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Healthcare

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

HMO (Regional Plans with Specific Service Areas)

Plan - Option Enrollment Code 2022 TCC Premium 2023 TCC Monthly Premiums - Total Premium 2023 TCC Monthly Premiums - Government Pays 2023 TCC Monthly Premiums - Employee Pays 2023 TCC Monthly Premiums - Change in Employee Payment 2022 Former Spouse Premium 2023 Former Spouse Monthly Premiums - Total Premium 2023 Former Spouse Monthly Premiums - Government Pays 2023 Former Spouse Monthly Premiums - Employee Pays 2023 Former Spouse Monthly Premiums - Change in Employee Payment
Alabama Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Alabama Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Alabama Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Alabama Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Alabama Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Alabama Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Alabama Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Alabama Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Alabama Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Alabama Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Alabama Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Alabama UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 637.16 672.02 0.00 672.02 34.86 624.67 658.84 0.00 658.84 34.17
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1465.50 1537.32 0.00 1537.32 71.82 1436.76 1507.18 0.00 1507.18 70.42
Alabama UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1369.93 1444.85 0.00 1444.85 74.92 1343.07 1416.52 0.00 1416.52 73.45
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 864.25 959.80 0.00 959.80 95.55 847.30 940.98 0.00 940.98 93.68
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 2160.60 2399.57 0.00 2399.57 238.97 2118.24 2352.52 0.00 2352.52 234.28
Alabama UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1858.12 2063.63 0.00 2063.63 205.51 1821.69 2023.17 0.00 2023.17 201.48
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Alabama UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Alaska Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Alaska Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Alaska Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Alaska Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Alaska Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Alaska Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
Alaska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
Alaska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
Alaska Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Alaska Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Alaska Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Arizona Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Arizona Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Arizona Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Arizona Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Arizona Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Arizona Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Arizona Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Arizona Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Arizona Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Arizona Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Arizona Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Arizona Aetna Open Access - High Self WQ1 1467.44 1474.74 0.00 1474.74 7.30 1438.67 1445.82 0.00 1445.82 7.15
Arizona Aetna Open Access - High Self & Family WQ2 3562.92 3580.60 0.00 3580.60 17.68 3493.06 3510.39 0.00 3510.39 17.33
Arizona Aetna Open Access - High Self Plus One WQ3 3527.60 3545.15 0.00 3545.15 17.55 3458.43 3475.64 0.00 3475.64 17.21
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R61 890.61 912.27 0.00 912.27 21.66 873.15 894.38 0.00 894.38 21.23
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R62 2003.85 2052.56 0.00 2052.56 48.71 1964.56 2012.31 0.00 2012.31 47.75
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R63 1914.78 1961.33 0.00 1961.33 46.55 1877.24 1922.87 0.00 1922.87 45.63
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R64 678.76 698.58 0.00 698.58 19.82 665.45 684.88 0.00 684.88 19.43
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R65 1527.17 1571.71 0.00 1571.71 44.54 1497.23 1540.89 0.00 1540.89 43.66
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R66 1459.33 1501.92 0.00 1501.92 42.59 1430.72 1472.47 0.00 1472.47 41.75
Arizona Humana CoverageFirst and Humana Value Plan - Value Self R94 596.92 620.79 0.00 620.79 23.87 585.22 608.62 0.00 608.62 23.40
Arizona Humana CoverageFirst and Humana Value Plan - Value Self & Family R95 1343.06 1396.79 0.00 1396.79 53.73 1316.73 1369.40 0.00 1369.40 52.67
Arizona Humana CoverageFirst and Humana Value Plan - Value Self Plus One R96 1283.42 1334.75 0.00 1334.75 51.33 1258.25 1308.58 0.00 1308.58 50.33
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self R91 778.98 817.92 0.00 817.92 38.94 763.71 801.88 0.00 801.88 38.17
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self & Family R92 1752.65 1840.29 0.00 1840.29 87.64 1718.28 1804.21 0.00 1804.21 85.93
Arizona Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One R93 1674.74 1758.45 0.00 1758.45 83.71 1641.90 1723.97 0.00 1723.97 82.07
Arizona Humana HDHP - HDHP Self BV1 462.22 476.11 0.00 476.11 13.89 453.16 466.77 0.00 466.77 13.61
Arizona Humana HDHP - HDHP Self & Family BV2 1151.59 1186.13 0.00 1186.13 34.54 1129.01 1162.87 0.00 1162.87 33.86
Arizona Humana HDHP - HDHP Self Plus One BV3 1013.73 1044.13 0.00 1044.13 30.40 993.85 1023.66 0.00 1023.66 29.81
Arizona Humana HDHP - HDHP Self BY1 405.74 417.91 0.00 417.91 12.17 397.78 409.72 0.00 409.72 11.94
Arizona Humana HDHP - HDHP Self & Family BY2 1010.32 1040.64 0.00 1040.64 30.32 990.51 1020.24 0.00 1020.24 29.73
Arizona Humana HDHP - HDHP Self Plus One BY3 889.42 916.09 0.00 916.09 26.67 871.98 898.13 0.00 898.13 26.15
Arizona Humana Health Plan, Inc. - Standard Self C74 934.52 1016.51 0.00 1016.51 81.99 916.20 996.58 0.00 996.58 80.38
Arizona Humana Health Plan, Inc. - Standard Self & Family C75 2102.68 2287.13 0.00 2287.13 184.45 2061.45 2242.28 0.00 2242.28 180.83
Arizona Humana Health Plan, Inc. - Standard Self Plus One C76 2009.23 2185.45 0.00 2185.45 176.22 1969.83 2142.60 0.00 2142.60 172.77
Arizona Humana Health Plan, Inc. - Standard Self BF4 1271.52 1309.67 0.00 1309.67 38.15 1246.59 1283.99 0.00 1283.99 37.40
Arizona Humana Health Plan, Inc. - Standard Self & Family BF5 2860.96 2946.77 0.00 2946.77 85.81 2804.86 2888.99 0.00 2888.99 84.13
Arizona Humana Health Plan, Inc. - Standard Self Plus One BF6 2733.81 2815.85 0.00 2815.85 82.04 2680.21 2760.64 0.00 2760.64 80.43
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 681.83 723.90 0.00 723.90 42.07 668.46 709.71 0.00 709.71 41.25
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1612.53 1712.04 0.00 1712.04 99.51 1580.91 1678.47 0.00 1678.47 97.56
Arizona UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1465.91 1556.40 0.00 1556.40 90.49 1437.17 1525.88 0.00 1525.88 88.71
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 685.54 722.80 0.00 722.80 37.26 672.10 708.63 0.00 708.63 36.53
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1576.77 1662.37 0.00 1662.37 85.60 1545.85 1629.77 0.00 1629.77 83.92
Arizona UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1473.94 1553.98 0.00 1553.98 80.04 1445.04 1523.51 0.00 1523.51 78.47
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 882.17 982.72 0.00 982.72 100.55 864.87 963.45 0.00 963.45 98.58
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 2205.40 2456.79 0.00 2456.79 251.39 2162.16 2408.62 0.00 2408.62 246.46
Arizona UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1896.65 2112.83 0.00 2112.83 216.18 1859.46 2071.40 0.00 2071.40 211.94
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 670.80 647.03 0.00 647.03 -23.77 657.65 634.34 0.00 634.34 -23.31
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1586.50 1530.18 0.00 1530.18 -56.32 1555.39 1500.18 0.00 1500.18 -55.21
Arizona UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1442.25 1391.09 0.00 1391.09 -51.16 1413.97 1363.81 0.00 1363.81 -50.16
Arkansas Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Arkansas Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Arkansas Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Arkansas Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Arkansas Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Arkansas Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Arkansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Arkansas Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Arkansas Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Arkansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Arkansas QualChoice - High Self DH1 743.43 810.36 0.00 810.36 66.93 728.85 794.47 0.00 794.47 65.62
Arkansas QualChoice - High Self & Family DH2 1939.12 2113.76 0.00 2113.76 174.64 1901.10 2072.31 0.00 2072.31 171.21
Arkansas QualChoice - High Self Plus One DH3 1444.15 1574.23 0.00 1574.23 130.08 1415.83 1543.36 0.00 1543.36 127.53
Arkansas QualChoice - Standard Self DH4 580.35 632.57 0.00 632.57 52.22 568.97 620.17 0.00 620.17 51.20
Arkansas QualChoice - Standard Self & Family DH5 1513.76 1650.01 0.00 1650.01 136.25 1484.08 1617.66 0.00 1617.66 133.58
Arkansas QualChoice - Standard Self Plus One DH6 1127.39 1228.88 0.00 1228.88 101.49 1105.28 1204.78 0.00 1204.78 99.50
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Arkansas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 637.16 672.02 0.00 672.02 34.86 624.67 658.84 0.00 658.84 34.17
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1465.50 1537.32 0.00 1537.32 71.82 1436.76 1507.18 0.00 1507.18 70.42
Arkansas UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1369.93 1444.85 0.00 1444.85 74.92 1343.07 1416.52 0.00 1416.52 73.45
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 864.25 959.80 0.00 959.80 95.55 847.30 940.98 0.00 940.98 93.68
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 2160.60 2399.57 0.00 2399.57 238.97 2118.24 2352.52 0.00 2352.52 234.28
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1858.12 2063.63 0.00 2063.63 205.51 1821.69 2023.17 0.00 2023.17 201.48
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Arkansas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
California Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
California Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
California Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
California Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
California Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
California Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
California Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
California Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
California Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
California Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
California Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
California Aetna Open Access - High Self 2X1 1060.12 1120.38 0.00 1120.38 60.26 1039.33 1098.41 0.00 1098.41 59.08
California Aetna Open Access - High Self & Family 2X2 2488.84 2630.29 0.00 2630.29 141.45 2440.04 2578.72 0.00 2578.72 138.68
California Aetna Open Access - High Self Plus One 2X3 2440.06 2578.74 0.00 2578.74 138.68 2392.22 2528.18 0.00 2528.18 135.96
California Anthem Blue Cross Select HMO - High Self B31 792.77 776.92 0.00 776.92 -15.85 777.23 761.69 0.00 761.69 -15.54
California Anthem Blue Cross Select HMO - High Self & Family B32 1818.72 1800.56 0.00 1800.56 -18.16 1783.06 1765.25 0.00 1765.25 -17.81
California Anthem Blue Cross Select HMO - High Self Plus One B33 1679.00 1648.77 0.00 1648.77 -30.23 1646.08 1616.44 0.00 1616.44 -29.64
California Blue Shield of California - Access + HMO Self SI1 902.30 974.50 0.00 974.50 72.20 884.61 955.39 0.00 955.39 70.78
California Blue Shield of California - Access + HMO Self & Family SI2 2075.34 2241.38 0.00 2241.38 166.04 2034.65 2197.43 0.00 2197.43 162.78
California Blue Shield of California - Access + HMO Self Plus One SI3 1985.11 2143.92 0.00 2143.92 158.81 1946.19 2101.88 0.00 2101.88 155.69
California Health Net of California - Basic Self P61 413.80 413.87 0.00 413.87 0.07 405.69 405.75 0.00 405.75 0.06
California Health Net of California - Basic Self & Family P62 993.21 993.33 0.00 993.33 0.12 973.74 973.85 0.00 973.85 0.11
California Health Net of California - Basic Self Plus One P63 910.41 910.54 0.00 910.54 0.13 892.56 892.69 0.00 892.69 0.13
California Health Net of California - Standard Self P64 New Plan 747.47 0.00 747.47 New Plan New Plan 732.81 0.00 732.81 New Plan
California Health Net of California - Standard Self & Family P65 New Plan 1793.90 0.00 1793.90 New Plan New Plan 1758.73 0.00 1758.73 New Plan
California Health Net of California - Standard Self Plus One P66 New Plan 1644.41 0.00 1644.41 New Plan New Plan 1612.17 0.00 1612.17 New Plan
California Health Net of California - High Self LP1 1098.88 1108.16 0.00 1108.16 9.28 1077.33 1086.43 0.00 1086.43 9.10
California Health Net of California - High Self & Family LP2 2637.37 2659.58 0.00 2659.58 22.21 2585.66 2607.43 0.00 2607.43 21.77
California Health Net of California - High Self Plus One LP3 2417.58 2437.94 0.00 2437.94 20.36 2370.18 2390.14 0.00 2390.14 19.96
California Health Net of California - High Self LB1 1651.07 1722.63 0.00 1722.63 71.56 1618.70 1688.85 0.00 1688.85 70.15
California Health Net of California - High Self & Family LB2 3962.56 4134.29 0.00 4134.29 171.73 3884.86 4053.23 0.00 4053.23 168.37
California Health Net of California - High Self Plus One LB3 3632.35 3789.75 0.00 3789.75 157.40 3561.13 3715.44 0.00 3715.44 154.31
California Health Net of California - Basic Self T41 972.22 965.53 0.00 965.53 -6.69 953.16 946.60 0.00 946.60 -6.56
California Health Net of California - Basic Self & Family T42 2333.36 2317.28 0.00 2317.28 -16.08 2287.61 2271.84 0.00 2271.84 -15.77
California Health Net of California - Basic Self Plus One T43 2138.88 2124.16 0.00 2124.16 -14.72 2096.94 2082.51 0.00 2082.51 -14.43
California Kaiser Permanente - Fresno California - Standard Self NZ4 601.91 599.86 0.00 599.86 -2.05 590.11 588.10 0.00 588.10 -2.01
California Kaiser Permanente - Fresno California - Standard Self & Family NZ5 1391.15 1386.40 0.00 1386.40 -4.75 1363.87 1359.22 0.00 1359.22 -4.65
California Kaiser Permanente - Fresno California - Standard Self Plus One NZ6 1391.15 1386.40 0.00 1386.40 -4.75 1363.87 1359.22 0.00 1359.22 -4.65
California Kaiser Permanente - Fresno California - High Self NZ1 829.72 835.11 0.00 835.11 5.39 813.45 818.74 0.00 818.74 5.29
California Kaiser Permanente - Fresno California - High Self & Family NZ2 1917.66 1930.11 0.00 1930.11 12.45 1880.06 1892.26 0.00 1892.26 12.20
California Kaiser Permanente - Fresno California - High Self Plus One NZ3 1917.66 1930.11 0.00 1930.11 12.45 1880.06 1892.26 0.00 1892.26 12.20
California Kaiser Permanente - Northern California - Prosper Self KC1 671.73 663.31 0.00 663.31 -8.42 658.56 650.30 0.00 650.30 -8.26
California Kaiser Permanente - Northern California - Prosper Self & Family KC2 1571.84 1552.10 0.00 1552.10 -19.74 1541.02 1521.67 0.00 1521.67 -19.35
California Kaiser Permanente - Northern California - Prosper Self Plus One KC3 1571.84 1552.10 0.00 1552.10 -19.74 1541.02 1521.67 0.00 1521.67 -19.35
California Kaiser Permanente - Northern California - High Self 591 1022.35 1012.67 0.00 1012.67 -9.68 1002.30 992.81 0.00 992.81 -9.49
California Kaiser Permanente - Northern California - High Self & Family 592 2440.44 2417.34 0.00 2417.34 -23.10 2392.59 2369.94 0.00 2369.94 -22.65
California Kaiser Permanente - Northern California - High Self Plus One 593 2440.44 2417.34 0.00 2417.34 -23.10 2392.59 2369.94 0.00 2369.94 -22.65
California Kaiser Permanente - Northern California - Standard Self 594 831.18 822.27 0.00 822.27 -8.91 814.88 806.15 0.00 806.15 -8.73
California Kaiser Permanente - Northern California - Standard Self & Family 595 1944.94 1924.16 0.00 1924.16 -20.78 1906.80 1886.43 0.00 1886.43 -20.37
California Kaiser Permanente - Northern California - Standard Self Plus One 596 1944.94 1924.16 0.00 1924.16 -20.78 1906.80 1886.43 0.00 1886.43 -20.37
California Kaiser Permanente - Southern California - Prosper Self FL1 372.94 372.65 0.00 372.65 -0.29 365.63 365.34 0.00 365.34 -0.29
California Kaiser Permanente - Southern California - Prosper Self & Family FL2 1044.23 1043.41 0.00 1043.41 -0.82 1023.75 1022.95 0.00 1022.95 -0.80
California Kaiser Permanente - Southern California - Prosper Self Plus One FL3 857.79 857.11 0.00 857.11 -0.68 840.97 840.30 0.00 840.30 -0.67
California Kaiser Permanente - Southern California - Standard Self 624 498.12 538.58 0.00 538.58 40.46 488.35 528.02 0.00 528.02 39.67
California Kaiser Permanente - Southern California - Standard Self & Family 625 1151.19 1244.74 0.00 1244.74 93.55 1128.62 1220.33 0.00 1220.33 91.71
California Kaiser Permanente - Southern California - Standard Self Plus One 626 1151.19 1244.74 0.00 1244.74 93.55 1128.62 1220.33 0.00 1220.33 91.71
California Kaiser Permanente - Southern California - High Self 621 775.84 794.82 0.00 794.82 18.98 760.63 779.24 0.00 779.24 18.61
California Kaiser Permanente - Southern California - High Self & Family 622 1793.13 1837.00 0.00 1837.00 43.87 1757.97 1800.98 0.00 1800.98 43.01
California Kaiser Permanente - Southern California - High Self Plus One 623 1793.13 1837.00 0.00 1837.00 43.87 1757.97 1800.98 0.00 1800.98 43.01
Colorado Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Colorado Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Colorado Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Colorado Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Colorado Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Colorado Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Colorado Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Colorado Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Colorado Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Colorado Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Colorado Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Colorado Humana Health Plan, Inc. - High Self NR1 990.22 1024.89 0.00 1024.89 34.67 970.80 1004.79 0.00 1004.79 33.99
Colorado Humana Health Plan, Inc. - High Self & Family NR2 2227.97 2305.99 0.00 2305.99 78.02 2184.28 2260.77 0.00 2260.77 76.49
Colorado Humana Health Plan, Inc. - High Self Plus One NR3 2128.96 2203.51 0.00 2203.51 74.55 2087.22 2160.30 0.00 2160.30 73.08
Colorado Humana Health Plan, Inc. - Standard Self NR4 679.40 765.10 0.00 765.10 85.70 666.08 750.10 0.00 750.10 84.02
Colorado Humana Health Plan, Inc. - Standard Self & Family NR5 1528.70 1721.48 0.00 1721.48 192.78 1498.73 1687.73 0.00 1687.73 189.00
Colorado Humana Health Plan, Inc. - Standard Self Plus One NR6 1460.72 1644.94 0.00 1644.94 184.22 1432.08 1612.69 0.00 1612.69 180.61
Colorado Humana Health Plan, Inc. - Basic Self RZ1 529.32 593.50 0.00 593.50 64.18 518.94 581.86 0.00 581.86 62.92
Colorado Humana Health Plan, Inc. - Basic Self & Family RZ2 1190.92 1335.28 0.00 1335.28 144.36 1167.57 1309.10 0.00 1309.10 141.53
Colorado Humana Health Plan, Inc. - Basic Self Plus One RZ3 1138.04 1275.99 0.00 1275.99 137.95 1115.73 1250.97 0.00 1250.97 135.24
Colorado Humana Health Plan, Inc. - High Self NT1 892.80 929.22 0.00 929.22 36.42 875.29 911.00 0.00 911.00 35.71
Colorado Humana Health Plan, Inc. - High Self & Family NT2 2008.83 2090.80 0.00 2090.80 81.97 1969.44 2049.80 0.00 2049.80 80.36
Colorado Humana Health Plan, Inc. - High Self Plus One NT3 1919.52 1997.84 0.00 1997.84 78.32 1881.88 1958.67 0.00 1958.67 76.79
Colorado Humana Health Plan, Inc. - Standard Self NT4 602.08 652.92 0.00 652.92 50.84 590.27 640.12 0.00 640.12 49.85
Colorado Humana Health Plan, Inc. - Standard Self & Family NT5 1354.68 1469.15 0.00 1469.15 114.47 1328.12 1440.34 0.00 1440.34 112.22
Colorado Humana Health Plan, Inc. - Standard Self Plus One NT6 1294.51 1403.88 0.00 1403.88 109.37 1269.13 1376.35 0.00 1376.35 107.22
Colorado Humana Health Plan, Inc. - Basic Self R21 618.01 695.93 0.00 695.93 77.92 605.89 682.28 0.00 682.28 76.39
Colorado Humana Health Plan, Inc. - Basic Self & Family R22 1390.48 1565.85 0.00 1565.85 175.37 1363.22 1535.15 0.00 1535.15 171.93
Colorado Humana Health Plan, Inc. - Basic Self Plus One R23 1328.67 1496.24 0.00 1496.24 167.57 1302.62 1466.90 0.00 1466.90 164.28
Colorado Kaiser Permanente - Colorado - Standard Self 654 672.35 687.15 0.00 687.15 14.80 659.17 673.68 0.00 673.68 14.51
Colorado Kaiser Permanente - Colorado - Standard Self & Family 655 1519.50 1552.95 0.00 1552.95 33.45 1489.71 1522.50 0.00 1522.50 32.79
Colorado Kaiser Permanente - Colorado - Standard Self Plus One 656 1519.50 1552.95 0.00 1552.95 33.45 1489.71 1522.50 0.00 1522.50 32.79
Colorado Kaiser Permanente - Colorado - High Self 651 788.35 802.12 0.00 802.12 13.77 772.89 786.39 0.00 786.39 13.50
Colorado Kaiser Permanente - Colorado - High Self & Family 652 1781.69 1812.82 0.00 1812.82 31.13 1746.75 1777.27 0.00 1777.27 30.52
Colorado Kaiser Permanente - Colorado - High Self Plus One 653 1781.69 1812.82 0.00 1812.82 31.13 1746.75 1777.27 0.00 1777.27 30.52
Colorado Kaiser Permanente - Colorado - Prosper Self N41 397.95 427.10 0.00 427.10 29.15 390.15 418.73 0.00 418.73 28.58
Colorado Kaiser Permanente - Colorado - Prosper Self & Family N42 978.97 1050.74 0.00 1050.74 71.77 959.77 1030.14 0.00 1030.14 70.37
