11 758.03 773.21 0.00 773.21 15.18 743.17 758.05 0.00 758.05 14.88
Washington Kaiser Permanente Washington Options Federal - Standard Self & Family L12 1682.83 1716.49 0.00 1716.49 33.66 1649.83 1682.83 0.00 1682.83 33.00
Washington Kaiser Permanente Washington Options Federal - Standard Self Plus One L13 1682.83 1716.49 0.00 1716.49 33.66 1649.83 1682.83 0.00 1682.83 33.00
Washington Kaiser Permanente Washington Options Federal - HDHP Self L14 674.95 688.68 0.00 688.68 13.73 661.72 675.18 0.00 675.18 13.46
Washington Kaiser Permanente Washington Options Federal - HDHP Self & Family L15 1498.36 1528.82 0.00 1528.82 30.46 1468.98 1498.84 0.00 1498.84 29.86
Washington Kaiser Permanente Washington Options Federal - HDHP Self Plus One L16 1498.36 1528.82 0.00 1528.82 30.46 1468.98 1498.84 0.00 1498.84 29.86
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 634.66 681.83 0.00 681.83 47.17 622.22 668.46 0.00 668.46 46.24
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1500.97 1612.53 0.00 1612.53 111.56 1471.54 1580.91 0.00 1580.91 109.37
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1364.53 1465.91 0.00 1465.91 101.38 1337.77 1437.17 0.00 1437.17 99.40
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 538.73 685.54 0.00 685.54 146.81 528.17 672.10 0.00 672.10 143.93
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1239.06 1576.77 0.00 1576.77 337.71 1214.76 1545.85 0.00 1545.85 331.09
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1158.26 1473.94 0.00 1473.94 315.68 1135.55 1445.04 0.00 1445.04 309.49
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 797.76 882.17 0.00 882.17 84.41 782.12 864.87 0.00 864.87 82.75
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 1994.46 2205.40 0.00 2205.40 210.94 1955.35 2162.16 0.00 2162.16 206.81
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1715.20 1896.65 0.00 1896.65 181.45 1681.57 1859.46 0.00 1859.46 177.89
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 633.63 670.80 0.00 670.80 37.17 621.21 657.65 0.00 657.65 36.44
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1498.51 1586.50 0.00 1586.50 87.99 1469.13 1555.39 0.00 1555.39 86.26
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1362.29 1442.25 0.00 1442.25 79.96 1335.58 1413.97 0.00 1413.97 78.39
West Virginia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
West Virginia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
West Virginia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
West Virginia Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
West Virginia Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
West Virginia Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 868.77 888.06 0.00 888.06 19.29 851.74 870.65 0.00 870.65 18.91
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 1980.87 2024.80 0.00 2024.80 43.93 1942.03 1985.10 0.00 1985.10 43.07
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 1961.27 2004.76 0.00 2004.76 43.49 1922.81 1965.45 0.00 1965.45 42.64
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 838.26 913.44 0.00 913.44 75.18 821.82 895.53 0.00 895.53 73.71
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 1919.52 2091.65 0.00 2091.65 172.13 1881.88 2050.64 0.00 2050.64 168.76
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 1881.86 2050.66 0.00 2050.66 168.80 1844.96 2010.45 0.00 2010.45 165.49
West Virginia Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
West Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
West Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Wisconsin Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Wisconsin Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Wisconsin Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Wisconsin Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Wisconsin Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Wisconsin Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.47 1116.40 0.00 1116.40 -0.07 1094.58 1094.51 0.00 1094.51 -0.07
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.78 2548.61 0.00 2548.61 -0.17 2498.80 2498.64 0.00 2498.64 -0.16
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.55 2523.42 0.00 2523.42 -0.13 2474.07 2473.94 0.00 2473.94 -0.13
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1030.13 1058.09 0.00 1058.09 27.96 1009.93 1037.34 0.00 1037.34 27.41
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2348.19 2411.95 0.00 2411.95 63.76 2302.15 2364.66 0.00 2364.66 62.51
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2324.92 2388.06 0.00 2388.06 63.14 2279.33 2341.24 0.00 2341.24 61.91
Wisconsin Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Wisconsin Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Wisconsin Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Wisconsin Dean Health Plan, Inc. - High Self WD1 1286.09 1310.26 0.00 1310.26 24.17 1260.87 1284.57 0.00 1284.57 23.70
Wisconsin Dean Health Plan, Inc. - High Self & Family WD2 2958.04 3013.62 0.00 3013.62 55.58 2900.04 2954.53 0.00 2954.53 54.49
