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Healthcare

Premium Rates for the Federal Employees Health Benefits Program

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2022 Total Biweekly Premium 2023 Biweekly Premium Rates - Total Premium 2023 Biweekly Premium Rates - Government Pays 2023 Biweekly Premium Rates - Employee Pays 2023 Biweekly Premium Rates - Change in Employee Payment 2022 Total Monthly Premium 2023 Monthly Premium Rates - Total Premium 2023 Monthly Premium Rates - Government Pays 2023 Monthly Premium Rates - Employee Pays 2023 Monthly Premium Rates - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Alabama Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Alabama Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Alabama Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Alabama Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Alabama Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Alabama Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 288.31 304.08 228.06 76.02 3.94 624.67 658.84 494.13 164.71 8.54
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 663.12 695.62 521.72 173.90 8.12 1436.76 1507.18 1130.39 376.79 17.60
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 619.88 653.78 490.34 163.44 8.47 1343.07 1416.52 1062.39 354.13 18.36
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 391.06 434.30 259.72 174.58 28.38 847.30 940.98 562.73 378.25 61.48
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 977.65 1085.78 611.42 474.36 70.84 2118.24 2352.52 1324.74 1027.78 153.49
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 840.78 933.77 560.52 373.25 57.10 1821.69 2023.17 1214.46 808.71 123.72
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Alaska Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Alaska Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Alaska Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Alaska Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Alaska Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Alaska Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
Alaska Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Arizona Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Arizona Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Arizona Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Arizona Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Arizona Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Arizona Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Arizona Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Arizona Aetna Open Access - High Self WQ1 664.00 667.30 259.72 407.58 -11.56 1438.67 1445.82 562.73 883.09 -25.05
Arizona Aetna Open Access - High Self & Family WQ2 1612.18 1620.18 611.42 1008.76 -29.29 3493.06 3510.39 1324.74 2185.65 -63.46
Arizona Aetna Open Access - High Self Plus One WQ3 1596.20 1604.14 560.52 1043.62 -27.95 3458.43 3475.64 1214.46 2261.18 -60.55
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 402.99 412.79 259.72 153.07 -5.06 873.15 894.38 562.73 331.65 -10.97
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 906.72 928.76 611.42 317.34 -15.25 1964.56 2012.31 1324.74 687.57 -33.04
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 866.42 887.48 560.52 326.96 -14.83 1877.24 1922.87 1214.46 708.41 -32.13
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 307.13 316.10 237.08 79.02 2.24 665.45 684.88 513.66 171.22 4.86
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 691.03 711.18 533.39 177.79 5.03 1497.23 1540.89 1155.67 385.22 10.91
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 660.33 679.60 509.70 169.90 4.82 1430.72 1472.47 1104.35 368.12 10.44
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 270.10 280.90 210.68 70.22 2.70 585.22 608.62 456.47 152.15 5.85
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 607.72 632.03 474.02 158.01 6.08 1316.73 1369.40 1027.05 342.35 13.17
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 580.73 603.96 452.97 150.99 5.81 1258.25 1308.58 981.44 327.14 12.58
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 352.48 370.10 259.72 110.38 2.76 763.71 801.88 562.73 239.15 5.97
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 793.05 832.71 611.42 221.29 2.37 1718.28 1804.21 1324.74 479.47 5.14
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 757.80 795.68 560.52 235.16 1.99 1641.90 1723.97 1214.46 509.51 4.31
Arizona Humana HDHP - HDHP Self BV1 209.15 215.43 161.57 53.86 1.57 453.16 466.77 350.08 116.69 3.40
Arizona Humana HDHP - HDHP Self & Family BV2 521.08 536.71 402.53 134.18 3.91 1129.01 1162.87 872.15 290.72 8.47
Arizona Humana HDHP - HDHP Self Plus One BV3 458.70 472.46 354.35 118.11 3.44 993.85 1023.66 767.75 255.91 7.45
Arizona Humana HDHP - HDHP Self BY1 183.59 189.10 141.83 47.27 1.37 397.78 409.72 307.29 102.43 2.99
Arizona Humana HDHP - HDHP Self & Family BY2 457.16 470.88 353.16 117.72 3.43 990.51 1020.24 765.18 255.06 7.43
Arizona Humana HDHP - HDHP Self Plus One BY3 402.45 414.52 310.89 103.63 3.02 871.98 898.13 673.60 224.53 6.54
Arizona Humana Health Plan, Inc. - Standard Self C74 422.86 459.96 259.72 200.24 22.24 916.20 996.58 562.73 433.85 48.18
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 951.44 1034.90 611.42 423.48 46.17 2061.45 2242.28 1324.74 917.54 100.04
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 909.15 988.89 560.52 428.37 43.85 1969.83 2142.60 1214.46 928.14 95.01
Arizona Humana Health Plan, Inc. - Standard Self BF4 575.35 592.61 259.72 332.89 2.40 1246.59 1283.99 562.73 721.26 5.20
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 1294.55 1333.38 611.42 721.96 1.54 2804.86 2888.99 1324.74 1564.25 3.34
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 1237.02 1274.14 560.52 713.62 1.23 2680.21 2760.64 1214.46 1546.18 2.67
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 308.52 327.56 245.67 81.89 4.76 668.46 709.71 532.28 177.43 10.32
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 729.65 774.68 581.01 193.67 11.26 1580.91 1678.47 1258.85 419.62 24.39
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 663.31 704.25 528.19 176.06 10.23 1437.17 1525.88 1144.41 381.47 22.18
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 310.20 327.06 245.30 81.76 4.21 672.10 708.63 531.47 177.16 9.14
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 713.47 752.20 564.15 188.05 9.68 1545.85 1629.77 1222.33 407.44 20.98
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 666.94 703.16 527.37 175.79 9.06 1445.04 1523.51 1142.63 380.88 19.62
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 399.17 444.67 259.72 184.95 30.64 864.87 963.45 562.73 400.72 66.38
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 997.92 1111.67 611.42 500.25 76.46 2162.16 2408.62 1324.74 1083.88 165.67
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 858.21 956.03 560.52 395.51 61.93 1859.46 2071.40 1214.46 856.94 134.18
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 303.53 292.77 219.58 73.19 -2.69 657.65 634.34 475.76 158.58 -5.83
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 717.87 692.39 519.29 173.10 -6.37 1555.39 1500.18 1125.14 375.04 -13.81
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 652.60 629.45 472.09 157.36 -5.79 1413.97 1363.81 1022.86 340.95 -12.54
Arkansas Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Arkansas Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Arkansas Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Arkansas Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Arkansas Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Arkansas Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Arkansas Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Arkansas QualChoice - High Self DH1 336.39 366.68 259.72 106.96 15.43 728.85 794.47 562.73 231.74 33.42
Arkansas QualChoice - High Self & Family DH2 877.43 956.45 611.42 345.03 41.73 1901.10 2072.31 1324.74 747.57 90.42
Arkansas QualChoice - High Self Plus One DH3 653.46 712.32 534.24 178.08 14.72 1415.83 1543.36 1157.52 385.84 31.88
Arkansas QualChoice - Standard Self DH4 262.60 286.23 214.67 71.56 5.91 568.97 620.17 465.13 155.04 12.80
Arkansas QualChoice - Standard Self & Family DH5 684.96 746.61 559.96 186.65 15.41 1484.08 1617.66 1213.25 404.41 33.39
Arkansas QualChoice - Standard Self Plus One DH6 510.13 556.05 417.04 139.01 11.48 1105.28 1204.78 903.59 301.19 24.87
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 288.31 304.08 228.06 76.02 3.94 624.67 658.84 494.13 164.71 8.54
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 663.12 695.62 521.72 173.90 8.12 1436.76 1507.18 1130.39 376.79 17.60
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 619.88 653.78 490.34 163.44 8.47 1343.07 1416.52 1062.39 354.13 18.36
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 391.06 434.30 259.72 174.58 28.38 847.30 940.98 562.73 378.25 61.48
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 977.65 1085.78 611.42 474.36 70.84 2118.24 2352.52 1324.74 1027.78 153.49
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 840.78 933.77 560.52 373.25 57.10 1821.69 2023.17 1214.46 808.71 123.72
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
California Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
California Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
California Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
California Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
California Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
California Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
California Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
California Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
California Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
California Aetna Open Access - High Self 2X1 479.69 506.96 259.72 247.24 12.41 1039.33 1098.41 562.73 535.68 26.88
California Aetna Open Access - High Self & Family 2X2 1126.17 1190.18 611.42 578.76 26.72 2440.04 2578.72 1324.74 1253.98 57.89
California Aetna Open Access - High Self Plus One 2X3 1104.10 1166.85 560.52 606.33 26.86 2392.22 2528.18 1214.46 1313.72 58.20
California Anthem Blue Cross Select HMO - High Self B31 358.72 351.55 259.72 91.83 -22.03 777.23 761.69 562.73 198.96 -47.74
California Anthem Blue Cross Select HMO - High Self & Family B32 822.95 814.73 611.05 203.68 -45.14 1783.06 1765.25 1323.94 441.31 -97.80
California Anthem Blue Cross Select HMO - High Self Plus One B33 759.73 746.05 559.54 186.51 -48.59 1646.08 1616.44 1212.33 404.11 -105.27
California Blue Shield of California - Access + HMO Self SI1 408.28 440.95 259.72 181.23 17.81 884.61 955.39 562.73 392.66 38.58
California Blue Shield of California - Access + HMO Self & Family SI2 939.07 1014.20 611.42 402.78 37.84 2034.65 2197.43 1324.74 872.69 81.99
California Blue Shield of California - Access + HMO Self Plus One SI3 898.24 970.10 560.52 409.58 35.97 1946.19 2101.88 1214.46 887.42 77.93
California Health Net of California - Basic Self P61 187.24 187.27 140.45 46.82 0.01 405.69 405.75 304.31 101.44 0.02
California Health Net of California - Basic Self & Family P62 449.42 449.47 337.10 112.37 0.02 973.74 973.85 730.39 243.46 0.03
California Health Net of California - Basic Self Plus One P63 411.95 412.01 309.01 103.00 0.01 892.56 892.69 669.52 223.17 0.03
California Health Net of California - Standard Self P64 New Plan 338.22 253.67 84.55 New Plan New Plan 732.81 549.61 183.20 New Plan
California Health Net of California - Standard Self & Family P65 New Plan 811.72 608.79 202.93 New Plan New Plan 1758.73 1319.05 439.68 New Plan
California Health Net of California - Standard Self Plus One P66 New Plan 744.08 558.06 186.02 New Plan New Plan 1612.17 1209.13 403.04 New Plan
California Health Net of California - High Self LP1 497.23 501.43 259.72 241.71 -10.66 1077.33 1086.43 562.73 523.70 -23.10
California Health Net of California - High Self & Family LP2 1193.38 1203.43 611.42 592.01 -27.24 2585.66 2607.43 1324.74 1282.69 -59.02
California Health Net of California - High Self Plus One LP3 1093.93 1103.14 560.52 542.62 -26.68 2370.18 2390.14 1214.46 1175.68 -57.80
California Health Net of California - High Self LB1 747.09 779.47 259.72 519.75 17.52 1618.70 1688.85 562.73 1126.12 37.95
California Health Net of California - High Self & Family LB2 1793.01 1870.72 611.42 1259.30 40.42 3884.86 4053.23 1324.74 2728.49 87.58
California Health Net of California - High Self Plus One LB3 1643.60 1714.82 560.52 1154.30 35.33 3561.13 3715.44 1214.46 2500.98 76.55
California Health Net of California - Basic Self T41 439.92 436.89 259.72 177.17 -17.89 953.16 946.60 562.73 383.87 -38.76
California Health Net of California - Basic Self & Family T42 1055.82 1048.54 611.42 437.12 -44.57 2287.61 2271.84 1324.74 947.10 -96.56
California Health Net of California - Basic Self Plus One T43 967.82 961.16 560.52 400.64 -42.55 2096.94 2082.51 1214.46 868.05 -92.19
California Kaiser Permanente - Fresno California - Standard Self NZ4 272.36 271.43 203.57 67.86 -0.23 590.11 588.10 441.08 147.02 -0.51
California Kaiser Permanente - Fresno California - Standard Self & Family NZ5 629.48 627.33 470.50 156.83 -0.54 1363.87 1359.22 1019.42 339.80 -1.17
California Kaiser Permanente - Fresno California - Standard Self Plus One NZ6 629.48 627.33 470.50 156.83 -0.54 1363.87 1359.22 1019.42 339.80 -1.17
California Kaiser Permanente - Fresno California - High Self NZ1 375.44 377.88 259.72 118.16 -12.42 813.45 818.74 562.73 256.01 -26.91
California Kaiser Permanente - Fresno California - High Self & Family NZ2 867.72 873.35 611.42 261.93 -31.66 1880.06 1892.26 1324.74 567.52 -68.59
California Kaiser Permanente - Fresno California - High Self Plus One NZ3 867.72 873.35 560.52 312.83 -30.26 1880.06 1892.26 1214.46 677.80 -65.56
California Kaiser Permanente - Northern California - Prosper Self KC1 303.95 300.14 225.11 75.03 -0.96 658.56 650.30 487.73 162.57 -2.07
California Kaiser Permanente - Northern California - Prosper Self & Family KC2 711.24 702.31 526.73 175.58 -2.23 1541.02 1521.67 1141.25 380.42 -4.83
California Kaiser Permanente - Northern California - Prosper Self Plus One KC3 711.24 702.31 526.73 175.58 -11.03 1541.02 1521.67 1141.25 380.42 -23.90
California Kaiser Permanente - Northern California - High Self 591 462.60 458.22 259.72 198.50 -19.24 1002.30 992.81 562.73 430.08 -41.69
California Kaiser Permanente - Northern California - High Self & Family 592 1104.27 1093.82 611.42 482.40 -47.74 2392.59 2369.94 1324.74 1045.20 -103.44
California Kaiser Permanente - Northern California - High Self Plus One 593 1104.27 1093.82 560.52 533.30 -46.34 2392.59 2369.94 1214.46 1155.48 -100.41
California Kaiser Permanente - Northern California - Standard Self 594 376.10 372.07 259.72 112.35 -18.89 814.88 806.15 562.73 243.42 -40.93
California Kaiser Permanente - Northern California - Standard Self & Family 595 880.06 870.66 611.42 259.24 -46.69 1906.80 1886.43 1324.74 561.69 -101.16
California Kaiser Permanente - Northern California - Standard Self Plus One 596 880.06 870.66 560.52 310.14 -45.29 1906.80 1886.43 1214.46 671.97 -98.13
California Kaiser Permanente - Southern California - Prosper Self FL1 168.75 168.62 126.47 42.15 -0.04 365.63 365.34 274.01 91.33 -0.08
California Kaiser Permanente - Southern California - Prosper Self & Family FL2 472.50 472.13 354.10 118.03 -0.09 1023.75 1022.95 767.21 255.74 -0.20
California Kaiser Permanente - Southern California - Prosper Self Plus One FL3 388.14 387.83 290.87 96.96 -0.07 840.97 840.30 630.23 210.07 -0.17
California Kaiser Permanente - Southern California - Standard Self 624 225.39 243.70 182.78 60.92 4.57 488.35 528.02 396.02 132.00 9.91
California Kaiser Permanente - Southern California - Standard Self & Family 625 520.90 563.23 422.42 140.81 10.59 1128.62 1220.33 915.25 305.08 22.93
California Kaiser Permanente - Southern California - Standard Self Plus One 626 520.90 563.23 422.42 140.81 10.59 1128.62 1220.33 915.25 305.08 22.93
California Kaiser Permanente - Southern California - High Self 621 351.06 359.65 259.72 99.93 -6.27 760.63 779.24 562.73 216.51 -13.59
California Kaiser Permanente - Southern California - High Self & Family 622 811.37 831.22 611.42 219.80 -17.44 1757.97 1800.98 1324.74 476.24 -37.78
California Kaiser Permanente - Southern California - High Self Plus One 623 811.37 831.22 560.52 270.70 -16.04 1757.97 1800.98 1214.46 586.52 -34.75
Colorado Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Colorado Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Colorado Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Colorado Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Colorado Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Colorado Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Colorado Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Colorado Humana Health Plan, Inc. - High Self NR1 448.06 463.75 259.72 204.03 0.83 970.80 1004.79 562.73 442.06 1.79
Colorado Humana Health Plan, Inc. - High Self & Family NR2 1008.13 1043.43 611.42 432.01 -1.99 2184.28 2260.77 1324.74 936.03 -4.30
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 963.33 997.06 560.52 436.54 -2.16 2087.22 2160.30 1214.46 945.84 -4.68
Colorado Humana Health Plan, Inc. - Standard Self NR4 307.42 346.20 259.65 86.55 9.70 666.08 750.10 562.58 187.52 21.00
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 691.72 778.95 584.21 194.74 21.81 1498.73 1687.73 1265.80 421.93 47.25
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 660.96 744.32 558.24 186.08 20.84 1432.08 1612.69 1209.52 403.17 45.15
Colorado Humana Health Plan, Inc. - Basic Self RZ1 239.51 268.55 201.41 67.14 7.26 518.94 581.86 436.40 145.46 15.73
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 538.88 604.20 453.15 151.05 16.33 1167.57 1309.10 981.83 327.27 35.38
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 514.95 577.37 433.03 144.34 15.60 1115.73 1250.97 938.23 312.74 33.81
Colorado Humana Health Plan, Inc. - High Self NT1 403.98 420.46 259.72 160.74 1.62 875.29 911.00 562.73 348.27 3.51
Colorado Humana Health Plan, Inc. - High Self & Family NT2 908.97 946.06 611.42 334.64 -0.20 1969.44 2049.80 1324.74 725.06 -0.43
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 868.56 904.00 560.52 343.48 -0.45 1881.88 1958.67 1214.46 744.21 -0.97
Colorado Humana Health Plan, Inc. - Standard Self NT4 272.43 295.44 221.58 73.86 5.75 590.27 640.12 480.09 160.03 12.46
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 612.98 664.77 498.58 166.19 12.95 1328.12 1440.34 1080.26 360.08 28.05
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 585.75 635.24 476.43 158.81 12.37 1269.13 1376.35 1032.26 344.09 26.81
Colorado Humana Health Plan, Inc. - Basic Self R21 279.64 314.90 236.18 78.72 8.81 605.89 682.28 511.71 170.57 19.10
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 629.18 708.53 531.40 177.13 19.84 1363.22 1535.15 1151.36 383.79 42.99
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 601.21 677.03 507.77 169.26 18.96 1302.62 1466.90 1100.18 366.72 41.07
Colorado Kaiser Permanente - Colorado - Standard Self 654 304.23 310.93 233.20 77.73 1.67 659.17 673.68 505.26 168.42 3.63
Colorado Kaiser Permanente - Colorado - Standard Self & Family 655 687.56 702.69 527.02 175.67 3.78 1489.71 1522.50 1141.88 380.62 8.19
Colorado Kaiser Permanente - Colorado - Standard Self Plus One 656 687.56 702.69 527.02 175.67 3.78 1489.71 1522.50 1141.88 380.62 8.19
Colorado Kaiser Permanente - Colorado - High Self 651 356.72 362.95 259.72 103.23 -8.63 772.89 786.39 562.73 223.66 -18.70
Colorado Kaiser Permanente - Colorado - High Self & Family 652 806.19 820.28 611.42 208.86 -23.20 1746.75 1777.27 1324.74 452.53 -50.27
Colorado Kaiser Permanente - Colorado - High Self Plus One 653 806.19 820.28 560.52 259.76 -21.80 1746.75 1777.27 1214.46 562.81 -47.24
Colorado Kaiser Permanente - Colorado - Prosper Self N41 180.07 193.26 144.95 48.31 3.29 390.15 418.73 314.05 104.68 7.14
Colorado Kaiser Permanente - Colorado - Prosper Self & Family N42 442.97 475.45 356.59 118.86 8.12 959.77 1030.14 772.61 257.53 17.59
Colorado Kaiser Permanente - Colorado - Prosper Self Plus One N43 406.95 436.79 327.59 109.20 7.46 881.73 946.38 709.79 236.59 16.16
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 310.20 327.06 245.30 81.76 4.21 672.10 708.63 531.47 177.16 9.14