Colorado Kaiser Permanente - Colorado - Prosper Self Plus One N43 899.36 965.31 0.00 965.31 65.95 881.73 946.38 0.00 946.38 64.65
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 685.54 722.80 0.00 722.80 37.26 672.10 708.63 0.00 708.63 36.53
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1576.77 1662.37 0.00 1662.37 85.60 1545.85 1629.77 0.00 1629.77 83.92
Colorado UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1473.94 1553.98 0.00 1553.98 80.04 1445.04 1523.51 0.00 1523.51 78.47
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 882.17 982.72 0.00 982.72 100.55 864.87 963.45 0.00 963.45 98.58
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 2205.40 2456.79 0.00 2456.79 251.39 2162.16 2408.62 0.00 2408.62 246.46
Colorado UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1896.65 2112.83 0.00 2112.83 216.18 1859.46 2071.40 0.00 2071.40 211.94
Connecticut Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Connecticut Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Connecticut Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Connecticut Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Connecticut Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Connecticut Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
Connecticut Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
Connecticut Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Connecticut Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Connecticut Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Delaware Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Delaware Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Delaware Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Delaware Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Delaware Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Delaware Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
Delaware Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
Delaware Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
Delaware Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Delaware Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Delaware Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Delaware Aetna Open Access - Basic Self P34 1756.20 1789.11 0.00 1789.11 32.91 1721.76 1754.03 0.00 1754.03 32.27
Delaware Aetna Open Access - Basic Self & Family P35 4076.22 4152.52 0.00 4152.52 76.30 3996.29 4071.10 0.00 4071.10 74.81
Delaware Aetna Open Access - Basic Self Plus One P36 4035.83 4111.35 0.00 4111.35 75.52 3956.70 4030.74 0.00 4030.74 74.04
Delaware Aetna Open Access - High Self P31 1797.79 1772.73 0.00 1772.73 -25.06 1762.54 1737.97 0.00 1737.97 -24.57
Delaware Aetna Open Access - High Self & Family P32 4358.74 4297.98 0.00 4297.98 -60.76 4273.27 4213.71 0.00 4213.71 -59.56
Delaware Aetna Open Access - High Self Plus One P33 4315.60 4255.44 0.00 4255.44 -60.16 4230.98 4172.00 0.00 4172.00 -58.98
District Of Columbia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
District Of Columbia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
District Of Columbia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
District Of Columbia Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
District Of Columbia Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
District Of Columbia Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
District Of Columbia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
District Of Columbia Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
District Of Columbia Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
District Of Columbia Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
District Of Columbia Aetna Open Access - High Self JN1 1276.58 1355.42 0.00 1355.42 78.84 1251.55 1328.84 0.00 1328.84 77.29
District Of Columbia Aetna Open Access - High Self & Family JN2 2869.95 3047.15 0.00 3047.15 177.20 2813.68 2987.40 0.00 2987.40 173.72
District Of Columbia Aetna Open Access - High Self Plus One JN3 2841.51 3016.96 0.00 3016.96 175.45 2785.79 2957.80 0.00 2957.80 172.01
District Of Columbia Aetna Open Access - Basic Self JN4 754.25 786.14 0.00 786.14 31.89 739.46 770.73 0.00 770.73 31.27
District Of Columbia Aetna Open Access - Basic Self & Family JN5 1726.07 1799.10 0.00 1799.10 73.03 1692.23 1763.82 0.00 1763.82 71.59
District Of Columbia Aetna Open Access - Basic Self Plus One JN6 1585.01 1652.06 0.00 1652.06 67.05 1553.93 1619.67 0.00 1619.67 65.74
District Of Columbia Aetna Saver (Open Access) - Saver Self QQ4 607.11 625.83 0.00 625.83 18.72 595.21 613.56 0.00 613.56 18.35
District Of Columbia Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.36 1432.28 0.00 1432.28 42.92 1362.12 1404.20 0.00 1404.20 42.08
District Of Columbia Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1315.24 0.00 1315.24 39.40 1250.82 1289.45 0.00 1289.45 38.63
District Of Columbia CareFirst BlueChoice - Standard Self 2G4 923.69 1043.74 0.00 1043.74 120.05 905.58 1023.27 0.00 1023.27 117.69
District Of Columbia CareFirst BlueChoice - Standard Self & Family 2G5 2194.62 2479.93 0.00 2479.93 285.31 2151.59 2431.30 0.00 2431.30 279.71
District Of Columbia CareFirst BlueChoice - Standard Self Plus One 2G6 1847.34 2087.50 0.00 2087.50 240.16 1811.12 2046.57 0.00 2046.57 235.45
District Of Columbia CareFirst BlueChoice - HDHP Self B61 616.40 705.74 0.00 705.74 89.34 604.31 691.90 0.00 691.90 87.59
District Of Columbia CareFirst BlueChoice - HDHP Self & Family B62 1464.51 1676.84 0.00 1676.84 212.33 1435.79 1643.96 0.00 1643.96 208.17
District Of Columbia CareFirst BlueChoice - HDHP Self Plus One B63 1232.74 1411.53 0.00 1411.53 178.79 1208.57 1383.85 0.00 1383.85 175.28
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self B64 738.14 775.03 0.00 775.03 36.89 723.67 759.83 0.00 759.83 36.16
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self & Family B65 1753.77 1841.46 0.00 1841.46 87.69 1719.38 1805.35 0.00 1805.35 85.97
District Of Columbia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1476.24 1550.07 0.00 1550.07 73.83 1447.29 1519.68 0.00 1519.68 72.39
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 376.28 387.32 0.00 387.32 11.04 368.90 379.73 0.00 379.73 10.83
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 1072.36 1089.71 0.00 1089.71 17.35 1051.33 1068.34 0.00 1068.34 17.01
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 884.25 925.32 0.00 925.32 41.07 866.91 907.18 0.00 907.18 40.27
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 619.40 647.98 0.00 647.98 28.58 607.25 635.27 0.00 635.27 28.02
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1424.56 1490.31 0.00 1490.31 65.75 1396.63 1461.09 0.00 1461.09 64.46
District Of Columbia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1424.56 1490.31 0.00 1490.31 65.75 1396.63 1461.09 0.00 1461.09 64.46
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self E31 771.73 806.72 0.00 806.72 34.99 756.60 790.90 0.00 790.90 34.30
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1775.00 1855.41 0.00 1855.41 80.41 1740.20 1819.03 0.00 1819.03 78.83
District Of Columbia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1775.00 1855.41 0.00 1855.41 80.41 1740.20 1819.03 0.00 1819.03 78.83
District Of Columbia M.D. IPA - High Self JP1 1032.23 1087.10 0.00 1087.10 54.87 1011.99 1065.78 0.00 1065.78 53.79
District Of Columbia M.D. IPA - High Self & Family JP2 2894.41 3048.21 0.00 3048.21 153.80 2837.66 2988.44 0.00 2988.44 150.78
District Of Columbia M.D. IPA - High Self Plus One JP3 2015.96 2123.08 0.00 2123.08 107.12 1976.43 2081.45 0.00 2081.45 105.02
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
District Of Columbia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 675.05 678.49 0.00 678.49 3.44 661.81 665.19 0.00 665.19 3.38
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1544.48 1560.46 0.00 1560.46 15.98 1514.20 1529.86 0.00 1529.86 15.66
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1451.38 1458.73 0.00 1458.73 7.35 1422.92 1430.13 0.00 1430.13 7.21
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 838.60 926.17 0.00 926.17 87.57 822.16 908.01 0.00 908.01 85.85
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1987.52 2194.97 0.00 2194.97 207.45 1948.55 2151.93 0.00 2151.93 203.38
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1803.03 1991.21 0.00 1991.21 188.18 1767.68 1952.17 0.00 1952.17 184.49
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 677.04 710.94 0.00 710.94 33.90 663.76 697.00 0.00 697.00 33.24
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1618.14 1706.26 0.00 1706.26 88.12 1586.41 1672.80 0.00 1672.80 86.39
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1354.09 1510.78 0.00 1510.78 156.69 1327.54 1481.16 0.00 1481.16 153.62
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
District Of Columbia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Florida Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Florida Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Florida Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Florida Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Florida Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Florida Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Florida Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Florida Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Florida Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Florida Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Florida Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Florida AvMed - HDHP Self WZ1 757.11 883.53 0.00 883.53 126.42 742.26 866.21 0.00 866.21 123.95
Florida AvMed - HDHP Self & Family WZ2 1748.29 2056.30 0.00 2056.30 308.01 1714.01 2015.98 0.00 2015.98 301.97
Florida AvMed - HDHP Self Plus One WZ3 1516.98 1782.61 0.00 1782.61 265.63 1487.24 1747.66 0.00 1747.66 260.42
Florida AvMed - Standard Self ML4 817.92 965.24 0.00 965.24 147.32 801.88 946.31 0.00 946.31 144.43
Florida AvMed - Standard Self & Family ML5 1991.50 2350.18 0.00 2350.18 358.68 1952.45 2304.10 0.00 2304.10 351.65
Florida AvMed - Standard Self Plus One ML6 1717.66 2027.04 0.00 2027.04 309.38 1683.98 1987.29 0.00 1987.29 303.31
Florida Capital Health Plan - High Self EA1 745.10 769.12 0.00 769.12 24.02 730.49 754.04 0.00 754.04 23.55
Florida Capital Health Plan - High Self & Family EA2 1726.79 1782.41 0.00 1782.41 55.62 1692.93 1747.46 0.00 1747.46 54.53
Florida Capital Health Plan - High Self Plus One EA3 1629.50 1681.99 0.00 1681.99 52.49 1597.55 1649.01 0.00 1649.01 51.46
Florida Humana CoverageFirst and Humana Value Plan - Value Self W94 612.12 668.88 0.00 668.88 56.76 600.12 655.76 0.00 655.76 55.64
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family W95 1377.30 1504.97 0.00 1504.97 127.67 1350.29 1475.46 0.00 1475.46 125.17
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One W96 1316.06 1438.07 0.00 1438.07 122.01 1290.25 1409.87 0.00 1409.87 119.62
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self W91 741.23 777.39 0.00 777.39 36.16 726.70 762.15 0.00 762.15 35.45
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family W92 1667.73 1749.07 0.00 1749.07 81.34 1635.03 1714.77 0.00 1714.77 79.74
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One W93 1593.63 1671.38 0.00 1671.38 77.75 1562.38 1638.61 0.00 1638.61 76.23
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self QP1 842.74 890.37 0.00 890.37 47.63 826.22 872.91 0.00 872.91 46.69
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family QP2 1898.61 2005.91 0.00 2005.91 107.30 1861.38 1966.58 0.00 1966.58 105.20
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One QP3 1814.23 1916.73 0.00 1916.73 102.50 1778.66 1879.15 0.00 1879.15 100.49
Florida Humana CoverageFirst and Humana Value Plan - Value Self QP4 561.52 584.77 0.00 584.77 23.25 550.51 573.30 0.00 573.30 22.79
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family QP5 1263.37 1315.64 0.00 1315.64 52.27 1238.60 1289.84 0.00 1289.84 51.24
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One QP6 1207.23 1257.18 0.00 1257.18 49.95 1183.56 1232.53 0.00 1232.53 48.97
Florida Humana CoverageFirst and Humana Value Plan - Value Self MJ4 572.41 603.90 0.00 603.90 31.49 561.19 592.06 0.00 592.06 30.87
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family MJ5 1373.81 1449.34 0.00 1449.34 75.53 1346.87 1420.92 0.00 1420.92 74.05
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One MJ6 1230.68 1298.38 0.00 1298.38 67.70 1206.55 1272.92 0.00 1272.92 66.37
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self MJ1 1086.17 1134.39 0.00 1134.39 48.22 1064.87 1112.15 0.00 1112.15 47.28
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MJ2 2443.84 2552.33 0.00 2552.33 108.49 2395.92 2502.28 0.00 2502.28 106.36
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MJ3 2335.26 2438.93 0.00 2438.93 103.67 2289.47 2391.11 0.00 2391.11 101.64
Florida Humana CoverageFirst and Humana Value Plan - Value Self X24 557.19 587.55 0.00 587.55 30.36 546.26 576.03 0.00 576.03 29.77
Florida Humana CoverageFirst and Humana Value Plan - Value Self & Family X25 1365.10 1439.46 0.00 1439.46 74.36 1338.33 1411.24 0.00 1411.24 72.91
Florida Humana CoverageFirst and Humana Value Plan - Value Self Plus One X26 1197.93 1263.19 0.00 1263.19 65.26 1174.44 1238.42 0.00 1238.42 63.98
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self X21 643.15 688.19 0.00 688.19 45.04 630.54 674.70 0.00 674.70 44.16
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X22 1447.18 1548.46 0.00 1548.46 101.28 1418.80 1518.10 0.00 1518.10 99.30
Florida Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X23 1382.84 1479.64 0.00 1479.64 96.80 1355.73 1450.63 0.00 1450.63 94.90
Florida Humana HDHP - HDHP Self BR1 434.97 448.04 0.00 448.04 13.07 426.44 439.25 0.00 439.25 12.81
Florida Humana HDHP - HDHP Self & Family BR2 1083.47 1115.96 0.00 1115.96 32.49 1062.23 1094.08 0.00 1094.08 31.85
Florida Humana HDHP - HDHP Self Plus One BR3 953.77 982.39 0.00 982.39 28.62 935.07 963.13 0.00 963.13 28.06
Florida Humana HDHP - HDHP Self A41 487.97 502.63 0.00 502.63 14.66 478.40 492.77 0.00 492.77 14.37
Florida Humana HDHP - HDHP Self & Family A42 1215.96 1252.45 0.00 1252.45 36.49 1192.12 1227.89 0.00 1227.89 35.77
Florida Humana HDHP - HDHP Self Plus One A43 1070.37 1102.48 0.00 1102.48 32.11 1049.38 1080.86 0.00 1080.86 31.48
Florida Humana HDHP - HDHP Self FF1 414.64 427.06 0.00 427.06 12.42 406.51 418.69 0.00 418.69 12.18
Florida Humana HDHP - HDHP Self & Family FF2 1032.58 1063.56 0.00 1063.56 30.98 1012.33 1042.71 0.00 1042.71 30.38
Florida Humana HDHP - HDHP Self Plus One FF3 908.99 936.25 0.00 936.25 27.26 891.17 917.89 0.00 917.89 26.72
Florida Humana HDHP - HDHP Self AP1 492.74 507.50 0.00 507.50 14.76 483.08 497.55 0.00 497.55 14.47
Florida Humana HDHP - HDHP Self & Family AP2 1227.84 1264.68 0.00 1264.68 36.84 1203.76 1239.88 0.00 1239.88 36.12
Florida Humana HDHP - HDHP Self Plus One AP3 1080.82 1113.25 0.00 1113.25 32.43 1059.63 1091.42 0.00 1091.42 31.79
Florida Humana Medical Plan, Inc. - Standard Self LL4 1308.34 1449.26 0.00 1449.26 140.92 1282.69 1420.84 0.00 1420.84 138.15
Florida Humana Medical Plan, Inc. - Standard Self & Family LL5 2943.72 3260.77 0.00 3260.77 317.05 2886.00 3196.83 0.00 3196.83 310.83
Florida Humana Medical Plan, Inc. - Standard Self Plus One LL6 2812.88 3115.86 0.00 3115.86 302.98 2757.73 3054.76 0.00 3054.76 297.03
Florida Humana Medical Plan, Inc. - High Self LL1 1830.26 2061.44 0.00 2061.44 231.18 1794.37 2021.02 0.00 2021.02 226.65
Florida Humana Medical Plan, Inc. - High Self & Family LL2 4118.05 4638.17 0.00 4638.17 520.12 4037.30 4547.23 0.00 4547.23 509.93
Florida Humana Medical Plan, Inc. - High Self Plus One LL3 3935.02 4432.04 0.00 4432.04 497.02 3857.86 4345.14 0.00 4345.14 487.28
Florida Humana Medical Plan, Inc. - High Self EE1 1350.36 1515.33 0.00 1515.33 164.97 1323.88 1485.62 0.00 1485.62 161.74
Florida Humana Medical Plan, Inc. - High Self & Family EE2 3038.36 3409.56 0.00 3409.56 371.20 2978.78 3342.71 0.00 3342.71 363.93
Florida Humana Medical Plan, Inc. - High Self Plus One EE3 2903.37 3258.09 0.00 3258.09 354.72 2846.44 3194.21 0.00 3194.21 347.77
Florida Humana Medical Plan, Inc. - Standard Self EE4 1207.46 1364.45 0.00 1364.45 156.99 1183.78 1337.70 0.00 1337.70 153.92
Florida Humana Medical Plan, Inc. - Standard Self & Family EE5 2716.75 3069.98 0.00 3069.98 353.23 2663.48 3009.78 0.00 3009.78 346.30
Florida Humana Medical Plan, Inc. - Standard Self Plus One EE6 2596.02 2933.51 0.00 2933.51 337.49 2545.12 2875.99 0.00 2875.99 330.87
Florida Humana Medical Plan, Inc. - Standard Self E24 820.53 880.75 0.00 880.75 60.22 804.44 863.48 0.00 863.48 59.04
Florida Humana Medical Plan, Inc. - Standard Self & Family E25 1846.17 1981.67 0.00 1981.67 135.50 1809.97 1942.81 0.00 1942.81 132.84
Florida Humana Medical Plan, Inc. - Standard Self Plus One E26 1764.09 1893.55 0.00 1893.55 129.46 1729.50 1856.42 0.00 1856.42 126.92
Florida Humana Medical Plan, Inc. - High Self E21 1378.20 1437.16 0.00 1437.16 58.96 1351.18 1408.98 0.00 1408.98 57.80
Florida Humana Medical Plan, Inc. - High Self & Family E22 3100.85 3233.52 0.00 3233.52 132.67 3040.05 3170.12 0.00 3170.12 130.07
Florida Humana Medical Plan, Inc. - High Self Plus One E23 2963.04 3089.80 0.00 3089.80 126.76 2904.94 3029.22 0.00 3029.22 124.28
Florida Humana Medical Plan, Inc. - High Self EX1 1090.79 1123.41 0.00 1123.41 32.62 1069.40 1101.38 0.00 1101.38 31.98
Florida Humana Medical Plan, Inc. - High Self & Family EX2 2454.23 2527.60 0.00 2527.60 73.37 2406.11 2478.04 0.00 2478.04 71.93
Florida Humana Medical Plan, Inc. - High Self Plus One EX3 2345.14 2415.25 0.00 2415.25 70.11 2299.16 2367.89 0.00 2367.89 68.73
Florida Humana Medical Plan, Inc. - Standard Self EX4 915.28 956.65 0.00 956.65 41.37 897.33 937.89 0.00 937.89 40.56
Florida Humana Medical Plan, Inc. - Standard Self & Family EX5 2059.39 2152.50 0.00 2152.50 93.11 2019.01 2110.29 0.00 2110.29 91.28
Florida Humana Medical Plan, Inc. - Standard Self Plus One EX6 1967.86 2056.83 0.00 2056.83 88.97 1929.27 2016.50 0.00 2016.50 87.23
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Florida UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 637.16 672.02 0.00 672.02 34.86 624.67 658.84 0.00 658.84 34.17
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1465.50 1537.32 0.00 1537.32 71.82 1436.76 1507.18 0.00 1507.18 70.42
Florida UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1369.93 1444.85 0.00 1444.85 74.92 1343.07 1416.52 0.00 1416.52 73.45
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 864.25 959.80 0.00 959.80 95.55 847.30 940.98 0.00 940.98 93.68
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 2160.60 2399.57 0.00 2399.57 238.97 2118.24 2352.52 0.00 2352.52 234.28
Florida UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1858.12 2063.63 0.00 2063.63 205.51 1821.69 2023.17 0.00 2023.17 201.48
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 915.85 1025.55 0.00 1025.55 109.70 897.89 1005.44 0.00 1005.44 107.55
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2747.51 3076.63 0.00 3076.63 329.12 2693.64 3016.30 0.00 3016.30 322.66
Florida UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1969.07 2204.91 0.00 2204.91 235.84 1930.46 2161.68 0.00 2161.68 231.22
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Florida UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Georgia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Georgia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Georgia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Georgia Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Georgia Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Georgia Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Georgia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Georgia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Georgia Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Georgia Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Georgia Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Georgia Aetna Open Access - High Self 2U1 1764.22 1818.30 0.00 1818.30 54.08 1729.63 1782.65 0.00 1782.65 53.02
Georgia Aetna Open Access - High Self & Family 2U2 4063.81 4188.40 0.00 4188.40 124.59 3984.13 4106.27 0.00 4106.27 122.14
Georgia Aetna Open Access - High Self Plus One 2U3 4023.57 4146.93 0.00 4146.93 123.36 3944.68 4065.62 0.00 4065.62 120.94
Georgia Humana CoverageFirst and Humana Value Plan - Value Self S94 671.73 722.12 0.00 722.12 50.39 658.56 707.96 0.00 707.96 49.40
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family S95 1511.35 1624.73 0.00 1624.73 113.38 1481.72 1592.87 0.00 1592.87 111.15
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One S96 1444.19 1552.52 0.00 1552.52 108.33 1415.87 1522.08 0.00 1522.08 106.21
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self S91 843.64 852.09 0.00 852.09 8.45 827.10 835.38 0.00 835.38 8.28
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family S92 1898.21 1917.20 0.00 1917.20 18.99 1860.99 1879.61 0.00 1879.61 18.62
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One S93 1813.86 1831.98 0.00 1831.98 18.12 1778.29 1796.06 0.00 1796.06 17.77
Georgia Humana CoverageFirst and Humana Value Plan - Value Self AD4 842.56 893.13 0.00 893.13 50.57 826.04 875.62 0.00 875.62 49.58
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family AD5 1895.67 2009.44 0.00 2009.44 113.77 1858.50 1970.04 0.00 1970.04 111.54
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One AD6 1811.45 1920.14 0.00 1920.14 108.69 1775.93 1882.49 0.00 1882.49 106.56
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self AD1 1189.84 1273.13 0.00 1273.13 83.29 1166.51 1248.17 0.00 1248.17 81.66
