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    Healthcare Plan Information

    2016 Plan Information for Maryland

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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 F51 Non-Postal CDHP Self Monthly $185.27
    Aetna HealthFund CDHP and Value Plan F52 Non-Postal CDHP Self & Family Monthly $418.10
    Aetna HealthFund CDHP and Value Plan F53 Non-Postal CDHP Self Plus One Monthly $463.01
    Aetna HealthFund CDHP and Value Plan F54 Non-Postal Basic Self Monthly $135.76
    Aetna HealthFund CDHP and Value Plan F55 Non-Postal Basic Self & Family Monthly $310.88
    Aetna HealthFund CDHP and Value Plan F56 Non-Postal Basic Self Plus One Monthly $304.78
    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 JN1 Non-Postal High Self Monthly $497.21
    Aetna Open Access JN2 Non-Postal High Self & Family Monthly $1098.71
    Aetna Open Access JN3 Non-Postal High Self Plus One Monthly $1136.91
    Aetna Open Access JN4 Non-Postal Basic Self Monthly $149.48
    Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly $336.46
    Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly $329.86
    CareFirst BlueChoice 2G1 Non-Postal High Self Monthly $234.87
    CareFirst BlueChoice 2G2 Non-Postal High Self & Family Monthly $598.00
    CareFirst BlueChoice 2G3 Non-Postal High Self Plus One Monthly $395.44
    CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly $160.90
    CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly $422.28
    CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly $311.60
    CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly $147.99
    CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly $351.62
    CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly $295.98
    Kaiser Foundation Health Plan Mid-Atlantic States E31 Non-Postal High Self Monthly $156.24
    Kaiser Foundation Health Plan Mid-Atlantic States E32 Non-Postal High Self & Family Monthly $388.94
    Kaiser Foundation Health Plan Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly $398.99
    Kaiser Foundation Health Plan Mid-Atlantic States E34 Non-Postal Standard Self Monthly $116.44
    Kaiser Foundation Health Plan Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly $272.46
    Kaiser Foundation Health Plan Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly $263.14
    M.D. IPA JP1 Non-Postal High Self Monthly $178.75
    M.D. IPA JP2 Non-Postal High Self & Family Monthly $739.09
    M.D. IPA JP3 Non-Postal High Self Plus One Monthly $312.99
    United Healthcare Insurance Company, Inc. LR1 Non-Postal High Self Monthly $132.78
    United Healthcare Insurance Company, Inc. LR2 Non-Postal High Self & Family Monthly $430.84
    United Healthcare Insurance Company, Inc. LR3 Non-Postal High Self Plus One Monthly $259.32
    UnitedHealthcare Insurance Company L91 Non-Postal Value Self Monthly $115.22
    UnitedHealthcare Insurance Company L92 Non-Postal Value Self & Family Monthly $323.08
    UnitedHealthcare Insurance Company L93 Non-Postal Value Self Plus One Monthly $225.02
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