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 713.47 752.20 564.15 188.05 9.68 1545.85 1629.77 1222.33 407.44 20.98
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 666.94 703.16 527.37 175.79 9.06 1445.04 1523.51 1142.63 380.88 19.62
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 399.17 444.67 259.72 184.95 30.64 864.87 963.45 562.73 400.72 66.38
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 997.92 1111.67 611.42 500.25 76.46 2162.16 2408.62 1324.74 1083.88 165.67
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 858.21 956.03 560.52 395.51 61.93 1859.46 2071.40 1214.46 856.94 134.18
Connecticut Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Connecticut Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Connecticut Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Connecticut Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Connecticut Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Connecticut Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
Connecticut Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Delaware Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Delaware Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Delaware Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Delaware Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Delaware Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Delaware Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
Delaware Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Delaware Aetna Open Access - Basic Self P34 794.66 809.55 259.72 549.83 0.03 1721.76 1754.03 562.73 1191.30 0.07
Delaware Aetna Open Access - Basic Self & Family P35 1844.44 1878.97 611.42 1267.55 -2.76 3996.29 4071.10 1324.74 2746.36 -5.98
Delaware Aetna Open Access - Basic Self Plus One P36 1826.17 1860.34 560.52 1299.82 -1.72 3956.70 4030.74 1214.46 2816.28 -3.72
Delaware Aetna Open Access - High Self P31 813.48 802.14 259.72 542.42 -26.20 1762.54 1737.97 562.73 1175.24 -56.77
Delaware Aetna Open Access - High Self & Family P32 1972.28 1944.79 611.42 1333.37 -64.78 4273.27 4213.71 1324.74 2888.97 -140.35
Delaware Aetna Open Access - High Self Plus One P33 1952.76 1925.54 560.52 1365.02 -63.11 4230.98 4172.00 1214.46 2957.54 -136.74
District Of Columbia Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
District Of Columbia Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
District Of Columbia Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
District Of Columbia Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
District Of Columbia Aetna Open Access - High Self JN1 577.64 613.31 259.72 353.59 20.81 1251.55 1328.84 562.73 766.11 45.09
District Of Columbia Aetna Open Access - High Self & Family JN2 1298.62 1378.80 611.42 767.38 42.89 2813.68 2987.40 1324.74 1662.66 92.93
District Of Columbia Aetna Open Access - High Self Plus One JN3 1285.75 1365.14 560.52 804.62 43.50 2785.79 2957.80 1214.46 1743.34 94.25
District Of Columbia Aetna Open Access - Basic Self JN4 341.29 355.72 259.72 96.00 -0.43 739.46 770.73 562.73 208.00 -0.93
District Of Columbia Aetna Open Access - Basic Self & Family JN5 781.03 814.07 610.55 203.52 -3.38 1692.23 1763.82 1322.87 440.95 -7.33
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 717.20 747.54 560.52 187.02 -5.55 1553.93 1619.67 1214.46 405.21 -12.02
District Of Columbia Aetna Saver (Open Access) - Saver Self QQ4 274.71 283.18 212.39 70.79 2.11 595.21 613.56 460.17 153.39 4.59
District Of Columbia Aetna Saver (Open Access) - Saver Self & Family QQ5 628.67 648.09 486.07 162.02 4.85 1362.12 1404.20 1053.15 351.05 10.52
District Of Columbia Aetna Saver (Open Access) - Saver Self Plus One QQ6 577.30 595.13 446.35 148.78 4.46 1250.82 1289.45 967.09 322.36 9.66
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 417.96 472.28 259.72 212.56 39.46 905.58 1023.27 562.73 460.54 85.49
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 993.04 1122.14 611.42 510.72 91.81 2151.59 2431.30 1324.74 1106.56 198.92
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 835.90 944.57 560.52 384.05 72.78 1811.12 2046.57 1214.46 832.11 157.69
District Of Columbia CareFirst BlueChoice - HDHP Self B61 278.91 319.34 239.51 79.83 10.10 604.31 691.90 518.93 172.97 21.89
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 662.67 758.75 569.06 189.69 24.02 1435.79 1643.96 1232.97 410.99 52.04
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 557.80 638.70 479.03 159.67 20.22 1208.57 1383.85 1037.89 345.96 43.82
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 334.00 350.69 259.72 90.97 1.83 723.67 759.83 562.73 197.10 3.96
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 793.56 833.24 611.42 221.82 2.39 1719.38 1805.35 1324.74 480.61 5.18
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 667.98 701.39 526.04 175.35 8.36 1447.29 1519.68 1139.76 379.92 18.10
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 170.26 175.26 131.45 43.81 1.25 368.90 379.73 284.80 94.93 2.71
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 485.23 493.08 369.81 123.27 1.96 1051.33 1068.34 801.26 267.08 4.25
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 400.11 418.70 314.03 104.67 4.64 866.91 907.18 680.39 226.79 10.06
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 280.27 293.20 219.90 73.30 3.23 607.25 635.27 476.45 158.82 7.01
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 644.60 674.35 505.76 168.59 7.44 1396.63 1461.09 1095.82 365.27 16.11
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 644.60 674.35 505.76 168.59 7.44 1396.63 1461.09 1095.82 365.27 16.11
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self E31 349.20 365.03 259.72 105.31 0.97 756.60 790.90 562.73 228.17 2.10
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 803.17 839.55 611.42 228.13 -0.91 1740.20 1819.03 1324.74 494.29 -1.96
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 803.17 839.55 560.52 279.03 0.49 1740.20 1819.03 1214.46 604.57 1.07
District Of Columbia M.D. IPA - High Self JP1 467.07 491.90 259.72 232.18 9.97 1011.99 1065.78 562.73 503.05 21.59
District Of Columbia M.D. IPA - High Self & Family JP2 1309.69 1379.28 611.42 767.86 32.30 2837.66 2988.44 1324.74 1663.70 69.99
District Of Columbia M.D. IPA - High Self Plus One JP3 912.20 960.67 560.52 400.15 12.58 1976.43 2081.45 1214.46 866.99 27.26
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 305.45 307.01 230.26 76.75 0.39 661.81 665.19 498.89 166.30 0.85
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 698.86 706.09 529.57 176.52 1.81 1514.20 1529.86 1147.40 382.46 3.91
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 656.73 660.06 495.05 165.01 0.83 1422.92 1430.13 1072.60 357.53 1.80
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 379.46 419.08 259.72 159.36 24.76 822.16 908.01 562.73 345.28 53.65
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 899.33 993.20 611.42 381.78 56.58 1948.55 2151.93 1324.74 827.19 122.59
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 815.85 901.00 560.52 340.48 49.26 1767.68 1952.17 1214.46 737.71 106.73
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 306.35 321.69 241.27 80.42 3.83 663.76 697.00 522.75 174.25 8.31
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 732.19 772.06 579.05 193.01 9.96 1586.41 1672.80 1254.60 418.20 21.60
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 612.71 683.61 512.71 170.90 17.72 1327.54 1481.16 1110.87 370.29 38.41
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Florida Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Florida Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Florida Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Florida Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Florida Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Florida Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Florida Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Florida AvMed - HDHP Self WZ1 342.58 399.79 259.72 140.07 42.35 742.26 866.21 562.73 303.48 91.75
Florida AvMed - HDHP Self & Family WZ2 791.08 930.45 611.42 319.03 102.08 1714.01 2015.98 1324.74 691.24 221.18
Florida AvMed - HDHP Self Plus One WZ3 686.42 806.61 560.52 246.09 74.49 1487.24 1747.66 1214.46 533.20 161.39
Florida AvMed - Standard Self ML4 370.10 436.76 259.72 177.04 51.80 801.88 946.31 562.73 383.58 112.23
Florida AvMed - Standard Self & Family ML5 901.13 1063.43 611.42 452.01 125.01 1952.45 2304.10 1324.74 979.36 270.86
Florida AvMed - Standard Self Plus One ML6 777.22 917.21 560.52 356.69 104.10 1683.98 1987.29 1214.46 772.83 225.55
Florida Capital Health Plan - High Self EA1 337.15 348.02 259.72 88.30 -3.99 730.49 754.04 562.73 191.31 -8.65
Florida Capital Health Plan - High Self & Family EA2 781.35 806.52 604.89 201.63 -5.59 1692.93 1747.46 1310.60 436.86 -12.12
Florida Capital Health Plan - High Self Plus One EA3 737.33 761.08 560.52 200.56 -12.14 1597.55 1649.01 1214.46 434.55 -26.30
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 276.98 302.66 227.00 75.66 6.42 600.12 655.76 491.82 163.94 13.91
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 623.21 680.98 510.74 170.24 14.44 1350.29 1475.46 1106.60 368.86 31.29
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 595.50 650.71 488.03 162.68 13.81 1290.25 1409.87 1057.40 352.47 29.91
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 335.40 351.76 259.72 92.04 1.50 726.70 762.15 562.73 199.42 3.25
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 754.63 791.43 593.57 197.86 9.20 1635.03 1714.77 1286.08 428.69 19.93
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 721.10 756.28 560.52 195.76 -0.71 1562.38 1638.61 1214.46 424.15 -1.53
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 381.33 402.88 259.72 143.16 6.69 826.22 872.91 562.73 310.18 14.49
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 859.10 907.65 611.42 296.23 11.26 1861.38 1966.58 1324.74 641.84 24.41
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 820.92 867.30 560.52 306.78 10.49 1778.66 1879.15 1214.46 664.69 22.73
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 254.08 264.60 198.45 66.15 2.63 550.51 573.30 429.98 143.32 5.69
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 571.66 595.31 446.48 148.83 5.92 1238.60 1289.84 967.38 322.46 12.81
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 546.26 568.86 426.65 142.21 5.65 1183.56 1232.53 924.40 308.13 12.24
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 259.01 273.26 204.95 68.31 3.56 561.19 592.06 444.05 148.01 7.71
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 621.63 655.81 491.86 163.95 8.54 1346.87 1420.92 1065.69 355.23 18.51
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 556.87 587.50 440.63 146.87 7.65 1206.55 1272.92 954.69 318.23 16.59
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 491.48 513.30 259.72 253.58 6.96 1064.87 1112.15 562.73 549.42 15.08
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 1105.81 1154.90 611.42 543.48 11.80 2395.92 2502.28 1324.74 1177.54 25.57
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 1056.68 1103.59 560.52 543.07 11.02 2289.47 2391.11 1214.46 1176.65 23.88
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 252.12 265.86 199.40 66.46 3.43 546.26 576.03 432.02 144.01 7.45
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 617.69 651.34 488.51 162.83 8.41 1338.33 1411.24 1058.43 352.81 18.23
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 542.05 571.58 428.69 142.89 7.38 1174.44 1238.42 928.82 309.60 15.99
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 291.02 311.40 233.55 77.85 5.10 630.54 674.70 506.03 168.67 11.04
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 654.83 700.66 525.50 175.16 11.45 1418.80 1518.10 1138.58 379.52 24.82
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 625.72 669.52 502.14 167.38 10.95 1355.73 1450.63 1087.97 362.66 23.73
Florida Humana HDHP - HDHP Self BR1 196.82 202.73 152.05 50.68 1.48 426.44 439.25 329.44 109.81 3.20
Florida Humana HDHP - HDHP Self & Family BR2 490.26 504.96 378.72 126.24 3.68 1062.23 1094.08 820.56 273.52 7.96
Florida Humana HDHP - HDHP Self Plus One BR3 431.57 444.52 333.39 111.13 3.24 935.07 963.13 722.35 240.78 7.01
Florida Humana HDHP - HDHP Self A41 220.80 227.43 170.57 56.86 1.66 478.40 492.77 369.58 123.19 3.59
Florida Humana HDHP - HDHP Self & Family A42 550.21 566.72 425.04 141.68 4.13 1192.12 1227.89 920.92 306.97 8.94
Florida Humana HDHP - HDHP Self Plus One A43 484.33 498.86 374.15 124.71 3.63 1049.38 1080.86 810.65 270.21 7.87
Florida Humana HDHP - HDHP Self FF1 187.62 193.24 144.93 48.31 1.41 406.51 418.69 314.02 104.67 3.04
Florida Humana HDHP - HDHP Self & Family FF2 467.23 481.25 360.94 120.31 3.50 1012.33 1042.71 782.03 260.68 7.60
Florida Humana HDHP - HDHP Self Plus One FF3 411.31 423.64 317.73 105.91 3.08 891.17 917.89 688.42 229.47 6.68
Florida Humana HDHP - HDHP Self AP1 222.96 229.64 172.23 57.41 1.67 483.08 497.55 373.16 124.39 3.62
Florida Humana HDHP - HDHP Self & Family AP2 555.58 572.25 429.19 143.06 4.17 1203.76 1239.88 929.91 309.97 9.03
Florida Humana HDHP - HDHP Self Plus One AP3 489.06 503.73 377.80 125.93 3.67 1059.63 1091.42 818.57 272.85 7.94
Florida Humana Medical Plan, Inc. - Standard Self LL4 592.01 655.77 259.72 396.05 48.90 1282.69 1420.84 562.73 858.11 105.95
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 1332.00 1475.46 611.42 864.04 106.17 2886.00 3196.83 1324.74 1872.09 230.04
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 1272.80 1409.89 560.52 849.37 101.20 2757.73 3054.76 1214.46 1840.30 219.27
Florida Humana Medical Plan, Inc. - High Self LL1 828.17 932.78 259.72 673.06 89.75 1794.37 2021.02 562.73 1458.29 194.45
Florida Humana Medical Plan, Inc. - High Self & Family LL2 1863.37 2098.72 611.42 1487.30 198.06 4037.30 4547.23 1324.74 3222.49 429.14
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 1780.55 2005.45 560.52 1444.93 189.01 3857.86 4345.14 1214.46 3130.68 409.52
Florida Humana Medical Plan, Inc. - High Self EE1 611.02 685.67 259.72 425.95 59.79 1323.88 1485.62 562.73 922.89 129.54
Florida Humana Medical Plan, Inc. - High Self & Family EE2 1374.82 1542.79 611.42 931.37 130.68 2978.78 3342.71 1324.74 2017.97 283.14
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 1313.74 1474.25 560.52 913.73 124.62 2846.44 3194.21 1214.46 1979.75 270.01
Florida Humana Medical Plan, Inc. - Standard Self EE4 546.36 617.40 259.72 357.68 56.18 1183.78 1337.70 562.73 774.97 121.72
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 1229.30 1389.13 611.42 777.71 122.54 2663.48 3009.78 1324.74 1685.04 265.51
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 1174.67 1327.38 560.52 766.86 116.82 2545.12 2875.99 1214.46 1661.53 253.11
Florida Humana Medical Plan, Inc. - Standard Self E24 371.28 398.53 259.72 138.81 12.39 804.44 863.48 562.73 300.75 26.84
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 835.37 896.68 611.42 285.26 24.02 1809.97 1942.81 1324.74 618.07 52.05
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 798.23 856.81 560.52 296.29 22.69 1729.50 1856.42 1214.46 641.96 49.16
Florida Humana Medical Plan, Inc. - High Self E21 623.62 650.30 259.72 390.58 11.82 1351.18 1408.98 562.73 846.25 25.60
Florida Humana Medical Plan, Inc. - High Self & Family E22 1403.10 1463.13 611.42 851.71 22.74 3040.05 3170.12 1324.74 1845.38 49.28
Florida Humana Medical Plan, Inc. - High Self Plus One E23 1340.74 1398.10 560.52 837.58 21.47 2904.94 3029.22 1214.46 1814.76 46.52
Florida Humana Medical Plan, Inc. - High Self EX1 493.57 508.33 259.72 248.61 -0.10 1069.40 1101.38 562.73 538.65 -0.22
Florida Humana Medical Plan, Inc. - High Self & Family EX2 1110.51 1143.71 611.42 532.29 -4.09 2406.11 2478.04 1324.74 1153.30 -8.86
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 1061.15 1092.87 560.52 532.35 -4.17 2299.16 2367.89 1214.46 1153.43 -9.03
Florida Humana Medical Plan, Inc. - Standard Self EX4 414.15 432.87 259.72 173.15 3.86 897.33 937.89 562.73 375.16 8.36
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 931.85 973.98 611.42 362.56 4.84 2019.01 2110.29 1324.74 785.55 10.49
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 890.43 930.69 560.52 370.17 4.37 1929.27 2016.50 1214.46 802.04 9.47
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 288.31 304.08 228.06 76.02 3.94 624.67 658.84 494.13 164.71 8.54
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 663.12 695.62 521.72 173.90 8.12 1436.76 1507.18 1130.39 376.79 17.60
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 619.88 653.78 490.34 163.44 8.47 1343.07 1416.52 1062.39 354.13 18.36
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 391.06 434.30 259.72 174.58 28.38 847.30 940.98 562.73 378.25 61.48
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 977.65 1085.78 611.42 474.36 70.84 2118.24 2352.52 1324.74 1027.78 153.49
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 840.78 933.77 560.52 373.25 57.10 1821.69 2023.17 1214.46 808.71 123.72
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 414.41 464.05 259.72 204.33 34.78 897.89 1005.44 562.73 442.71 75.35
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 1243.22 1392.14 611.42 780.72 111.63 2693.64 3016.30 1324.74 1691.56 241.87
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 890.98 997.70 560.52 437.18 70.83 1930.46 2161.68 1214.46 947.22 153.46
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Georgia Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Georgia Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Georgia Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Georgia Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Georgia Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Georgia Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Georgia Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Georgia Aetna Open Access - High Self 2U1 798.29 822.76 259.72 563.04 9.61 1729.63 1782.65 562.73 1219.92 20.82
Georgia Aetna Open Access - High Self & Family 2U2 1838.83 1895.20 611.42 1283.78 19.08 3984.13 4106.27 1324.74 2781.53 41.35
Georgia Aetna Open Access - High Self Plus One 2U3 1820.62 1876.44 560.52 1315.92 19.93 3944.68 4065.62 1214.46 2851.16 43.18
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 303.95 326.75 245.06 81.69 5.70 658.56 707.96 530.97 176.99 12.35
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 683.87 735.17 551.38 183.79 12.82 1481.72 1592.87 1194.65 398.22 27.79
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 653.48 702.50 526.88 175.62 12.25 1415.87 1522.08 1141.56 380.52 26.55
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 381.74 385.56 259.72 125.84 -11.04 827.10 835.38 562.73 272.65 -23.92
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 858.92 867.51 611.42 256.09 -28.70 1860.99 1879.61 1324.74 554.87 -62.17
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 820.75 828.95 560.52 268.43 -27.69 1778.29 1796.06 1214.46 581.60 -59.99
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 381.25 404.13 259.72 144.41 8.02 826.04 875.62 562.73 312.89 17.38
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 857.77 909.25 611.42 297.83 14.19 1858.50 1970.04 1324.74 645.30 30.75
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 819.66 868.84 560.52 308.32 13.29 1775.93 1882.49 1214.46 668.03 28.80
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 538.39 576.08 259.72 316.36 22.83 1166.51 1248.17 562.73 685.44 49.46
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 1211.36 1296.16 611.42 684.74 47.51 2624.61 2808.35 1324.74 1483.61 102.95
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 1157.53 1238.55 560.52 678.03 45.13 2507.98 2683.53 1214.46 1469.07 97.79
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 362.08 387.36 259.72 127.64 10.42 784.51 839.28 562.73 276.55 22.57
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 814.68 871.57 611.42 260.15 19.60 1765.14 1888.40 1324.74 563.66 42.47
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 778.47 832.83 560.52 272.31 18.47 1686.69 1804.47 1214.46 590.01 40.02
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 342.52 362.87 259.72 103.15 5.49 742.13 786.22 562.73 223.49 11.89
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 770.68 816.46 611.42 205.04 8.49 1669.81 1769.00 1324.74 444.26 18.40
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 736.43 780.19 560.52 219.67 7.87 1595.60 1690.41 1214.46 475.95 17.05