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family AD2 2677.10 2864.52 0.00 2864.52 187.42 2624.61 2808.35 0.00 2808.35 183.74
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One AD3 2558.14 2737.20 0.00 2737.20 179.06 2507.98 2683.53 0.00 2683.53 175.55
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self LM1 800.20 856.07 0.00 856.07 55.87 784.51 839.28 0.00 839.28 54.77
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self & Family LM2 1800.44 1926.17 0.00 1926.17 125.73 1765.14 1888.40 0.00 1888.40 123.26
Georgia Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One LM3 1720.42 1840.56 0.00 1840.56 120.14 1686.69 1804.47 0.00 1804.47 117.78
Georgia Humana CoverageFirst and Humana Value Plan - Value Self LM4 756.97 801.94 0.00 801.94 44.97 742.13 786.22 0.00 786.22 44.09
Georgia Humana CoverageFirst and Humana Value Plan - Value Self & Family LM5 1703.21 1804.38 0.00 1804.38 101.17 1669.81 1769.00 0.00 1769.00 99.19
Georgia Humana CoverageFirst and Humana Value Plan - Value Self Plus One LM6 1627.51 1724.22 0.00 1724.22 96.71 1595.60 1690.41 0.00 1690.41 94.81
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RM1 807.71 910.19 0.00 910.19 102.48 791.87 892.34 0.00 892.34 100.47
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RM2 1817.35 2047.95 0.00 2047.95 230.60 1781.72 2007.79 0.00 2007.79 226.07
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RM3 1736.57 1956.93 0.00 1956.93 220.36 1702.52 1918.56 0.00 1918.56 216.04
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DN4 891.64 1006.04 0.00 1006.04 114.40 874.16 986.31 0.00 986.31 112.15
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DN5 2006.11 2263.48 0.00 2263.48 257.37 1966.77 2219.10 0.00 2219.10 252.33
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DN6 1916.98 2162.91 0.00 2162.91 245.93 1879.39 2120.50 0.00 2120.50 241.11
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self RJ1 717.41 812.35 0.00 812.35 94.94 703.34 796.42 0.00 796.42 93.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family RJ2 1614.18 1827.83 0.00 1827.83 213.65 1582.53 1791.99 0.00 1791.99 209.46
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One RJ3 1542.42 1746.59 0.00 1746.59 204.17 1512.18 1712.34 0.00 1712.34 200.16
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Q71 889.55 1064.58 0.00 1064.58 175.03 872.11 1043.71 0.00 1043.71 171.60
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self & Family Q72 2001.51 2395.31 0.00 2395.31 393.80 1962.26 2348.34 0.00 2348.34 386.08
Georgia Humana Employers Health Plan of Georgia, Inc. - Basic Self Plus One Q73 1912.53 2288.81 0.00 2288.81 376.28 1875.03 2243.93 0.00 2243.93 368.90
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self CB4 1276.71 1404.39 0.00 1404.39 127.68 1251.68 1376.85 0.00 1376.85 125.17
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family CB5 2872.63 3159.86 0.00 3159.86 287.23 2816.30 3097.90 0.00 3097.90 281.60
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One CB6 2744.95 3019.43 0.00 3019.43 274.48 2691.13 2960.23 0.00 2960.23 269.10
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self DG4 1459.47 1525.12 0.00 1525.12 65.65 1430.85 1495.22 0.00 1495.22 64.37
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self & Family DG5 3283.82 3431.58 0.00 3431.58 147.76 3219.43 3364.29 0.00 3364.29 144.86
Georgia Humana Employers Health Plan of Georgia, Inc. - Standard Self Plus One DG6 3137.94 3279.16 0.00 3279.16 141.22 3076.41 3214.86 0.00 3214.86 138.45
Georgia Humana HDHP - HDHP Self AZ1 481.85 496.30 0.00 496.30 14.45 472.40 486.57 0.00 486.57 14.17
Georgia Humana HDHP - HDHP Self & Family AZ2 1200.60 1236.63 0.00 1236.63 36.03 1177.06 1212.38 0.00 1212.38 35.32
Georgia Humana HDHP - HDHP Self Plus One AZ3 1056.86 1088.55 0.00 1088.55 31.69 1036.14 1067.21 0.00 1067.21 31.07
Georgia Humana HDHP - HDHP Self B21 496.76 511.64 0.00 511.64 14.88 487.02 501.61 0.00 501.61 14.59
Georgia Humana HDHP - HDHP Self & Family B22 1237.89 1275.04 0.00 1275.04 37.15 1213.62 1250.04 0.00 1250.04 36.42
Georgia Humana HDHP - HDHP Self Plus One B23 1089.67 1122.35 0.00 1122.35 32.68 1068.30 1100.34 0.00 1100.34 32.04
Georgia Humana HDHP - HDHP Self AR1 487.00 501.61 0.00 501.61 14.61 477.45 491.77 0.00 491.77 14.32
Georgia Humana HDHP - HDHP Self & Family AR2 1213.51 1249.91 0.00 1249.91 36.40 1189.72 1225.40 0.00 1225.40 35.68
Georgia Humana HDHP - HDHP Self Plus One AR3 1068.21 1100.25 0.00 1100.25 32.04 1047.26 1078.68 0.00 1078.68 31.42
Georgia Kaiser Permanente - Georgia - High Self F81 785.10 823.80 0.00 823.80 38.70 769.71 807.65 0.00 807.65 37.94
Georgia Kaiser Permanente - Georgia - High Self & Family F82 1774.36 1861.78 0.00 1861.78 87.42 1739.57 1825.27 0.00 1825.27 85.70
Georgia Kaiser Permanente - Georgia - High Self Plus One F83 1774.36 1861.78 0.00 1861.78 87.42 1739.57 1825.27 0.00 1825.27 85.70
Georgia Kaiser Permanente - Georgia - Standard Self F84 612.72 644.72 0.00 644.72 32.00 600.71 632.08 0.00 632.08 31.37
Georgia Kaiser Permanente - Georgia - Standard Self & Family F85 1384.74 1457.10 0.00 1457.10 72.36 1357.59 1428.53 0.00 1428.53 70.94
Georgia Kaiser Permanente - Georgia - Standard Self Plus One F86 1384.74 1457.10 0.00 1457.10 72.36 1357.59 1428.53 0.00 1428.53 70.94
Georgia Kaiser Permanente - Georgia - Prosper Self LA1 406.62 443.17 0.00 443.17 36.55 398.65 434.48 0.00 434.48 35.83
Georgia Kaiser Permanente - Georgia - Prosper Self & Family LA2 1055.67 1150.66 0.00 1150.66 94.99 1034.97 1128.10 0.00 1128.10 93.13
Georgia Kaiser Permanente - Georgia - Prosper Self Plus One LA3 918.94 1001.62 0.00 1001.62 82.68 900.92 981.98 0.00 981.98 81.06
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Georgia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self LV1 915.85 1025.55 0.00 1025.55 109.70 897.89 1005.44 0.00 1005.44 107.55
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family LV2 2747.51 3076.63 0.00 3076.63 329.12 2693.64 3016.30 0.00 3016.30 322.66
Georgia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One LV3 1969.07 2204.91 0.00 2204.91 235.84 1930.46 2161.68 0.00 2161.68 231.22
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Georgia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Guam Calvo's SelectCare - Standard Self B44 386.49 412.72 0.00 412.72 26.23 378.91 404.63 0.00 404.63 25.72
Guam Calvo's SelectCare - Standard Self & Family B45 1122.93 1199.17 0.00 1199.17 76.24 1100.91 1175.66 0.00 1175.66 74.75
Guam Calvo's SelectCare - Standard Self Plus One B46 761.86 813.59 0.00 813.59 51.73 746.92 797.64 0.00 797.64 50.72
Guam Calvo's SelectCare - High Self B41 546.67 562.51 0.00 562.51 15.84 535.95 551.48 0.00 551.48 15.53
Guam Calvo's SelectCare - High Self & Family B42 1447.93 1489.91 0.00 1489.91 41.98 1419.54 1460.70 0.00 1460.70 41.16
Guam Calvo's SelectCare - High Self Plus One B43 1066.81 1097.80 0.00 1097.80 30.99 1045.89 1076.27 0.00 1076.27 30.38
Guam TakeCare - HDHP Self KX1 124.76 122.35 0.00 122.35 -2.41 122.31 119.95 0.00 119.95 -2.36
Guam TakeCare - HDHP Self & Family KX2 334.53 327.96 0.00 327.96 -6.57 327.97 321.53 0.00 321.53 -6.44
Guam TakeCare - HDHP Self Plus One KX3 301.13 295.30 0.00 295.30 -5.83 295.23 289.51 0.00 289.51 -5.72
Guam TakeCare - Standard Self JK4 413.89 450.09 0.00 450.09 36.20 405.77 441.26 0.00 441.26 35.49
Guam TakeCare - Standard Self & Family JK5 1172.16 1274.68 0.00 1274.68 102.52 1149.18 1249.69 0.00 1249.69 100.51
Guam TakeCare - Standard Self Plus One JK6 815.78 887.13 0.00 887.13 71.35 799.78 869.74 0.00 869.74 69.96
Guam TakeCare - High Self JK1 526.18 576.09 0.00 576.09 49.91 515.86 564.79 0.00 564.79 48.93
Guam TakeCare - High Self & Family JK2 1255.04 1374.02 0.00 1374.02 118.98 1230.43 1347.08 0.00 1347.08 116.65
Guam TakeCare - High Self Plus One JK3 1039.54 1138.11 0.00 1138.11 98.57 1019.16 1115.79 0.00 1115.79 96.63
Hawaii Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Hawaii Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Hawaii Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Hawaii Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Hawaii Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Hawaii Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
Hawaii Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
Hawaii Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Hawaii Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Hawaii Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Hawaii HMSA Plan - High Self 871 643.86 643.86 0.00 643.86 0.00 631.24 631.24 0.00 631.24 0.00
Hawaii HMSA Plan - High Self & Family 872 1447.40 1447.40 0.00 1447.40 0.00 1419.02 1419.02 0.00 1419.02 0.00
Hawaii HMSA Plan - High Self Plus One 873 1410.73 1410.73 0.00 1410.73 0.00 1383.07 1383.07 0.00 1383.07 0.00
Hawaii HMSA Plan - Standard Self 874 462.91 462.91 0.00 462.91 0.00 453.83 453.83 0.00 453.83 0.00
Hawaii HMSA Plan - Standard Self & Family 875 1040.58 1040.58 0.00 1040.58 0.00 1020.18 1020.18 0.00 1020.18 0.00
Hawaii HMSA Plan - Standard Self Plus One 876 1014.17 1014.17 0.00 1014.17 0.00 994.28 994.28 0.00 994.28 0.00
Hawaii Kaiser Permanente - Hawaii - High Self 631 689.06 708.71 0.00 708.71 19.65 675.55 694.81 0.00 694.81 19.26
Hawaii Kaiser Permanente - Hawaii - High Self & Family 632 1536.64 1580.46 0.00 1580.46 43.82 1506.51 1549.47 0.00 1549.47 42.96
Hawaii Kaiser Permanente - Hawaii - High Self Plus One 633 1536.64 1580.46 0.00 1580.46 43.82 1506.51 1549.47 0.00 1549.47 42.96
Hawaii Kaiser Permanente - Hawaii - Standard Self 634 495.09 495.09 0.00 495.09 0.00 485.38 485.38 0.00 485.38 0.00
Hawaii Kaiser Permanente - Hawaii - Standard Self & Family 635 1104.03 1104.03 0.00 1104.03 0.00 1082.38 1082.38 0.00 1082.38 0.00
Hawaii Kaiser Permanente - Hawaii - Standard Self Plus One 636 1104.03 1104.03 0.00 1104.03 0.00 1082.38 1082.38 0.00 1082.38 0.00
Idaho Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Idaho Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Idaho Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Idaho Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Idaho Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Idaho Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Idaho Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Idaho Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Idaho Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Idaho Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Idaho Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Idaho Altius Health Plan - High Self 9K1 1173.87 1239.01 0.00 1239.01 65.14 1150.85 1214.72 0.00 1214.72 63.87
Idaho Altius Health Plan - High Self & Family 9K2 2596.00 2740.12 0.00 2740.12 144.12 2545.10 2686.39 0.00 2686.39 141.29
Idaho Altius Health Plan - High Self Plus One 9K3 2570.32 2713.02 0.00 2713.02 142.70 2519.92 2659.82 0.00 2659.82 139.90
Idaho Altius Health Plan - HDHP Self 9K4 774.40 810.79 0.00 810.79 36.39 759.22 794.89 0.00 794.89 35.67
Idaho Altius Health Plan - HDHP Self & Family 9K5 1618.45 1694.48 0.00 1694.48 76.03 1586.72 1661.25 0.00 1661.25 74.53
Idaho Altius Health Plan - HDHP Self Plus One 9K6 1586.67 1661.19 0.00 1661.19 74.52 1555.56 1628.62 0.00 1628.62 73.06
Idaho Altius Health Plan - Standard Self DK4 961.39 1013.22 0.00 1013.22 51.83 942.54 993.35 0.00 993.35 50.81
Idaho Altius Health Plan - Standard Self & Family DK5 2123.06 2237.56 0.00 2237.56 114.50 2081.43 2193.69 0.00 2193.69 112.26
Idaho Altius Health Plan - Standard Self Plus One DK6 2102.02 2215.39 0.00 2215.39 113.37 2060.80 2171.95 0.00 2171.95 111.15
Idaho Kaiser Permanente - Washington Core - Standard Self 544 637.71 653.68 0.00 653.68 15.97 625.21 640.86 0.00 640.86 15.65
Idaho Kaiser Permanente - Washington Core - Standard Self & Family 545 1466.76 1503.42 0.00 1503.42 36.66 1438.00 1473.94 0.00 1473.94 35.94
Idaho Kaiser Permanente - Washington Core - Standard Self Plus One 546 1466.76 1503.42 0.00 1503.42 36.66 1438.00 1473.94 0.00 1473.94 35.94
Idaho Kaiser Permanente - Washington Core - High Self 541 886.92 920.85 0.00 920.85 33.93 869.53 902.79 0.00 902.79 33.26
Idaho Kaiser Permanente - Washington Core - High Self & Family 542 1951.19 2025.84 0.00 2025.84 74.65 1912.93 1986.12 0.00 1986.12 73.19
Idaho Kaiser Permanente - Washington Core - High Self Plus One 543 1951.19 2025.84 0.00 2025.84 74.65 1912.93 1986.12 0.00 1986.12 73.19
Idaho Kaiser Permanente - Washington Core - Prosper Self PT4 397.80 397.80 0.00 397.80 0.00 390.00 390.00 0.00 390.00 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self & Family PT5 1113.82 1113.82 0.00 1113.82 0.00 1091.98 1091.98 0.00 1091.98 0.00
Idaho Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 963.56 963.56 0.00 963.56 0.00 944.67 944.67 0.00 944.67 0.00
Illinois Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Illinois Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Illinois Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Illinois Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Illinois Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Illinois Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Illinois Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Illinois Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Illinois Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Illinois Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Illinois Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Illinois Health Alliance HMO - Standard Self K84 718.16 804.35 0.00 804.35 86.19 704.08 788.58 0.00 788.58 84.50
Illinois Health Alliance HMO - Standard Self & Family K85 1664.53 1885.95 0.00 1885.95 221.42 1631.89 1848.97 0.00 1848.97 217.08
Illinois Health Alliance HMO - Standard Self Plus One K86 1535.55 1723.34 0.00 1723.34 187.79 1505.44 1689.55 0.00 1689.55 184.11
Illinois Humana CoverageFirst and Humana Value Plan - Value Self GB4 844.47 852.88 0.00 852.88 8.41 827.91 836.16 0.00 836.16 8.25
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family GB5 1899.96 1918.95 0.00 1918.95 18.99 1862.71 1881.32 0.00 1881.32 18.61
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One GB6 1815.52 1833.61 0.00 1833.61 18.09 1779.92 1797.66 0.00 1797.66 17.74
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self GB1 1346.23 1359.68 0.00 1359.68 13.45 1319.83 1333.02 0.00 1333.02 13.19
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family GB2 3028.94 3059.21 0.00 3059.21 30.27 2969.55 2999.23 0.00 2999.23 29.68
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One GB3 2894.37 2923.32 0.00 2923.32 28.95 2837.62 2866.00 0.00 2866.00 28.38
Illinois Humana CoverageFirst and Humana Value Plan - Value Self MW4 815.69 832.00 0.00 832.00 16.31 799.70 815.69 0.00 815.69 15.99
Illinois Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1835.26 1871.99 0.00 1871.99 36.73 1799.27 1835.28 0.00 1835.28 36.01
Illinois Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1753.71 1788.81 0.00 1788.81 35.10 1719.32 1753.74 0.00 1753.74 34.42
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 1077.89 1119.45 0.00 1119.45 41.56 1056.75 1097.50 0.00 1097.50 40.75
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 2425.37 2518.94 0.00 2518.94 93.57 2377.81 2469.55 0.00 2469.55 91.74
Illinois Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 2317.52 2406.93 0.00 2406.93 89.41 2272.08 2359.74 0.00 2359.74 87.66
Illinois Humana HDHP - HDHP Self BB1 454.20 467.83 0.00 467.83 13.63 445.29 458.66 0.00 458.66 13.37
Illinois Humana HDHP - HDHP Self & Family BB2 1131.52 1165.46 0.00 1165.46 33.94 1109.33 1142.61 0.00 1142.61 33.28
Illinois Humana HDHP - HDHP Self Plus One BB3 996.05 1025.93 0.00 1025.93 29.88 976.52 1005.81 0.00 1005.81 29.29
Illinois Humana HDHP - HDHP Self AW1 429.11 441.98 0.00 441.98 12.87 420.70 433.31 0.00 433.31 12.61
Illinois Humana HDHP - HDHP Self & Family AW2 1068.78 1100.85 0.00 1100.85 32.07 1047.82 1079.26 0.00 1079.26 31.44
Illinois Humana HDHP - HDHP Self Plus One AW3 940.84 969.08 0.00 969.08 28.24 922.39 950.08 0.00 950.08 27.69
Illinois Humana Health Plan, Inc. - Standard Self 754 1076.92 1183.63 0.00 1183.63 106.71 1055.80 1160.42 0.00 1160.42 104.62
Illinois Humana Health Plan, Inc. - Standard Self & Family 755 2423.07 2663.21 0.00 2663.21 240.14 2375.56 2610.99 0.00 2610.99 235.43
Illinois Humana Health Plan, Inc. - Standard Self Plus One 756 2315.40 2544.84 0.00 2544.84 229.44 2270.00 2494.94 0.00 2494.94 224.94
Illinois Humana Health Plan, Inc. - High Self 751 1431.30 1474.25 0.00 1474.25 42.95 1403.24 1445.34 0.00 1445.34 42.10
Illinois Humana Health Plan, Inc. - High Self & Family 752 3220.44 3317.03 0.00 3317.03 96.59 3157.29 3251.99 0.00 3251.99 94.70
Illinois Humana Health Plan, Inc. - High Self Plus One 753 3077.32 3169.61 0.00 3169.61 92.29 3016.98 3107.46 0.00 3107.46 90.48
Illinois Humana Health Plan, Inc. - High Self 9F1 2158.97 2745.57 0.00 2745.57 586.60 2116.64 2691.74 0.00 2691.74 575.10
Illinois Humana Health Plan, Inc. - High Self & Family 9F2 4857.69 6177.53 0.00 6177.53 1319.84 4762.44 6056.40 0.00 6056.40 1293.96
Illinois Humana Health Plan, Inc. - High Self Plus One 9F3 4641.75 5902.91 0.00 5902.91 1261.16 4550.74 5787.17 0.00 5787.17 1236.43
Illinois Humana Health Plan, Inc. - Standard Self AB4 1476.41 1545.06 0.00 1545.06 68.65 1447.46 1514.76 0.00 1514.76 67.30
Illinois Humana Health Plan, Inc. - Standard Self & Family AB5 3321.99 3476.45 0.00 3476.45 154.46 3256.85 3408.28 0.00 3408.28 151.43
Illinois Humana Health Plan, Inc. - Standard Self Plus One AB6 3174.35 3321.94 0.00 3321.94 147.59 3112.11 3256.80 0.00 3256.80 144.69
Illinois Humana Health Plan, Inc. - Basic Self AB1 862.85 967.47 0.00 967.47 104.62 845.93 948.50 0.00 948.50 102.57
Illinois Humana Health Plan, Inc. - Basic Self & Family AB2 1941.47 2176.85 0.00 2176.85 235.38 1903.40 2134.17 0.00 2134.17 230.77
Illinois Humana Health Plan, Inc. - Basic Self Plus One AB3 1855.19 2080.12 0.00 2080.12 224.93 1818.81 2039.33 0.00 2039.33 220.52
Illinois Humana Health Plan, Inc. - Basic Self RW1 856.29 953.49 0.00 953.49 97.20 839.50 934.79 0.00 934.79 95.29
Illinois Humana Health Plan, Inc. - Basic Self & Family RW2 1926.66 2145.34 0.00 2145.34 218.68 1888.88 2103.27 0.00 2103.27 214.39
Illinois Humana Health Plan, Inc. - Basic Self Plus One RW3 1841.02 2049.98 0.00 2049.98 208.96 1804.92 2009.78 0.00 2009.78 204.86
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Illinois UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 677.04 710.94 0.00 710.94 33.90 663.76 697.00 0.00 697.00 33.24
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1618.14 1706.26 0.00 1706.26 88.12 1586.41 1672.80 0.00 1672.80 86.39
Illinois UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1354.09 1510.78 0.00 1510.78 156.69 1327.54 1481.16 0.00 1481.16 153.62
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Illinois UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Indiana Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Indiana Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Indiana Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Indiana Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Indiana Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Indiana Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
Indiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
Indiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
Indiana Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Indiana Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Indiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Indiana Health Alliance HMO - Standard Self K84 718.16 804.35 0.00 804.35 86.19 704.08 788.58 0.00 788.58 84.50
Indiana Health Alliance HMO - Standard Self & Family K85 1664.53 1885.95 0.00 1885.95 221.42 1631.89 1848.97 0.00 1848.97 217.08
Indiana Health Alliance HMO - Standard Self Plus One K86 1535.55 1723.34 0.00 1723.34 187.79 1505.44 1689.55 0.00 1689.55 184.11
Indiana Humana CoverageFirst and Humana Value Plan - Value Self MW4 815.69 832.00 0.00 832.00 16.31 799.70 815.69 0.00 815.69 15.99
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family MW5 1835.26 1871.99 0.00 1871.99 36.73 1799.27 1835.28 0.00 1835.28 36.01
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One MW6 1753.71 1788.81 0.00 1788.81 35.10 1719.32 1753.74 0.00 1753.74 34.42
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self MW1 1077.89 1119.45 0.00 1119.45 41.56 1056.75 1097.50 0.00 1097.50 40.75
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family MW2 2425.37 2518.94 0.00 2518.94 93.57 2377.81 2469.55 0.00 2469.55 91.74
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One MW3 2317.52 2406.93 0.00 2406.93 89.41 2272.08 2359.74 0.00 2359.74 87.66
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self TC1 772.20 822.39 0.00 822.39 50.19 757.06 806.26 0.00 806.26 49.20
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TC2 1737.40 1850.30 0.00 1850.30 112.90 1703.33 1814.02 0.00 1814.02 110.69
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TC3 1660.19 1768.11 0.00 1768.11 107.92 1627.64 1733.44 0.00 1733.44 105.80
Indiana Humana CoverageFirst and Humana Value Plan - Value Self TC4 591.33 638.62 0.00 638.62 47.29 579.74 626.10 0.00 626.10 46.36
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family TC5 1330.51 1436.95 0.00 1436.95 106.44 1304.42 1408.77 0.00 1408.77 104.35
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One TC6 1271.37 1373.07 0.00 1373.07 101.70 1246.44 1346.15 0.00 1346.15 99.71
Indiana Humana CoverageFirst and Humana Value Plan - Value Self X34 708.22 747.16 0.00 747.16 38.94 694.33 732.51 0.00 732.51 38.18
Indiana Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1593.47 1681.12 0.00 1681.12 87.65 1562.23 1648.16 0.00 1648.16 85.93
