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Healthcare Plan Information

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