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    Healthcare Plan Information

    2016 Plan Information for Arizona

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    State Specific Rates
    Contract Enrollment Code Employee Type Option/Enrollment Type Payment Period Employee Payment
    Aetna Direct N61 Non-Postal CDHP Self Monthly $118.33
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $298.42
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $259.50
    Aetna HealthFund CDHP and Value Plan G51 Non-Postal CDHP Self Monthly $234.89
    Aetna HealthFund CDHP and Value Plan G52 Non-Postal CDHP Self & Family Monthly $531.83
    Aetna HealthFund CDHP and Value Plan G53 Non-Postal CDHP Self Plus One Monthly $575.62
    Aetna HealthFund CDHP and Value Plan G54 Non-Postal Value Self Monthly $133.71
    Aetna HealthFund CDHP and Value Plan G55 Non-Postal Value Self & Family Monthly $306.25
    Aetna HealthFund CDHP and Value Plan G56 Non-Postal Value Self Plus One Monthly $300.24
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $130.08
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $286.94
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $281.31
    Aetna Open Access WQ1 Non-Postal High Self Monthly $416.54
    Aetna Open Access WQ2 Non-Postal High Self & Family Monthly $1075.40
    Aetna Open Access WQ3 Non-Postal High Self Plus One Monthly $1113.79
    Health Net of Arizona, Inc. A71 Non-Postal High Self Monthly $324.31
    Health Net of Arizona, Inc. A72 Non-Postal High Self & Family Monthly $933.35
    Health Net of Arizona, Inc. A73 Non-Postal High Self Plus One Monthly $992.89
    Health Net of Arizona, Inc. A74 Non-Postal Standard Self Monthly $221.54
    Health Net of Arizona, Inc. A75 Non-Postal Standard Self & Family Monthly $673.01
    Health Net of Arizona, Inc. A76 Non-Postal Standard Self Plus One Monthly $732.55
    Humana Health Plan, Inc. BF1 Non-Postal High Self Monthly $293.91
    Humana Health Plan, Inc. BF2 Non-Postal High Self & Family Monthly $643.06
    Humana Health Plan, Inc. BF3 Non-Postal High Self Plus One Monthly $626.99
    Humana Health Plan, Inc. BF4 Non-Postal Standard Self Monthly $196.67
    Humana Health Plan, Inc. BF5 Non-Postal Standard Self & Family Monthly $424.25
    Humana Health Plan, Inc. BF6 Non-Postal Standard Self Plus One Monthly $417.88
    Humana Health Plan, Inc. C71 Non-Postal High Self Monthly $209.89
    Humana Health Plan, Inc. C72 Non-Postal High Self & Family Monthly $454.02
    Humana Health Plan, Inc. C73 Non-Postal High Self Plus One Monthly $446.33
    Humana Health Plan, Inc. C74 Non-Postal Standard Self Monthly $164.86
    Humana Health Plan, Inc. C75 Non-Postal Standard Self & Family Monthly $352.79
    Humana Health Plan, Inc. C76 Non-Postal Standard Self Plus One Monthly $349.55
    United Healthcare Insurance Company, Inc. KT1 Non-Postal High Self Monthly $132.70
    United Healthcare Insurance Company, Inc. KT2 Non-Postal High Self & Family Monthly $429.93
    United Healthcare Insurance Company, Inc. KT3 Non-Postal High Self Plus One Monthly $259.16
    United Healthcare Insurance Company, Inc. (HDHP) LU1 Non-Postal HDHP Self Monthly $128.24
    United Healthcare Insurance Company, Inc. (HDHP) LU2 Non-Postal HDHP Self & Family Monthly $379.86
    United Healthcare Insurance Company, Inc. (HDHP) LU3 Non-Postal HDHP Self Plus One Monthly $250.44
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