Indiana Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1522.67 1606.43 0.00 1606.43 83.76 1492.81 1574.93 0.00 1574.93 82.12
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self X31 920.42 971.05 0.00 971.05 50.63 902.37 952.01 0.00 952.01 49.64
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 2070.95 2184.85 0.00 2184.85 113.90 2030.34 2142.01 0.00 2142.01 111.67
Indiana Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1978.92 2087.77 0.00 2087.77 108.85 1940.12 2046.83 0.00 2046.83 106.71
Indiana Humana HDHP - HDHP Self BB1 454.20 467.83 0.00 467.83 13.63 445.29 458.66 0.00 458.66 13.37
Indiana Humana HDHP - HDHP Self & Family BB2 1131.52 1165.46 0.00 1165.46 33.94 1109.33 1142.61 0.00 1142.61 33.28
Indiana Humana HDHP - HDHP Self Plus One BB3 996.05 1025.93 0.00 1025.93 29.88 976.52 1005.81 0.00 1005.81 29.29
Indiana Humana HDHP - HDHP Self DT1 505.64 520.81 0.00 520.81 15.17 495.73 510.60 0.00 510.60 14.87
Indiana Humana HDHP - HDHP Self & Family DT2 1260.12 1297.93 0.00 1297.93 37.81 1235.41 1272.48 0.00 1272.48 37.07
Indiana Humana HDHP - HDHP Self Plus One DT3 1109.22 1142.50 0.00 1142.50 33.28 1087.47 1120.10 0.00 1120.10 32.63
Indiana Humana HDHP - HDHP Self FZ1 New Plan 421.95 0.00 421.95 New Plan New Plan 413.68 0.00 413.68 New Plan
Indiana Humana HDHP - HDHP Self & Family FZ2 New Plan 1050.76 0.00 1050.76 New Plan New Plan 1030.16 0.00 1030.16 New Plan
Indiana Humana HDHP - HDHP Self Plus One FZ3 New Plan 925.00 0.00 925.00 New Plan New Plan 906.86 0.00 906.86 New Plan
Indiana Humana Health Plan of Ohio, Inc. - Standard Self A64 1267.94 1330.55 0.00 1330.55 62.61 1243.08 1304.46 0.00 1304.46 61.38
Indiana Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2852.89 2993.75 0.00 2993.75 140.86 2796.95 2935.05 0.00 2935.05 138.10
Indiana Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2726.08 2860.71 0.00 2860.71 134.63 2672.63 2804.62 0.00 2804.62 131.99
Indiana Humana Health Plan, Inc. - Standard Self 754 1076.92 1183.63 0.00 1183.63 106.71 1055.80 1160.42 0.00 1160.42 104.62
Indiana Humana Health Plan, Inc. - Standard Self & Family 755 2423.07 2663.21 0.00 2663.21 240.14 2375.56 2610.99 0.00 2610.99 235.43
Indiana Humana Health Plan, Inc. - Standard Self Plus One 756 2315.40 2544.84 0.00 2544.84 229.44 2270.00 2494.94 0.00 2494.94 224.94
Indiana Humana Health Plan, Inc. - High Self 751 1431.30 1474.25 0.00 1474.25 42.95 1403.24 1445.34 0.00 1445.34 42.10
Indiana Humana Health Plan, Inc. - High Self & Family 752 3220.44 3317.03 0.00 3317.03 96.59 3157.29 3251.99 0.00 3251.99 94.70
Indiana Humana Health Plan, Inc. - High Self Plus One 753 3077.32 3169.61 0.00 3169.61 92.29 3016.98 3107.46 0.00 3107.46 90.48
Indiana Humana Health Plan, Inc. - Standard Self MH4 1012.76 1120.69 0.00 1120.69 107.93 992.90 1098.72 0.00 1098.72 105.82
Indiana Humana Health Plan, Inc. - Standard Self & Family MH5 2278.64 2521.54 0.00 2521.54 242.90 2233.96 2472.10 0.00 2472.10 238.14
Indiana Humana Health Plan, Inc. - Standard Self Plus One MH6 2177.36 2409.45 0.00 2409.45 232.09 2134.67 2362.21 0.00 2362.21 227.54
Indiana Indiana University Health Plans Select - High Self FS1 New Plan 618.35 0.00 618.35 New Plan New Plan 606.23 0.00 606.23 New Plan
Indiana Indiana University Health Plans Select - High Self & Family FS2 New Plan 1731.40 0.00 1731.40 New Plan New Plan 1697.45 0.00 1697.45 New Plan
Indiana Indiana University Health Plans Select - High Self Plus One FS3 New Plan 1360.41 0.00 1360.41 New Plan New Plan 1333.74 0.00 1333.74 New Plan
Iowa Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Iowa Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Iowa Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Iowa Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Iowa Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Iowa Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Iowa Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Iowa Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Iowa Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Iowa Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Iowa Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Iowa Health Alliance HMO - Standard Self K84 718.16 804.35 0.00 804.35 86.19 704.08 788.58 0.00 788.58 84.50
Iowa Health Alliance HMO - Standard Self & Family K85 1664.53 1885.95 0.00 1885.95 221.42 1631.89 1848.97 0.00 1848.97 217.08
Iowa Health Alliance HMO - Standard Self Plus One K86 1535.55 1723.34 0.00 1723.34 187.79 1505.44 1689.55 0.00 1689.55 184.11
Iowa HealthPartners - Standard Self V34 564.35 564.35 0.00 564.35 0.00 553.28 553.28 0.00 553.28 0.00
Iowa HealthPartners - Standard Self & Family V35 1374.80 1374.80 0.00 1374.80 0.00 1347.84 1347.84 0.00 1347.84 0.00
Iowa HealthPartners - Standard Self Plus One V36 1247.24 1247.24 0.00 1247.24 0.00 1222.78 1222.78 0.00 1222.78 0.00
Iowa HealthPartners - High Self V31 705.98 751.91 0.00 751.91 45.93 692.14 737.17 0.00 737.17 45.03
Iowa HealthPartners - High Self & Family V32 1719.73 1831.64 0.00 1831.64 111.91 1686.01 1795.73 0.00 1795.73 109.72
Iowa HealthPartners - High Self Plus One V33 1560.17 1661.70 0.00 1661.70 101.53 1529.58 1629.12 0.00 1629.12 99.54
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Iowa UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 759.44 773.00 0.00 773.00 13.56 744.55 757.84 0.00 757.84 13.29
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1746.70 1777.92 0.00 1777.92 31.22 1712.45 1743.06 0.00 1743.06 30.61
Iowa UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1632.78 1661.99 0.00 1661.99 29.21 1600.76 1629.40 0.00 1629.40 28.64
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 891.43 994.97 0.00 994.97 103.54 873.95 975.46 0.00 975.46 101.51
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 2228.63 2487.40 0.00 2487.40 258.77 2184.93 2438.63 0.00 2438.63 253.70
Iowa UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1916.62 2139.14 0.00 2139.14 222.52 1879.04 2097.20 0.00 2097.20 218.16
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Iowa UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Kansas Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Kansas Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Kansas Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Kansas Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Kansas Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Kansas Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Kansas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Kansas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Kansas Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Kansas Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Kansas Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Kansas Aetna Open Access - Standard Self HA4 927.56 912.91 0.00 912.91 -14.65 909.37 895.01 0.00 895.01 -14.36
Kansas Aetna Open Access - Standard Self & Family HA5 2189.40 2154.79 0.00 2154.79 -34.61 2146.47 2112.54 0.00 2112.54 -33.93
Kansas Aetna Open Access - Standard Self Plus One HA6 2167.77 2133.47 0.00 2133.47 -34.30 2125.26 2091.64 0.00 2091.64 -33.62
Kansas Aetna Open Access - High Self HA1 1212.76 1220.85 0.00 1220.85 8.09 1188.98 1196.91 0.00 1196.91 7.93
Kansas Aetna Open Access - High Self & Family HA2 2864.71 2883.86 0.00 2883.86 19.15 2808.54 2827.31 0.00 2827.31 18.77
Kansas Aetna Open Access - High Self Plus One HA3 2836.39 2855.32 0.00 2855.32 18.93 2780.77 2799.33 0.00 2799.33 18.56
Kansas Humana CoverageFirst and Humana Value Plan - Value Self PH4 578.51 599.33 0.00 599.33 20.82 567.17 587.58 0.00 587.58 20.41
Kansas Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 1301.67 1348.54 0.00 1348.54 46.87 1276.15 1322.10 0.00 1322.10 45.95
Kansas Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 1243.83 1288.63 0.00 1288.63 44.80 1219.44 1263.36 0.00 1263.36 43.92
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 773.19 765.21 0.00 765.21 -7.98 758.03 750.21 0.00 750.21 -7.82
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1739.71 1721.72 0.00 1721.72 -17.99 1705.60 1687.96 0.00 1687.96 -17.64
Kansas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1662.39 1645.21 0.00 1645.21 -17.18 1629.79 1612.95 0.00 1612.95 -16.84
Kansas Humana HDHP - HDHP Self BK1 411.19 423.52 0.00 423.52 12.33 403.13 415.22 0.00 415.22 12.09
Kansas Humana HDHP - HDHP Self & Family BK2 1024.01 1054.74 0.00 1054.74 30.73 1003.93 1034.06 0.00 1034.06 30.13
Kansas Humana HDHP - HDHP Self Plus One BK3 901.46 928.51 0.00 928.51 27.05 883.78 910.30 0.00 910.30 26.52
Kansas Humana Health Plan, Inc. - Standard Self MS4 1316.45 1390.01 0.00 1390.01 73.56 1290.64 1362.75 0.00 1362.75 72.11
Kansas Humana Health Plan, Inc. - Standard Self & Family MS5 2962.06 3127.52 0.00 3127.52 165.46 2903.98 3066.20 0.00 3066.20 162.22
Kansas Humana Health Plan, Inc. - Standard Self Plus One MS6 2830.44 2988.56 0.00 2988.56 158.12 2774.94 2929.96 0.00 2929.96 155.02
Kentucky Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Kentucky Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Kentucky Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Kentucky Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Kentucky Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Kentucky Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Kentucky Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Kentucky Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Kentucky Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Kentucky Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self TC1 772.20 822.39 0.00 822.39 50.19 757.06 806.26 0.00 806.26 49.20
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TC2 1737.40 1850.30 0.00 1850.30 112.90 1703.33 1814.02 0.00 1814.02 110.69
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TC3 1660.19 1768.11 0.00 1768.11 107.92 1627.64 1733.44 0.00 1733.44 105.80
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self TC4 591.33 638.62 0.00 638.62 47.29 579.74 626.10 0.00 626.10 46.36
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family TC5 1330.51 1436.95 0.00 1436.95 106.44 1304.42 1408.77 0.00 1408.77 104.35
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One TC6 1271.37 1373.07 0.00 1373.07 101.70 1246.44 1346.15 0.00 1346.15 99.71
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self 6N1 865.73 918.08 0.00 918.08 52.35 848.75 900.08 0.00 900.08 51.33
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family 6N2 1947.87 2065.66 0.00 2065.66 117.79 1909.68 2025.16 0.00 2025.16 115.48
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One 6N3 1861.31 1973.84 0.00 1973.84 112.53 1824.81 1935.14 0.00 1935.14 110.33
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self 6N4 646.50 691.75 0.00 691.75 45.25 633.82 678.19 0.00 678.19 44.37
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family 6N5 1454.58 1556.42 0.00 1556.42 101.84 1426.06 1525.90 0.00 1525.90 99.84
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One 6N6 1389.95 1487.24 0.00 1487.24 97.29 1362.70 1458.08 0.00 1458.08 95.38
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self X34 708.22 747.16 0.00 747.16 38.94 694.33 732.51 0.00 732.51 38.18
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1593.47 1681.12 0.00 1681.12 87.65 1562.23 1648.16 0.00 1648.16 85.93
Kentucky Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1522.67 1606.43 0.00 1606.43 83.76 1492.81 1574.93 0.00 1574.93 82.12
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self X31 920.42 971.05 0.00 971.05 50.63 902.37 952.01 0.00 952.01 49.64
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 2070.95 2184.85 0.00 2184.85 113.90 2030.34 2142.01 0.00 2142.01 111.67
Kentucky Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1978.92 2087.77 0.00 2087.77 108.85 1940.12 2046.83 0.00 2046.83 106.71
Kentucky Humana HDHP - HDHP Self DT1 505.64 520.81 0.00 520.81 15.17 495.73 510.60 0.00 510.60 14.87
Kentucky Humana HDHP - HDHP Self & Family DT2 1260.12 1297.93 0.00 1297.93 37.81 1235.41 1272.48 0.00 1272.48 37.07
Kentucky Humana HDHP - HDHP Self Plus One DT3 1109.22 1142.50 0.00 1142.50 33.28 1087.47 1120.10 0.00 1120.10 32.63
Kentucky Humana HDHP - HDHP Self FZ1 New Plan 421.95 0.00 421.95 New Plan New Plan 413.68 0.00 413.68 New Plan
Kentucky Humana HDHP - HDHP Self & Family FZ2 New Plan 1050.76 0.00 1050.76 New Plan New Plan 1030.16 0.00 1030.16 New Plan
Kentucky Humana HDHP - HDHP Self Plus One FZ3 New Plan 925.00 0.00 925.00 New Plan New Plan 906.86 0.00 906.86 New Plan
Kentucky Humana HDHP - HDHP Self FW1 New Plan 421.95 0.00 421.95 New Plan New Plan 413.68 0.00 413.68 New Plan
Kentucky Humana HDHP - HDHP Self & Family FW2 New Plan 1050.76 0.00 1050.76 New Plan New Plan 1030.16 0.00 1030.16 New Plan
Kentucky Humana HDHP - HDHP Self Plus One FW3 New Plan 925.00 0.00 925.00 New Plan New Plan 906.86 0.00 906.86 New Plan
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self A64 1267.94 1330.55 0.00 1330.55 62.61 1243.08 1304.46 0.00 1304.46 61.38
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2852.89 2993.75 0.00 2993.75 140.86 2796.95 2935.05 0.00 2935.05 138.10
Kentucky Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2726.08 2860.71 0.00 2860.71 134.63 2672.63 2804.62 0.00 2804.62 131.99
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self W61 684.44 773.42 0.00 773.42 88.98 671.02 758.25 0.00 758.25 87.23
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1540.02 1740.22 0.00 1740.22 200.20 1509.82 1706.10 0.00 1706.10 196.28
Kentucky Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1471.57 1662.84 0.00 1662.84 191.27 1442.72 1630.24 0.00 1630.24 187.52
Kentucky Humana Health Plan, Inc. - Standard Self MI4 948.18 1061.44 0.00 1061.44 113.26 929.59 1040.63 0.00 1040.63 111.04
Kentucky Humana Health Plan, Inc. - Standard Self & Family MI5 2133.38 2388.24 0.00 2388.24 254.86 2091.55 2341.41 0.00 2341.41 249.86
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MI6 2038.59 2282.16 0.00 2282.16 243.57 1998.62 2237.41 0.00 2237.41 238.79
Kentucky Humana Health Plan, Inc. - Standard Self MH4 1012.76 1120.69 0.00 1120.69 107.93 992.90 1098.72 0.00 1098.72 105.82
Kentucky Humana Health Plan, Inc. - Standard Self & Family MH5 2278.64 2521.54 0.00 2521.54 242.90 2233.96 2472.10 0.00 2472.10 238.14
Kentucky Humana Health Plan, Inc. - Standard Self Plus One MH6 2177.36 2409.45 0.00 2409.45 232.09 2134.67 2362.21 0.00 2362.21 227.54
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Kentucky UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self N71 759.44 773.00 0.00 773.00 13.56 744.55 757.84 0.00 757.84 13.29
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family N72 1746.70 1777.92 0.00 1777.92 31.22 1712.45 1743.06 0.00 1743.06 30.61
Kentucky UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One N73 1632.78 1661.99 0.00 1661.99 29.21 1600.76 1629.40 0.00 1629.40 28.64
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LJ1 891.43 994.97 0.00 994.97 103.54 873.95 975.46 0.00 975.46 101.51
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LJ2 2228.63 2487.40 0.00 2487.40 258.77 2184.93 2438.63 0.00 2438.63 253.70
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LJ3 1916.62 2139.14 0.00 2139.14 222.52 1879.04 2097.20 0.00 2097.20 218.16
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Kentucky UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Louisiana Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Louisiana Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Louisiana Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Louisiana Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Louisiana Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Louisiana Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Louisiana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Louisiana Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Louisiana Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Louisiana Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self BC4 775.29 865.26 0.00 865.26 89.97 760.09 848.29 0.00 848.29 88.20
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family BC5 1744.42 1946.81 0.00 1946.81 202.39 1710.22 1908.64 0.00 1908.64 198.42
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One BC6 1666.87 1860.29 0.00 1860.29 193.42 1634.19 1823.81 0.00 1823.81 189.62
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self BC1 1051.74 1131.65 0.00 1131.65 79.91 1031.12 1109.46 0.00 1109.46 78.34
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family BC2 2366.47 2546.30 0.00 2546.30 179.83 2320.07 2496.37 0.00 2496.37 176.30
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One BC3 2261.30 2433.12 0.00 2433.12 171.82 2216.96 2385.41 0.00 2385.41 168.45
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self AE1 1296.68 1393.91 0.00 1393.91 97.23 1271.25 1366.58 0.00 1366.58 95.33
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self & Family AE2 2917.42 3136.23 0.00 3136.23 218.81 2860.22 3074.74 0.00 3074.74 214.52
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - High Self Plus One AE3 2787.78 2996.87 0.00 2996.87 209.09 2733.12 2938.11 0.00 2938.11 204.99
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self AE4 958.59 998.61 0.00 998.61 40.02 939.79 979.03 0.00 979.03 39.24
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self & Family AE5 2156.87 2246.91 0.00 2246.91 90.04 2114.58 2202.85 0.00 2202.85 88.27
Louisiana Humana Health Benefit Plan of Louisiana, Inc. - Standard Self Plus One AE6 2061.00 2147.06 0.00 2147.06 86.06 2020.59 2104.96 0.00 2104.96 84.37
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Louisiana UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 637.16 672.02 0.00 672.02 34.86 624.67 658.84 0.00 658.84 34.17
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1465.50 1537.32 0.00 1537.32 71.82 1436.76 1507.18 0.00 1507.18 70.42
Louisiana UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1369.93 1444.85 0.00 1444.85 74.92 1343.07 1416.52 0.00 1416.52 73.45
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 864.25 959.80 0.00 959.80 95.55 847.30 940.98 0.00 940.98 93.68
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 2160.60 2399.57 0.00 2399.57 238.97 2118.24 2352.52 0.00 2352.52 234.28
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1858.12 2063.63 0.00 2063.63 205.51 1821.69 2023.17 0.00 2023.17 201.48
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Louisiana UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Maine Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Maine Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Maine Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Maine Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Maine Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Maine Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
Maine Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
Maine Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
Maine Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Maine Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Maine Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Maryland Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Maryland Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Maryland Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Maryland Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Maryland Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Maryland Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Maryland Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Maryland Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Maryland Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Maryland Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Maryland Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Maryland Aetna Open Access - High Self JN1 1276.58 1355.42 0.00 1355.42 78.84 1251.55 1328.84 0.00 1328.84 77.29
Maryland Aetna Open Access - High Self & Family JN2 2869.95 3047.15 0.00 3047.15 177.20 2813.68 2987.40 0.00 2987.40 173.72
Maryland Aetna Open Access - High Self Plus One JN3 2841.51 3016.96 0.00 3016.96 175.45 2785.79 2957.80 0.00 2957.80 172.01
Maryland Aetna Open Access - Basic Self JN4 754.25 786.14 0.00 786.14 31.89 739.46 770.73 0.00 770.73 31.27
Maryland Aetna Open Access - Basic Self & Family JN5 1726.07 1799.10 0.00 1799.10 73.03 1692.23 1763.82 0.00 1763.82 71.59
Maryland Aetna Open Access - Basic Self Plus One JN6 1585.01 1652.06 0.00 1652.06 67.05 1553.93 1619.67 0.00 1619.67 65.74
Maryland Aetna Saver (Open Access) - Saver Self QQ4 607.11 625.83 0.00 625.83 18.72 595.21 613.56 0.00 613.56 18.35
Maryland Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.36 1432.28 0.00 1432.28 42.92 1362.12 1404.20 0.00 1404.20 42.08
Maryland Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1315.24 0.00 1315.24 39.40 1250.82 1289.45 0.00 1289.45 38.63
Maryland CareFirst BlueChoice - Standard Self 2G4 923.69 1043.74 0.00 1043.74 120.05 905.58 1023.27 0.00 1023.27 117.69
Maryland CareFirst BlueChoice - Standard Self & Family 2G5 2194.62 2479.93 0.00 2479.93 285.31 2151.59 2431.30 0.00 2431.30 279.71
Maryland CareFirst BlueChoice - Standard Self Plus One 2G6 1847.34 2087.50 0.00 2087.50 240.16 1811.12 2046.57 0.00 2046.57 235.45
Maryland CareFirst BlueChoice - HDHP Self B61 616.40 705.74 0.00 705.74 89.34 604.31 691.90 0.00 691.90 87.59
Maryland CareFirst BlueChoice - HDHP Self & Family B62 1464.51 1676.84 0.00 1676.84 212.33 1435.79 1643.96 0.00 1643.96 208.17
Maryland CareFirst BlueChoice - HDHP Self Plus One B63 1232.74 1411.53 0.00 1411.53 178.79 1208.57 1383.85 0.00 1383.85 175.28
Maryland CareFirst BlueChoice - Blue Value Plus Self B64 738.14 775.03 0.00 775.03 36.89 723.67 759.83 0.00 759.83 36.16