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 365.48 411.85 259.72 152.13 31.51 791.87 892.34 562.73 329.61 68.27
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 822.33 926.67 611.42 315.25 67.05 1781.72 2007.79 1324.74 683.05 145.28
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 785.78 885.49 560.52 324.97 63.82 1702.52 1918.56 1214.46 704.10 138.28
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 403.46 455.22 259.72 195.50 36.90 874.16 986.31 562.73 423.58 79.95
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 907.74 1024.20 611.42 412.78 79.17 1966.77 2219.10 1324.74 894.36 171.54
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 867.41 978.69 560.52 418.17 75.39 1879.39 2120.50 1214.46 906.04 163.35
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 324.62 367.58 259.72 107.86 26.71 703.34 796.42 562.73 233.69 57.86
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 730.40 827.07 611.42 215.65 33.05 1582.53 1791.99 1324.74 467.25 71.62
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 697.93 790.31 560.52 229.79 55.31 1512.18 1712.34 1214.46 497.88 119.84
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 402.51 481.71 259.72 221.99 64.34 872.11 1043.71 562.73 480.98 139.40
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 905.66 1083.85 611.42 472.43 140.90 1962.26 2348.34 1324.74 1023.60 305.29
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 865.40 1035.66 560.52 475.14 134.37 1875.03 2243.93 1214.46 1029.47 291.14
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 577.70 635.47 259.72 375.75 42.91 1251.68 1376.85 562.73 814.12 92.97
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 1299.83 1429.80 611.42 818.38 92.68 2816.30 3097.90 1324.74 1773.16 200.81
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 1242.06 1366.26 560.52 805.74 88.31 2691.13 2960.23 1214.46 1745.77 191.34
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 660.39 690.10 259.72 430.38 14.85 1430.85 1495.22 562.73 932.49 32.17
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 1485.89 1552.75 611.42 941.33 29.57 3219.43 3364.29 1324.74 2039.55 64.07
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 1419.88 1483.78 560.52 923.26 28.01 3076.41 3214.86 1214.46 2000.40 60.69
Georgia Humana HDHP - HDHP Self AZ1 218.03 224.57 168.43 56.14 1.63 472.40 486.57 364.93 121.64 3.54
Georgia Humana HDHP - HDHP Self & Family AZ2 543.26 559.56 419.67 139.89 4.08 1177.06 1212.38 909.29 303.09 8.83
Georgia Humana HDHP - HDHP Self Plus One AZ3 478.22 492.56 369.42 123.14 3.59 1036.14 1067.21 800.41 266.80 7.77
Georgia Humana HDHP - HDHP Self B21 224.78 231.51 173.63 57.88 1.69 487.02 501.61 376.21 125.40 3.65
Georgia Humana HDHP - HDHP Self & Family B22 560.13 576.94 432.71 144.23 4.20 1213.62 1250.04 937.53 312.51 9.11
Georgia Humana HDHP - HDHP Self Plus One B23 493.06 507.85 380.89 126.96 3.70 1068.30 1100.34 825.26 275.08 8.01
Georgia Humana HDHP - HDHP Self AR1 220.36 226.97 170.23 56.74 1.65 477.45 491.77 368.83 122.94 3.58
Georgia Humana HDHP - HDHP Self & Family AR2 549.10 565.57 424.18 141.39 4.12 1189.72 1225.40 919.05 306.35 8.92
Georgia Humana HDHP - HDHP Self Plus One AR3 483.35 497.85 373.39 124.46 3.62 1047.26 1078.68 809.01 269.67 7.86
Georgia Kaiser Permanente - Georgia - High Self F81 355.25 372.76 259.72 113.04 2.65 769.71 807.65 562.73 244.92 5.74
Georgia Kaiser Permanente - Georgia - High Self & Family F82 802.88 842.43 611.42 231.01 2.26 1739.57 1825.27 1324.74 500.53 4.91
Georgia Kaiser Permanente - Georgia - High Self Plus One F83 802.88 842.43 560.52 281.91 3.66 1739.57 1825.27 1214.46 610.81 7.94
Georgia Kaiser Permanente - Georgia - Standard Self F84 277.25 291.73 218.80 72.93 3.62 600.71 632.08 474.06 158.02 7.84
Georgia Kaiser Permanente - Georgia - Standard Self & Family F85 626.58 659.32 494.49 164.83 8.19 1357.59 1428.53 1071.40 357.13 17.73
Georgia Kaiser Permanente - Georgia - Standard Self Plus One F86 626.58 659.32 494.49 164.83 8.19 1357.59 1428.53 1071.40 357.13 17.73
Georgia Kaiser Permanente - Georgia - Prosper Self LA1 183.99 200.53 150.40 50.13 4.13 398.65 434.48 325.86 108.62 8.96
Georgia Kaiser Permanente - Georgia - Prosper Self & Family LA2 477.68 520.66 390.50 130.16 10.74 1034.97 1128.10 846.08 282.02 23.28
Georgia Kaiser Permanente - Georgia - Prosper Self Plus One LA3 415.81 453.22 339.92 113.30 9.35 900.92 981.98 736.49 245.49 20.26
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 414.41 464.05 259.72 204.33 34.78 897.89 1005.44 562.73 442.71 75.35
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 1243.22 1392.14 611.42 780.72 111.63 2693.64 3016.30 1324.74 1691.56 241.87
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 890.98 997.70 560.52 437.18 70.83 1930.46 2161.68 1214.46 947.22 153.46
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Guam Calvo's SelectCare - Standard Self B44 174.88 186.75 140.06 46.69 2.97 378.91 404.63 303.47 101.16 6.43
Guam Calvo's SelectCare - Standard Self & Family B45 508.11 542.61 406.96 135.65 8.62 1100.91 1175.66 881.75 293.91 18.68
Guam Calvo's SelectCare - Standard Self Plus One B46 344.73 368.14 276.11 92.03 5.85 746.92 797.64 598.23 199.41 12.68
Guam Calvo's SelectCare - High Self B41 247.36 254.53 190.90 63.63 1.79 535.95 551.48 413.61 137.87 3.88
Guam Calvo's SelectCare - High Self & Family B42 655.17 674.17 505.63 168.54 4.75 1419.54 1460.70 1095.53 365.17 10.29
Guam Calvo's SelectCare - High Self Plus One B43 482.72 496.74 372.56 124.18 3.50 1045.89 1076.27 807.20 269.07 7.60
Guam TakeCare - HDHP Self KX1 56.45 55.36 41.52 13.84 -0.27 122.31 119.95 89.96 29.99 -0.59
Guam TakeCare - HDHP Self & Family KX2 151.37 148.40 111.30 37.10 -0.74 327.97 321.53 241.15 80.38 -1.61
Guam TakeCare - HDHP Self Plus One KX3 136.26 133.62 100.22 33.40 -0.66 295.23 289.51 217.13 72.38 -1.43
Guam TakeCare - Standard Self JK4 187.28 203.66 152.75 50.91 4.09 405.77 441.26 330.95 110.31 8.87
Guam TakeCare - Standard Self & Family JK5 530.39 576.78 432.59 144.19 11.59 1149.18 1249.69 937.27 312.42 25.13
Guam TakeCare - Standard Self Plus One JK6 369.13 401.42 301.07 100.35 8.07 799.78 869.74 652.31 217.43 17.49
Guam TakeCare - High Self JK1 238.09 260.67 195.50 65.17 5.65 515.86 564.79 423.59 141.20 12.24
Guam TakeCare - High Self & Family JK2 567.89 621.73 466.30 155.43 13.46 1230.43 1347.08 1010.31 336.77 29.16
Guam TakeCare - High Self Plus One JK3 470.38 514.98 386.24 128.74 11.15 1019.16 1115.79 836.84 278.95 24.16
Hawaii Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Hawaii Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Hawaii Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Hawaii Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Hawaii Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Hawaii Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
Hawaii Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Hawaii HMSA Plan - High Self 871 291.34 291.34 218.51 72.83 0.00 631.24 631.24 473.43 157.81 0.00
Hawaii HMSA Plan - High Self & Family 872 654.93 654.93 491.20 163.73 0.00 1419.02 1419.02 1064.27 354.75 0.00
Hawaii HMSA Plan - High Self Plus One 873 638.34 638.34 478.76 159.58 0.00 1383.07 1383.07 1037.30 345.77 0.00
Hawaii HMSA Plan - Standard Self 874 209.46 209.46 157.10 52.36 0.00 453.83 453.83 340.37 113.46 0.00
Hawaii HMSA Plan - Standard Self & Family 875 470.85 470.85 353.14 117.71 0.00 1020.18 1020.18 765.14 255.04 0.00
Hawaii HMSA Plan - Standard Self Plus One 876 458.90 458.90 344.18 114.72 0.00 994.28 994.28 745.71 248.57 0.00
Hawaii Kaiser Permanente - Hawaii - High Self 631 311.79 320.68 240.51 80.17 2.22 675.55 694.81 521.11 173.70 4.81
Hawaii Kaiser Permanente - Hawaii - High Self & Family 632 695.31 715.14 536.36 178.78 4.95 1506.51 1549.47 1162.10 387.37 10.74
Hawaii Kaiser Permanente - Hawaii - High Self Plus One 633 695.31 715.14 536.36 178.78 4.95 1506.51 1549.47 1162.10 387.37 10.74
Hawaii Kaiser Permanente - Hawaii - Standard Self 634 224.02 224.02 168.02 56.00 0.00 485.38 485.38 364.04 121.34 0.00
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family 635 499.56 499.56 374.67 124.89 0.00 1082.38 1082.38 811.79 270.59 0.00
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One 636 499.56 499.56 374.67 124.89 0.00 1082.38 1082.38 811.79 270.59 0.00
Idaho Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Idaho Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Idaho Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Idaho Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Idaho Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Idaho Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Idaho Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Idaho Altius Health Plan - High Self 9K1 531.16 560.64 259.72 300.92 14.62 1150.85 1214.72 562.73 651.99 31.67
Idaho Altius Health Plan - High Self & Family 9K2 1174.66 1239.87 611.42 628.45 27.92 2545.10 2686.39 1324.74 1361.65 60.50
Idaho Altius Health Plan - High Self Plus One 9K3 1163.04 1227.61 560.52 667.09 28.68 2519.92 2659.82 1214.46 1445.36 62.14
Idaho Altius Health Plan - HDHP Self 9K4 350.41 366.87 259.72 107.15 1.60 759.22 794.89 562.73 232.16 3.47
Idaho Altius Health Plan - HDHP Self & Family 9K5 732.33 766.73 575.05 191.68 8.60 1586.72 1661.25 1245.94 415.31 18.63
Idaho Altius Health Plan - HDHP Self Plus One 9K6 717.95 751.67 560.52 191.15 -2.17 1555.56 1628.62 1214.46 414.16 -4.70
Idaho Altius Health Plan - Standard Self DK4 435.02 458.47 259.72 198.75 8.59 942.54 993.35 562.73 430.62 18.61
Idaho Altius Health Plan - Standard Self & Family DK5 960.66 1012.47 611.42 401.05 14.52 2081.43 2193.69 1324.74 868.95 31.47
Idaho Altius Health Plan - Standard Self Plus One DK6 951.14 1002.44 560.52 441.92 15.41 2060.80 2171.95 1214.46 957.49 33.39
Idaho Kaiser Permanente - Washington Core - Standard Self 544 288.56 295.78 221.84 73.94 1.80 625.21 640.86 480.65 160.21 3.91
Idaho Kaiser Permanente - Washington Core - Standard Self & Family 545 663.69 680.28 510.21 170.07 4.15 1438.00 1473.94 1105.46 368.48 8.98
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One 546 663.69 680.28 510.21 170.07 4.15 1438.00 1473.94 1105.46 368.48 8.98
Idaho Kaiser Permanente - Washington Core - High Self 541 401.32 416.67 259.72 156.95 0.49 869.53 902.79 562.73 340.06 1.06
Idaho Kaiser Permanente - Washington Core - High Self & Family 542 882.89 916.67 611.42 305.25 -3.51 1912.93 1986.12 1324.74 661.38 -7.60
Idaho Kaiser Permanente - Washington Core - High Self Plus One 543 882.89 916.67 560.52 356.15 -2.11 1912.93 1986.12 1214.46 771.66 -4.57
Idaho Kaiser Permanente - Washington Core - Prosper Self PT4 180.00 180.00 135.00 45.00 0.00 390.00 390.00 292.50 97.50 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family PT5 503.99 503.99 377.99 126.00 0.00 1091.98 1091.98 818.99 272.99 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 436.00 436.00 327.00 109.00 0.00 944.67 944.67 708.50 236.17 0.00
Illinois Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Illinois Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Illinois Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Illinois Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Illinois Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Illinois Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Illinois Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Illinois Health Alliance HMO - Standard Self K84 324.96 363.96 259.72 104.24 23.00 704.08 788.58 562.73 225.85 49.83
Illinois Health Alliance HMO - Standard Self & Family K85 753.18 853.37 611.42 241.95 53.66 1631.89 1848.97 1324.74 524.23 116.26
Illinois Health Alliance HMO - Standard Self Plus One K86 694.82 779.79 560.52 219.27 45.57 1505.44 1689.55 1214.46 475.09 98.73
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 382.11 385.92 259.72 126.20 -11.05 827.91 836.16 562.73 273.43 -23.95
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 859.71 868.30 611.42 256.88 -28.70 1862.71 1881.32 1324.74 556.58 -62.18
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 821.50 829.69 560.52 269.17 -27.70 1779.92 1797.66 1214.46 583.20 -60.02
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 609.15 615.24 259.72 355.52 -8.77 1319.83 1333.02 562.73 770.29 -19.01
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 1370.56 1384.26 611.42 772.84 -23.59 2969.55 2999.23 1324.74 1674.49 -51.11
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 1309.67 1322.77 560.52 762.25 -22.79 2837.62 2866.00 1214.46 1651.54 -49.38
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 369.09 376.47 259.72 116.75 -7.48 799.70 815.69 562.73 252.96 -16.21
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 830.43 847.05 611.42 235.63 -20.67 1799.27 1835.28 1324.74 510.54 -44.78
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 793.53 809.42 560.52 248.90 -20.00 1719.32 1753.74 1214.46 539.28 -43.34
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 487.73 506.54 259.72 246.82 3.95 1056.75 1097.50 562.73 534.77 8.55
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1097.45 1139.79 611.42 528.37 5.05 2377.81 2469.55 1324.74 1144.81 10.95
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1048.65 1089.11 560.52 528.59 4.57 2272.08 2359.74 1214.46 1145.28 9.90
Illinois Humana HDHP - HDHP Self BB1 205.52 211.69 158.77 52.92 1.54 445.29 458.66 344.00 114.66 3.34
Illinois Humana HDHP - HDHP Self & Family BB2 512.00 527.36 395.52 131.84 3.84 1109.33 1142.61 856.96 285.65 8.32
Illinois Humana HDHP - HDHP Self Plus One BB3 450.70 464.22 348.17 116.05 3.38 976.52 1005.81 754.36 251.45 7.32
Illinois Humana HDHP - HDHP Self AW1 194.17 199.99 149.99 50.00 1.46 420.70 433.31 324.98 108.33 3.16
Illinois Humana HDHP - HDHP Self & Family AW2 483.61 498.12 373.59 124.53 3.63 1047.82 1079.26 809.45 269.81 7.86
Illinois Humana HDHP - HDHP Self Plus One AW3 425.72 438.50 328.88 109.62 3.19 922.39 950.08 712.56 237.52 6.92
Illinois Humana Health Plan, Inc. - Standard Self 754 487.29 535.58 259.72 275.86 33.43 1055.80 1160.42 562.73 597.69 72.42
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 1096.41 1205.07 611.42 593.65 71.37 2375.56 2610.99 1324.74 1286.25 154.64
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 1047.69 1151.51 560.52 590.99 67.93 2270.00 2494.94 1214.46 1280.48 147.18
Illinois Humana Health Plan, Inc. - High Self 751 647.65 667.08 259.72 407.36 4.57 1403.24 1445.34 562.73 882.61 9.90
Illinois Humana Health Plan, Inc. - High Self & Family 752 1457.21 1500.92 611.42 889.50 6.42 3157.29 3251.99 1324.74 1927.25 13.91
Illinois Humana Health Plan, Inc. - High Self Plus One 753 1392.45 1434.21 560.52 873.69 5.87 3016.98 3107.46 1214.46 1893.00 12.72
Illinois Humana Health Plan, Inc. - High Self 9F1 976.91 1242.34 259.72 982.62 250.57 2116.64 2691.74 562.73 2129.01 542.90
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 2198.05 2795.26 611.42 2183.84 559.92 4762.44 6056.40 1324.74 4731.66 1213.17
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 2100.34 2671.00 560.52 2110.48 534.77 4550.74 5787.17 1214.46 4572.71 1158.67
Illinois Humana Health Plan, Inc. - Standard Self AB4 668.06 699.12 259.72 439.40 16.20 1447.46 1514.76 562.73 952.03 35.10
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 1503.16 1573.05 611.42 961.63 32.60 3256.85 3408.28 1324.74 2083.54 70.64
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 1436.36 1503.14 560.52 942.62 30.89 3112.11 3256.80 1214.46 2042.34 66.93
Illinois Humana Health Plan, Inc. - Basic Self AB1 390.43 437.77 259.72 178.05 32.48 845.93 948.50 562.73 385.77 70.37
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 878.49 985.00 611.42 373.58 69.22 1903.40 2134.17 1324.74 809.43 149.98
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 839.45 941.23 560.52 380.71 65.89 1818.81 2039.33 1214.46 824.87 142.76
Illinois Humana Health Plan, Inc. - Basic Self RW1 387.46 431.44 259.72 171.72 29.12 839.50 934.79 562.73 372.06 63.09
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 871.79 970.74 611.42 359.32 61.66 1888.88 2103.27 1324.74 778.53 133.60
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 833.04 927.59 560.52 367.07 58.66 1804.92 2009.78 1214.46 795.32 127.10
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 306.35 321.69 241.27 80.42 3.83 663.76 697.00 522.75 174.25 8.31
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 732.19 772.06 579.05 193.01 9.96 1586.41 1672.80 1254.60 418.20 21.60
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 612.71 683.61 512.71 170.90 17.72 1327.54 1481.16 1110.87 370.29 38.41
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Indiana Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Indiana Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Indiana Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Indiana Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Indiana Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Indiana Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
Indiana Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Indiana Health Alliance HMO - Standard Self K84 324.96 363.96 259.72 104.24 23.00 704.08 788.58 562.73 225.85 49.83
Indiana Health Alliance HMO - Standard Self & Family K85 753.18 853.37 611.42 241.95 53.66 1631.89 1848.97 1324.74 524.23 116.26
Indiana Health Alliance HMO - Standard Self Plus One K86 694.82 779.79 560.52 219.27 45.57 1505.44 1689.55 1214.46 475.09 98.73
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 369.09 376.47 259.72 116.75 -7.48 799.70 815.69 562.73 252.96 -16.21
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 830.43 847.05 611.42 235.63 -20.67 1799.27 1835.28 1324.74 510.54 -44.78
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 793.53 809.42 560.52 248.90 -20.00 1719.32 1753.74 1214.46 539.28 -43.34
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 487.73 506.54 259.72 246.82 3.95 1056.75 1097.50 562.73 534.77 8.55
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 1097.45 1139.79 611.42 528.37 5.05 2377.81 2469.55 1324.74 1144.81 10.95
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 1048.65 1089.11 560.52 528.59 4.57 2272.08 2359.74 1214.46 1145.28 9.90
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self TC1 349.41 372.12 259.72 112.40 7.85 757.06 806.26 562.73 243.53 17.00
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TC2 786.15 837.24 611.42 225.82 13.80 1703.33 1814.02 1324.74 489.28 29.90
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TC3 751.22 800.05 560.52 239.53 12.94 1627.64 1733.44 1214.46 518.98 28.04
Indiana Humana CoverageFirst and Humana Value Plan - Value Self TC4 267.57 288.97 216.73 72.24 5.35 579.74 626.10 469.58 156.52 11.59
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family TC5 602.04 650.20 487.65 162.55 12.04 1304.42 1408.77 1056.58 352.19 26.09
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One TC6 575.28 621.30 465.98 155.32 11.50 1246.44 1346.15 1009.61 336.54 24.93
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 320.46 338.08 253.56 84.52 4.41 694.33 732.51 549.38 183.13 9.55
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 721.03 760.69 570.52 190.17 9.91 1562.23 1648.16 1236.12 412.04 21.48
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 688.99 726.89 545.17 181.72 9.47 1492.81 1574.93 1181.20 393.73 20.53
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 416.48 439.39 259.72 179.67 8.05 902.37 952.01 562.73 389.28 17.44
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 937.08 988.62 611.42 377.20 14.25 2030.34 2142.01 1324.74 817.27 30.88
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 895.44 944.69 560.52 384.17 13.36 1940.12 2046.83 1214.46 832.37 28.95
Indiana Humana HDHP - HDHP Self BB1 205.52 211.69 158.77 52.92 1.54 445.29 458.66 344.00 114.66 3.34
Indiana Humana HDHP - HDHP Self & Family BB2 512.00 527.36 395.52 131.84 3.84 1109.33 1142.61 856.96 285.65 8.32
Indiana Humana HDHP - HDHP Self Plus One BB3 450.70 464.22 348.17 116.05 3.38 976.52 1005.81 754.36 251.45 7.32
Indiana Humana HDHP - HDHP Self DT1 228.80 235.66 176.75 58.91 1.71 495.73 510.60 382.95 127.65 3.72
Indiana Humana HDHP - HDHP Self & Family DT2 570.19 587.30 440.48 146.82 4.27 1235.41 1272.48 954.36 318.12 9.27
Indiana Humana HDHP - HDHP Self Plus One DT3 501.91 516.97 387.73 129.24 3.76 1087.47 1120.10 840.08 280.02 8.15
Indiana Humana HDHP - HDHP Self FZ1 New Plan 190.93 143.20 47.73 New Plan New Plan 413.68 310.26 103.42 New Plan