Wisconsin Dean Health Plan, Inc. - High Self Plus One WD3 2700.82 2751.56 0.00 2751.56 50.74 2647.86 2697.61 0.00 2697.61 49.75
Wisconsin Dean Health Plan, Inc. - Standard Self WD4 698.82 726.67 0.00 726.67 27.85 685.12 712.42 0.00 712.42 27.30
Wisconsin Dean Health Plan, Inc. - Standard Self & Family WD5 1677.15 1744.00 0.00 1744.00 66.85 1644.26 1709.80 0.00 1709.80 65.54
Wisconsin Dean Health Plan, Inc. - Standard Self Plus One WD6 1537.41 1598.67 0.00 1598.67 61.26 1507.26 1567.32 0.00 1567.32 60.06
Wisconsin Dean Health Plan, Inc. - Basic Self AG1 464.17 464.17 0.00 464.17 0.00 455.07 455.07 0.00 455.07 0.00
Wisconsin Dean Health Plan, Inc. - Basic Self & Family AG2 1044.38 1044.38 0.00 1044.38 0.00 1023.90 1023.90 0.00 1023.90 0.00
Wisconsin Dean Health Plan, Inc. - Basic Self Plus One AG3 974.74 974.74 0.00 974.74 0.00 955.63 955.63 0.00 955.63 0.00
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self WJ1 906.81 1110.81 0.00 1110.81 204.00 889.03 1089.03 0.00 1089.03 200.00
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self & Family WJ2 2357.74 2888.25 0.00 2888.25 530.51 2311.51 2831.62 0.00 2831.62 520.11
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self Plus One WJ3 1995.01 2443.86 0.00 2443.86 448.85 1955.89 2395.94 0.00 2395.94 440.05
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self WJ4 631.22 599.20 0.00 599.20 -32.02 618.84 587.45 0.00 587.45 -31.39
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self & Family WJ5 1641.19 1557.99 0.00 1557.99 -83.20 1609.01 1527.44 0.00 1527.44 -81.57
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self Plus One WJ6 1388.70 1318.29 0.00 1318.29 -70.41 1361.47 1292.44 0.00 1292.44 -69.03
Wisconsin HealthPartners - Standard Self V34 519.60 564.35 0.00 564.35 44.75 509.41 553.28 0.00 553.28 43.87
Wisconsin HealthPartners - Standard Self & Family V35 1265.76 1374.80 0.00 1374.80 109.04 1240.94 1347.84 0.00 1347.84 106.90
Wisconsin HealthPartners - Standard Self Plus One V36 1148.32 1247.24 0.00 1247.24 98.92 1125.80 1222.78 0.00 1222.78 96.98
Wisconsin HealthPartners - High Self V31 681.43 705.98 0.00 705.98 24.55 668.07 692.14 0.00 692.14 24.07
Wisconsin HealthPartners - High Self & Family V32 1659.93 1719.73 0.00 1719.73 59.80 1627.38 1686.01 0.00 1686.01 58.63
Wisconsin HealthPartners - High Self Plus One V33 1505.94 1560.17 0.00 1560.17 54.23 1476.41 1529.58 0.00 1529.58 53.17
Wyoming Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Wyoming Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Wyoming Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Wyoming Aetna Direct - CDHP Self N61 628.15 640.84 0.00 640.84 12.69 615.83 628.27 0.00 628.27 12.44
Wyoming Aetna Direct - CDHP Self & Family N62 1584.13 1616.17 0.00 1616.17 32.04 1553.07 1584.48 0.00 1584.48 31.41
Wyoming Aetna Direct - CDHP Self Plus One N63 1377.56 1405.43 0.00 1405.43 27.87 1350.55 1377.87 0.00 1377.87 27.32
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 843.38 842.71 0.00 842.71 -0.67 826.84 826.19 0.00 826.19 -0.65
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1922.43 1920.88 0.00 1920.88 -1.55 1884.74 1883.22 0.00 1883.22 -1.52
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1903.76 1902.26 0.00 1902.26 -1.50 1866.43 1864.96 0.00 1864.96 -1.47
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 833.83 850.40 0.00 850.40 16.57 817.48 833.73 0.00 833.73 16.25
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1913.68 1951.72 0.00 1951.72 38.04 1876.16 1913.45 0.00 1913.45 37.29
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1876.18 1913.46 0.00 1913.46 37.28 1839.39 1875.94 0.00 1875.94 36.55
Wyoming Aetna HealthFund HDHP - HDHP Self 224 801.74 840.80 0.00 840.80 39.06 786.02 824.31 0.00 824.31 38.29
Wyoming Aetna HealthFund HDHP - HDHP Self & Family 225 1768.51 1854.62 0.00 1854.62 86.11 1733.83 1818.25 0.00 1818.25 84.42
Wyoming Aetna HealthFund HDHP - HDHP Self Plus One 226 1733.88 1818.28 0.00 1818.28 84.40 1699.88 1782.63 0.00 1782.63 82.75
Wyoming Altius Health Plan - High Self 9K1 1069.33 1173.87 0.00 1173.87 104.54 1048.36 1150.85 0.00 1150.85 102.49
Wyoming Altius Health Plan - High Self & Family 9K2 2364.83 2596.00 0.00 2596.00 231.17 2318.46 2545.10 0.00 2545.10 226.64
Wyoming Altius Health Plan - High Self Plus One 9K3 2341.41 2570.32 0.00 2570.32 228.91 2295.50 2519.92 0.00 2519.92 224.42
Wyoming Altius Health Plan - HDHP Self 9K4 685.94 774.40 0.00 774.40 88.46 672.49 759.22 0.00 759.22 86.73
Wyoming Altius Health Plan - HDHP Self & Family 9K5 1433.54 1618.45 0.00 1618.45 184.91 1405.43 1586.72 0.00 1586.72 181.29
Wyoming Altius Health Plan - HDHP Self Plus One 9K6 1405.41 1586.67 0.00 1586.67 181.26 1377.85 1555.56 0.00 1555.56 177.71
Wyoming Altius Health Plan - Standard Self DK4 900.77 961.39 0.00 961.39 60.62 883.11 942.54 0.00 942.54 59.43
Wyoming Altius Health Plan - Standard Self & Family DK5 1989.20 2123.06 0.00 2123.06 133.86 1950.20 2081.43 0.00 2081.43 131.23
Wyoming Altius Health Plan - Standard Self Plus One DK6 1969.49 2102.02 0.00 2102.02 132.53 1930.87 2060.80 0.00 2060.80 129.93
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