Maryland CareFirst BlueChoice - Blue Value Plus Self & Family B65 1753.77 1841.46 0.00 1841.46 87.69 1719.38 1805.35 0.00 1805.35 85.97
Maryland CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1476.24 1550.07 0.00 1550.07 73.83 1447.29 1519.68 0.00 1519.68 72.39
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 376.28 387.32 0.00 387.32 11.04 368.90 379.73 0.00 379.73 10.83
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 1072.36 1089.71 0.00 1089.71 17.35 1051.33 1068.34 0.00 1068.34 17.01
Maryland Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 884.25 925.32 0.00 925.32 41.07 866.91 907.18 0.00 907.18 40.27
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self E34 619.40 647.98 0.00 647.98 28.58 607.25 635.27 0.00 635.27 28.02
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1424.56 1490.31 0.00 1490.31 65.75 1396.63 1461.09 0.00 1461.09 64.46
Maryland Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1424.56 1490.31 0.00 1490.31 65.75 1396.63 1461.09 0.00 1461.09 64.46
Maryland Kaiser Permanente - Mid-Atlantic States - High Self E31 771.73 806.72 0.00 806.72 34.99 756.60 790.90 0.00 790.90 34.30
Maryland Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1775.00 1855.41 0.00 1855.41 80.41 1740.20 1819.03 0.00 1819.03 78.83
Maryland Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1775.00 1855.41 0.00 1855.41 80.41 1740.20 1819.03 0.00 1819.03 78.83
Maryland M.D. IPA - High Self JP1 1032.23 1087.10 0.00 1087.10 54.87 1011.99 1065.78 0.00 1065.78 53.79
Maryland M.D. IPA - High Self & Family JP2 2894.41 3048.21 0.00 3048.21 153.80 2837.66 2988.44 0.00 2988.44 150.78
Maryland M.D. IPA - High Self Plus One JP3 2015.96 2123.08 0.00 2123.08 107.12 1976.43 2081.45 0.00 2081.45 105.02
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Maryland UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 675.05 678.49 0.00 678.49 3.44 661.81 665.19 0.00 665.19 3.38
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1544.48 1560.46 0.00 1560.46 15.98 1514.20 1529.86 0.00 1529.86 15.66
Maryland UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1451.38 1458.73 0.00 1458.73 7.35 1422.92 1430.13 0.00 1430.13 7.21
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 838.60 926.17 0.00 926.17 87.57 822.16 908.01 0.00 908.01 85.85
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1987.52 2194.97 0.00 2194.97 207.45 1948.55 2151.93 0.00 2151.93 203.38
Maryland UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1803.03 1991.21 0.00 1991.21 188.18 1767.68 1952.17 0.00 1952.17 184.49
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 677.04 710.94 0.00 710.94 33.90 663.76 697.00 0.00 697.00 33.24
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1618.14 1706.26 0.00 1706.26 88.12 1586.41 1672.80 0.00 1672.80 86.39
Maryland UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1354.09 1510.78 0.00 1510.78 156.69 1327.54 1481.16 0.00 1481.16 153.62
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Maryland UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Massachusetts Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Massachusetts Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Massachusetts Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Massachusetts Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Massachusetts Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Massachusetts Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
Massachusetts Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
Massachusetts Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Massachusetts Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Massachusetts Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Michigan Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Michigan Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Michigan Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Michigan Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Michigan Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Michigan Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Michigan Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Michigan Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Michigan Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Michigan Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Michigan Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Michigan Blue Care Network of Michigan - High Self LX1 806.25 867.05 0.00 867.05 60.80 790.44 850.05 0.00 850.05 59.61
Michigan Blue Care Network of Michigan - High Self & Family LX2 1967.27 2115.67 0.00 2115.67 148.40 1928.70 2074.19 0.00 2074.19 145.49
Michigan Blue Care Network of Michigan - High Self Plus One LX3 1854.39 1994.30 0.00 1994.30 139.91 1818.03 1955.20 0.00 1955.20 137.17
Michigan Blue Care Network of Michigan - High Self K51 1062.96 1063.13 0.00 1063.13 0.17 1042.12 1042.28 0.00 1042.28 0.16
Michigan Blue Care Network of Michigan - High Self & Family K52 2593.62 2593.94 0.00 2593.94 0.32 2542.76 2543.08 0.00 2543.08 0.32
Michigan Blue Care Network of Michigan - High Self Plus One K53 2444.79 2445.08 0.00 2445.08 0.29 2396.85 2397.14 0.00 2397.14 0.29
Michigan Health Alliance Plan - High Self 521 928.31 933.39 0.00 933.39 5.08 910.11 915.09 0.00 915.09 4.98
Michigan Health Alliance Plan - High Self & Family 522 2265.03 2277.52 0.00 2277.52 12.49 2220.62 2232.86 0.00 2232.86 12.24
Michigan Health Alliance Plan - High Self Plus One 523 2135.08 2146.81 0.00 2146.81 11.73 2093.22 2104.72 0.00 2104.72 11.50
Michigan Health Alliance Plan - Standard Self GY4 540.76 543.81 0.00 543.81 3.05 530.16 533.15 0.00 533.15 2.99
Michigan Health Alliance Plan - Standard Self & Family GY5 1319.44 1326.91 0.00 1326.91 7.47 1293.57 1300.89 0.00 1300.89 7.32
Michigan Health Alliance Plan - Standard Self Plus One GY6 1243.77 1250.80 0.00 1250.80 7.03 1219.38 1226.27 0.00 1226.27 6.89
Michigan Priority Health - High Self LE1 1128.84 1133.09 0.00 1133.09 4.25 1106.71 1110.87 0.00 1110.87 4.16
Michigan Priority Health - High Self & Family LE2 2652.75 2662.74 0.00 2662.74 9.99 2600.74 2610.53 0.00 2610.53 9.79
Michigan Priority Health - High Self Plus One LE3 2483.42 2492.77 0.00 2492.77 9.35 2434.73 2443.89 0.00 2443.89 9.16
Michigan Priority Health - Standard Self LE4 629.56 684.46 0.00 684.46 54.90 617.22 671.04 0.00 671.04 53.82
Michigan Priority Health - Standard Self & Family LE5 1479.46 1608.48 0.00 1608.48 129.02 1450.45 1576.94 0.00 1576.94 126.49
Michigan Priority Health - Standard Self Plus One LE6 1385.01 1505.83 0.00 1505.83 120.82 1357.85 1476.30 0.00 1476.30 118.45
Michigan Priority Health - Value Self Y41 482.70 482.70 0.00 482.70 0.00 473.24 473.24 0.00 473.24 0.00
Michigan Priority Health - Value Self & Family Y42 1134.37 1134.37 0.00 1134.37 0.00 1112.13 1112.13 0.00 1112.13 0.00
Michigan Priority Health - Value Self Plus One Y43 1061.95 1061.95 0.00 1061.95 0.00 1041.13 1041.13 0.00 1041.13 0.00
Minnesota Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Minnesota Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Minnesota Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Minnesota Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Minnesota Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Minnesota Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Minnesota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Minnesota Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Minnesota Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Minnesota Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Minnesota HealthPartners - Standard Self V34 564.35 564.35 0.00 564.35 0.00 553.28 553.28 0.00 553.28 0.00
Minnesota HealthPartners - Standard Self & Family V35 1374.80 1374.80 0.00 1374.80 0.00 1347.84 1347.84 0.00 1347.84 0.00
Minnesota HealthPartners - Standard Self Plus One V36 1247.24 1247.24 0.00 1247.24 0.00 1222.78 1222.78 0.00 1222.78 0.00
Minnesota HealthPartners - High Self V31 705.98 751.91 0.00 751.91 45.93 692.14 737.17 0.00 737.17 45.03
Minnesota HealthPartners - High Self & Family V32 1719.73 1831.64 0.00 1831.64 111.91 1686.01 1795.73 0.00 1795.73 109.72
Minnesota HealthPartners - High Self Plus One V33 1560.17 1661.70 0.00 1661.70 101.53 1529.58 1629.12 0.00 1629.12 99.54
Mississippi Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Mississippi Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Mississippi Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Mississippi Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Mississippi Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Mississippi Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Mississippi Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Mississippi Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Mississippi Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Mississippi Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Mississippi UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 637.16 672.02 0.00 672.02 34.86 624.67 658.84 0.00 658.84 34.17
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1465.50 1537.32 0.00 1537.32 71.82 1436.76 1507.18 0.00 1507.18 70.42
Mississippi UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1369.93 1444.85 0.00 1444.85 74.92 1343.07 1416.52 0.00 1416.52 73.45
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 864.25 959.80 0.00 959.80 95.55 847.30 940.98 0.00 940.98 93.68
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 2160.60 2399.57 0.00 2399.57 238.97 2118.24 2352.52 0.00 2352.52 234.28
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1858.12 2063.63 0.00 2063.63 205.51 1821.69 2023.17 0.00 2023.17 201.48
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Mississippi UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Missouri Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Missouri Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Missouri Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Missouri Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Missouri Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Missouri Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Missouri Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Missouri Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Missouri Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Missouri Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Missouri Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Missouri Aetna Open Access - Standard Self HA4 927.56 912.91 0.00 912.91 -14.65 909.37 895.01 0.00 895.01 -14.36
Missouri Aetna Open Access - Standard Self & Family HA5 2189.40 2154.79 0.00 2154.79 -34.61 2146.47 2112.54 0.00 2112.54 -33.93
Missouri Aetna Open Access - Standard Self Plus One HA6 2167.77 2133.47 0.00 2133.47 -34.30 2125.26 2091.64 0.00 2091.64 -33.62
Missouri Aetna Open Access - High Self HA1 1212.76 1220.85 0.00 1220.85 8.09 1188.98 1196.91 0.00 1196.91 7.93
Missouri Aetna Open Access - High Self & Family HA2 2864.71 2883.86 0.00 2883.86 19.15 2808.54 2827.31 0.00 2827.31 18.77
Missouri Aetna Open Access - High Self Plus One HA3 2836.39 2855.32 0.00 2855.32 18.93 2780.77 2799.33 0.00 2799.33 18.56
Missouri Humana CoverageFirst and Humana Value Plan - Value Self PH4 578.51 599.33 0.00 599.33 20.82 567.17 587.58 0.00 587.58 20.41
Missouri Humana CoverageFirst and Humana Value Plan - Value Self & Family PH5 1301.67 1348.54 0.00 1348.54 46.87 1276.15 1322.10 0.00 1322.10 45.95
Missouri Humana CoverageFirst and Humana Value Plan - Value Self Plus One PH6 1243.83 1288.63 0.00 1288.63 44.80 1219.44 1263.36 0.00 1263.36 43.92
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self PH1 773.19 765.21 0.00 765.21 -7.98 758.03 750.21 0.00 750.21 -7.82
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self & Family PH2 1739.71 1721.72 0.00 1721.72 -17.99 1705.60 1687.96 0.00 1687.96 -17.64
Missouri Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One PH3 1662.39 1645.21 0.00 1645.21 -17.18 1629.79 1612.95 0.00 1612.95 -16.84
Missouri Humana HDHP - HDHP Self BK1 411.19 423.52 0.00 423.52 12.33 403.13 415.22 0.00 415.22 12.09
Missouri Humana HDHP - HDHP Self & Family BK2 1024.01 1054.74 0.00 1054.74 30.73 1003.93 1034.06 0.00 1034.06 30.13
Missouri Humana HDHP - HDHP Self Plus One BK3 901.46 928.51 0.00 928.51 27.05 883.78 910.30 0.00 910.30 26.52
Missouri Humana Health Plan, Inc. - Standard Self MS4 1316.45 1390.01 0.00 1390.01 73.56 1290.64 1362.75 0.00 1362.75 72.11
Missouri Humana Health Plan, Inc. - Standard Self & Family MS5 2962.06 3127.52 0.00 3127.52 165.46 2903.98 3066.20 0.00 3066.20 162.22
Missouri Humana Health Plan, Inc. - Standard Self Plus One MS6 2830.44 2988.56 0.00 2988.56 158.12 2774.94 2929.96 0.00 2929.96 155.02
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Missouri UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Missouri UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Montana Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Montana Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Montana Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Montana Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Montana Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Montana Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Montana Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Montana Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Montana Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Montana Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Montana Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Nebraska Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Nebraska Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Nebraska Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Nebraska Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Nebraska Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Nebraska Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Nebraska Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Nebraska Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Nebraska Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Nebraska Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Nevada Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Nevada Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Nevada Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Nevada Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Nevada Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Nevada Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Nevada Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Nevada Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Nevada Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Nevada Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Nevada Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Nevada Health Plan of Nevada, Inc. - High Self NM1 846.76 768.04 0.00 768.04 -78.72 830.16 752.98 0.00 752.98 -77.18
Nevada Health Plan of Nevada, Inc. - High Self & Family NM2 2006.75 1820.16 0.00 1820.16 -186.59 1967.40 1784.47 0.00 1784.47 -182.93
Nevada Health Plan of Nevada, Inc. - High Self Plus One NM3 1608.86 1459.28 0.00 1459.28 -149.58 1577.31 1430.67 0.00 1430.67 -146.64
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 681.83 723.90 0.00 723.90 42.07 668.46 709.71 0.00 709.71 41.25
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1612.53 1712.04 0.00 1712.04 99.51 1580.91 1678.47 0.00 1678.47 97.56
Nevada UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1465.91 1556.40 0.00 1556.40 90.49 1437.17 1525.88 0.00 1525.88 88.71
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 685.54 722.80 0.00 722.80 37.26 672.10 708.63 0.00 708.63 36.53
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1576.77 1662.37 0.00 1662.37 85.60 1545.85 1629.77 0.00 1629.77 83.92
Nevada UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1473.94 1553.98 0.00 1553.98 80.04 1445.04 1523.51 0.00 1523.51 78.47
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 882.17 982.72 0.00 982.72 100.55 864.87 963.45 0.00 963.45 98.58
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 2205.40 2456.79 0.00 2456.79 251.39 2162.16 2408.62 0.00 2408.62 246.46
Nevada UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1896.65 2112.83 0.00 2112.83 216.18 1859.46 2071.40 0.00 2071.40 211.94
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 670.80 647.03 0.00 647.03 -23.77 657.65 634.34 0.00 634.34 -23.31
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1586.50 1530.18 0.00 1530.18 -56.32 1555.39 1500.18 0.00 1500.18 -55.21
Nevada UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1442.25 1391.09 0.00 1391.09 -51.16 1413.97 1363.81 0.00 1363.81 -50.16
New Hampshire Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New Hampshire Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New Hampshire Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New Hampshire Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
New Hampshire Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
New Hampshire Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
New Hampshire Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
New Hampshire Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
New Hampshire Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
New Hampshire Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
New Jersey Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New Jersey Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New Jersey Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New Jersey Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
New Jersey Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
New Jersey Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
New Jersey Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
New Jersey Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
New Jersey Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
New Jersey Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
New Jersey Aetna Open Access - High Self JR1 1688.28 1715.67 0.00 1715.67 27.39 1655.18 1682.03 0.00 1682.03 26.85
New Jersey Aetna Open Access - High Self & Family JR2 3899.70 3962.96 0.00 3962.96 63.26 3823.24 3885.25 0.00 3885.25 62.01
New Jersey Aetna Open Access - High Self Plus One JR3 3861.12 3923.73 0.00 3923.73 62.61 3785.41 3846.79 0.00 3846.79 61.38
New Jersey Aetna Open Access - Basic Self JR4 1456.84 1475.33 0.00 1475.33 18.49 1428.27 1446.40 0.00 1446.40 18.13
New Jersey Aetna Open Access - Basic Self & Family JR5 3376.39 3419.18 0.00 3419.18 42.79 3310.19 3352.14 0.00 3352.14 41.95
New Jersey Aetna Open Access - Basic Self Plus One JR6 3342.96 3385.32 0.00 3385.32 42.36 3277.41 3318.94 0.00 3318.94 41.53
New Jersey Aetna Open Access - Basic Self P34 1756.20 1789.11 0.00 1789.11 32.91 1721.76 1754.03 0.00 1754.03 32.27
New Jersey Aetna Open Access - Basic Self & Family P35 4076.22 4152.52 0.00 4152.52 76.30 3996.29 4071.10 0.00 4071.10 74.81
New Jersey Aetna Open Access - Basic Self Plus One P36 4035.83 4111.35 0.00 4111.35 75.52 3956.70 4030.74 0.00 4030.74 74.04
New Jersey Aetna Open Access - High Self P31 1797.79 1772.73 0.00 1772.73 -25.06 1762.54 1737.97 0.00 1737.97 -24.57
New Jersey Aetna Open Access - High Self & Family P32 4358.74 4297.98 0.00 4297.98 -60.76 4273.27 4213.71 0.00 4213.71 -59.56
New Jersey Aetna Open Access - High Self Plus One P33 4315.60 4255.44 0.00 4255.44 -60.16 4230.98 4172.00 0.00 4172.00 -58.98
New Mexico Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New Mexico Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New Mexico Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New Mexico Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
New Mexico Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
New Mexico Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
New Mexico Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
New Mexico Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
New Mexico Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
New Mexico Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
New Mexico Presbyterian Health Plan - High Self P21 891.96 1038.56 0.00 1038.56 146.60 874.47 1018.20 0.00 1018.20 143.73
New Mexico Presbyterian Health Plan - High Self & Family P22 2096.18 2440.71 0.00 2440.71 344.53 2055.08 2392.85 0.00 2392.85 337.77
New Mexico Presbyterian Health Plan - High Self Plus One P23 2024.82 2357.61 0.00 2357.61 332.79 1985.12 2311.38 0.00 2311.38 326.26
New Mexico Presbyterian Health Plan - Standard Self PS4 739.73 870.83 0.00 870.83 131.10 725.23 853.75 0.00 853.75 128.52
New Mexico Presbyterian Health Plan - Standard Self & Family PS5 1738.43 2046.51 0.00 2046.51 308.08 1704.34 2006.38 0.00 2006.38 302.04
New Mexico Presbyterian Health Plan - Standard Self Plus One PS6 1679.29 1976.82 0.00 1976.82 297.53 1646.36 1938.06 0.00 1938.06 291.70
New Mexico Presbyterian Health Plan - Wellness Self PS1 666.89 771.67 0.00 771.67 104.78 653.81 756.54 0.00 756.54 102.73
New Mexico Presbyterian Health Plan - Wellness Self & Family PS2 1567.16 1813.44 0.00 1813.44 246.28 1536.43 1777.88 0.00 1777.88 241.45
New Mexico Presbyterian Health Plan - Wellness Self Plus One PS3 1513.85 1751.69 0.00 1751.69 237.84 1484.17 1717.34 0.00 1717.34 233.17
New York Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
New York Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
New York Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
New York Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
New York Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
New York Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
New York Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
New York Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
New York Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