Indiana Humana HDHP - HDHP Self & Family FZ2 New Plan 475.46 356.60 118.86 New Plan New Plan 1030.16 772.62 257.54 New Plan
Indiana Humana HDHP - HDHP Self Plus One FZ3 New Plan 418.55 313.91 104.64 New Plan New Plan 906.86 680.15 226.71 New Plan
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 573.73 602.06 259.72 342.34 13.47 1243.08 1304.46 562.73 741.73 29.18
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 1290.90 1354.64 611.42 743.22 26.45 2796.95 2935.05 1324.74 1610.31 57.31
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 1233.52 1294.44 560.52 733.92 25.03 2672.63 2804.62 1214.46 1590.16 54.23
Indiana Humana Health Plan, Inc. - Standard Self 754 487.29 535.58 259.72 275.86 33.43 1055.80 1160.42 562.73 597.69 72.42
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 1096.41 1205.07 611.42 593.65 71.37 2375.56 2610.99 1324.74 1286.25 154.64
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 1047.69 1151.51 560.52 590.99 67.93 2270.00 2494.94 1214.46 1280.48 147.18
Indiana Humana Health Plan, Inc. - High Self 751 647.65 667.08 259.72 407.36 4.57 1403.24 1445.34 562.73 882.61 9.90
Indiana Humana Health Plan, Inc. - High Self & Family 752 1457.21 1500.92 611.42 889.50 6.42 3157.29 3251.99 1324.74 1927.25 13.91
Indiana Humana Health Plan, Inc. - High Self Plus One 753 1392.45 1434.21 560.52 873.69 5.87 3016.98 3107.46 1214.46 1893.00 12.72
Indiana Humana Health Plan, Inc. - Standard Self MH4 458.26 507.10 259.72 247.38 33.98 992.90 1098.72 562.73 535.99 73.62
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 1031.06 1140.97 611.42 529.55 72.62 2233.96 2472.10 1324.74 1147.36 157.35
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 985.23 1090.25 560.52 529.73 69.13 2134.67 2362.21 1214.46 1147.75 149.78
Indiana Indiana University Health Plans Select - High Self FS1 New Plan 279.80 209.85 69.95 New Plan New Plan 606.23 454.67 151.56 New Plan
Indiana Indiana University Health Plans Select - High Self & Family FS2 New Plan 783.44 587.58 195.86 New Plan New Plan 1697.45 1273.09 424.36 New Plan
Indiana Indiana University Health Plans Select - High Self Plus One FS3 New Plan 615.57 461.68 153.89 New Plan New Plan 1333.74 1000.31 333.43 New Plan
Iowa Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Iowa Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Iowa Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Iowa Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Iowa Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Iowa Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Iowa Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Iowa Health Alliance HMO - Standard Self K84 324.96 363.96 259.72 104.24 23.00 704.08 788.58 562.73 225.85 49.83
Iowa Health Alliance HMO - Standard Self & Family K85 753.18 853.37 611.42 241.95 53.66 1631.89 1848.97 1324.74 524.23 116.26
Iowa Health Alliance HMO - Standard Self Plus One K86 694.82 779.79 560.52 219.27 45.57 1505.44 1689.55 1214.46 475.09 98.73
Iowa HealthPartners - Standard Self V34 255.36 255.36 191.52 63.84 0.00 553.28 553.28 414.96 138.32 0.00
Iowa HealthPartners - Standard Self & Family V35 622.08 622.08 466.56 155.52 0.00 1347.84 1347.84 1010.88 336.96 0.00
Iowa HealthPartners - Standard Self Plus One V36 564.36 564.36 423.27 141.09 0.00 1222.78 1222.78 917.09 305.69 0.00
Iowa HealthPartners - High Self V31 319.45 340.23 255.17 85.06 5.20 692.14 737.17 552.88 184.29 11.26
Iowa HealthPartners - High Self & Family V32 778.16 828.80 611.42 217.38 13.35 1686.01 1795.73 1324.74 470.99 28.93
Iowa HealthPartners - High Self Plus One V33 705.96 751.90 560.52 191.38 10.05 1529.58 1629.12 1214.46 414.66 21.78
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 343.64 349.77 259.72 90.05 -8.73 744.55 757.84 562.73 195.11 -18.91
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 790.36 804.49 603.37 201.12 -15.11 1712.45 1743.06 1307.30 435.76 -32.74
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 738.81 752.03 560.52 191.51 -22.67 1600.76 1629.40 1214.46 414.94 -49.12
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 403.36 450.21 259.72 190.49 31.99 873.95 975.46 562.73 412.73 69.31
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1008.43 1125.52 611.42 514.10 79.80 2184.93 2438.63 1324.74 1113.89 172.91
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 867.25 967.94 560.52 407.42 64.80 1879.04 2097.20 1214.46 882.74 140.40
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Kansas Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Kansas Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Kansas Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Kansas Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Kansas Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Kansas Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Kansas Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Kansas Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Kansas Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Kansas Aetna Open Access - Standard Self HA4 419.71 413.08 259.72 153.36 -21.49 909.37 895.01 562.73 332.28 -46.56
Kansas Aetna Open Access - Standard Self & Family HA5 990.68 975.02 611.42 363.60 -52.95 2146.47 2112.54 1324.74 787.80 -114.72
Kansas Aetna Open Access - Standard Self Plus One HA6 980.89 965.37 560.52 404.85 -51.41 2125.26 2091.64 1214.46 877.18 -111.38
Kansas Aetna Open Access - High Self HA1 548.76 552.42 259.72 292.70 -11.20 1188.98 1196.91 562.73 634.18 -24.27
Kansas Aetna Open Access - High Self & Family HA2 1296.25 1304.91 611.42 693.49 -28.63 2808.54 2827.31 1324.74 1502.57 -62.02
Kansas Aetna Open Access - High Self Plus One HA3 1283.43 1292.00 560.52 731.48 -27.32 2780.77 2799.33 1214.46 1584.87 -59.20
Kansas Humana CoverageFirst and Humana Value Plan - Value Self PH4 261.77 271.19 203.39 67.80 2.36 567.17 587.58 440.69 146.89 5.10
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 588.99 610.20 457.65 152.55 5.30 1276.15 1322.10 991.58 330.52 11.48
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 562.82 583.09 437.32 145.77 5.07 1219.44 1263.36 947.52 315.84 10.98
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 349.86 346.25 259.69 86.56 -18.44 758.03 750.21 562.66 187.55 -39.95
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 787.20 779.06 584.30 194.76 -18.31 1705.60 1687.96 1265.97 421.99 -39.66
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 752.21 744.44 558.33 186.11 -41.47 1629.79 1612.95 1209.71 403.24 -89.85
Kansas Humana HDHP - HDHP Self BK1 186.06 191.64 143.73 47.91 1.40 403.13 415.22 311.42 103.80 3.02
Kansas Humana HDHP - HDHP Self & Family BK2 463.35 477.26 357.95 119.31 3.47 1003.93 1034.06 775.55 258.51 7.53
Kansas Humana HDHP - HDHP Self Plus One BK3 407.90 420.14 315.11 105.03 3.06 883.78 910.30 682.73 227.57 6.63
Kansas Humana Health Plan, Inc. - Standard Self MS4 595.68 628.96 259.72 369.24 18.42 1290.64 1362.75 562.73 800.02 39.91
Kansas Humana Health Plan, Inc. - Standard Self & Family MS5 1340.30 1415.17 611.42 803.75 37.58 2903.98 3066.20 1324.74 1741.46 81.43
Kansas Humana Health Plan, Inc. - Standard Self Plus One MS6 1280.74 1352.29 560.52 791.77 35.66 2774.94 2929.96 1214.46 1715.50 77.26
Kentucky Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Kentucky Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Kentucky Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Kentucky Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Kentucky Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Kentucky Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Kentucky Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Kentucky Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self TC1 349.41 372.12 259.72 112.40 7.85 757.06 806.26 562.73 243.53 17.00
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TC2 786.15 837.24 611.42 225.82 13.80 1703.33 1814.02 1324.74 489.28 29.90
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TC3 751.22 800.05 560.52 239.53 12.94 1627.64 1733.44 1214.46 518.98 28.04
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self TC4 267.57 288.97 216.73 72.24 5.35 579.74 626.10 469.58 156.52 11.59
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family TC5 602.04 650.20 487.65 162.55 12.04 1304.42 1408.77 1056.58 352.19 26.09
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One TC6 575.28 621.30 465.98 155.32 11.50 1246.44 1346.15 1009.61 336.54 24.93
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self 6N1 391.73 415.42 259.72 155.70 8.83 848.75 900.08 562.73 337.35 19.13
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family 6N2 881.39 934.69 611.42 323.27 16.01 1909.68 2025.16 1324.74 700.42 34.69
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One 6N3 842.22 893.14 560.52 332.62 15.03 1824.81 1935.14 1214.46 720.68 32.57
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self 6N4 292.53 313.01 234.76 78.25 5.12 633.82 678.19 508.64 169.55 11.10
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family 6N5 658.18 704.26 528.20 176.06 11.52 1426.06 1525.90 1144.43 381.47 24.96
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One 6N6 628.94 672.96 504.72 168.24 11.01 1362.70 1458.08 1093.56 364.52 23.85
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self X34 320.46 338.08 253.56 84.52 4.41 694.33 732.51 549.38 183.13 9.55
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 721.03 760.69 570.52 190.17 9.91 1562.23 1648.16 1236.12 412.04 21.48
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 688.99 726.89 545.17 181.72 9.47 1492.81 1574.93 1181.20 393.73 20.53
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self X31 416.48 439.39 259.72 179.67 8.05 902.37 952.01 562.73 389.28 17.44
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 937.08 988.62 611.42 377.20 14.25 2030.34 2142.01 1324.74 817.27 30.88
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 895.44 944.69 560.52 384.17 13.36 1940.12 2046.83 1214.46 832.37 28.95
Kentucky Humana HDHP - HDHP Self DT1 228.80 235.66 176.75 58.91 1.71 495.73 510.60 382.95 127.65 3.72
Kentucky Humana HDHP - HDHP Self & Family DT2 570.19 587.30 440.48 146.82 4.27 1235.41 1272.48 954.36 318.12 9.27
Kentucky Humana HDHP - HDHP Self Plus One DT3 501.91 516.97 387.73 129.24 3.76 1087.47 1120.10 840.08 280.02 8.15
Kentucky Humana HDHP - HDHP Self FZ1 New Plan 190.93 143.20 47.73 New Plan New Plan 413.68 310.26 103.42 New Plan
Kentucky Humana HDHP - HDHP Self & Family FZ2 New Plan 475.46 356.60 118.86 New Plan New Plan 1030.16 772.62 257.54 New Plan
Kentucky Humana HDHP - HDHP Self Plus One FZ3 New Plan 418.55 313.91 104.64 New Plan New Plan 906.86 680.15 226.71 New Plan
Kentucky Humana HDHP - HDHP Self FW1 New Plan 190.93 143.20 47.73 New Plan New Plan 413.68 310.26 103.42 New Plan
Kentucky Humana HDHP - HDHP Self & Family FW2 New Plan 475.46 356.60 118.86 New Plan New Plan 1030.16 772.62 257.54 New Plan
Kentucky Humana HDHP - HDHP Self Plus One FW3 New Plan 418.55 313.91 104.64 New Plan New Plan 906.86 680.15 226.71 New Plan
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self A64 573.73 602.06 259.72 342.34 13.47 1243.08 1304.46 562.73 741.73 29.18
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 1290.90 1354.64 611.42 743.22 26.45 2796.95 2935.05 1324.74 1610.31 57.31
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 1233.52 1294.44 560.52 733.92 25.03 2672.63 2804.62 1214.46 1590.16 54.23
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self W61 309.70 349.96 259.72 90.24 12.82 671.02 758.25 562.73 195.52 27.77
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 696.84 787.43 590.57 196.86 22.65 1509.82 1706.10 1279.58 426.52 49.07
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 665.87 752.42 560.52 191.90 25.43 1442.72 1630.24 1214.46 415.78 55.10
Kentucky Humana Health Plan, Inc. - Standard Self MI4 429.04 480.29 259.72 220.57 36.39 929.59 1040.63 562.73 477.90 78.84
Kentucky Humana Health Plan, Inc. - Standard Self & Family MI5 965.33 1080.65 611.42 469.23 78.03 2091.55 2341.41 1324.74 1016.67 169.07
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MI6 922.44 1032.65 560.52 472.13 74.32 1998.62 2237.41 1214.46 1022.95 161.03
Kentucky Humana Health Plan, Inc. - Standard Self MH4 458.26 507.10 259.72 247.38 33.98 992.90 1098.72 562.73 535.99 73.62
Kentucky Humana Health Plan, Inc. - Standard Self & Family MH5 1031.06 1140.97 611.42 529.55 72.62 2233.96 2472.10 1324.74 1147.36 157.35
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MH6 985.23 1090.25 560.52 529.73 69.13 2134.67 2362.21 1214.46 1147.75 149.78
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 343.64 349.77 259.72 90.05 -8.73 744.55 757.84 562.73 195.11 -18.91
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 790.36 804.49 603.37 201.12 -15.11 1712.45 1743.06 1307.30 435.76 -32.74
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 738.81 752.03 560.52 191.51 -22.67 1600.76 1629.40 1214.46 414.94 -49.12
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 403.36 450.21 259.72 190.49 31.99 873.95 975.46 562.73 412.73 69.31
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 1008.43 1125.52 611.42 514.10 79.80 2184.93 2438.63 1324.74 1113.89 172.91
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 867.25 967.94 560.52 407.42 64.80 1879.04 2097.20 1214.46 882.74 140.40
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Louisiana Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Louisiana Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Louisiana Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Louisiana Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Louisiana Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Louisiana Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Louisiana Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Louisiana Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self BC4 350.81 391.52 259.72 131.80 25.85 760.09 848.29 562.73 285.56 56.00
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family BC5 789.33 880.91 611.42 269.49 54.29 1710.22 1908.64 1324.74 583.90 117.63
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One BC6 754.24 841.76 560.52 281.24 51.63 1634.19 1823.81 1214.46 609.35 111.86
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self BC1 475.90 512.06 259.72 252.34 21.30 1031.12 1109.46 562.73 546.73 46.14
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family BC2 1070.80 1152.17 611.42 540.75 44.08 2320.07 2496.37 1324.74 1171.63 95.51
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One BC3 1023.21 1100.96 560.52 540.44 41.86 2216.96 2385.41 1214.46 1170.95 90.69
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self AE1 586.73 630.73 259.72 371.01 29.14 1271.25 1366.58 562.73 803.85 63.13
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family AE2 1320.10 1419.11 611.42 807.69 61.72 2860.22 3074.74 1324.74 1750.00 133.73
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One AE3 1261.44 1356.05 560.52 795.53 58.72 2733.12 2938.11 1214.46 1723.65 127.23
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self AE4 433.75 451.86 259.72 192.14 3.25 939.79 979.03 562.73 416.30 7.04
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family AE5 975.96 1016.70 611.42 405.28 3.45 2114.58 2202.85 1324.74 878.11 7.48
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One AE6 932.58 971.52 560.52 411.00 3.05 2020.59 2104.96 1214.46 890.50 6.61
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 288.31 304.08 228.06 76.02 3.94 624.67 658.84 494.13 164.71 8.54
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 663.12 695.62 521.72 173.90 8.12 1436.76 1507.18 1130.39 376.79 17.60
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 619.88 653.78 490.34 163.44 8.47 1343.07 1416.52 1062.39 354.13 18.36
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 391.06 434.30 259.72 174.58 28.38 847.30 940.98 562.73 378.25 61.48
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 977.65 1085.78 611.42 474.36 70.84 2118.24 2352.52 1324.74 1027.78 153.49
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 840.78 933.77 560.52 373.25 57.10 1821.69 2023.17 1214.46 808.71 123.72
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Maine Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Maine Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Maine Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Maine Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Maine Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Maine Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
Maine Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Maine Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Maine Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Maryland Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Maryland Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Maryland Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Maryland Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Maryland Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Maryland Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Maryland Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Maryland Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Maryland Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Maryland Aetna Open Access - High Self JN1 577.64 613.31 259.72 353.59 20.81 1251.55 1328.84 562.73 766.11 45.09
Maryland Aetna Open Access - High Self & Family JN2 1298.62 1378.80 611.42 767.38 42.89 2813.68 2987.40 1324.74 1662.66 92.93
Maryland Aetna Open Access - High Self Plus One JN3 1285.75 1365.14 560.52 804.62 43.50 2785.79 2957.80 1214.46 1743.34 94.25
Maryland Aetna Open Access - Basic Self JN4 341.29 355.72 259.72 96.00 -0.43 739.46 770.73 562.73 208.00 -0.93
Maryland Aetna Open Access - Basic Self & Family JN5 781.03 814.07 610.55 203.52 -3.38 1692.23 1763.82 1322.87 440.95 -7.33
Maryland Aetna Open Access - Basic Self Plus One JN6 717.20 747.54 560.52 187.02 -5.55 1553.93 1619.67 1214.46 405.21 -12.02
Maryland Aetna Saver (Open Access) - Saver Self QQ4 274.71 283.18 212.39 70.79 2.11 595.21 613.56 460.17 153.39 4.59
Maryland Aetna Saver (Open Access) - Saver Self & Family QQ5 628.67 648.09 486.07 162.02 4.85 1362.12 1404.20 1053.15 351.05 10.52
Maryland Aetna Saver (Open Access) - Saver Self Plus One QQ6 577.30 595.13 446.35 148.78 4.46 1250.82 1289.45 967.09 322.36 9.66
Maryland CareFirst BlueChoice - Standard Self 2G4 417.96 472.28 259.72 212.56 39.46 905.58 1023.27 562.73 460.54 85.49
Maryland CareFirst BlueChoice - Standard Self & Family 2G5 993.04 1122.14 611.42 510.72 91.81 2151.59 2431.30 1324.74 1106.56 198.92
Maryland CareFirst BlueChoice - Standard Self Plus One 2G6 835.90 944.57 560.52 384.05 72.78 1811.12 2046.57 1214.46 832.11 157.69
Maryland CareFirst BlueChoice - HDHP Self B61 278.91 319.34 239.51 79.83 10.10 604.31 691.90 518.93 172.97 21.89
Maryland CareFirst BlueChoice - HDHP Self & Family B62 662.67 758.75 569.06 189.69 24.02 1435.79 1643.96 1232.97 410.99 52.04
Maryland CareFirst BlueChoice - HDHP Self Plus One B63 557.80 638.70 479.03 159.67 20.22 1208.57 1383.85 1037.89 345.96 43.82
Maryland CareFirst BlueChoice - Blue Value Plus Self B64 334.00 350.69 259.72 90.97 1.83 723.67 759.83 562.73 197.10 3.96
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family B65 793.56 833.24 611.42 221.82 2.39 1719.38 1805.35 1324.74 480.61 5.18
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One B66 667.98 701.39 526.04 175.35 8.36 1447.29 1519.68 1139.76 379.92 18.10
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 170.26 175.26 131.45 43.81 1.25 368.90 379.73 284.80 94.93 2.71
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 485.23 493.08 369.81 123.27 1.96 1051.33 1068.34 801.26 267.08 4.25
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 400.11 418.70 314.03 104.67 4.64 866.91 907.18 680.39 226.79 10.06
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self E34 280.27 293.20 219.90 73.30 3.23 607.25 635.27 476.45 158.82 7.01
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 644.60 674.35 505.76 168.59 7.44 1396.63 1461.09 1095.82 365.27 16.11
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 644.60 674.35 505.76 168.59 7.44 1396.63 1461.09 1095.82 365.27 16.11
Maryland Kaiser Permanente - Mid-Atlantic States - High Self E31 349.20 365.03 259.72 105.31 0.97 756.60 790.90 562.73 228.17 2.10
