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Healthcare Plan Information

2016 Plan Information for Tennessee

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 130.08
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 286.94
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 281.31
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 259.5
Aetna HealthFund CDHP and Aetna Value Plan F51 Non-Postal CDHP Self Monthly 185.27
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 418.1
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 463.01
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Basic Self Monthly 135.76
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Basic Self & Family Monthly 310.88
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Basic Self Plus One Monthly 304.78
Aetna Open Access UB1 Non-Postal High Self Monthly 368.7
Aetna Open Access UB2 Non-Postal High Self & Family Monthly 1071.07
Aetna Open Access UB3 Non-Postal High Self Plus One Monthly 1109.53
Humana Health Plan, Inc. GJ1 Non-Postal High Self Monthly 180.07
Humana Health Plan, Inc. GJ2 Non-Postal High Self & Family Monthly 386.94
Humana Health Plan, Inc. GJ3 Non-Postal High Self Plus One Monthly 382.26
Humana Health Plan, Inc. GJ4 Non-Postal Standard Self Monthly 146.51
Humana Health Plan, Inc. GJ5 Non-Postal Standard Self & Family Monthly 329.66
Humana Health Plan, Inc. GJ6 Non-Postal Standard Self Plus One Monthly 315.01
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS1 Non-Postal HDHP Self Monthly 127.12
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS2 Non-Postal HDHP Self & Family Monthly 367.36
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS3 Non-Postal HDHP Self Plus One Monthly 248.26
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS1 Non-Postal HDHP Self Monthly
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS2 Non-Postal HDHP Self & Family Monthly
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) LS3 Non-Postal HDHP Self Plus One Monthly
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KK1 Non-Postal High Self Monthly 132.71
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KK2 Non-Postal High Self & Family Monthly 430.04
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) KK3 Non-Postal High Self Plus One Monthly 259.18
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