New York Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
New York Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
New York Aetna Open Access - High Self JC1 1763.49 1738.21 0.00 1738.21 -25.28 1728.91 1704.13 0.00 1704.13 -24.78
New York Aetna Open Access - High Self & Family JC2 4357.57 4295.09 0.00 4295.09 -62.48 4272.13 4210.87 0.00 4210.87 -61.26
New York Aetna Open Access - High Self Plus One JC3 4314.43 4252.57 0.00 4252.57 -61.86 4229.83 4169.19 0.00 4169.19 -60.64
New York Aetna Open Access - Basic Self JC4 1492.09 1526.62 0.00 1526.62 34.53 1462.83 1496.69 0.00 1496.69 33.86
New York Aetna Open Access - Basic Self & Family JC5 3639.45 3723.71 0.00 3723.71 84.26 3568.09 3650.70 0.00 3650.70 82.61
New York Aetna Open Access - Basic Self Plus One JC6 3603.43 3686.88 0.00 3686.88 83.45 3532.77 3614.59 0.00 3614.59 81.82
New York CDPHP - Standard Self SG4 789.24 897.55 0.00 897.55 108.31 773.76 879.95 0.00 879.95 106.19
New York CDPHP - Standard Self & Family SG5 1894.15 2154.13 0.00 2154.13 259.98 1857.01 2111.89 0.00 2111.89 254.88
New York CDPHP - Standard Self Plus One SG6 1752.08 1992.56 0.00 1992.56 240.48 1717.73 1953.49 0.00 1953.49 235.76
New York HIP of Greater NY - Standard Self YL4 994.81 1026.10 0.00 1026.10 31.29 975.30 1005.98 0.00 1005.98 30.68
New York HIP of Greater NY - Standard Self & Family YL5 2891.83 2982.75 0.00 2982.75 90.92 2835.13 2924.26 0.00 2924.26 89.13
New York HIP of Greater NY - Standard Self Plus One YL6 1816.49 1873.64 0.00 1873.64 57.15 1780.87 1836.90 0.00 1836.90 56.03
New York HIP of Greater NY - High Self 511 1071.77 1071.77 0.00 1071.77 0.00 1050.75 1050.75 0.00 1050.75 0.00
New York HIP of Greater NY - High Self & Family 512 3115.68 3115.59 0.00 3115.59 -0.09 3054.59 3054.50 0.00 3054.50 -0.09
New York HIP of Greater NY - High Self Plus One 513 1957.11 1957.08 0.00 1957.08 -0.03 1918.74 1918.71 0.00 1918.71 -0.03
New York Independent Health - Standard Self C54 752.53 766.92 0.00 766.92 14.39 737.77 751.88 0.00 751.88 14.11
New York Independent Health - Standard Self & Family C55 2031.83 2070.68 0.00 2070.68 38.85 1991.99 2030.08 0.00 2030.08 38.09
New York Independent Health - Standard Self Plus One C56 1918.99 1955.63 0.00 1955.63 36.64 1881.36 1917.28 0.00 1917.28 35.92
New York Independent Health - High Self QA1 816.66 839.32 0.00 839.32 22.66 800.65 822.86 0.00 822.86 22.21
New York Independent Health - High Self & Family QA2 2204.99 2266.15 0.00 2266.15 61.16 2161.75 2221.72 0.00 2221.72 59.97
New York Independent Health - High Self Plus One QA3 2082.48 2140.28 0.00 2140.28 57.80 2041.65 2098.31 0.00 2098.31 56.66
New York Independent Health - HDHP Self QA4 613.21 643.71 0.00 643.71 30.50 601.19 631.09 0.00 631.09 29.90
New York Independent Health - HDHP Self & Family QA5 1583.82 1671.71 0.00 1671.71 87.89 1552.76 1638.93 0.00 1638.93 86.17
New York Independent Health - HDHP Self Plus One QA6 1506.91 1589.19 0.00 1589.19 82.28 1477.36 1558.03 0.00 1558.03 80.67
North Carolina Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
North Carolina Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
North Carolina Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
North Carolina Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
North Carolina Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
North Carolina Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
North Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
North Carolina Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
North Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
North Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
North Carolina UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 637.16 672.02 0.00 672.02 34.86 624.67 658.84 0.00 658.84 34.17
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1465.50 1537.32 0.00 1537.32 71.82 1436.76 1507.18 0.00 1507.18 70.42
North Carolina UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1369.93 1444.85 0.00 1444.85 74.92 1343.07 1416.52 0.00 1416.52 73.45
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 864.25 959.80 0.00 959.80 95.55 847.30 940.98 0.00 940.98 93.68
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 2160.60 2399.57 0.00 2399.57 238.97 2118.24 2352.52 0.00 2352.52 234.28
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1858.12 2063.63 0.00 2063.63 205.51 1821.69 2023.17 0.00 2023.17 201.48
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
North Carolina UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
North Dakota Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
North Dakota Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
North Dakota Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
North Dakota Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
North Dakota Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
North Dakota Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
North Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
North Dakota Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
North Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
North Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
North Dakota HealthPartners - Standard Self V34 564.35 564.35 0.00 564.35 0.00 553.28 553.28 0.00 553.28 0.00
North Dakota HealthPartners - Standard Self & Family V35 1374.80 1374.80 0.00 1374.80 0.00 1347.84 1347.84 0.00 1347.84 0.00
North Dakota HealthPartners - Standard Self Plus One V36 1247.24 1247.24 0.00 1247.24 0.00 1222.78 1222.78 0.00 1222.78 0.00
North Dakota HealthPartners - High Self V31 705.98 751.91 0.00 751.91 45.93 692.14 737.17 0.00 737.17 45.03
North Dakota HealthPartners - High Self & Family V32 1719.73 1831.64 0.00 1831.64 111.91 1686.01 1795.73 0.00 1795.73 109.72
North Dakota HealthPartners - High Self Plus One V33 1560.17 1661.70 0.00 1661.70 101.53 1529.58 1629.12 0.00 1629.12 99.54
Northern Mariana Islands Calvo's SelectCare - Standard Self B44 386.49 412.72 0.00 412.72 26.23 378.91 404.63 0.00 404.63 25.72
Northern Mariana Islands Calvo's SelectCare - Standard Self & Family B45 1122.93 1199.17 0.00 1199.17 76.24 1100.91 1175.66 0.00 1175.66 74.75
Northern Mariana Islands Calvo's SelectCare - Standard Self Plus One B46 761.86 813.59 0.00 813.59 51.73 746.92 797.64 0.00 797.64 50.72
Northern Mariana Islands Calvo's SelectCare - High Self B41 546.67 562.51 0.00 562.51 15.84 535.95 551.48 0.00 551.48 15.53
Northern Mariana Islands Calvo's SelectCare - High Self & Family B42 1447.93 1489.91 0.00 1489.91 41.98 1419.54 1460.70 0.00 1460.70 41.16
Northern Mariana Islands Calvo's SelectCare - High Self Plus One B43 1066.81 1097.80 0.00 1097.80 30.99 1045.89 1076.27 0.00 1076.27 30.38
Northern Mariana Islands TakeCare - HDHP Self KX1 124.76 122.35 0.00 122.35 -2.41 122.31 119.95 0.00 119.95 -2.36
Northern Mariana Islands TakeCare - HDHP Self & Family KX2 334.53 327.96 0.00 327.96 -6.57 327.97 321.53 0.00 321.53 -6.44
Northern Mariana Islands TakeCare - HDHP Self Plus One KX3 301.13 295.30 0.00 295.30 -5.83 295.23 289.51 0.00 289.51 -5.72
Northern Mariana Islands TakeCare - Standard Self JK4 413.89 450.09 0.00 450.09 36.20 405.77 441.26 0.00 441.26 35.49
Northern Mariana Islands TakeCare - Standard Self & Family JK5 1172.16 1274.68 0.00 1274.68 102.52 1149.18 1249.69 0.00 1249.69 100.51
Northern Mariana Islands TakeCare - Standard Self Plus One JK6 815.78 887.13 0.00 887.13 71.35 799.78 869.74 0.00 869.74 69.96
Northern Mariana Islands TakeCare - High Self JK1 526.18 576.09 0.00 576.09 49.91 515.86 564.79 0.00 564.79 48.93
Northern Mariana Islands TakeCare - High Self & Family JK2 1255.04 1374.02 0.00 1374.02 118.98 1230.43 1347.08 0.00 1347.08 116.65
Northern Mariana Islands TakeCare - High Self Plus One JK3 1039.54 1138.11 0.00 1138.11 98.57 1019.16 1115.79 0.00 1115.79 96.63
Ohio Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Ohio Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Ohio Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Ohio Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Ohio Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Ohio Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
Ohio Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
Ohio Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
Ohio Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Ohio Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Ohio Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Ohio AultCare Insurance Company - High Self 3A1 948.87 952.67 0.00 952.67 3.80 930.26 933.99 0.00 933.99 3.73
Ohio AultCare Insurance Company - High Self & Family 3A2 2343.78 2191.19 0.00 2191.19 -152.59 2297.82 2148.23 0.00 2148.23 -149.59
Ohio AultCare Insurance Company - High Self Plus One 3A3 1992.69 2000.58 0.00 2000.58 7.89 1953.62 1961.35 0.00 1961.35 7.73
Ohio AultCare Insurance Company - HDHP Self 3A4 451.68 447.15 0.00 447.15 -4.53 442.82 438.38 0.00 438.38 -4.44
Ohio AultCare Insurance Company - HDHP Self & Family 3A5 1446.29 1431.81 0.00 1431.81 -14.48 1417.93 1403.74 0.00 1403.74 -14.19
Ohio AultCare Insurance Company - HDHP Self Plus One 3A6 858.68 850.10 0.00 850.10 -8.58 841.84 833.43 0.00 833.43 -8.41
Ohio Humana CoverageFirst and Humana Value Plan - Value Self X34 708.22 747.16 0.00 747.16 38.94 694.33 732.51 0.00 732.51 38.18
Ohio Humana CoverageFirst and Humana Value Plan - Value Self & Family X35 1593.47 1681.12 0.00 1681.12 87.65 1562.23 1648.16 0.00 1648.16 85.93
Ohio Humana CoverageFirst and Humana Value Plan - Value Self Plus One X36 1522.67 1606.43 0.00 1606.43 83.76 1492.81 1574.93 0.00 1574.93 82.12
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self X31 920.42 971.05 0.00 971.05 50.63 902.37 952.01 0.00 952.01 49.64
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self & Family X32 2070.95 2184.85 0.00 2184.85 113.90 2030.34 2142.01 0.00 2142.01 111.67
Ohio Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One X33 1978.92 2087.77 0.00 2087.77 108.85 1940.12 2046.83 0.00 2046.83 106.71
Ohio Humana HDHP - HDHP Self DT1 505.64 520.81 0.00 520.81 15.17 495.73 510.60 0.00 510.60 14.87
Ohio Humana HDHP - HDHP Self & Family DT2 1260.12 1297.93 0.00 1297.93 37.81 1235.41 1272.48 0.00 1272.48 37.07
Ohio Humana HDHP - HDHP Self Plus One DT3 1109.22 1142.50 0.00 1142.50 33.28 1087.47 1120.10 0.00 1120.10 32.63
Ohio Humana Health Plan of Ohio, Inc. - Standard Self A64 1267.94 1330.55 0.00 1330.55 62.61 1243.08 1304.46 0.00 1304.46 61.38
Ohio Humana Health Plan of Ohio, Inc. - Standard Self & Family A65 2852.89 2993.75 0.00 2993.75 140.86 2796.95 2935.05 0.00 2935.05 138.10
Ohio Humana Health Plan of Ohio, Inc. - Standard Self Plus One A66 2726.08 2860.71 0.00 2860.71 134.63 2672.63 2804.62 0.00 2804.62 131.99
Ohio Humana Health Plan of Ohio, Inc. - Basic Self W61 684.44 773.42 0.00 773.42 88.98 671.02 758.25 0.00 758.25 87.23
Ohio Humana Health Plan of Ohio, Inc. - Basic Self & Family W62 1540.02 1740.22 0.00 1740.22 200.20 1509.82 1706.10 0.00 1706.10 196.28
Ohio Humana Health Plan of Ohio, Inc. - Basic Self Plus One W63 1471.57 1662.84 0.00 1662.84 191.27 1442.72 1630.24 0.00 1630.24 187.52
Ohio Medical Mutual of Ohio - Standard Self 644 1068.80 1212.36 0.00 1212.36 143.56 1047.84 1188.59 0.00 1188.59 140.75
Ohio Medical Mutual of Ohio - Standard Self & Family 645 2565.09 2909.68 0.00 2909.68 344.59 2514.79 2852.63 0.00 2852.63 337.84
Ohio Medical Mutual of Ohio - Standard Self Plus One 646 2351.33 2667.21 0.00 2667.21 315.88 2305.23 2614.91 0.00 2614.91 309.68
Ohio Medical Mutual of Ohio - Basic Self UX1 421.16 421.16 0.00 421.16 0.00 412.90 412.90 0.00 412.90 0.00
Ohio Medical Mutual of Ohio - Basic Self & Family UX2 1010.79 1010.79 0.00 1010.79 0.00 990.97 990.97 0.00 990.97 0.00
Ohio Medical Mutual of Ohio - Basic Self Plus One UX3 926.57 926.57 0.00 926.57 0.00 908.40 908.40 0.00 908.40 0.00
Ohio Medical Mutual of Ohio - Basic Self YF1 425.07 414.26 0.00 414.26 -10.81 416.74 406.14 0.00 406.14 -10.60
Ohio Medical Mutual of Ohio - Basic Self & Family YF2 1020.16 994.23 0.00 994.23 -25.93 1000.16 974.74 0.00 974.74 -25.42
Ohio Medical Mutual of Ohio - Basic Self Plus One YF3 935.14 911.38 0.00 911.38 -23.76 916.80 893.51 0.00 893.51 -23.29
Ohio Medical Mutual of Ohio - Standard Self YF4 1217.47 1233.18 0.00 1233.18 15.71 1193.60 1209.00 0.00 1209.00 15.40
Ohio Medical Mutual of Ohio - Standard Self & Family YF5 2921.91 2959.65 0.00 2959.65 37.74 2864.62 2901.62 0.00 2901.62 37.00
Ohio Medical Mutual of Ohio - Standard Self Plus One YF6 2678.41 2713.02 0.00 2713.02 34.61 2625.89 2659.82 0.00 2659.82 33.93
Ohio Medical Mutual of Ohio - WellFlex Self F11 New Plan 735.87 0.00 735.87 New Plan New Plan 721.44 0.00 721.44 New Plan
Ohio Medical Mutual of Ohio - WellFlex Self & Family F12 New Plan 1766.06 0.00 1766.06 New Plan New Plan 1731.43 0.00 1731.43 New Plan
Ohio Medical Mutual of Ohio - WellFlex Self Plus One F13 New Plan 1618.87 0.00 1618.87 New Plan New Plan 1587.13 0.00 1587.13 New Plan
Oklahoma Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Oklahoma Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Oklahoma Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Oklahoma Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Oklahoma Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Oklahoma Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
Oklahoma Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
Oklahoma Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Oklahoma Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Oklahoma Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Oregon Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Oregon Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Oregon Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Oregon Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Oregon Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Oregon Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Oregon Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Oregon Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Oregon Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Oregon Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Oregon Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Oregon Kaiser Permanente - Northwest - Standard Self 574 682.27 709.26 0.00 709.26 26.99 668.89 695.35 0.00 695.35 26.46
Oregon Kaiser Permanente - Northwest - Standard Self & Family 575 1567.37 1629.43 0.00 1629.43 62.06 1536.64 1597.48 0.00 1597.48 60.84
Oregon Kaiser Permanente - Northwest - Standard Self Plus One 576 1567.37 1629.43 0.00 1629.43 62.06 1536.64 1597.48 0.00 1597.48 60.84
Oregon Kaiser Permanente - Northwest - High Self 571 772.81 814.18 0.00 814.18 41.37 757.66 798.22 0.00 798.22 40.56
Oregon Kaiser Permanente - Northwest - High Self & Family 572 1745.57 1838.97 0.00 1838.97 93.40 1711.34 1802.91 0.00 1802.91 91.57
Oregon Kaiser Permanente - Northwest - High Self Plus One 573 1745.57 1838.97 0.00 1838.97 93.40 1711.34 1802.91 0.00 1802.91 91.57
Oregon Kaiser Permanente - Northwest - Prosper Self AM1 399.62 418.84 0.00 418.84 19.22 391.78 410.63 0.00 410.63 18.85
Oregon Kaiser Permanente - Northwest - Prosper Self & Family AM2 991.09 1038.75 0.00 1038.75 47.66 971.66 1018.38 0.00 1018.38 46.72
Oregon Kaiser Permanente - Northwest - Prosper Self Plus One AM3 859.14 900.47 0.00 900.47 41.33 842.29 882.81 0.00 882.81 40.52
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 681.83 723.90 0.00 723.90 42.07 668.46 709.71 0.00 709.71 41.25
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1612.53 1712.04 0.00 1712.04 99.51 1580.91 1678.47 0.00 1678.47 97.56
Oregon UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1465.91 1556.40 0.00 1556.40 90.49 1437.17 1525.88 0.00 1525.88 88.71
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 685.54 722.80 0.00 722.80 37.26 672.10 708.63 0.00 708.63 36.53
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1576.77 1662.37 0.00 1662.37 85.60 1545.85 1629.77 0.00 1629.77 83.92
Oregon UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1473.94 1553.98 0.00 1553.98 80.04 1445.04 1523.51 0.00 1523.51 78.47
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 882.17 982.72 0.00 982.72 100.55 864.87 963.45 0.00 963.45 98.58
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 2205.40 2456.79 0.00 2456.79 251.39 2162.16 2408.62 0.00 2408.62 246.46
Oregon UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1896.65 2112.83 0.00 2112.83 216.18 1859.46 2071.40 0.00 2071.40 211.94
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 670.80 647.03 0.00 647.03 -23.77 657.65 634.34 0.00 634.34 -23.31
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1586.50 1530.18 0.00 1530.18 -56.32 1555.39 1500.18 0.00 1500.18 -55.21
Oregon UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1442.25 1391.09 0.00 1391.09 -51.16 1413.97 1363.81 0.00 1363.81 -50.16
Palau Calvo's SelectCare - Standard Self B44 386.49 412.72 0.00 412.72 26.23 378.91 404.63 0.00 404.63 25.72
Palau Calvo's SelectCare - Standard Self & Family B45 1122.93 1199.17 0.00 1199.17 76.24 1100.91 1175.66 0.00 1175.66 74.75
Palau Calvo's SelectCare - Standard Self Plus One B46 761.86 813.59 0.00 813.59 51.73 746.92 797.64 0.00 797.64 50.72
Palau Calvo's SelectCare - High Self B41 546.67 562.51 0.00 562.51 15.84 535.95 551.48 0.00 551.48 15.53
Palau Calvo's SelectCare - High Self & Family B42 1447.93 1489.91 0.00 1489.91 41.98 1419.54 1460.70 0.00 1460.70 41.16
Palau Calvo's SelectCare - High Self Plus One B43 1066.81 1097.80 0.00 1097.80 30.99 1045.89 1076.27 0.00 1076.27 30.38
Palau TakeCare - HDHP Self KX1 124.76 122.35 0.00 122.35 -2.41 122.31 119.95 0.00 119.95 -2.36
Palau TakeCare - HDHP Self & Family KX2 334.53 327.96 0.00 327.96 -6.57 327.97 321.53 0.00 321.53 -6.44
Palau TakeCare - HDHP Self Plus One KX3 301.13 295.30 0.00 295.30 -5.83 295.23 289.51 0.00 289.51 -5.72
Palau TakeCare - Standard Self JK4 413.89 450.09 0.00 450.09 36.20 405.77 441.26 0.00 441.26 35.49
Palau TakeCare - Standard Self & Family JK5 1172.16 1274.68 0.00 1274.68 102.52 1149.18 1249.69 0.00 1249.69 100.51
Palau TakeCare - Standard Self Plus One JK6 815.78 887.13 0.00 887.13 71.35 799.78 869.74 0.00 869.74 69.96
Palau TakeCare - High Self JK1 526.18 576.09 0.00 576.09 49.91 515.86 564.79 0.00 564.79 48.93
Palau TakeCare - High Self & Family JK2 1255.04 1374.02 0.00 1374.02 118.98 1230.43 1347.08 0.00 1347.08 116.65
Palau TakeCare - High Self Plus One JK3 1039.54 1138.11 0.00 1138.11 98.57 1019.16 1115.79 0.00 1115.79 96.63
Pennsylvania Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Pennsylvania Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Pennsylvania Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Pennsylvania Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Pennsylvania Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Pennsylvania Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Pennsylvania Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Pennsylvania Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Pennsylvania Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Pennsylvania Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Pennsylvania Aetna Open Access - High Self YE1 1205.31 1227.76 0.00 1227.76 22.45 1181.68 1203.69 0.00 1203.69 22.01
Pennsylvania Aetna Open Access - High Self & Family YE2 3026.53 3082.93 0.00 3082.93 56.40 2967.19 3022.48 0.00 3022.48 55.29
Pennsylvania Aetna Open Access - High Self Plus One YE3 2996.59 3052.41 0.00 3052.41 55.82 2937.83 2992.56 0.00 2992.56 54.73
Pennsylvania Aetna Open Access - Basic Self P34 1756.20 1789.11 0.00 1789.11 32.91 1721.76 1754.03 0.00 1754.03 32.27
Pennsylvania Aetna Open Access - Basic Self & Family P35 4076.22 4152.52 0.00 4152.52 76.30 3996.29 4071.10 0.00 4071.10 74.81
Pennsylvania Aetna Open Access - Basic Self Plus One P36 4035.83 4111.35 0.00 4111.35 75.52 3956.70 4030.74 0.00 4030.74 74.04
Pennsylvania Aetna Open Access - High Self P31 1797.79 1772.73 0.00 1772.73 -25.06 1762.54 1737.97 0.00 1737.97 -24.57
Pennsylvania Aetna Open Access - High Self & Family P32 4358.74 4297.98 0.00 4297.98 -60.76 4273.27 4213.71 0.00 4213.71 -59.56
Pennsylvania Aetna Open Access - High Self Plus One P33 4315.60 4255.44 0.00 4255.44 -60.16 4230.98 4172.00 0.00 4172.00 -58.98
Pennsylvania Geisinger Health Plan - Standard Self GG4 1012.38 976.11 0.00 976.11 -36.27 992.53 956.97 0.00 956.97 -35.56
Pennsylvania Geisinger Health Plan - Standard Self & Family GG5 2317.87 2234.80 0.00 2234.80 -83.07 2272.42 2190.98 0.00 2190.98 -81.44
Pennsylvania Geisinger Health Plan - Standard Self Plus One GG6 2187.46 2109.09 0.00 2109.09 -78.37 2144.57 2067.74 0.00 2067.74 -76.83
Pennsylvania Geisinger Health Plan - Basic Self AJ1 908.82 882.85 0.00 882.85 -25.97 891.00 865.54 0.00 865.54 -25.46
Pennsylvania Geisinger Health Plan - Basic Self & Family AJ2 2080.76 2021.33 0.00 2021.33 -59.43 2039.96 1981.70 0.00 1981.70 -58.26
Pennsylvania Geisinger Health Plan - Basic Self Plus One AJ3 1963.71 1907.62 0.00 1907.62 -56.09 1925.21 1870.22 0.00 1870.22 -54.99
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Pennsylvania UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 675.05 678.49 0.00 678.49 3.44 661.81 665.19 0.00 665.19 3.38
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1544.48 1560.46 0.00 1560.46 15.98 1514.20 1529.86 0.00 1529.86 15.66
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1451.38 1458.73 0.00 1458.73 7.35 1422.92 1430.13 0.00 1430.13 7.21
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 838.60 926.17 0.00 926.17 87.57 822.16 908.01 0.00 908.01 85.85
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1987.52 2194.97 0.00 2194.97 207.45 1948.55 2151.93 0.00 2151.93 203.38