Maryland Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 803.17 839.55 611.42 228.13 -0.91 1740.20 1819.03 1324.74 494.29 -1.96
Maryland Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 803.17 839.55 560.52 279.03 0.49 1740.20 1819.03 1214.46 604.57 1.07
Maryland M.D. IPA - High Self JP1 467.07 491.90 259.72 232.18 9.97 1011.99 1065.78 562.73 503.05 21.59
Maryland M.D. IPA - High Self & Family JP2 1309.69 1379.28 611.42 767.86 32.30 2837.66 2988.44 1324.74 1663.70 69.99
Maryland M.D. IPA - High Self Plus One JP3 912.20 960.67 560.52 400.15 12.58 1976.43 2081.45 1214.46 866.99 27.26
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 305.45 307.01 230.26 76.75 0.39 661.81 665.19 498.89 166.30 0.85
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 698.86 706.09 529.57 176.52 1.81 1514.20 1529.86 1147.40 382.46 3.91
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 656.73 660.06 495.05 165.01 0.83 1422.92 1430.13 1072.60 357.53 1.80
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 379.46 419.08 259.72 159.36 24.76 822.16 908.01 562.73 345.28 53.65
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 899.33 993.20 611.42 381.78 56.58 1948.55 2151.93 1324.74 827.19 122.59
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 815.85 901.00 560.52 340.48 49.26 1767.68 1952.17 1214.46 737.71 106.73
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 306.35 321.69 241.27 80.42 3.83 663.76 697.00 522.75 174.25 8.31
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 732.19 772.06 579.05 193.01 9.96 1586.41 1672.80 1254.60 418.20 21.60
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 612.71 683.61 512.71 170.90 17.72 1327.54 1481.16 1110.87 370.29 38.41
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Massachusetts Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Massachusetts Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Massachusetts Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Massachusetts Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Massachusetts Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Massachusetts Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
Massachusetts Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Michigan Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Michigan Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Michigan Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Michigan Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Michigan Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Michigan Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Michigan Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Michigan Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Michigan Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Michigan Blue Care Network of Michigan - High Self LX1 364.82 392.33 259.72 132.61 12.65 790.44 850.05 562.73 287.32 27.41
Michigan Blue Care Network of Michigan - High Self & Family LX2 890.17 957.32 611.42 345.90 29.86 1928.70 2074.19 1324.74 749.45 64.70
Michigan Blue Care Network of Michigan - High Self Plus One LX3 839.09 902.40 560.52 341.88 27.42 1818.03 1955.20 1214.46 740.74 59.41
Michigan Blue Care Network of Michigan - High Self K51 480.98 481.05 259.72 221.33 -14.79 1042.12 1042.28 562.73 479.55 -32.04
Michigan Blue Care Network of Michigan - High Self & Family K52 1173.58 1173.73 611.42 562.31 -37.14 2542.76 2543.08 1324.74 1218.34 -80.47
Michigan Blue Care Network of Michigan - High Self Plus One K53 1106.24 1106.37 560.52 545.85 -35.76 2396.85 2397.14 1214.46 1182.68 -77.47
Michigan Health Alliance Plan - High Self 521 420.05 422.35 259.72 162.63 -12.56 910.11 915.09 562.73 352.36 -27.22
Michigan Health Alliance Plan - High Self & Family 522 1024.90 1030.55 611.42 419.13 -31.64 2220.62 2232.86 1324.74 908.12 -68.55
Michigan Health Alliance Plan - High Self Plus One 523 966.10 971.41 560.52 410.89 -30.58 2093.22 2104.72 1214.46 890.26 -66.26
Michigan Health Alliance Plan - Standard Self GY4 244.69 246.07 184.55 61.52 0.35 530.16 533.15 399.86 133.29 0.75
Michigan Health Alliance Plan - Standard Self & Family GY5 597.03 600.41 450.31 150.10 0.84 1293.57 1300.89 975.67 325.22 1.83
Michigan Health Alliance Plan - Standard Self Plus One GY6 562.79 565.97 424.48 141.49 0.79 1219.38 1226.27 919.70 306.57 1.73
Michigan Priority Health - High Self LE1 510.79 512.71 259.72 252.99 -12.94 1106.71 1110.87 562.73 548.14 -28.04
Michigan Priority Health - High Self & Family LE2 1200.34 1204.86 611.42 593.44 -32.77 2600.74 2610.53 1324.74 1285.79 -71.00
Michigan Priority Health - High Self Plus One LE3 1123.72 1127.95 560.52 567.43 -31.66 2434.73 2443.89 1214.46 1229.43 -68.60
Michigan Priority Health - Standard Self LE4 284.87 309.71 232.28 77.43 6.21 617.22 671.04 503.28 167.76 13.46
Michigan Priority Health - Standard Self & Family LE5 669.44 727.82 545.87 181.95 14.59 1450.45 1576.94 1182.71 394.23 31.62
Michigan Priority Health - Standard Self Plus One LE6 626.70 681.37 511.03 170.34 13.67 1357.85 1476.30 1107.23 369.07 29.61
Michigan Priority Health - Value Self Y41 218.42 218.42 163.82 54.60 0.00 473.24 473.24 354.93 118.31 0.00
Michigan Priority Health - Value Self & Family Y42 513.29 513.29 384.97 128.32 0.00 1112.13 1112.13 834.10 278.03 0.00
Michigan Priority Health - Value Self Plus One Y43 480.52 480.52 360.39 120.13 0.00 1041.13 1041.13 780.85 260.28 0.00
Minnesota Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Minnesota Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Minnesota Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Minnesota Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Minnesota Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Minnesota Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Minnesota Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Minnesota Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Minnesota HealthPartners - Standard Self V34 255.36 255.36 191.52 63.84 0.00 553.28 553.28 414.96 138.32 0.00
Minnesota HealthPartners - Standard Self & Family V35 622.08 622.08 466.56 155.52 0.00 1347.84 1347.84 1010.88 336.96 0.00
Minnesota HealthPartners - Standard Self Plus One V36 564.36 564.36 423.27 141.09 0.00 1222.78 1222.78 917.09 305.69 0.00
Minnesota HealthPartners - High Self V31 319.45 340.23 255.17 85.06 5.20 692.14 737.17 552.88 184.29 11.26
Minnesota HealthPartners - High Self & Family V32 778.16 828.80 611.42 217.38 13.35 1686.01 1795.73 1324.74 470.99 28.93
Minnesota HealthPartners - High Self Plus One V33 705.96 751.90 560.52 191.38 10.05 1529.58 1629.12 1214.46 414.66 21.78
Mississippi Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Mississippi Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Mississippi Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Mississippi Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Mississippi Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Mississippi Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Mississippi Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Mississippi Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 288.31 304.08 228.06 76.02 3.94 624.67 658.84 494.13 164.71 8.54
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 663.12 695.62 521.72 173.90 8.12 1436.76 1507.18 1130.39 376.79 17.60
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 619.88 653.78 490.34 163.44 8.47 1343.07 1416.52 1062.39 354.13 18.36
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 391.06 434.30 259.72 174.58 28.38 847.30 940.98 562.73 378.25 61.48
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 977.65 1085.78 611.42 474.36 70.84 2118.24 2352.52 1324.74 1027.78 153.49
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 840.78 933.77 560.52 373.25 57.10 1821.69 2023.17 1214.46 808.71 123.72
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Missouri Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Missouri Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Missouri Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Missouri Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Missouri Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Missouri Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Missouri Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Missouri Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Missouri Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Missouri Aetna Open Access - Standard Self HA4 419.71 413.08 259.72 153.36 -21.49 909.37 895.01 562.73 332.28 -46.56
Missouri Aetna Open Access - Standard Self & Family HA5 990.68 975.02 611.42 363.60 -52.95 2146.47 2112.54 1324.74 787.80 -114.72
Missouri Aetna Open Access - Standard Self Plus One HA6 980.89 965.37 560.52 404.85 -51.41 2125.26 2091.64 1214.46 877.18 -111.38
Missouri Aetna Open Access - High Self HA1 548.76 552.42 259.72 292.70 -11.20 1188.98 1196.91 562.73 634.18 -24.27
Missouri Aetna Open Access - High Self & Family HA2 1296.25 1304.91 611.42 693.49 -28.63 2808.54 2827.31 1324.74 1502.57 -62.02
Missouri Aetna Open Access - High Self Plus One HA3 1283.43 1292.00 560.52 731.48 -27.32 2780.77 2799.33 1214.46 1584.87 -59.20
Missouri Humana CoverageFirst and Humana Value Plan - Value Self PH4 261.77 271.19 203.39 67.80 2.36 567.17 587.58 440.69 146.89 5.10
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 588.99 610.20 457.65 152.55 5.30 1276.15 1322.10 991.58 330.52 11.48
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 562.82 583.09 437.32 145.77 5.07 1219.44 1263.36 947.52 315.84 10.98
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 349.86 346.25 259.69 86.56 -18.44 758.03 750.21 562.66 187.55 -39.95
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 787.20 779.06 584.30 194.76 -18.31 1705.60 1687.96 1265.97 421.99 -39.66
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 752.21 744.44 558.33 186.11 -41.47 1629.79 1612.95 1209.71 403.24 -89.85
Missouri Humana HDHP - HDHP Self BK1 186.06 191.64 143.73 47.91 1.40 403.13 415.22 311.42 103.80 3.02
Missouri Humana HDHP - HDHP Self & Family BK2 463.35 477.26 357.95 119.31 3.47 1003.93 1034.06 775.55 258.51 7.53
Missouri Humana HDHP - HDHP Self Plus One BK3 407.90 420.14 315.11 105.03 3.06 883.78 910.30 682.73 227.57 6.63
Missouri Humana Health Plan, Inc. - Standard Self MS4 595.68 628.96 259.72 369.24 18.42 1290.64 1362.75 562.73 800.02 39.91
Missouri Humana Health Plan, Inc. - Standard Self & Family MS5 1340.30 1415.17 611.42 803.75 37.58 2903.98 3066.20 1324.74 1741.46 81.43
Missouri Humana Health Plan, Inc. - Standard Self Plus One MS6 1280.74 1352.29 560.52 791.77 35.66 2774.94 2929.96 1214.46 1715.50 77.26
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Montana Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Montana Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Montana Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Montana Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Montana Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Montana Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Montana Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Montana Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Montana Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Nebraska Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Nebraska Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Nebraska Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Nebraska Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Nebraska Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Nebraska Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Nebraska Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Nebraska Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Nevada Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Nevada Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Nevada Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Nevada Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Nevada Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Nevada Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Nevada Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Nevada Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Nevada Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Nevada Health Plan of Nevada, Inc. - High Self NM1 383.15 347.53 259.72 87.81 -50.48 830.16 752.98 562.73 190.25 -109.38
Nevada Health Plan of Nevada, Inc. - High Self & Family NM2 908.03 823.60 611.42 212.18 -121.72 1967.40 1784.47 1324.74 459.73 -263.72
Nevada Health Plan of Nevada, Inc. - High Self Plus One NM3 727.99 660.31 495.23 165.08 -38.28 1577.31 1430.67 1073.00 357.67 -82.94
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 308.52 327.56 245.67 81.89 4.76 668.46 709.71 532.28 177.43 10.32
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 729.65 774.68 581.01 193.67 11.26 1580.91 1678.47 1258.85 419.62 24.39
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 663.31 704.25 528.19 176.06 10.23 1437.17 1525.88 1144.41 381.47 22.18
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 310.20 327.06 245.30 81.76 4.21 672.10 708.63 531.47 177.16 9.14
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 713.47 752.20 564.15 188.05 9.68 1545.85 1629.77 1222.33 407.44 20.98
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 666.94 703.16 527.37 175.79 9.06 1445.04 1523.51 1142.63 380.88 19.62
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 399.17 444.67 259.72 184.95 30.64 864.87 963.45 562.73 400.72 66.38
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 997.92 1111.67 611.42 500.25 76.46 2162.16 2408.62 1324.74 1083.88 165.67
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 858.21 956.03 560.52 395.51 61.93 1859.46 2071.40 1214.46 856.94 134.18
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 303.53 292.77 219.58 73.19 -2.69 657.65 634.34 475.76 158.58 -5.83
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 717.87 692.39 519.29 173.10 -6.37 1555.39 1500.18 1125.14 375.04 -13.81
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 652.60 629.45 472.09 157.36 -5.79 1413.97 1363.81 1022.86 340.95 -12.54
New Hampshire Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
New Hampshire Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
New Hampshire Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
New Hampshire Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
New Hampshire Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
New Hampshire Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
New Hampshire Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
New Jersey Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
New Jersey Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
New Jersey Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
New Jersey Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
New Jersey Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
New Jersey Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
New Jersey Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
New Jersey Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
New Jersey Aetna Open Access - High Self JR1 763.93 776.32 259.72 516.60 -2.47 1655.18 1682.03 562.73 1119.30 -5.35
New Jersey Aetna Open Access - High Self & Family JR2 1764.57 1793.19 611.42 1181.77 -8.67 3823.24 3885.25 1324.74 2560.51 -18.78
New Jersey Aetna Open Access - High Self Plus One JR3 1747.11 1775.44 560.52 1214.92 -7.56 3785.41 3846.79 1214.46 2632.33 -16.38
New Jersey Aetna Open Access - Basic Self JR4 659.20 667.57 259.72 407.85 -6.49 1428.27 1446.40 562.73 883.67 -14.07
New Jersey Aetna Open Access - Basic Self & Family JR5 1527.78 1547.14 611.42 935.72 -17.93 3310.19 3352.14 1324.74 2027.40 -38.84
New Jersey Aetna Open Access - Basic Self Plus One JR6 1512.65 1531.82 560.52 971.30 -16.72 3277.41 3318.94 1214.46 2104.48 -36.23
New Jersey Aetna Open Access - Basic Self P34 794.66 809.55 259.72 549.83 0.03 1721.76 1754.03 562.73 1191.30 0.07
New Jersey Aetna Open Access - Basic Self & Family P35 1844.44 1878.97 611.42 1267.55 -2.76 3996.29 4071.10 1324.74 2746.36 -5.98
New Jersey Aetna Open Access - Basic Self Plus One P36 1826.17 1860.34 560.52 1299.82 -1.72 3956.70 4030.74 1214.46 2816.28 -3.72
New Jersey Aetna Open Access - High Self P31 813.48 802.14 259.72 542.42 -26.20 1762.54 1737.97 562.73 1175.24 -56.77
New Jersey Aetna Open Access - High Self & Family P32 1972.28 1944.79 611.42 1333.37 -64.78 4273.27 4213.71 1324.74 2888.97 -140.35
New Jersey Aetna Open Access - High Self Plus One P33 1952.76 1925.54 560.52 1365.02 -63.11 4230.98 4172.00 1214.46 2957.54 -136.74
New Mexico Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
New Mexico Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
New Mexico Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
New Mexico Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
New Mexico Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
New Mexico Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
New Mexico Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
New Mexico Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
New Mexico Presbyterian Health Plan - High Self P21 403.60 469.94 259.72 210.22 51.48 874.47 1018.20 562.73 455.47 111.53
New Mexico Presbyterian Health Plan - High Self & Family P22 948.50 1104.39 611.42 492.97 118.60 2055.08 2392.85 1324.74 1068.11 256.98
New Mexico Presbyterian Health Plan - High Self Plus One P23 916.21 1066.79 560.52 506.27 114.69 1985.12 2311.38 1214.46 1096.92 248.50
New Mexico Presbyterian Health Plan - Standard Self PS4 334.72 394.04 259.72 134.32 44.46 725.23 853.75 562.73 291.02 96.32
New Mexico Presbyterian Health Plan - Standard Self & Family PS5 786.62 926.02 611.42 314.60 102.11 1704.34 2006.38 1324.74 681.64 221.25
New Mexico Presbyterian Health Plan - Standard Self Plus One PS6 759.86 894.49 560.52 333.97 98.74 1646.36 1938.06 1214.46 723.60 213.94
New Mexico Presbyterian Health Plan - Wellness Self PS1 301.76 349.17 259.72 89.45 14.01 653.81 756.54 562.73 193.81 30.36
New Mexico Presbyterian Health Plan - Wellness Self & Family PS2 709.12 820.56 611.42 209.14 31.86 1536.43 1777.88 1324.74 453.14 69.03
New Mexico Presbyterian Health Plan - Wellness Self Plus One PS3 685.00 792.62 560.52 232.10 60.85 1484.17 1717.34 1214.46 502.88 131.84
New York Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
New York Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
New York Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
New York Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
New York Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
New York Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
New York Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
New York Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
New York Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
New York Aetna Open Access - High Self JC1 797.96 786.52 259.72 526.80 -26.30 1728.91 1704.13 562.73 1141.40 -56.98
New York Aetna Open Access - High Self & Family JC2 1971.75 1943.48 611.42 1332.06 -65.56 4272.13 4210.87 1324.74 2886.13 -142.05
New York Aetna Open Access - High Self Plus One JC3 1952.23 1924.24 560.52 1363.72 -63.88 4229.83 4169.19 1214.46 2954.73 -138.40
New York Aetna Open Access - Basic Self JC4 675.15 690.78 259.72 431.06 0.77 1462.83 1496.69 562.73 933.96 1.66
New York Aetna Open Access - Basic Self & Family JC5 1646.81 1684.94 611.42 1073.52 0.84 3568.09 3650.70 1324.74 2325.96 1.82
New York Aetna Open Access - Basic Self Plus One JC6 1630.51 1668.27 560.52 1107.75 1.87 3532.77 3614.59 1214.46 2400.13 4.06
New York CDPHP - Standard Self SG4 357.12 406.13 259.72 146.41 34.15 773.76 879.95 562.73 317.22 73.99
New York CDPHP - Standard Self & Family SG5 857.08 974.72 611.42 363.30 80.35 1857.01 2111.89 1324.74 787.15 174.09
New York CDPHP - Standard Self Plus One SG6 792.80 901.61 560.52 341.09 72.92 1717.73 1953.49 1214.46 739.03 158.00
New York HIP of Greater NY - Standard Self YL4 450.14 464.30 259.72 204.58 -0.70 975.30 1005.98 562.73 443.25 -1.52
New York HIP of Greater NY - Standard Self & Family YL5 1308.52 1349.66 611.42 738.24 3.85 2835.13 2924.26 1324.74 1599.52 8.34
New York HIP of Greater NY - Standard Self Plus One YL6 821.94 847.80 560.52 287.28 -10.03 1780.87 1836.90 1214.46 622.44 -21.73
New York HIP of Greater NY - High Self 511 484.96 484.96 259.72 225.24 -14.86 1050.75 1050.75 562.73 488.02 -32.20
New York HIP of Greater NY - High Self & Family 512 1409.81 1409.77 611.42 798.35 -37.33 3054.59 3054.50 1324.74 1729.76 -80.88
New York HIP of Greater NY - High Self Plus One 513 885.57 885.56 560.52 325.04 -35.90 1918.74 1918.71 1214.46 704.25 -77.79
New York Independent Health - Standard Self C54 340.51 347.02 259.72 87.30 -8.35 737.77 751.88 562.73 189.15 -18.09
New York Independent Health - Standard Self & Family C55 919.38 936.96 611.42 325.54 -19.71 1991.99 2030.08 1324.74 705.34 -42.70
New York Independent Health - Standard Self Plus One C56 868.32 884.90 560.52 324.38 -19.31 1881.36 1917.28 1214.46 702.82 -41.84
New York Independent Health - High Self QA1 369.53 379.78 259.72 120.06 -4.61 800.65 822.86 562.73 260.13 -9.99
New York Independent Health - High Self & Family QA2 997.73 1025.41 611.42 413.99 -9.61 2161.75 2221.72 1324.74 896.98 -20.82
New York Independent Health - High Self Plus One QA3 942.30 968.45 560.52 407.93 -9.74 2041.65 2098.31 1214.46 883.85 -21.10
New York Independent Health - HDHP Self QA4 277.47 291.27 218.45 72.82 3.45 601.19 631.09 473.32 157.77 7.47
New York Independent Health - HDHP Self & Family QA5 716.66 756.43 567.32 189.11 9.95 1552.76 1638.93 1229.20 409.73 21.54
New York Independent Health - HDHP Self Plus One QA6 681.86 719.09 539.32 179.77 9.31 1477.36 1558.03 1168.52 389.51 20.17
North Carolina Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
North Carolina Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
North Carolina Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
North Carolina Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
North Carolina Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
North Carolina Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
North Carolina Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
North Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
North Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 288.31 304.08 228.06 76.02 3.94 624.67 658.84 494.13 164.71 8.54
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 663.12 695.62 521.72 173.90 8.12 1436.76 1507.18 1130.39 376.79 17.60
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 619.88 653.78 490.34 163.44 8.47 1343.07 1416.52 1062.39 354.13 18.36
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 391.06 434.30 259.72 174.58 28.38 847.30 940.98 562.73 378.25 61.48
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 977.65 1085.78 611.42 474.36 70.84 2118.24 2352.52 1324.74 1027.78 153.49
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 840.78 933.77 560.52 373.25 57.10 1821.69 2023.17 1214.46 808.71 123.72
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
North Dakota Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
North Dakota Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
North Dakota Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
North Dakota Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
North Dakota Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
North Dakota Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
North Dakota Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
North Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
North Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
North Dakota HealthPartners - Standard Self V34 255.36 255.36 191.52 63.84 0.00 553.28 553.28 414.96 138.32 0.00
North Dakota HealthPartners - Standard Self & Family V35 622.08 622.08 466.56 155.52 0.00 1347.84 1347.84 1010.88 336.96 0.00
North Dakota HealthPartners - Standard Self Plus One V36 564.36 564.36 423.27 141.09 0.00 1222.78 1222.78 917.09 305.69 0.00
North Dakota HealthPartners - High Self V31 319.45 340.23 255.17 85.06 5.20 692.14 737.17 552.88 184.29 11.26
North Dakota HealthPartners - High Self & Family V32 778.16 828.80 611.42 217.38 13.35 1686.01 1795.73 1324.74 470.99 28.93
North Dakota HealthPartners - High Self Plus One V33 705.96 751.90 560.52 191.38 10.05 1529.58 1629.12 1214.46 414.66 21.78
Northern Mariana Islands Calvo's SelectCare - Standard Self B44 174.88 186.75 140.06 46.69 2.97 378.91 404.63 303.47 101.16 6.43
Northern Mariana Islands Calvo's SelectCare - Standard Self & Family B45 508.11 542.61 406.96 135.65 8.62 1100.91 1175.66 881.75 293.91 18.68
Northern Mariana Islands Calvo's SelectCare - Standard Self Plus One B46 344.73 368.14 276.11 92.03 5.85 746.92 797.64 598.23 199.41 12.68
Northern Mariana Islands Calvo's SelectCare - High Self B41 247.36 254.53 190.90 63.63 1.79 535.95 551.48 413.61 137.87 3.88
Northern Mariana Islands Calvo's SelectCare - High Self & Family B42 655.17 674.17 505.63 168.54 4.75 1419.54 1460.70 1095.53 365.17 10.29
Northern Mariana Islands Calvo's SelectCare - High Self Plus One B43 482.72 496.74 372.56 124.18 3.50 1045.89 1076.27 807.20 269.07 7.60
Northern Mariana Islands TakeCare - HDHP Self KX1 56.45 55.36 41.52 13.84 -0.27 122.31 119.95 89.96 29.99 -0.59
Northern Mariana Islands TakeCare - HDHP Self & Family KX2 151.37 148.40 111.30 37.10 -0.74 327.97 321.53 241.15 80.38 -1.61
Northern Mariana Islands TakeCare - HDHP Self Plus One KX3 136.26 133.62 100.22 33.40 -0.66 295.23 289.51 217.13 72.38 -1.43
Northern Mariana Islands TakeCare - Standard Self JK4 187.28 203.66 152.75 50.91 4.09 405.77 441.26 330.95 110.31 8.87
Northern Mariana Islands TakeCare - Standard Self & Family JK5 530.39 576.78 432.59 144.19 11.59 1149.18 1249.69 937.27 312.42 25.13
Northern Mariana Islands TakeCare - Standard Self Plus One JK6 369.13 401.42 301.07 100.35 8.07 799.78 869.74 652.31 217.43 17.49
Northern Mariana Islands TakeCare - High Self JK1 238.09 260.67 195.50 65.17 5.65 515.86 564.79 423.59 141.20 12.24
Northern Mariana Islands TakeCare - High Self & Family JK2 567.89 621.73 466.30 155.43 13.46 1230.43 1347.08 1010.31 336.77 29.16
Northern Mariana Islands TakeCare - High Self Plus One JK3 470.38 514.98 386.24 128.74 11.15 1019.16 1115.79 836.84 278.95 24.16
Ohio Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Ohio Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Ohio Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Ohio Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Ohio Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Ohio Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
Ohio Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Ohio Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Ohio Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Ohio AultCare Insurance Company - High Self 3A1 429.35 431.07 259.72 171.35 -13.14 930.26 933.99 562.73 371.26 -28.47
Ohio AultCare Insurance Company - High Self & Family 3A2 1060.53 991.49 611.42 380.07 -106.33 2297.82 2148.23 1324.74 823.49 -230.38
Ohio AultCare Insurance Company - High Self Plus One 3A3 901.67 905.24 560.52 344.72 -32.32 1953.62 1961.35 1214.46 746.89 -70.03
Ohio AultCare Insurance Company - HDHP Self 3A4 204.38 202.33 151.75 50.58 -0.51 442.82 438.38 328.79 109.59 -1.11
Ohio AultCare Insurance Company - HDHP Self & Family 3A5 654.43 647.88 485.91 161.97 -1.64 1417.93 1403.74 1052.81 350.93 -3.55
Ohio AultCare Insurance Company - HDHP Self Plus One 3A6 388.54 384.66 288.50 96.16 -0.97 841.84 833.43 625.07 208.36 -2.10
Ohio Humana CoverageFirst and Humana Value Plan - Value Self X34 320.46 338.08 253.56 84.52 4.41 694.33 732.51 549.38 183.13 9.55
Ohio Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 721.03 760.69 570.52 190.17 9.91 1562.23 1648.16 1236.12 412.04 21.48
Ohio Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 688.99 726.89 545.17 181.72 9.47 1492.81 1574.93 1181.20 393.73 20.53
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self X31 416.48 439.39 259.72 179.67 8.05 902.37 952.01 562.73 389.28 17.44
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 937.08 988.62 611.42 377.20 14.25 2030.34 2142.01 1324.74 817.27 30.88
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 895.44 944.69 560.52 384.17 13.36 1940.12 2046.83 1214.46 832.37 28.95
Ohio Humana HDHP - HDHP Self DT1 228.80 235.66 176.75 58.91 1.71 495.73 510.60 382.95 127.65 3.72
Ohio Humana HDHP - HDHP Self & Family DT2 570.19 587.30 440.48 146.82 4.27 1235.41 1272.48 954.36 318.12 9.27
Ohio Humana HDHP - HDHP Self Plus One DT3 501.91 516.97 387.73 129.24 3.76 1087.47 1120.10 840.08 280.02 8.15
Ohio Humana Health Plan of Ohio, Inc. - Standard Self A64 573.73 602.06 259.72 342.34 13.47 1243.08 1304.46 562.73 741.73 29.18
Ohio Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 1290.90 1354.64 611.42 743.22 26.45 2796.95 2935.05 1324.74 1610.31 57.31
Ohio Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 1233.52 1294.44 560.52 733.92 25.03 2672.63 2804.62 1214.46 1590.16 54.23
Ohio Humana Health Plan of Ohio, Inc. - Basic Self W61 309.70 349.96 259.72 90.24 12.82 671.02 758.25 562.73 195.52 27.77
Ohio Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 696.84 787.43 590.57 196.86 22.65 1509.82 1706.10 1279.58 426.52 49.07
Ohio Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 665.87 752.42 560.52 191.90 25.43 1442.72 1630.24 1214.46 415.78 55.10
Ohio Medical Mutual of Ohio - Standard Self 644 483.62 548.58 259.72 288.86 50.10 1047.84 1188.59 562.73 625.86 108.55
Ohio Medical Mutual of Ohio - Standard Self & Family 645 1160.67 1316.60 611.42 705.18 118.64 2514.79 2852.63 1324.74 1527.89 257.05
Ohio Medical Mutual of Ohio - Standard Self Plus One 646 1063.95 1206.88 560.52 646.36 107.04 2305.23 2614.91 1214.46 1400.45 231.92
Ohio Medical Mutual of Ohio - Basic Self UX1 190.57 190.57 142.93 47.64 0.00 412.90 412.90 309.68 103.22 0.00
Ohio Medical Mutual of Ohio - Basic Self & Family UX2 457.37 457.37 343.03 114.34 0.00 990.97 990.97 743.23 247.74 0.00
Ohio Medical Mutual of Ohio - Basic Self Plus One UX3 419.26 419.26 314.45 104.81 0.00 908.40 908.40 681.30 227.10 0.00
Ohio Medical Mutual of Ohio - Basic Self YF1 192.34 187.45 140.59 46.86 -1.22 416.74 406.14 304.61 101.53 -2.65
Ohio Medical Mutual of Ohio - Basic Self & Family YF2 461.61 449.88 337.41 112.47 -2.93 1000.16 974.74 731.06 243.68 -6.36
Ohio Medical Mutual of Ohio - Basic Self Plus One YF3 423.14 412.39 309.29 103.10 -2.68 916.80 893.51 670.13 223.38 -5.82
Ohio Medical Mutual of Ohio - Standard Self YF4 550.89 558.00 259.72 298.28 -7.75 1193.60 1209.00 562.73 646.27 -16.80
Ohio Medical Mutual of Ohio - Standard Self & Family YF5 1322.13 1339.21 611.42 727.79 -20.21 2864.62 2901.62 1324.74 1576.88 -43.79
Ohio Medical Mutual of Ohio - Standard Self Plus One YF6 1211.95 1227.61 560.52 667.09 -20.23 2625.89 2659.82 1214.46 1445.36 -43.83
Ohio Medical Mutual of Ohio - WellFlex Self F11 New Plan 332.97 249.73 83.24 New Plan New Plan 721.44 541.08 180.36 New Plan
Ohio Medical Mutual of Ohio - WellFlex Self & Family F12 New Plan 799.12 599.34 199.78 New Plan New Plan 1731.43 1298.57 432.86 New Plan
Ohio Medical Mutual of Ohio - WellFlex Self Plus One F13 New Plan 732.52 549.39 183.13 New Plan New Plan 1587.13 1190.35 396.78 New Plan
Oklahoma Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Oklahoma Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Oklahoma Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Oklahoma Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Oklahoma Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Oklahoma Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
Oklahoma Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Oklahoma Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Oklahoma Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Oregon Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Oregon Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Oregon Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Oregon Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Oregon Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Oregon Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Oregon Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Oregon Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Oregon Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Oregon Kaiser Permanente - Northwest - Standard Self 574 308.72 320.93 240.70 80.23 3.05 668.89 695.35 521.51 173.84 6.62
Oregon Kaiser Permanente - Northwest - Standard Self & Family 575 709.22 737.30 552.98 184.32 7.02 1536.64 1597.48 1198.11 399.37 15.21
Oregon Kaiser Permanente - Northwest - Standard Self Plus One 576 709.22 737.30 552.98 184.32 -0.27 1536.64 1597.48 1198.11 399.37 -0.57
Oregon Kaiser Permanente - Northwest - High Self 571 349.69 368.41 259.72 108.69 3.86 757.66 798.22 562.73 235.49 8.36
Oregon Kaiser Permanente - Northwest - High Self & Family 572 789.85 832.11 611.42 220.69 4.97 1711.34 1802.91 1324.74 478.17 10.78
Oregon Kaiser Permanente - Northwest - High Self Plus One 573 789.85 832.11 560.52 271.59 6.37 1711.34 1802.91 1214.46 588.45 13.81
Oregon Kaiser Permanente - Northwest - Prosper Self AM1 180.82 189.52 142.14 47.38 2.18 391.78 410.63 307.97 102.66 4.72
Oregon Kaiser Permanente - Northwest - Prosper Self & Family AM2 448.46 470.02 352.52 117.50 5.39 971.66 1018.38 763.79 254.59 11.68
Oregon Kaiser Permanente - Northwest - Prosper Self Plus One AM3 388.75 407.45 305.59 101.86 4.67 842.29 882.81 662.11 220.70 10.13
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 308.52 327.56 245.67 81.89 4.76 668.46 709.71 532.28 177.43 10.32
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 729.65 774.68 581.01 193.67 11.26 1580.91 1678.47 1258.85 419.62 24.39
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 663.31 704.25 528.19 176.06 10.23 1437.17 1525.88 1144.41 381.47 22.18
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 310.20 327.06 245.30 81.76 4.21 672.10 708.63 531.47 177.16 9.14
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 713.47 752.20 564.15 188.05 9.68 1545.85 1629.77 1222.33 407.44 20.98
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 666.94 703.16 527.37 175.79 9.06 1445.04 1523.51 1142.63 380.88 19.62
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 399.17 444.67 259.72 184.95 30.64 864.87 963.45 562.73 400.72 66.38
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 997.92 1111.67 611.42 500.25 76.46 2162.16 2408.62 1324.74 1083.88 165.67
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 858.21 956.03 560.52 395.51 61.93 1859.46 2071.40 1214.46 856.94 134.18
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 303.53 292.77 219.58 73.19 -2.69 657.65 634.34 475.76 158.58 -5.83
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 717.87 692.39 519.29 173.10 -6.37 1555.39 1500.18 1125.14 375.04 -13.81
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 652.60 629.45 472.09 157.36 -5.79 1413.97 1363.81 1022.86 340.95 -12.54
Palau Calvo's SelectCare - Standard Self B44 174.88 186.75 140.06 46.69 2.97 378.91 404.63 303.47 101.16 6.43
Palau Calvo's SelectCare - Standard Self & Family B45 508.11 542.61 406.96 135.65 8.62 1100.91 1175.66 881.75 293.91 18.68
Palau Calvo's SelectCare - Standard Self Plus One B46 344.73 368.14 276.11 92.03 5.85 746.92 797.64 598.23 199.41 12.68
Palau Calvo's SelectCare - High Self B41 247.36 254.53 190.90 63.63 1.79 535.95 551.48 413.61 137.87 3.88
Palau Calvo's SelectCare - High Self & Family B42 655.17 674.17 505.63 168.54 4.75 1419.54 1460.70 1095.53 365.17 10.29
Palau Calvo's SelectCare - High Self Plus One B43 482.72 496.74 372.56 124.18 3.50 1045.89 1076.27 807.20 269.07 7.60
Palau TakeCare - HDHP Self KX1 56.45 55.36 41.52 13.84 -0.27 122.31 119.95 89.96 29.99 -0.59
Palau TakeCare - HDHP Self & Family KX2 151.37 148.40 111.30 37.10 -0.74 327.97 321.53 241.15 80.38 -1.61
Palau TakeCare - HDHP Self Plus One KX3 136.26 133.62 100.22 33.40 -0.66 295.23 289.51 217.13 72.38 -1.43
Palau TakeCare - Standard Self JK4 187.28 203.66 152.75 50.91 4.09 405.77 441.26 330.95 110.31 8.87
Palau TakeCare - Standard Self & Family JK5 530.39 576.78 432.59 144.19 11.59 1149.18 1249.69 937.27 312.42 25.13
Palau TakeCare - Standard Self Plus One JK6 369.13 401.42 301.07 100.35 8.07 799.78 869.74 652.31 217.43 17.49
Palau TakeCare - High Self JK1 238.09 260.67 195.50 65.17 5.65 515.86 564.79 423.59 141.20 12.24
Palau TakeCare - High Self & Family JK2 567.89 621.73 466.30 155.43 13.46 1230.43 1347.08 1010.31 336.77 29.16
Palau TakeCare - High Self Plus One JK3 470.38 514.98 386.24 128.74 11.15 1019.16 1115.79 836.84 278.95 24.16
Pennsylvania Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Pennsylvania Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Pennsylvania Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Pennsylvania Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Pennsylvania Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Pennsylvania Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Pennsylvania Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Pennsylvania Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Pennsylvania Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Pennsylvania Aetna Open Access - High Self YE1 545.39 555.55 259.72 295.83 -4.70 1181.68 1203.69 562.73 640.96 -10.19
Pennsylvania Aetna Open Access - High Self & Family YE2 1369.47 1394.99 611.42 783.57 -11.77 2967.19 3022.48 1324.74 1697.74 -25.50
Pennsylvania Aetna Open Access - High Self Plus One YE3 1355.92 1381.18 560.52 820.66 -10.63 2937.83 2992.56 1214.46 1778.10 -23.03
Pennsylvania Aetna Open Access - Basic Self P34 794.66 809.55 259.72 549.83 0.03 1721.76 1754.03 562.73 1191.30 0.07
Pennsylvania Aetna Open Access - Basic Self & Family P35 1844.44 1878.97 611.42 1267.55 -2.76 3996.29 4071.10 1324.74 2746.36 -5.98
Pennsylvania Aetna Open Access - Basic Self Plus One P36 1826.17 1860.34 560.52 1299.82 -1.72 3956.70 4030.74 1214.46 2816.28 -3.72
Pennsylvania Aetna Open Access - High Self P31 813.48 802.14 259.72 542.42 -26.20 1762.54 1737.97 562.73 1175.24 -56.77
Pennsylvania Aetna Open Access - High Self & Family P32 1972.28 1944.79 611.42 1333.37 -64.78 4273.27 4213.71 1324.74 2888.97 -140.35
Pennsylvania Aetna Open Access - High Self Plus One P33 1952.76 1925.54 560.52 1365.02 -63.11 4230.98 4172.00 1214.46 2957.54 -136.74
Pennsylvania Geisinger Health Plan - Standard Self GG4 458.09 441.68 259.72 181.96 -31.27 992.53 956.97 562.73 394.24 -67.76
Pennsylvania Geisinger Health Plan - Standard Self & Family GG5 1048.81 1011.22 611.42 399.80 -74.88 2272.42 2190.98 1324.74 866.24 -162.23
Pennsylvania Geisinger Health Plan - Standard Self Plus One GG6 989.80 954.34 560.52 393.82 -71.35 2144.57 2067.74 1214.46 853.28 -154.59
Pennsylvania Geisinger Health Plan - Basic Self AJ1 411.23 399.48 259.72 139.76 -26.61 891.00 865.54 562.73 302.81 -57.66
Pennsylvania Geisinger Health Plan - Basic Self & Family AJ2 941.52 914.63 611.42 303.21 -64.18 2039.96 1981.70 1324.74 656.96 -139.05
Pennsylvania Geisinger Health Plan - Basic Self Plus One AJ3 888.56 863.18 560.52 302.66 -61.27 1925.21 1870.22 1214.46 655.76 -132.75
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 305.45 307.01 230.26 76.75 0.39 661.81 665.19 498.89 166.30 0.85
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 698.86 706.09 529.57 176.52 1.81 1514.20 1529.86 1147.40 382.46 3.91
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 656.73 660.06 495.05 165.01 0.83 1422.92 1430.13 1072.60 357.53 1.80
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 379.46 419.08 259.72 159.36 24.76 822.16 908.01 562.73 345.28 53.65
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 899.33 993.20 611.42 381.78 56.58 1948.55 2151.93 1324.74 827.19 122.59
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 815.85 901.00 560.52 340.48 49.26 1767.68 1952.17 1214.46 737.71 106.73
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Pennsylvania UPMC Health Plan - HDHP Self 8W4 308.30 325.27 243.95 81.32 4.25 667.98 704.75 528.56 176.19 9.20
Pennsylvania UPMC Health Plan - HDHP Self & Family 8W5 710.40 750.36 562.77 187.59 9.99 1539.20 1625.78 1219.34 406.44 21.64
Pennsylvania UPMC Health Plan - HDHP Self Plus One 8W6 682.84 720.89 540.67 180.22 9.51 1479.49 1561.93 1171.45 390.48 20.61
Pennsylvania UPMC Health Plan - Standard Self UW4 333.79 338.00 253.50 84.50 -4.43 723.21 732.33 549.25 183.08 -9.60
Pennsylvania UPMC Health Plan - Standard Self & Family UW5 784.11 796.43 597.32 199.11 -10.87 1698.91 1725.60 1294.20 431.40 -23.56
Pennsylvania UPMC Health Plan - Standard Self Plus One UW6 750.55 759.96 560.52 199.44 -26.48 1626.19 1646.58 1214.46 432.12 -57.37
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self ZJ1 221.89 227.44 170.58 56.86 1.39 480.76 492.79 369.59 123.20 3.01