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1803.03 1991.21 0.00 1991.21 188.18 1767.68 1952.17 0.00 1952.17 184.49
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Pennsylvania UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Pennsylvania UPMC Health Plan - HDHP Self 8W4 681.34 718.85 0.00 718.85 37.51 667.98 704.75 0.00 704.75 36.77
Pennsylvania UPMC Health Plan - HDHP Self & Family 8W5 1569.98 1658.30 0.00 1658.30 88.32 1539.20 1625.78 0.00 1625.78 86.58
Pennsylvania UPMC Health Plan - HDHP Self Plus One 8W6 1509.08 1593.17 0.00 1593.17 84.09 1479.49 1561.93 0.00 1561.93 82.44
Pennsylvania UPMC Health Plan - Standard Self UW4 737.67 746.98 0.00 746.98 9.31 723.21 732.33 0.00 732.33 9.12
Pennsylvania UPMC Health Plan - Standard Self & Family UW5 1732.89 1760.11 0.00 1760.11 27.22 1698.91 1725.60 0.00 1725.60 26.69
Pennsylvania UPMC Health Plan - Standard Self Plus One UW6 1658.71 1679.51 0.00 1679.51 20.80 1626.19 1646.58 0.00 1646.58 20.39
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self ZJ1 490.38 502.65 0.00 502.65 12.27 480.76 492.79 0.00 492.79 12.03
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self & Family ZJ2 1103.36 1130.93 0.00 1130.93 27.57 1081.73 1108.75 0.00 1108.75 27.02
Puerto Rico Humana Health Plans of Puerto Rico, Inc. - High Self Plus One ZJ3 1054.32 1080.69 0.00 1080.69 26.37 1033.65 1059.50 0.00 1059.50 25.85
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self 891 397.84 423.46 0.00 423.46 25.62 390.04 415.16 0.00 415.16 25.12
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self & Family 892 911.07 969.72 0.00 969.72 58.65 893.21 950.71 0.00 950.71 57.50
Puerto Rico Triple-S Salud Inc. Puerto Rico - High Self Plus One 893 893.31 950.83 0.00 950.83 57.52 875.79 932.19 0.00 932.19 56.40
Rhode Island Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Rhode Island Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Rhode Island Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Rhode Island Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Rhode Island Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Rhode Island Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
Rhode Island Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
Rhode Island Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Rhode Island Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Rhode Island Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
South Carolina Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
South Carolina Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
South Carolina Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
South Carolina Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
South Carolina Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
South Carolina Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
South Carolina Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
South Carolina Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
South Carolina Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
South Carolina Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
South Dakota Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
South Dakota Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
South Dakota Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
South Dakota Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
South Dakota Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
South Dakota Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
South Dakota Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
South Dakota Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
South Dakota Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
South Dakota Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
South Dakota HealthPartners - Standard Self V34 564.35 564.35 0.00 564.35 0.00 553.28 553.28 0.00 553.28 0.00
South Dakota HealthPartners - Standard Self & Family V35 1374.80 1374.80 0.00 1374.80 0.00 1347.84 1347.84 0.00 1347.84 0.00
South Dakota HealthPartners - Standard Self Plus One V36 1247.24 1247.24 0.00 1247.24 0.00 1222.78 1222.78 0.00 1222.78 0.00
South Dakota HealthPartners - High Self V31 705.98 751.91 0.00 751.91 45.93 692.14 737.17 0.00 737.17 45.03
South Dakota HealthPartners - High Self & Family V32 1719.73 1831.64 0.00 1831.64 111.91 1686.01 1795.73 0.00 1795.73 109.72
South Dakota HealthPartners - High Self Plus One V33 1560.17 1661.70 0.00 1661.70 101.53 1529.58 1629.12 0.00 1629.12 99.54
Tennessee Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Tennessee Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Tennessee Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Tennessee Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Tennessee Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Tennessee Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Tennessee Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Tennessee Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Tennessee Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Tennessee Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self TT1 866.28 944.22 0.00 944.22 77.94 849.29 925.71 0.00 925.71 76.42
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TT2 1949.13 2124.54 0.00 2124.54 175.41 1910.91 2082.88 0.00 2082.88 171.97
Tennessee Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TT3 1862.50 2030.13 0.00 2030.13 167.63 1825.98 1990.32 0.00 1990.32 164.34
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self TT4 756.86 821.19 0.00 821.19 64.33 742.02 805.09 0.00 805.09 63.07
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self & Family TT5 1702.92 1847.67 0.00 1847.67 144.75 1669.53 1811.44 0.00 1811.44 141.91
Tennessee Humana CoverageFirst and Humana Value Plan - Value Self Plus One TT6 1627.25 1765.57 0.00 1765.57 138.32 1595.34 1730.95 0.00 1730.95 135.61
Tennessee Humana HDHP - HDHP Self ER1 405.74 417.91 0.00 417.91 12.17 397.78 409.72 0.00 409.72 11.94
Tennessee Humana HDHP - HDHP Self & Family ER2 1010.32 1040.64 0.00 1040.64 30.32 990.51 1020.24 0.00 1020.24 29.73
Tennessee Humana HDHP - HDHP Self Plus One ER3 889.42 916.09 0.00 916.09 26.67 871.98 898.13 0.00 898.13 26.15
Tennessee Humana Health Plan, Inc. - Standard Self GJ4 946.10 1006.66 0.00 1006.66 60.56 927.55 986.92 0.00 986.92 59.37
Tennessee Humana Health Plan, Inc. - Standard Self & Family GJ5 2128.72 2264.96 0.00 2264.96 136.24 2086.98 2220.55 0.00 2220.55 133.57
Tennessee Humana Health Plan, Inc. - Standard Self Plus One GJ6 2034.08 2164.30 0.00 2164.30 130.22 1994.20 2121.86 0.00 2121.86 127.66
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Tennessee UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LS1 637.16 672.02 0.00 672.02 34.86 624.67 658.84 0.00 658.84 34.17
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LS2 1465.50 1537.32 0.00 1537.32 71.82 1436.76 1507.18 0.00 1507.18 70.42
Tennessee UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LS3 1369.93 1444.85 0.00 1444.85 74.92 1343.07 1416.52 0.00 1416.52 73.45
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KK1 864.25 959.80 0.00 959.80 95.55 847.30 940.98 0.00 940.98 93.68
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KK2 2160.60 2399.57 0.00 2399.57 238.97 2118.24 2352.52 0.00 2352.52 234.28
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KK3 1858.12 2063.63 0.00 2063.63 205.51 1821.69 2023.17 0.00 2023.17 201.48
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Tennessee UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Texas Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Texas Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Texas Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Texas Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Texas Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Texas Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
Texas Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
Texas Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
Texas Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Texas Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Texas Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Texas Baylor Scott & White Health Plan - Basic Self A81 564.78 602.89 0.00 602.89 38.11 553.71 591.07 0.00 591.07 37.36
Texas Baylor Scott & White Health Plan - Basic Self & Family A82 1324.88 1414.44 0.00 1414.44 89.56 1298.90 1386.71 0.00 1386.71 87.81
Texas Baylor Scott & White Health Plan - Basic Self Plus One A83 1251.68 1336.30 0.00 1336.30 84.62 1227.14 1310.10 0.00 1310.10 82.96
Texas Baylor Scott & White Health Plan - Standard Self A84 1032.93 938.28 0.00 938.28 -94.65 1012.68 919.88 0.00 919.88 -92.80
Texas Baylor Scott & White Health Plan - Standard Self & Family A85 2424.99 2202.58 0.00 2202.58 -222.41 2377.44 2159.39 0.00 2159.39 -218.05
Texas Baylor Scott & White Health Plan - Standard Self Plus One A86 2290.95 2080.83 0.00 2080.83 -210.12 2246.03 2040.03 0.00 2040.03 -206.00
Texas Baylor Scott & White Health Plan - Basic Self P81 582.15 621.46 0.00 621.46 39.31 570.74 609.27 0.00 609.27 38.53
Texas Baylor Scott & White Health Plan - Basic Self & Family P82 1365.78 1458.09 0.00 1458.09 92.31 1339.00 1429.50 0.00 1429.50 90.50
Texas Baylor Scott & White Health Plan - Basic Self Plus One P83 1290.31 1377.52 0.00 1377.52 87.21 1265.01 1350.51 0.00 1350.51 85.50
Texas Baylor Scott & White Health Plan - Standard Self P84 1061.99 964.69 0.00 964.69 -97.30 1041.17 945.77 0.00 945.77 -95.40
Texas Baylor Scott & White Health Plan - Standard Self & Family P85 2493.35 2264.66 0.00 2264.66 -228.69 2444.46 2220.25 0.00 2220.25 -224.21
Texas Baylor Scott & White Health Plan - Standard Self Plus One P86 2355.49 2139.46 0.00 2139.46 -216.03 2309.30 2097.51 0.00 2097.51 -211.79
Texas Humana CoverageFirst and Humana Value Plan - Value Self T34 605.23 671.82 0.00 671.82 66.59 593.36 658.65 0.00 658.65 65.29
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family T35 1452.57 1612.35 0.00 1612.35 159.78 1424.09 1580.74 0.00 1580.74 156.65
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One T36 1301.30 1444.43 0.00 1444.43 143.13 1275.78 1416.11 0.00 1416.11 140.33
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self T31 890.22 983.70 0.00 983.70 93.48 872.76 964.41 0.00 964.41 91.65
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family T32 2002.94 2213.25 0.00 2213.25 210.31 1963.67 2169.85 0.00 2169.85 206.18
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One T33 1913.95 2114.93 0.00 2114.93 200.98 1876.42 2073.46 0.00 2073.46 197.04
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TV1 927.58 953.37 0.00 953.37 25.79 909.39 934.68 0.00 934.68 25.29
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TV2 2087.10 2145.11 0.00 2145.11 58.01 2046.18 2103.05 0.00 2103.05 56.87
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TV3 1994.34 2049.77 0.00 2049.77 55.43 1955.24 2009.58 0.00 2009.58 54.34
Texas Humana CoverageFirst and Humana Value Plan - Value Self TV4 733.66 733.66 0.00 733.66 0.00 719.27 719.27 0.00 719.27 0.00
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TV5 1650.76 1650.78 0.00 1650.78 0.02 1618.39 1618.41 0.00 1618.41 0.02
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TV6 1577.41 1577.43 0.00 1577.43 0.02 1546.48 1546.50 0.00 1546.50 0.02
Texas Humana CoverageFirst and Humana Value Plan - Value Self TU4 627.95 637.10 0.00 637.10 9.15 615.64 624.61 0.00 624.61 8.97
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TU5 1412.89 1433.48 0.00 1433.48 20.59 1385.19 1405.37 0.00 1405.37 20.18
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TU6 1350.15 1369.80 0.00 1369.80 19.65 1323.68 1342.94 0.00 1342.94 19.26
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TU1 788.99 888.27 0.00 888.27 99.28 773.52 870.85 0.00 870.85 97.33
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TU2 1775.27 1998.62 0.00 1998.62 223.35 1740.46 1959.43 0.00 1959.43 218.97
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TU3 1696.37 1909.82 0.00 1909.82 213.45 1663.11 1872.37 0.00 1872.37 209.26
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self TP1 787.58 883.76 0.00 883.76 96.18 772.14 866.43 0.00 866.43 94.29
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self & Family TP2 1772.03 1988.45 0.00 1988.45 216.42 1737.28 1949.46 0.00 1949.46 212.18
Texas Humana CoverageFirst and Humana Value Plan - CDHP Self Plus One TP3 1693.30 1900.12 0.00 1900.12 206.82 1660.10 1862.86 0.00 1862.86 202.76
Texas Humana CoverageFirst and Humana Value Plan - Value Self TP4 496.13 545.25 0.00 545.25 49.12 486.40 534.56 0.00 534.56 48.16
Texas Humana CoverageFirst and Humana Value Plan - Value Self & Family TP5 1190.71 1308.61 0.00 1308.61 117.90 1167.36 1282.95 0.00 1282.95 115.59
Texas Humana CoverageFirst and Humana Value Plan - Value Self Plus One TP6 1066.68 1172.30 0.00 1172.30 105.62 1045.76 1149.31 0.00 1149.31 103.55
Texas Humana HDHP - HDHP Self FD1 405.74 417.91 0.00 417.91 12.17 397.78 409.72 0.00 409.72 11.94
Texas Humana HDHP - HDHP Self & Family FD2 1010.32 1040.64 0.00 1040.64 30.32 990.51 1020.24 0.00 1020.24 29.73
Texas Humana HDHP - HDHP Self Plus One FD3 889.42 916.09 0.00 916.09 26.67 871.98 898.13 0.00 898.13 26.15
Texas Humana HDHP - HDHP Self AN1 467.79 481.85 0.00 481.85 14.06 458.62 472.40 0.00 472.40 13.78
Texas Humana HDHP - HDHP Self & Family AN2 1165.49 1200.45 0.00 1200.45 34.96 1142.64 1176.91 0.00 1176.91 34.27
Texas Humana HDHP - HDHP Self Plus One AN3 1025.97 1056.73 0.00 1056.73 30.76 1005.85 1036.01 0.00 1036.01 30.16
Texas Humana HDHP - HDHP Self DX1 412.65 425.05 0.00 425.05 12.40 404.56 416.72 0.00 416.72 12.16
Texas Humana HDHP - HDHP Self & Family DX2 1027.65 1058.48 0.00 1058.48 30.83 1007.50 1037.73 0.00 1037.73 30.23
Texas Humana HDHP - HDHP Self Plus One DX3 904.67 931.82 0.00 931.82 27.15 886.93 913.55 0.00 913.55 26.62
Texas Humana HDHP - HDHP Self CG1 522.80 538.47 0.00 538.47 15.67 512.55 527.91 0.00 527.91 15.36
Texas Humana HDHP - HDHP Self & Family CG2 1303.00 1342.09 0.00 1342.09 39.09 1277.45 1315.77 0.00 1315.77 38.32
Texas Humana HDHP - HDHP Self Plus One CG3 1146.95 1181.35 0.00 1181.35 34.40 1124.46 1158.19 0.00 1158.19 33.73
Texas Humana Health Plan of Texas - Standard Self UC4 916.62 1012.89 0.00 1012.89 96.27 898.65 993.03 0.00 993.03 94.38
Texas Humana Health Plan of Texas - Standard Self & Family UC5 2062.40 2278.98 0.00 2278.98 216.58 2021.96 2234.29 0.00 2234.29 212.33
Texas Humana Health Plan of Texas - Standard Self Plus One UC6 1970.72 2177.67 0.00 2177.67 206.95 1932.08 2134.97 0.00 2134.97 202.89
Texas Humana Health Plan of Texas - Basic Self QX1 887.09 981.66 0.00 981.66 94.57 869.70 962.41 0.00 962.41 92.71
Texas Humana Health Plan of Texas - Basic Self & Family QX2 1995.94 2208.74 0.00 2208.74 212.80 1956.80 2165.43 0.00 2165.43 208.63
Texas Humana Health Plan of Texas - Basic Self Plus One QX3 1907.23 2110.57 0.00 2110.57 203.34 1869.83 2069.19 0.00 2069.19 199.36
Texas Humana Health Plan of Texas - Standard Self EW4 969.29 1025.04 0.00 1025.04 55.75 950.28 1004.94 0.00 1004.94 54.66
Texas Humana Health Plan of Texas - Standard Self & Family EW5 2180.83 2306.31 0.00 2306.31 125.48 2138.07 2261.09 0.00 2261.09 123.02
Texas Humana Health Plan of Texas - Standard Self Plus One EW6 2083.92 2203.79 0.00 2203.79 119.87 2043.06 2160.58 0.00 2160.58 117.52
Texas Humana Health Plan of Texas - Basic Self QY1 861.54 1035.70 0.00 1035.70 174.16 844.65 1015.39 0.00 1015.39 170.74
Texas Humana Health Plan of Texas - Basic Self & Family QY2 1938.50 2330.31 0.00 2330.31 391.81 1900.49 2284.62 0.00 2284.62 384.13
Texas Humana Health Plan of Texas - Basic Self Plus One QY3 1852.38 2226.75 0.00 2226.75 374.37 1816.06 2183.09 0.00 2183.09 367.03
Texas Humana Health Plan of Texas - Basic Self Q21 842.21 950.02 0.00 950.02 107.81 825.70 931.39 0.00 931.39 105.69
Texas Humana Health Plan of Texas - Basic Self & Family Q22 1894.97 2137.53 0.00 2137.53 242.56 1857.81 2095.62 0.00 2095.62 237.81
Texas Humana Health Plan of Texas - Basic Self Plus One Q23 1810.67 2042.48 0.00 2042.48 231.81 1775.17 2002.43 0.00 2002.43 227.26
Texas Humana Health Plan of Texas - Basic Self Q61 730.98 807.89 0.00 807.89 76.91 716.65 792.05 0.00 792.05 75.40
Texas Humana Health Plan of Texas - Basic Self & Family Q62 1644.73 1817.77 0.00 1817.77 173.04 1612.48 1782.13 0.00 1782.13 169.65
Texas Humana Health Plan of Texas - Basic Self Plus One Q63 1571.65 1736.97 0.00 1736.97 165.32 1540.83 1702.91 0.00 1702.91 162.08
Texas Humana Health Plan of Texas - Standard Self UU4 1640.35 1722.34 0.00 1722.34 81.99 1608.19 1688.57 0.00 1688.57 80.38
Texas Humana Health Plan of Texas - Standard Self & Family UU5 3690.73 3875.26 0.00 3875.26 184.53 3618.36 3799.27 0.00 3799.27 180.91
Texas Humana Health Plan of Texas - Standard Self Plus One UU6 3526.70 3703.03 0.00 3703.03 176.33 3457.55 3630.42 0.00 3630.42 172.87
Texas Humana Health Plan of Texas - Standard Self UR4 1090.94 1175.81 0.00 1175.81 84.87 1069.55 1152.75 0.00 1152.75 83.20
Texas Humana Health Plan of Texas - Standard Self & Family UR5 2454.60 2645.57 0.00 2645.57 190.97 2406.47 2593.70 0.00 2593.70 187.23
Texas Humana Health Plan of Texas - Standard Self Plus One UR6 2345.50 2527.98 0.00 2527.98 182.48 2299.51 2478.41 0.00 2478.41 178.90
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Texas UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 677.04 710.94 0.00 710.94 33.90 663.76 697.00 0.00 697.00 33.24
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1618.14 1706.26 0.00 1706.26 88.12 1586.41 1672.80 0.00 1672.80 86.39
Texas UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1354.09 1510.78 0.00 1510.78 156.69 1327.54 1481.16 0.00 1481.16 153.62
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Texas UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Utah Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Utah Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Utah Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Utah Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Utah Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Utah Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Utah Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Utah Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Utah Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Utah Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Utah Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Utah Altius Health Plan - High Self 9K1 1173.87 1239.01 0.00 1239.01 65.14 1150.85 1214.72 0.00 1214.72 63.87
Utah Altius Health Plan - High Self & Family 9K2 2596.00 2740.12 0.00 2740.12 144.12 2545.10 2686.39 0.00 2686.39 141.29
Utah Altius Health Plan - High Self Plus One 9K3 2570.32 2713.02 0.00 2713.02 142.70 2519.92 2659.82 0.00 2659.82 139.90
Utah Altius Health Plan - HDHP Self 9K4 774.40 810.79 0.00 810.79 36.39 759.22 794.89 0.00 794.89 35.67
Utah Altius Health Plan - HDHP Self & Family 9K5 1618.45 1694.48 0.00 1694.48 76.03 1586.72 1661.25 0.00 1661.25 74.53
Utah Altius Health Plan - HDHP Self Plus One 9K6 1586.67 1661.19 0.00 1661.19 74.52 1555.56 1628.62 0.00 1628.62 73.06
Utah Altius Health Plan - Standard Self DK4 961.39 1013.22 0.00 1013.22 51.83 942.54 993.35 0.00 993.35 50.81
Utah Altius Health Plan - Standard Self & Family DK5 2123.06 2237.56 0.00 2237.56 114.50 2081.43 2193.69 0.00 2193.69 112.26
Utah Altius Health Plan - Standard Self Plus One DK6 2102.02 2215.39 0.00 2215.39 113.37 2060.80 2171.95 0.00 2171.95 111.15
Utah SelectHealth Plan - Standard Self SF4 655.95 715.62 0.00 715.62 59.67 643.09 701.59 0.00 701.59 58.50
Utah SelectHealth Plan - Standard Self & Family SF5 1639.86 1789.11 0.00 1789.11 149.25 1607.71 1754.03 0.00 1754.03 146.32
Utah SelectHealth Plan - Standard Self Plus One SF6 1443.07 1574.38 0.00 1574.38 131.31 1414.77 1543.51 0.00 1543.51 128.74
Utah SelectHealth Plan - HDHP Self WX1 583.82 666.71 0.00 666.71 82.89 572.37 653.64 0.00 653.64 81.27
Utah SelectHealth Plan - HDHP Self & Family WX2 1459.55 1666.80 0.00 1666.80 207.25 1430.93 1634.12 0.00 1634.12 203.19
Utah SelectHealth Plan - HDHP Self Plus One WX3 1284.38 1466.80 0.00 1466.80 182.42 1259.20 1438.04 0.00 1438.04 178.84
Vermont Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Vermont Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Vermont Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Vermont Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Vermont Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Vermont Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self EP4 946.33 1115.66 0.00 1115.66 169.33 927.77 1093.78 0.00 1093.78 166.01
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family EP5 2166.99 2554.69 0.00 2554.69 387.70 2124.50 2504.60 0.00 2504.60 380.10
Vermont Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One EP6 2124.50 2504.59 0.00 2504.59 380.09 2082.84 2455.48 0.00 2455.48 372.64
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self EP1 1179.50 1282.37 0.00 1282.37 102.87 1156.37 1257.23 0.00 1257.23 100.86
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family EP2 2689.86 2924.51 0.00 2924.51 234.65 2637.12 2867.17 0.00 2867.17 230.05
Vermont Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One EP3 2663.23 2895.55 0.00 2895.55 232.32 2611.01 2838.77 0.00 2838.77 227.76
Vermont Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Vermont Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Vermont Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self 851 692.61 678.76 0.00 678.76 -13.85 679.03 665.45 0.00 665.45 -13.58
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self & Family 852 1586.12 1554.38 0.00 1554.38 -31.74 1555.02 1523.90 0.00 1523.90 -31.12
Virgin Islands Triple-S Salud Inc. U.S. Virgin Islands - High Self Plus One 853 1555.17 1524.04 0.00 1524.04 -31.13 1524.68 1494.16 0.00 1494.16 -30.52
Virginia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Virginia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Virginia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Virginia Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Virginia Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Virginia Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
Virginia Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Virginia Aetna Open Access - High Self JN1 1276.58 1355.42 0.00 1355.42 78.84 1251.55 1328.84 0.00 1328.84 77.29
Virginia Aetna Open Access - High Self & Family JN2 2869.95 3047.15 0.00 3047.15 177.20 2813.68 2987.40 0.00 2987.40 173.72
Virginia Aetna Open Access - High Self Plus One JN3 2841.51 3016.96 0.00 3016.96 175.45 2785.79 2957.80 0.00 2957.80 172.01
Virginia Aetna Open Access - Basic Self JN4 754.25 786.14 0.00 786.14 31.89 739.46 770.73 0.00 770.73 31.27
Virginia Aetna Open Access - Basic Self & Family JN5 1726.07 1799.10 0.00 1799.10 73.03 1692.23 1763.82 0.00 1763.82 71.59
Virginia Aetna Open Access - Basic Self Plus One JN6 1585.01 1652.06 0.00 1652.06 67.05 1553.93 1619.67 0.00 1619.67 65.74
Virginia Aetna Saver (Open Access) - Saver Self QQ4 607.11 625.83 0.00 625.83 18.72 595.21 613.56 0.00 613.56 18.35
Virginia Aetna Saver (Open Access) - Saver Self & Family QQ5 1389.36 1432.28 0.00 1432.28 42.92 1362.12 1404.20 0.00 1404.20 42.08
Virginia Aetna Saver (Open Access) - Saver Self Plus One QQ6 1275.84 1315.24 0.00 1315.24 39.40 1250.82 1289.45 0.00 1289.45 38.63
Virginia CareFirst BlueChoice - Standard Self 2G4 923.69 1043.74 0.00 1043.74 120.05 905.58 1023.27 0.00 1023.27 117.69
Virginia CareFirst BlueChoice - Standard Self & Family 2G5 2194.62 2479.93 0.00 2479.93 285.31 2151.59 2431.30 0.00 2431.30 279.71
Virginia CareFirst BlueChoice - Standard Self Plus One 2G6 1847.34 2087.50 0.00 2087.50 240.16 1811.12 2046.57 0.00 2046.57 235.45
Virginia CareFirst BlueChoice - HDHP Self B61 616.40 705.74 0.00 705.74 89.34 604.31 691.90 0.00 691.90 87.59
Virginia CareFirst BlueChoice - HDHP Self & Family B62 1464.51 1676.84 0.00 1676.84 212.33 1435.79 1643.96 0.00 1643.96 208.17
Virginia CareFirst BlueChoice - HDHP Self Plus One B63 1232.74 1411.53 0.00 1411.53 178.79 1208.57 1383.85 0.00 1383.85 175.28
Virginia CareFirst BlueChoice - Blue Value Plus Self B64 738.14 775.03 0.00 775.03 36.89 723.67 759.83 0.00 759.83 36.16
Virginia CareFirst BlueChoice - Blue Value Plus Self & Family B65 1753.77 1841.46 0.00 1841.46 87.69 1719.38 1805.35 0.00 1805.35 85.97
Virginia CareFirst BlueChoice - Blue Value Plus Self Plus One B66 1476.24 1550.07 0.00 1550.07 73.83 1447.29 1519.68 0.00 1519.68 72.39
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self T71 376.28 387.32 0.00 387.32 11.04 368.90 379.73 0.00 379.73 10.83
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self & Family T72 1072.36 1089.71 0.00 1089.71 17.35 1051.33 1068.34 0.00 1068.34 17.01
Virginia Kaiser Permanente - Mid-Atlantic States - Prosper Self Plus One T73 884.25 925.32 0.00 925.32 41.07 866.91 907.18 0.00 907.18 40.27
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self E34 619.40 647.98 0.00 647.98 28.58 607.25 635.27 0.00 635.27 28.02
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self & Family E35 1424.56 1490.31 0.00 1490.31 65.75 1396.63 1461.09 0.00 1461.09 64.46
Virginia Kaiser Permanente - Mid-Atlantic States - Standard Self Plus One E36 1424.56 1490.31 0.00 1490.31 65.75 1396.63 1461.09 0.00 1461.09 64.46
Virginia Kaiser Permanente - Mid-Atlantic States - High Self E31 771.73 806.72 0.00 806.72 34.99 756.60 790.90 0.00 790.90 34.30
Virginia Kaiser Permanente - Mid-Atlantic States - High Self & Family E32 1775.00 1855.41 0.00 1855.41 80.41 1740.20 1819.03 0.00 1819.03 78.83
Virginia Kaiser Permanente - Mid-Atlantic States - High Self Plus One E33 1775.00 1855.41 0.00 1855.41 80.41 1740.20 1819.03 0.00 1819.03 78.83
Virginia M.D. IPA - High Self JP1 1032.23 1087.10 0.00 1087.10 54.87 1011.99 1065.78 0.00 1065.78 53.79
Virginia M.D. IPA - High Self & Family JP2 2894.41 3048.21 0.00 3048.21 153.80 2837.66 2988.44 0.00 2988.44 150.78
Virginia M.D. IPA - High Self Plus One JP3 2015.96 2123.08 0.00 2123.08 107.12 1976.43 2081.45 0.00 2081.45 105.02
Virginia Optima Health - HDHP Self PG4 580.17 597.59 0.00 597.59 17.42 568.79 585.87 0.00 585.87 17.08
Virginia Optima Health - HDHP Self & Family PG5 1279.76 1318.16 0.00 1318.16 38.40 1254.67 1292.31 0.00 1292.31 37.64
Virginia Optima Health - HDHP Self Plus One PG6 1254.70 1292.34 0.00 1292.34 37.64 1230.10 1267.00 0.00 1267.00 36.90
Virginia Optima Health - High Self PG1 733.94 822.03 0.00 822.03 88.09 719.55 805.91 0.00 805.91 86.36
Virginia Optima Health - High Self & Family PG2 1773.46 1986.29 0.00 1986.29 212.83 1738.69 1947.34 0.00 1947.34 208.65
Virginia Optima Health - High Self Plus One PG3 1773.33 1986.12 0.00 1986.12 212.79 1738.56 1947.18 0.00 1947.18 208.62
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self AS1 663.93 726.03 0.00 726.03 62.10 650.91 711.79 0.00 711.79 60.88
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family AS2 1570.25 1717.04 0.00 1717.04 146.79 1539.46 1683.37 0.00 1683.37 143.91
Virginia UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One AS3 1427.48 1560.95 0.00 1560.95 133.47 1399.49 1530.34 0.00 1530.34 130.85
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self V41 675.05 678.49 0.00 678.49 3.44 661.81 665.19 0.00 665.19 3.38
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family V42 1544.48 1560.46 0.00 1560.46 15.98 1514.20 1529.86 0.00 1529.86 15.66
Virginia UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One V43 1451.38 1458.73 0.00 1458.73 7.35 1422.92 1430.13 0.00 1430.13 7.21
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self LR1 838.60 926.17 0.00 926.17 87.57 822.16 908.01 0.00 908.01 85.85
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family LR2 1987.52 2194.97 0.00 2194.97 207.45 1948.55 2151.93 0.00 2151.93 203.38
Virginia UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One LR3 1803.03 1991.21 0.00 1991.21 188.18 1767.68 1952.17 0.00 1952.17 184.49
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self L91 677.04 710.94 0.00 710.94 33.90 663.76 697.00 0.00 697.00 33.24
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self & Family L92 1618.14 1706.26 0.00 1706.26 88.12 1586.41 1672.80 0.00 1672.80 86.39
Virginia UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced - Value Self Plus One L93 1354.09 1510.78 0.00 1510.78 156.69 1327.54 1481.16 0.00 1481.16 153.62
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Y81 592.88 688.93 0.00 688.93 96.05 581.25 675.42 0.00 675.42 94.17
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family Y82 1402.18 1629.30 0.00 1629.30 227.12 1374.69 1597.35 0.00 1597.35 222.66
Virginia UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One Y83 1274.70 1481.18 0.00 1481.18 206.48 1249.71 1452.14 0.00 1452.14 202.43
Washington Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Washington Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Washington Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Washington Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Washington Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Washington Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self G54 851.07 891.54 0.00 891.54 40.47 834.38 874.06 0.00 874.06 39.68
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family G55 1949.29 2041.98 0.00 2041.98 92.69 1911.07 2001.94 0.00 2001.94 90.87
Washington Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One G56 1911.10 2001.95 0.00 2001.95 90.85 1873.63 1962.70 0.00 1962.70 89.07
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self G51 1157.80 1175.46 0.00 1175.46 17.66 1135.10 1152.41 0.00 1152.41 17.31
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family G52 2640.99 2681.21 0.00 2681.21 40.22 2589.21 2628.64 0.00 2628.64 39.43
Washington Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One G53 2614.87 2654.69 0.00 2654.69 39.82 2563.60 2602.64 0.00 2602.64 39.04
Washington Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Washington Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Washington Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Washington Kaiser Permanente - Northwest - Standard Self 574 682.27 709.26 0.00 709.26 26.99 668.89 695.35 0.00 695.35 26.46
Washington Kaiser Permanente - Northwest - Standard Self & Family 575 1567.37 1629.43 0.00 1629.43 62.06 1536.64 1597.48 0.00 1597.48 60.84
Washington Kaiser Permanente - Northwest - Standard Self Plus One 576 1567.37 1629.43 0.00 1629.43 62.06 1536.64 1597.48 0.00 1597.48 60.84
Washington Kaiser Permanente - Northwest - High Self 571 772.81 814.18 0.00 814.18 41.37 757.66 798.22 0.00 798.22 40.56
Washington Kaiser Permanente - Northwest - High Self & Family 572 1745.57 1838.97 0.00 1838.97 93.40 1711.34 1802.91 0.00 1802.91 91.57
Washington Kaiser Permanente - Northwest - High Self Plus One 573 1745.57 1838.97 0.00 1838.97 93.40 1711.34 1802.91 0.00 1802.91 91.57
Washington Kaiser Permanente - Northwest - Prosper Self AM1 399.62 418.84 0.00 418.84 19.22 391.78 410.63 0.00 410.63 18.85
Washington Kaiser Permanente - Northwest - Prosper Self & Family AM2 991.09 1038.75 0.00 1038.75 47.66 971.66 1018.38 0.00 1018.38 46.72
Washington Kaiser Permanente - Northwest - Prosper Self Plus One AM3 859.14 900.47 0.00 900.47 41.33 842.29 882.81 0.00 882.81 40.52
Washington Kaiser Permanente - Washington Core - Standard Self 544 637.71 653.68 0.00 653.68 15.97 625.21 640.86 0.00 640.86 15.65
Washington Kaiser Permanente - Washington Core - Standard Self & Family 545 1466.76 1503.42 0.00 1503.42 36.66 1438.00 1473.94 0.00 1473.94 35.94
Washington Kaiser Permanente - Washington Core - Standard Self Plus One 546 1466.76 1503.42 0.00 1503.42 36.66 1438.00 1473.94 0.00 1473.94 35.94
Washington Kaiser Permanente - Washington Core - High Self 541 886.92 920.85 0.00 920.85 33.93 869.53 902.79 0.00 902.79 33.26
Washington Kaiser Permanente - Washington Core - High Self & Family 542 1951.19 2025.84 0.00 2025.84 74.65 1912.93 1986.12 0.00 1986.12 73.19
Washington Kaiser Permanente - Washington Core - High Self Plus One 543 1951.19 2025.84 0.00 2025.84 74.65 1912.93 1986.12 0.00 1986.12 73.19
Washington Kaiser Permanente - Washington Core - Prosper Self PT4 397.80 397.80 0.00 397.80 0.00 390.00 390.00 0.00 390.00 0.00
Washington Kaiser Permanente - Washington Core - Prosper Self & Family PT5 1113.82 1113.82 0.00 1113.82 0.00 1091.98 1091.98 0.00 1091.98 0.00
Washington Kaiser Permanente - Washington Core - Prosper Self Plus One PT6 963.56 963.56 0.00 963.56 0.00 944.67 944.67 0.00 944.67 0.00
Washington Kaiser Permanente Washington Options Federal - Standard Self L11 773.21 689.52 0.00 689.52 -83.69 758.05 676.00 0.00 676.00 -82.05
Washington Kaiser Permanente Washington Options Federal - Standard Self & Family L12 1716.49 1530.71 0.00 1530.71 -185.78 1682.83 1500.70 0.00 1500.70 -182.13
Washington Kaiser Permanente Washington Options Federal - Standard Self Plus One L13 1716.49 1530.71 0.00 1530.71 -185.78 1682.83 1500.70 0.00 1500.70 -182.13
Washington Kaiser Permanente Washington Options Federal - HDHP Self L14 688.68 734.38 0.00 734.38 45.70 675.18 719.98 0.00 719.98 44.80
Washington Kaiser Permanente Washington Options Federal - HDHP Self & Family L15 1528.82 1630.23 0.00 1630.23 101.41 1498.84 1598.26 0.00 1598.26 99.42
Washington Kaiser Permanente Washington Options Federal - HDHP Self Plus One L16 1528.82 1630.23 0.00 1630.23 101.41 1498.84 1598.26 0.00 1598.26 99.42
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self WF1 681.83 723.90 0.00 723.90 42.07 668.46 709.71 0.00 709.71 41.25
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self & Family WF2 1612.53 1712.04 0.00 1712.04 99.51 1580.91 1678.47 0.00 1678.47 97.56
Washington UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - High Self Plus One WF3 1465.91 1556.40 0.00 1556.40 90.49 1437.17 1525.88 0.00 1525.88 88.71
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self LU1 685.54 722.80 0.00 722.80 37.26 672.10 708.63 0.00 708.63 36.53
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self & Family LU2 1576.77 1662.37 0.00 1662.37 85.60 1545.85 1629.77 0.00 1629.77 83.92
Washington UnitedHealthcare Insurance Company, Inc. Choice HDHP - HDHP Self Plus One LU3 1473.94 1553.98 0.00 1553.98 80.04 1445.04 1523.51 0.00 1523.51 78.47
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self KT1 882.17 982.72 0.00 982.72 100.55 864.87 963.45 0.00 963.45 98.58
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self & Family KT2 2205.40 2456.79 0.00 2456.79 251.39 2162.16 2408.62 0.00 2408.62 246.46
Washington UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - High Self Plus One KT3 1896.65 2112.83 0.00 2112.83 216.18 1859.46 2071.40 0.00 2071.40 211.94
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self VD1 670.80 647.03 0.00 647.03 -23.77 657.65 634.34 0.00 634.34 -23.31
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self & Family VD2 1586.50 1530.18 0.00 1530.18 -56.32 1555.39 1500.18 0.00 1500.18 -55.21
Washington UnitedHealthcare Insurance Company, Inc. Choice Primary - High Self Plus One VD3 1442.25 1391.09 0.00 1391.09 -51.16 1413.97 1363.81 0.00 1363.81 -50.16
West Virginia Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
West Virginia Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
West Virginia Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
West Virginia Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
West Virginia Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
West Virginia Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self F51 888.06 997.77 0.00 997.77 109.71 870.65 978.21 0.00 978.21 107.56
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family F52 2024.80 2275.04 0.00 2275.04 250.24 1985.10 2230.43 0.00 2230.43 245.33
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One F53 2004.76 2252.50 0.00 2252.50 247.74 1965.45 2208.33 0.00 2208.33 242.88
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self F54 913.44 1028.45 0.00 1028.45 115.01 895.53 1008.28 0.00 1008.28 112.75
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family F55 2091.65 2355.07 0.00 2355.07 263.42 2050.64 2308.89 0.00 2308.89 258.25
West Virginia Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One F56 2050.66 2308.85 0.00 2308.85 258.19 2010.45 2263.58 0.00 2263.58 253.13
West Virginia Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
West Virginia Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
West Virginia Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Wisconsin Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Wisconsin Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Wisconsin Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Wisconsin Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Wisconsin Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Wisconsin Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self JS4 1116.40 1129.11 0.00 1129.11 12.71 1094.51 1106.97 0.00 1106.97 12.46
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family JS5 2548.61 2577.59 0.00 2577.59 28.98 2498.64 2527.05 0.00 2527.05 28.41
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One JS6 2523.42 2552.11 0.00 2552.11 28.69 2473.94 2502.07 0.00 2502.07 28.13
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self JS1 1058.09 1189.73 0.00 1189.73 131.64 1037.34 1166.40 0.00 1166.40 129.06
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family JS2 2411.95 2712.07 0.00 2712.07 300.12 2364.66 2658.89 0.00 2658.89 294.23
Wisconsin Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One JS3 2388.06 2685.19 0.00 2685.19 297.13 2341.24 2632.54 0.00 2632.54 291.30
Wisconsin Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Wisconsin Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Wisconsin Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Wisconsin Dean Health Plan, Inc. - High Self WD1 1310.26 1395.06 0.00 1395.06 84.80 1284.57 1367.71 0.00 1367.71 83.14
Wisconsin Dean Health Plan, Inc. - High Self & Family WD2 3013.62 3208.68 0.00 3208.68 195.06 2954.53 3145.76 0.00 3145.76 191.23
Wisconsin Dean Health Plan, Inc. - High Self Plus One WD3 2751.56 2929.66 0.00 2929.66 178.10 2697.61 2872.22 0.00 2872.22 174.61
Wisconsin Dean Health Plan, Inc. - Standard Self WD4 726.67 753.28 0.00 753.28 26.61 712.42 738.51 0.00 738.51 26.09
Wisconsin Dean Health Plan, Inc. - Standard Self & Family WD5 1744.00 1807.89 0.00 1807.89 63.89 1709.80 1772.44 0.00 1772.44 62.64
Wisconsin Dean Health Plan, Inc. - Standard Self Plus One WD6 1598.67 1657.23 0.00 1657.23 58.56 1567.32 1624.74 0.00 1624.74 57.42
Wisconsin Dean Health Plan, Inc. - Basic Self AG1 464.17 464.17 0.00 464.17 0.00 455.07 455.07 0.00 455.07 0.00
Wisconsin Dean Health Plan, Inc. - Basic Self & Family AG2 1044.38 1044.38 0.00 1044.38 0.00 1023.90 1023.90 0.00 1023.90 0.00
Wisconsin Dean Health Plan, Inc. - Basic Self Plus One AG3 974.74 974.74 0.00 974.74 0.00 955.63 955.63 0.00 955.63 0.00
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self WJ1 1110.81 1135.74 0.00 1135.74 24.93 1089.03 1113.47 0.00 1113.47 24.44
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self & Family WJ2 2888.25 2953.04 0.00 2953.04 64.79 2831.62 2895.14 0.00 2895.14 63.52
Wisconsin Group Health Cooperative of South Central Wisconsin - High Self Plus One WJ3 2443.86 2498.71 0.00 2498.71 54.85 2395.94 2449.72 0.00 2449.72 53.78
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self WJ4 599.20 653.85 0.00 653.85 54.65 587.45 641.03 0.00 641.03 53.58
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self & Family WJ5 1557.99 1700.09 0.00 1700.09 142.10 1527.44 1666.75 0.00 1666.75 139.31
Wisconsin Group Health Cooperative of South Central Wisconsin - Standard Self Plus One WJ6 1318.29 1438.54 0.00 1438.54 120.25 1292.44 1410.33 0.00 1410.33 117.89
Wisconsin HealthPartners - Standard Self V34 564.35 564.35 0.00 564.35 0.00 553.28 553.28 0.00 553.28 0.00
Wisconsin HealthPartners - Standard Self & Family V35 1374.80 1374.80 0.00 1374.80 0.00 1347.84 1347.84 0.00 1347.84 0.00
Wisconsin HealthPartners - Standard Self Plus One V36 1247.24 1247.24 0.00 1247.24 0.00 1222.78 1222.78 0.00 1222.78 0.00
Wisconsin HealthPartners - High Self V31 705.98 751.91 0.00 751.91 45.93 692.14 737.17 0.00 737.17 45.03
Wisconsin HealthPartners - High Self & Family V32 1719.73 1831.64 0.00 1831.64 111.91 1686.01 1795.73 0.00 1795.73 109.72
Wisconsin HealthPartners - High Self Plus One V33 1560.17 1661.70 0.00 1661.70 101.53 1529.58 1629.12 0.00 1629.12 99.54
Wyoming Aetna Advantage - Advantage Self Z24 510.02 510.02 0.00 510.02 0.00 500.02 500.02 0.00 500.02 0.00
Wyoming Aetna Advantage - Advantage Self & Family Z25 1351.50 1351.50 0.00 1351.50 0.00 1325.00 1325.00 0.00 1325.00 0.00
Wyoming Aetna Advantage - Advantage Self Plus One Z26 1122.02 1122.02 0.00 1122.02 0.00 1100.02 1100.02 0.00 1100.02 0.00
Wyoming Aetna Direct - CDHP Self N61 640.84 654.25 0.00 654.25 13.41 628.27 641.42 0.00 641.42 13.15
Wyoming Aetna Direct - CDHP Self & Family N62 1616.17 1649.92 0.00 1649.92 33.75 1584.48 1617.57 0.00 1617.57 33.09
Wyoming Aetna Direct - CDHP Self Plus One N63 1405.43 1434.80 0.00 1434.80 29.37 1377.87 1406.67 0.00 1406.67 28.80
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self H41 842.71 882.23 0.00 882.23 39.52 826.19 864.93 0.00 864.93 38.74
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self & Family H42 1920.88 2010.95 0.00 2010.95 90.07 1883.22 1971.52 0.00 1971.52 88.30
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - CDHP Self Plus One H43 1902.26 1991.46 0.00 1991.46 89.20 1864.96 1952.41 0.00 1952.41 87.45
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self H44 850.40 919.18 0.00 919.18 68.78 833.73 901.16 0.00 901.16 67.43
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self & Family H45 1951.72 2109.47 0.00 2109.47 157.75 1913.45 2068.11 0.00 2068.11 154.66
Wyoming Aetna HealthFund CDHP and Aetna Value Plan - Value Self Plus One H46 1913.46 2068.14 0.00 2068.14 154.68 1875.94 2027.59 0.00 2027.59 151.65
Wyoming Aetna HealthFund HDHP - HDHP Self 224 840.80 849.30 0.00 849.30 8.50 824.31 832.65 0.00 832.65 8.34
Wyoming Aetna HealthFund HDHP - HDHP Self & Family 225 1854.62 1873.39 0.00 1873.39 18.77 1818.25 1836.66 0.00 1836.66 18.41
Wyoming Aetna HealthFund HDHP - HDHP Self Plus One 226 1818.28 1836.73 0.00 1836.73 18.45 1782.63 1800.72 0.00 1800.72 18.09
Wyoming Altius Health Plan - High Self 9K1 1173.87 1239.01 0.00 1239.01 65.14 1150.85 1214.72 0.00 1214.72 63.87
Wyoming Altius Health Plan - High Self & Family 9K2 2596.00 2740.12 0.00 2740.12 144.12 2545.10 2686.39 0.00 2686.39 141.29
Wyoming Altius Health Plan - High Self Plus One 9K3 2570.32 2713.02 0.00 2713.02 142.70 2519.92 2659.82 0.00 2659.82 139.90
Wyoming Altius Health Plan - HDHP Self 9K4 774.40 810.79 0.00 810.79 36.39 759.22 794.89 0.00 794.89 35.67
Wyoming Altius Health Plan - HDHP Self & Family 9K5 1618.45 1694.48 0.00 1694.48 76.03 1586.72 1661.25 0.00 1661.25 74.53
Wyoming Altius Health Plan - HDHP Self Plus One 9K6 1586.67 1661.19 0.00 1661.19 74.52 1555.56 1628.62 0.00 1628.62 73.06
Wyoming Altius Health Plan - Standard Self DK4 961.39 1013.22 0.00 1013.22 51.83 942.54 993.35 0.00 993.35 50.81
Wyoming Altius Health Plan - Standard Self & Family DK5 2123.06 2237.56 0.00 2237.56 114.50 2081.43 2193.69 0.00 2193.69 112.26
Wyoming Altius Health Plan - Standard Self Plus One DK6 2102.02 2215.39 0.00 2215.39 113.37 2060.80 2171.95 0.00 2171.95 111.15
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