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self & Family ZJ2 499.26 511.73 383.80 127.93 3.12 1081.73 1108.75 831.56 277.19 6.76
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self Plus One ZJ3 477.07 489.00 366.75 122.25 2.98 1033.65 1059.50 794.63 264.87 6.46
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self 891 180.02 191.61 143.71 47.90 2.90 390.04 415.16 311.37 103.79 6.28
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self & Family 892 412.25 438.79 329.09 109.70 6.64 893.21 950.71 713.03 237.68 14.38
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self Plus One 893 404.21 430.24 322.68 107.56 6.51 875.79 932.19 699.14 233.05 14.10
Rhode Island Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Rhode Island Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Rhode Island Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Rhode Island Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Rhode Island Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Rhode Island Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
Rhode Island Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Rhode Island Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Rhode Island Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
South Carolina Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
South Carolina Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
South Carolina Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
South Carolina Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
South Carolina Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
South Carolina Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
South Carolina Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
South Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
South Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
South Dakota Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
South Dakota Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
South Dakota Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
South Dakota Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
South Dakota Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
South Dakota Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
South Dakota Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
South Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
South Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
South Dakota HealthPartners - Standard Self V34 255.36 255.36 191.52 63.84 0.00 553.28 553.28 414.96 138.32 0.00
South Dakota HealthPartners - Standard Self & Family V35 622.08 622.08 466.56 155.52 0.00 1347.84 1347.84 1010.88 336.96 0.00
South Dakota HealthPartners - Standard Self Plus One V36 564.36 564.36 423.27 141.09 0.00 1222.78 1222.78 917.09 305.69 0.00
South Dakota HealthPartners - High Self V31 319.45 340.23 255.17 85.06 5.20 692.14 737.17 552.88 184.29 11.26
South Dakota HealthPartners - High Self & Family V32 778.16 828.80 611.42 217.38 13.35 1686.01 1795.73 1324.74 470.99 28.93
South Dakota HealthPartners - High Self Plus One V33 705.96 751.90 560.52 191.38 10.05 1529.58 1629.12 1214.46 414.66 21.78
Tennessee Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Tennessee Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Tennessee Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Tennessee Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Tennessee Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Tennessee Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Tennessee Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Tennessee Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Tennessee Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self TT1 391.98 427.25 259.72 167.53 20.41 849.29 925.71 562.73 362.98 44.22
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TT2 881.96 961.33 611.42 349.91 42.08 1910.91 2082.88 1324.74 758.14 91.18
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TT3 842.76 918.61 560.52 358.09 39.96 1825.98 1990.32 1214.46 775.86 86.58
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self TT4 342.47 371.58 259.72 111.86 14.25 742.02 805.09 562.73 242.36 30.87
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self & Family TT5 770.55 836.05 611.42 224.63 28.21 1669.53 1811.44 1324.74 486.70 61.12
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self Plus One TT6 736.31 798.90 560.52 238.38 26.70 1595.34 1730.95 1214.46 516.49 57.85
Tennessee Humana HDHP - HDHP Self ER1 183.59 189.10 141.83 47.27 1.37 397.78 409.72 307.29 102.43 2.99
Tennessee Humana HDHP - HDHP Self & Family ER2 457.16 470.88 353.16 117.72 3.43 990.51 1020.24 765.18 255.06 7.43
Tennessee Humana HDHP - HDHP Self Plus One ER3 402.45 414.52 310.89 103.63 3.02 871.98 898.13 673.60 224.53 6.54
Tennessee Humana Health Plan, Inc. - Standard Self GJ4 428.10 455.50 259.72 195.78 12.54 927.55 986.92 562.73 424.19 27.17
Tennessee Humana Health Plan, Inc. - Standard Self & Family GJ5 963.22 1024.87 611.42 413.45 24.36 2086.98 2220.55 1324.74 895.81 52.78
Tennessee Humana Health Plan, Inc. - Standard Self Plus One GJ6 920.40 979.32 560.52 418.80 23.03 1994.20 2121.86 1214.46 907.40 49.90
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 288.31 304.08 228.06 76.02 3.94 624.67 658.84 494.13 164.71 8.54
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 663.12 695.62 521.72 173.90 8.12 1436.76 1507.18 1130.39 376.79 17.60
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 619.88 653.78 490.34 163.44 8.47 1343.07 1416.52 1062.39 354.13 18.36
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 391.06 434.30 259.72 174.58 28.38 847.30 940.98 562.73 378.25 61.48
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 977.65 1085.78 611.42 474.36 70.84 2118.24 2352.52 1324.74 1027.78 153.49
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 840.78 933.77 560.52 373.25 57.10 1821.69 2023.17 1214.46 808.71 123.72
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Texas Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Texas Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Texas Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Texas Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Texas Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Texas Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
Texas Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Texas Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Texas Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Texas Baylor Scott & White Health Plan - Basic Self A81 255.56 272.80 204.60 68.20 4.31 553.71 591.07 443.30 147.77 9.34
Texas Baylor Scott & White Health Plan - Basic Self & Family A82 599.49 640.02 480.02 160.00 10.13 1298.90 1386.71 1040.03 346.68 21.96
Texas Baylor Scott & White Health Plan - Basic Self Plus One A83 566.37 604.66 453.50 151.16 9.57 1227.14 1310.10 982.58 327.52 20.74
Texas Baylor Scott & White Health Plan - Standard Self A84 467.39 424.56 259.72 164.84 -57.69 1012.68 919.88 562.73 357.15 -125.00
Texas Baylor Scott & White Health Plan - Standard Self & Family A85 1097.28 996.64 611.42 385.22 -137.93 2377.44 2159.39 1324.74 834.65 -298.84
Texas Baylor Scott & White Health Plan - Standard Self Plus One A86 1036.63 941.55 560.52 381.03 -130.97 2246.03 2040.03 1214.46 825.57 -283.76
Texas Baylor Scott & White Health Plan - Basic Self P81 263.42 281.20 210.90 70.30 4.45 570.74 609.27 456.95 152.32 9.64
Texas Baylor Scott & White Health Plan - Basic Self & Family P82 618.00 659.77 494.83 164.94 10.44 1339.00 1429.50 1072.13 357.37 22.62
Texas Baylor Scott & White Health Plan - Basic Self Plus One P83 583.85 623.31 467.48 155.83 9.87 1265.01 1350.51 1012.88 337.63 21.38
Texas Baylor Scott & White Health Plan - Standard Self P84 480.54 436.51 259.72 176.79 -58.89 1041.17 945.77 562.73 383.04 -127.60
Texas Baylor Scott & White Health Plan - Standard Self & Family P85 1128.21 1024.73 611.42 413.31 -140.77 2444.46 2220.25 1324.74 895.51 -305.00
Texas Baylor Scott & White Health Plan - Standard Self Plus One P86 1065.83 968.08 560.52 407.56 -133.64 2309.30 2097.51 1214.46 883.05 -289.55
Texas Humana CoverageFirst and Humana Value Plan - Value Self T34 273.86 303.99 227.99 76.00 7.54 593.36 658.65 493.99 164.66 16.32
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family T35 657.27 729.57 547.18 182.39 18.07 1424.09 1580.74 1185.56 395.18 39.16
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One T36 588.82 653.59 490.19 163.40 16.20 1275.78 1416.11 1062.08 354.03 35.09
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self T31 402.81 445.11 259.72 185.39 27.44 872.76 964.41 562.73 401.68 59.45
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family T32 906.31 1001.47 611.42 390.05 57.87 1963.67 2169.85 1324.74 845.11 125.39
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One T33 866.04 956.98 560.52 396.46 55.05 1876.42 2073.46 1214.46 859.00 119.28
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TV1 419.72 431.39 259.72 171.67 -3.19 909.39 934.68 562.73 371.95 -6.91
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TV2 944.39 970.64 611.42 359.22 -11.04 2046.18 2103.05 1324.74 778.31 -23.92
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TV3 902.42 927.50 560.52 366.98 -10.81 1955.24 2009.58 1214.46 795.12 -23.42
Texas Humana CoverageFirst and Humana Value Plan - Value Self TV4 331.97 331.97 248.98 82.99 -4.12 719.27 719.27 539.45 179.82 -8.92
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TV5 746.95 746.96 560.22 186.74 0.00 1618.39 1618.41 1213.81 404.60 0.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TV6 713.76 713.77 535.33 178.44 -10.69 1546.48 1546.50 1159.88 386.62 -23.16
Texas Humana CoverageFirst and Humana Value Plan - Value Self TU4 284.14 288.28 216.21 72.07 1.04 615.64 624.61 468.46 156.15 2.24
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TU5 639.32 648.63 486.47 162.16 2.33 1385.19 1405.37 1054.03 351.34 5.04
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TU6 610.93 619.82 464.87 154.95 2.22 1323.68 1342.94 1007.21 335.73 4.81
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TU1 357.01 401.93 259.72 142.21 30.06 773.52 870.85 562.73 308.12 65.13
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TU2 803.29 904.35 611.42 292.93 63.77 1740.46 1959.43 1324.74 634.69 138.18
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TU3 767.59 864.17 560.52 303.65 60.69 1663.11 1872.37 1214.46 657.91 131.50
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TP1 356.37 399.89 259.72 140.17 28.66 772.14 866.43 562.73 303.70 62.09
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TP2 801.82 899.75 611.42 288.33 60.64 1737.28 1949.46 1324.74 624.72 131.39
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TP3 766.20 859.78 560.52 299.26 57.69 1660.10 1862.86 1214.46 648.40 125.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self TP4 224.49 246.72 185.04 61.68 5.56 486.40 534.56 400.92 133.64 12.04
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TP5 538.78 592.13 444.10 148.03 13.34 1167.36 1282.95 962.21 320.74 28.90
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TP6 482.66 530.45 397.84 132.61 11.95 1045.76 1149.31 861.98 287.33 25.89
Texas Humana HDHP - HDHP Self FD1 183.59 189.10 141.83 47.27 1.37 397.78 409.72 307.29 102.43 2.99
Texas Humana HDHP - HDHP Self & Family FD2 457.16 470.88 353.16 117.72 3.43 990.51 1020.24 765.18 255.06 7.43
Texas Humana HDHP - HDHP Self Plus One FD3 402.45 414.52 310.89 103.63 3.02 871.98 898.13 673.60 224.53 6.54
Texas Humana HDHP - HDHP Self AN1 211.67 218.03 163.52 54.51 1.59 458.62 472.40 354.30 118.10 3.45
Texas Humana HDHP - HDHP Self & Family AN2 527.37 543.19 407.39 135.80 3.96 1142.64 1176.91 882.68 294.23 8.57
Texas Humana HDHP - HDHP Self Plus One AN3 464.24 478.16 358.62 119.54 3.48 1005.85 1036.01 777.01 259.00 7.54
Texas Humana HDHP - HDHP Self DX1 186.72 192.33 144.25 48.08 1.40 404.56 416.72 312.54 104.18 3.04
Texas Humana HDHP - HDHP Self & Family DX2 465.00 478.95 359.21 119.74 3.49 1007.50 1037.73 778.30 259.43 7.56
Texas Humana HDHP - HDHP Self Plus One DX3 409.35 421.64 316.23 105.41 3.07 886.93 913.55 685.16 228.39 6.66
Texas Humana HDHP - HDHP Self CG1 236.56 243.65 182.74 60.91 1.77 512.55 527.91 395.93 131.98 3.84
Texas Humana HDHP - HDHP Self & Family CG2 589.59 607.28 455.46 151.82 4.42 1277.45 1315.77 986.83 328.94 9.58
Texas Humana HDHP - HDHP Self Plus One CG3 518.98 534.55 400.91 133.64 3.90 1124.46 1158.19 868.64 289.55 8.44
Texas Humana Health Plan of Texas - Standard Self UC4 414.76 458.32 259.72 198.60 28.70 898.65 993.03 562.73 430.30 62.18
Texas Humana Health Plan of Texas - Standard Self & Family UC5 933.21 1031.21 611.42 419.79 60.71 2021.96 2234.29 1324.74 909.55 131.54
Texas Humana Health Plan of Texas - Standard Self Plus One UC6 891.73 985.37 560.52 424.85 57.75 1932.08 2134.97 1214.46 920.51 125.13
Texas Humana Health Plan of Texas - Basic Self QX1 401.40 444.19 259.72 184.47 27.93 869.70 962.41 562.73 399.68 60.51
Texas Humana Health Plan of Texas - Basic Self & Family QX2 903.14 999.43 611.42 388.01 59.00 1956.80 2165.43 1324.74 840.69 127.84
Texas Humana Health Plan of Texas - Basic Self Plus One QX3 863.00 955.01 560.52 394.49 56.12 1869.83 2069.19 1214.46 854.73 121.60
Texas Humana Health Plan of Texas - Standard Self EW4 438.59 463.82 259.72 204.10 10.37 950.28 1004.94 562.73 442.21 22.46
Texas Humana Health Plan of Texas - Standard Self & Family EW5 986.80 1043.58 611.42 432.16 19.49 2138.07 2261.09 1324.74 936.35 42.23
Texas Humana Health Plan of Texas - Standard Self Plus One EW6 942.95 997.19 560.52 436.67 18.35 2043.06 2160.58 1214.46 946.12 39.76
Texas Humana Health Plan of Texas - Basic Self QY1 389.84 468.64 259.72 208.92 63.94 844.65 1015.39 562.73 452.66 138.54
Texas Humana Health Plan of Texas - Basic Self & Family QY2 877.15 1054.44 611.42 443.02 140.00 1900.49 2284.62 1324.74 959.88 303.34
Texas Humana Health Plan of Texas - Basic Self Plus One QY3 838.18 1007.58 560.52 447.06 133.51 1816.06 2183.09 1214.46 968.63 289.27
Texas Humana Health Plan of Texas - Basic Self Q21 381.09 429.87 259.72 170.15 33.92 825.70 931.39 562.73 368.66 73.49
Texas Humana Health Plan of Texas - Basic Self & Family Q22 857.45 967.21 611.42 355.79 72.47 1857.81 2095.62 1324.74 770.88 157.02
Texas Humana Health Plan of Texas - Basic Self Plus One Q23 819.31 924.20 560.52 363.68 69.00 1775.17 2002.43 1214.46 787.97 149.50
Texas Humana Health Plan of Texas - Basic Self Q61 330.76 365.56 259.72 105.84 19.94 716.65 792.05 562.73 229.32 43.20
Texas Humana Health Plan of Texas - Basic Self & Family Q62 744.22 822.52 611.42 211.10 25.05 1612.48 1782.13 1324.74 457.39 54.27
Texas Humana Health Plan of Texas - Basic Self Plus One Q63 711.15 785.96 560.52 225.44 38.92 1540.83 1702.91 1214.46 488.45 84.32
Texas Humana Health Plan of Texas - Standard Self UU4 742.24 779.34 259.72 519.62 22.24 1608.19 1688.57 562.73 1125.84 48.18
Texas Humana Health Plan of Texas - Standard Self & Family UU5 1670.01 1753.51 611.42 1142.09 46.21 3618.36 3799.27 1324.74 2474.53 100.12
Texas Humana Health Plan of Texas - Standard Self Plus One UU6 1595.79 1675.58 560.52 1115.06 43.90 3457.55 3630.42 1214.46 2415.96 95.11
Texas Humana Health Plan of Texas - Standard Self UR4 493.64 532.04 259.72 272.32 23.54 1069.55 1152.75 562.73 590.02 51.00
Texas Humana Health Plan of Texas - Standard Self & Family UR5 1110.68 1197.09 611.42 585.67 49.12 2406.47 2593.70 1324.74 1268.96 106.44
Texas Humana Health Plan of Texas - Standard Self Plus One UR6 1061.31 1143.88 560.52 583.36 46.68 2299.51 2478.41 1214.46 1263.95 101.14
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 306.35 321.69 241.27 80.42 3.83 663.76 697.00 522.75 174.25 8.31
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 732.19 772.06 579.05 193.01 9.96 1586.41 1672.80 1254.60 418.20 21.60
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 612.71 683.61 512.71 170.90 17.72 1327.54 1481.16 1110.87 370.29 38.41
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Utah Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Utah Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Utah Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Utah Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Utah Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Utah Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Utah Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Utah Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Utah Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Utah Altius Health Plan - High Self 9K1 531.16 560.64 259.72 300.92 14.62 1150.85 1214.72 562.73 651.99 31.67
Utah Altius Health Plan - High Self & Family 9K2 1174.66 1239.87 611.42 628.45 27.92 2545.10 2686.39 1324.74 1361.65 60.50
Utah Altius Health Plan - High Self Plus One 9K3 1163.04 1227.61 560.52 667.09 28.68 2519.92 2659.82 1214.46 1445.36 62.14
Utah Altius Health Plan - HDHP Self 9K4 350.41 366.87 259.72 107.15 1.60 759.22 794.89 562.73 232.16 3.47
Utah Altius Health Plan - HDHP Self & Family 9K5 732.33 766.73 575.05 191.68 8.60 1586.72 1661.25 1245.94 415.31 18.63
Utah Altius Health Plan - HDHP Self Plus One 9K6 717.95 751.67 560.52 191.15 -2.17 1555.56 1628.62 1214.46 414.16 -4.70
Utah Altius Health Plan - Standard Self DK4 435.02 458.47 259.72 198.75 8.59 942.54 993.35 562.73 430.62 18.61
Utah Altius Health Plan - Standard Self & Family DK5 960.66 1012.47 611.42 401.05 14.52 2081.43 2193.69 1324.74 868.95 31.47
Utah Altius Health Plan - Standard Self Plus One DK6 951.14 1002.44 560.52 441.92 15.41 2060.80 2171.95 1214.46 957.49 33.39
Utah SelectHealth Plan - Standard Self SF4 296.81 323.81 242.86 80.95 6.75 643.09 701.59 526.19 175.40 14.63
Utah SelectHealth Plan - Standard Self & Family SF5 742.02 809.55 607.16 202.39 16.89 1607.71 1754.03 1315.52 438.51 36.58
Utah SelectHealth Plan - Standard Self Plus One SF6 652.97 712.39 534.29 178.10 14.86 1414.77 1543.51 1157.63 385.88 32.19
Utah SelectHealth Plan - HDHP Self WX1 264.17 301.68 226.26 75.42 9.38 572.37 653.64 490.23 163.41 20.32
Utah SelectHealth Plan - HDHP Self & Family WX2 660.43 754.21 565.66 188.55 23.44 1430.93 1634.12 1225.59 408.53 50.80
Utah SelectHealth Plan - HDHP Self Plus One WX3 581.17 663.71 497.78 165.93 20.64 1259.20 1438.04 1078.53 359.51 44.71
Vermont Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Vermont Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Vermont Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Vermont Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Vermont Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Vermont Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 428.20 504.82 259.72 245.10 61.76 927.77 1093.78 562.73 531.05 133.81
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 980.54 1155.97 611.42 544.55 138.14 2124.50 2504.60 1324.74 1179.86 299.31
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 961.31 1133.30 560.52 572.78 136.10 2082.84 2455.48 1214.46 1241.02 294.88
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 533.71 580.26 259.72 320.54 31.69 1156.37 1257.23 562.73 694.50 68.66
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 1217.13 1323.31 611.42 711.89 68.89 2637.12 2867.17 1324.74 1542.43 149.26
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 1205.08 1310.20 560.52 749.68 69.23 2611.01 2838.77 1214.46 1624.31 150.00
Vermont Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Vermont Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Vermont Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self 851 313.40 307.13 230.35 76.78 -1.57 679.03 665.45 499.09 166.36 -3.40
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self & Family 852 717.70 703.34 527.51 175.83 -3.59 1555.02 1523.90 1142.93 380.97 -7.78
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self Plus One 853 703.70 689.61 517.21 172.40 -6.67 1524.68 1494.16 1120.62 373.54 -14.44
Virginia Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Virginia Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Virginia Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Virginia Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Virginia Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Virginia Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
Virginia Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Virginia Aetna Open Access - High Self JN1 577.64 613.31 259.72 353.59 20.81 1251.55 1328.84 562.73 766.11 45.09
Virginia Aetna Open Access - High Self & Family JN2 1298.62 1378.80 611.42 767.38 42.89 2813.68 2987.40 1324.74 1662.66 92.93
Virginia Aetna Open Access - High Self Plus One JN3 1285.75 1365.14 560.52 804.62 43.50 2785.79 2957.80 1214.46 1743.34 94.25
Virginia Aetna Open Access - Basic Self JN4 341.29 355.72 259.72 96.00 -0.43 739.46 770.73 562.73 208.00 -0.93
Virginia Aetna Open Access - Basic Self & Family JN5 781.03 814.07 610.55 203.52 -3.38 1692.23 1763.82 1322.87 440.95 -7.33
Virginia Aetna Open Access - Basic Self Plus One JN6 717.20 747.54 560.52 187.02 -5.55 1553.93 1619.67 1214.46 405.21 -12.02
Virginia Aetna Saver (Open Access) - Saver Self QQ4 274.71 283.18 212.39 70.79 2.11 595.21 613.56 460.17 153.39 4.59
Virginia Aetna Saver (Open Access) - Saver Self & Family QQ5 628.67 648.09 486.07 162.02 4.85 1362.12 1404.20 1053.15 351.05 10.52
Virginia Aetna Saver (Open Access) - Saver Self Plus One QQ6 577.30 595.13 446.35 148.78 4.46 1250.82 1289.45 967.09 322.36 9.66
Virginia CareFirst BlueChoice - Standard Self 2G4 417.96 472.28 259.72 212.56 39.46 905.58 1023.27 562.73 460.54 85.49
Virginia CareFirst BlueChoice - Standard Self & Family 2G5 993.04 1122.14 611.42 510.72 91.81 2151.59 2431.30 1324.74 1106.56 198.92
Virginia CareFirst BlueChoice - Standard Self Plus One 2G6 835.90 944.57 560.52 384.05 72.78 1811.12 2046.57 1214.46 832.11 157.69
Virginia CareFirst BlueChoice - HDHP Self B61 278.91 319.34 239.51 79.83 10.10 604.31 691.90 518.93 172.97 21.89
Virginia CareFirst BlueChoice - HDHP Self & Family B62 662.67 758.75 569.06 189.69 24.02 1435.79 1643.96 1232.97 410.99 52.04
Virginia CareFirst BlueChoice - HDHP Self Plus One B63 557.80 638.70 479.03 159.67 20.22 1208.57 1383.85 1037.89 345.96 43.82
Virginia CareFirst BlueChoice - Blue Value Plus Self B64 334.00 350.69 259.72 90.97 1.83 723.67 759.83 562.73 197.10 3.96
Virginia CareFirst BlueChoice - Blue Value Plus Self & Family B65 793.56 833.24 611.42 221.82 2.39 1719.38 1805.35 1324.74 480.61 5.18
Virginia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 667.98 701.39 526.04 175.35 8.36 1447.29 1519.68 1139.76 379.92 18.10
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 170.26 175.26 131.45 43.81 1.25 368.90 379.73 284.80 94.93 2.71
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 485.23 493.08 369.81 123.27 1.96 1051.33 1068.34 801.26 267.08 4.25
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 400.11 418.70 314.03 104.67 4.64 866.91 907.18 680.39 226.79 10.06
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 280.27 293.20 219.90 73.30 3.23 607.25 635.27 476.45 158.82 7.01
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 644.60 674.35 505.76 168.59 7.44 1396.63 1461.09 1095.82 365.27 16.11
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 644.60 674.35 505.76 168.59 7.44 1396.63 1461.09 1095.82 365.27 16.11
Virginia Kaiser Permanente - Mid-Atlantic States - High Self E31 349.20 365.03 259.72 105.31 0.97 756.60 790.90 562.73 228.17 2.10
Virginia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 803.17 839.55 611.42 228.13 -0.91 1740.20 1819.03 1324.74 494.29 -1.96
Virginia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 803.17 839.55 560.52 279.03 0.49 1740.20 1819.03 1214.46 604.57 1.07
Virginia M.D. IPA - High Self JP1 467.07 491.90 259.72 232.18 9.97 1011.99 1065.78 562.73 503.05 21.59
Virginia M.D. IPA - High Self & Family JP2 1309.69 1379.28 611.42 767.86 32.30 2837.66 2988.44 1324.74 1663.70 69.99
Virginia M.D. IPA - High Self Plus One JP3 912.20 960.67 560.52 400.15 12.58 1976.43 2081.45 1214.46 866.99 27.26
Virginia Optima Health - HDHP Self PG4 262.52 270.40 202.80 67.60 1.97 568.79 585.87 439.40 146.47 4.27
Virginia Optima Health - HDHP Self & Family PG5 579.08 596.45 447.34 149.11 4.34 1254.67 1292.31 969.23 323.08 9.41
Virginia Optima Health - HDHP Self Plus One PG6 567.74 584.77 438.58 146.19 4.26 1230.10 1267.00 950.25 316.75 9.23
Virginia Optima Health - High Self PG1 332.10 371.96 259.72 112.24 25.00 719.55 805.91 562.73 243.18 54.16
Virginia Optima Health - High Self & Family PG2 802.47 898.77 611.42 287.35 59.01 1738.69 1947.34 1324.74 622.60 127.86
Virginia Optima Health - High Self Plus One PG3 802.41 898.70 560.52 338.18 60.40 1738.56 1947.18 1214.46 732.72 130.86
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 300.42 328.52 246.39 82.13 7.03 650.91 711.79 533.84 177.95 15.22
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 710.52 776.94 582.71 194.23 16.60 1539.46 1683.37 1262.53 420.84 35.98
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 645.92 706.31 529.73 176.58 15.10 1399.49 1530.34 1147.76 382.58 32.71
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 305.45 307.01 230.26 76.75 0.39 661.81 665.19 498.89 166.30 0.85
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 698.86 706.09 529.57 176.52 1.81 1514.20 1529.86 1147.40 382.46 3.91
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 656.73 660.06 495.05 165.01 0.83 1422.92 1430.13 1072.60 357.53 1.80
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 379.46 419.08 259.72 159.36 24.76 822.16 908.01 562.73 345.28 53.65
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 899.33 993.20 611.42 381.78 56.58 1948.55 2151.93 1324.74 827.19 122.59
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 815.85 901.00 560.52 340.48 49.26 1767.68 1952.17 1214.46 737.71 106.73
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 306.35 321.69 241.27 80.42 3.83 663.76 697.00 522.75 174.25 8.31
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 732.19 772.06 579.05 193.01 9.96 1586.41 1672.80 1254.60 418.20 21.60
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 612.71 683.61 512.71 170.90 17.72 1327.54 1481.16 1110.87 370.29 38.41
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 268.27 311.73 233.80 77.93 10.86 581.25 675.42 506.57 168.85 23.54
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 634.47 737.24 552.93 184.31 25.69 1374.69 1597.35 1198.01 399.34 55.67
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 576.79 670.22 502.67 167.55 23.35 1249.71 1452.14 1089.11 363.03 50.60
Washington Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Washington Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Washington Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Washington Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Washington Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Washington Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 385.10 403.41 259.72 143.69 3.45 834.38 874.06 562.73 311.33 7.48
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 882.03 923.97 611.42 312.55 4.65 1911.07 2001.94 1324.74 677.20 10.08
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 864.75 905.86 560.52 345.34 5.22 1873.63 1962.70 1214.46 748.24 11.31
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 523.89 531.88 259.72 272.16 -6.87 1135.10 1152.41 562.73 589.68 -14.89
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 1195.02 1213.22 611.42 601.80 -19.09 2589.21 2628.64 1324.74 1303.90 -41.36
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 1183.20 1201.22 560.52 640.70 -17.87 2563.60 2602.64 1214.46 1388.18 -38.72
Washington Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Washington Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Washington Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Washington Kaiser Permanente - Northwest - Standard Self 574 308.72 320.93 240.70 80.23 3.05 668.89 695.35 521.51 173.84 6.62
Washington Kaiser Permanente - Northwest - Standard Self & Family 575 709.22 737.30 552.98 184.32 7.02 1536.64 1597.48 1198.11 399.37 15.21
Washington Kaiser Permanente - Northwest - Standard Self Plus One 576 709.22 737.30 552.98 184.32 -0.27 1536.64 1597.48 1198.11 399.37 -0.57
Washington Kaiser Permanente - Northwest - High Self 571 349.69 368.41 259.72 108.69 3.86 757.66 798.22 562.73 235.49 8.36
Washington Kaiser Permanente - Northwest - High Self & Family 572 789.85 832.11 611.42 220.69 4.97 1711.34 1802.91 1324.74 478.17 10.78
Washington Kaiser Permanente - Northwest - High Self Plus One 573 789.85 832.11 560.52 271.59 6.37 1711.34 1802.91 1214.46 588.45 13.81
Washington Kaiser Permanente - Northwest - Prosper Self AM1 180.82 189.52 142.14 47.38 2.18 391.78 410.63 307.97 102.66 4.72
Washington Kaiser Permanente - Northwest - Prosper Self & Family AM2 448.46 470.02 352.52 117.50 5.39 971.66 1018.38 763.79 254.59 11.68
Washington Kaiser Permanente - Northwest - Prosper Self Plus One AM3 388.75 407.45 305.59 101.86 4.67 842.29 882.81 662.11 220.70 10.13
Washington Kaiser Permanente - Washington Core - Standard Self 544 288.56 295.78 221.84 73.94 1.80 625.21 640.86 480.65 160.21 3.91
Washington Kaiser Permanente - Washington Core - Standard Self & Family 545 663.69 680.28 510.21 170.07 4.15 1438.00 1473.94 1105.46 368.48 8.98
Washington Kaiser Permanente - Washington Core - Standard Self Plus One 546 663.69 680.28 510.21 170.07 4.15 1438.00 1473.94 1105.46 368.48 8.98
Washington Kaiser Permanente - Washington Core - High Self 541 401.32 416.67 259.72 156.95 0.49 869.53 902.79 562.73 340.06 1.06
Washington Kaiser Permanente - Washington Core - High Self & Family 542 882.89 916.67 611.42 305.25 -3.51 1912.93 1986.12 1324.74 661.38 -7.60
Washington Kaiser Permanente - Washington Core - High Self Plus One 543 882.89 916.67 560.52 356.15 -2.11 1912.93 1986.12 1214.46 771.66 -4.57
Washington Kaiser Permanente - Washington Core - Prosper Self PT4 180.00 180.00 135.00 45.00 0.00 390.00 390.00 292.50 97.50 0.00
Washington Kaiser Permanente - Washington Core - Prosper Self & Family PT5 503.99 503.99 377.99 126.00 0.00 1091.98 1091.98 818.99 272.99 0.00
Washington Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 436.00 436.00 327.00 109.00 0.00 944.67 944.67 708.50 236.17 0.00
Washington Kaiser Permanente Washington Options Federal - Standard Self L11 349.87 312.00 234.00 78.00 -27.01 758.05 676.00 507.00 169.00 -58.52
Washington Kaiser Permanente Washington Options Federal - Standard Self & Family L12 776.69 692.63 519.47 173.16 -29.40 1682.83 1500.70 1125.53 375.17 -63.71
Washington Kaiser Permanente Washington Options Federal - Standard Self Plus One L13 776.69 692.63 519.47 173.16 -78.90 1682.83 1500.70 1125.53 375.17 -170.96
Washington Kaiser Permanente Washington Options Federal - HDHP Self L14 311.62 332.30 249.23 83.07 5.17 675.18 719.98 539.99 179.99 11.20
Washington Kaiser Permanente Washington Options Federal - HDHP Self & Family L15 691.77 737.66 553.25 184.41 11.47 1498.84 1598.26 1198.70 399.56 24.85
Washington Kaiser Permanente Washington Options Federal - HDHP Self Plus One L16 691.77 737.66 553.25 184.41 11.47 1498.84 1598.26 1198.70 399.56 24.85
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 308.52 327.56 245.67 81.89 4.76 668.46 709.71 532.28 177.43 10.32
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 729.65 774.68 581.01 193.67 11.26 1580.91 1678.47 1258.85 419.62 24.39
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 663.31 704.25 528.19 176.06 10.23 1437.17 1525.88 1144.41 381.47 22.18
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 310.20 327.06 245.30 81.76 4.21 672.10 708.63 531.47 177.16 9.14
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 713.47 752.20 564.15 188.05 9.68 1545.85 1629.77 1222.33 407.44 20.98
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 666.94 703.16 527.37 175.79 9.06 1445.04 1523.51 1142.63 380.88 19.62
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 399.17 444.67 259.72 184.95 30.64 864.87 963.45 562.73 400.72 66.38
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 997.92 1111.67 611.42 500.25 76.46 2162.16 2408.62 1324.74 1083.88 165.67
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 858.21 956.03 560.52 395.51 61.93 1859.46 2071.40 1214.46 856.94 134.18
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 303.53 292.77 219.58 73.19 -2.69 657.65 634.34 475.76 158.58 -5.83
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 717.87 692.39 519.29 173.10 -6.37 1555.39 1500.18 1125.14 375.04 -13.81
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 652.60 629.45 472.09 157.36 -5.79 1413.97 1363.81 1022.86 340.95 -12.54
West Virginia Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
West Virginia Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
West Virginia Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
West Virginia Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
West Virginia Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
West Virginia Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 401.84 451.48 259.72 191.76 34.78 870.65 978.21 562.73 415.48 75.36
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 916.20 1029.43 611.42 418.01 75.94 1985.10 2230.43 1324.74 905.69 164.54
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 907.13 1019.23 560.52 458.71 76.21 1965.45 2208.33 1214.46 993.87 165.12
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 413.32 465.36 259.72 205.64 37.18 895.53 1008.28 562.73 445.55 80.55
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 946.45 1065.64 611.42 454.22 81.90 2050.64 2308.89 1324.74 984.15 177.46
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 927.90 1044.73 560.52 484.21 80.94 2010.45 2263.58 1214.46 1049.12 175.37
West Virginia Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
West Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
West Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Wisconsin Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Wisconsin Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Wisconsin Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Wisconsin Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Wisconsin Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Wisconsin Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 505.16 510.91 259.72 251.19 -9.11 1094.51 1106.97 562.73 544.24 -19.74
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 1153.22 1166.33 611.42 554.91 -24.18 2498.64 2527.05 1324.74 1202.31 -52.38
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 1141.82 1154.80 560.52 594.28 -22.91 2473.94 2502.07 1214.46 1287.61 -49.63
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 478.77 538.34 259.72 278.62 44.71 1037.34 1166.40 562.73 603.67 96.86
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 1091.38 1227.18 611.42 615.76 98.51 2364.66 2658.89 1324.74 1334.15 213.44
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 1080.57 1215.02 560.52 654.50 98.56 2341.24 2632.54 1214.46 1418.08 213.54
Wisconsin Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Wisconsin Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Wisconsin Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Wisconsin Dean Health Plan, Inc. - High Self WD1 592.88 631.25 259.72 371.53 23.51 1284.57 1367.71 562.73 804.98 50.94
Wisconsin Dean Health Plan, Inc. - High Self & Family WD2 1363.63 1451.89 611.42 840.47 50.97 2954.53 3145.76 1324.74 1821.02 110.44
Wisconsin Dean Health Plan, Inc. - High Self Plus One WD3 1245.05 1325.64 560.52 765.12 44.70 2697.61 2872.22 1214.46 1657.76 96.85
Wisconsin Dean Health Plan, Inc. - Standard Self WD4 328.81 340.85 255.64 85.21 1.26 712.42 738.51 553.88 184.63 2.74
Wisconsin Dean Health Plan, Inc. - Standard Self & Family WD5 789.14 818.05 611.42 206.63 -8.38 1709.80 1772.44 1324.74 447.70 -18.15
Wisconsin Dean Health Plan, Inc. - Standard Self Plus One WD6 723.38 749.88 560.52 189.36 -9.39 1567.32 1624.74 1214.46 410.28 -20.34
Wisconsin Dean Health Plan, Inc. - Basic Self AG1 210.03 210.03 157.52 52.51 0.00 455.07 455.07 341.30 113.77 0.00
Wisconsin Dean Health Plan, Inc. - Basic Self & Family AG2 472.57 472.57 354.43 118.14 0.00 1023.90 1023.90 767.93 255.97 0.00
Wisconsin Dean Health Plan, Inc. - Basic Self Plus One AG3 441.06 441.06 330.80 110.26 0.00 955.63 955.63 716.72 238.91 0.00
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self WJ1 502.63 513.91 259.72 254.19 -3.58 1089.03 1113.47 562.73 550.74 -7.76
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self & Family WJ2 1306.90 1336.22 611.42 724.80 -7.97 2831.62 2895.14 1324.74 1570.40 -17.27
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self Plus One WJ3 1105.82 1130.64 560.52 570.12 -11.07 2395.94 2449.72 1214.46 1235.26 -23.98
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self WJ4 271.13 295.86 221.90 73.96 6.18 587.45 641.03 480.77 160.26 13.40
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self & Family WJ5 704.97 769.27 576.95 192.32 16.08 1527.44 1666.75 1250.06 416.69 34.83
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self Plus One WJ6 596.51 650.92 488.19 162.73 13.60 1292.44 1410.33 1057.75 352.58 29.47
Wisconsin HealthPartners - Standard Self V34 255.36 255.36 191.52 63.84 0.00 553.28 553.28 414.96 138.32 0.00
Wisconsin HealthPartners - Standard Self & Family V35 622.08 622.08 466.56 155.52 0.00 1347.84 1347.84 1010.88 336.96 0.00
Wisconsin HealthPartners - Standard Self Plus One V36 564.36 564.36 423.27 141.09 0.00 1222.78 1222.78 917.09 305.69 0.00
Wisconsin HealthPartners - High Self V31 319.45 340.23 255.17 85.06 5.20 692.14 737.17 552.88 184.29 11.26
Wisconsin HealthPartners - High Self & Family V32 778.16 828.80 611.42 217.38 13.35 1686.01 1795.73 1324.74 470.99 28.93
Wisconsin HealthPartners - High Self Plus One V33 705.96 751.90 560.52 191.38 10.05 1529.58 1629.12 1214.46 414.66 21.78
Wyoming Aetna Advantage - Advantage Self Z24 230.78 230.78 173.09 57.69 0.00 500.02 500.02 375.02 125.00 0.00
Wyoming Aetna Advantage - Advantage Self & Family Z25 611.54 611.54 458.66 152.88 0.00 1325.00 1325.00 993.75 331.25 0.00
Wyoming Aetna Advantage - Advantage Self Plus One Z26 507.70 507.70 380.78 126.92 0.00 1100.02 1100.02 825.02 275.00 0.00
Wyoming Aetna Direct - CDHP Self N61 289.97 296.04 222.03 74.01 1.52 628.27 641.42 481.07 160.35 3.28
Wyoming Aetna Direct - CDHP Self & Family N62 731.30 746.57 559.93 186.64 3.82 1584.48 1617.57 1213.18 404.39 8.27
Wyoming Aetna Direct - CDHP Self Plus One N63 635.94 649.23 486.92 162.31 3.33 1377.87 1406.67 1055.00 351.67 7.20
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 381.32 399.20 259.72 139.48 3.02 826.19 864.93 562.73 302.20 6.54
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 869.18 909.93 611.42 298.51 3.46 1883.22 1971.52 1324.74 646.78 7.51
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 860.75 901.11 560.52 340.59 4.47 1864.96 1952.41 1214.46 737.95 9.69
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 384.80 415.92 259.72 156.20 16.26 833.73 901.16 562.73 338.43 35.23
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 883.13 954.51 611.42 343.09 34.09 1913.45 2068.11 1324.74 743.37 73.87
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 865.82 935.81 560.52 375.29 34.10 1875.94 2027.59 1214.46 813.13 73.89
Wyoming Aetna HealthFund HDHP - HDHP Self 224 380.45 384.30 259.72 124.58 -11.01 824.31 832.65 562.73 269.92 -23.86
Wyoming Aetna HealthFund HDHP - HDHP Self & Family 225 839.19 847.69 611.42 236.27 -28.79 1818.25 1836.66 1324.74 511.92 -62.38
Wyoming Aetna HealthFund HDHP - HDHP Self Plus One 226 822.75 831.10 560.52 270.58 -27.54 1782.63 1800.72 1214.46 586.26 -59.67
Wyoming Altius Health Plan - High Self 9K1 531.16 560.64 259.72 300.92 14.62 1150.85 1214.72 562.73 651.99 31.67
Wyoming Altius Health Plan - High Self & Family 9K2 1174.66 1239.87 611.42 628.45 27.92 2545.10 2686.39 1324.74 1361.65 60.50
Wyoming Altius Health Plan - High Self Plus One 9K3 1163.04 1227.61 560.52 667.09 28.68 2519.92 2659.82 1214.46 1445.36 62.14
Wyoming Altius Health Plan - HDHP Self 9K4 350.41 366.87 259.72 107.15 1.60 759.22 794.89 562.73 232.16 3.47
Wyoming Altius Health Plan - HDHP Self & Family 9K5 732.33 766.73 575.05 191.68 8.60 1586.72 1661.25 1245.94 415.31 18.63
Wyoming Altius Health Plan - HDHP Self Plus One 9K6 717.95 751.67 560.52 191.15 -2.17 1555.56 1628.62 1214.46 414.16 -4.70
Wyoming Altius Health Plan - Standard Self DK4 435.02 458.47 259.72 198.75 8.59 942.54 993.35 562.73 430.62 18.61
Wyoming Altius Health Plan - Standard Self & Family DK5 960.66 1012.47 611.42 401.05 14.52 2081.43 2193.69 1324.74 868.95 31.47
Wyoming Altius Health Plan - Standard Self Plus One DK6 951.14 1002.44 560.52 441.92 15.41 2060.80 2171.95 1214.46 957.49 33.39
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