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    Healthcare Plan Information

    2017 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 $120.05
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $302.77
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $263.29
    Aetna HealthFund CDHP and Value Plan G51 Non-Postal CDHP Self Monthly $218.59
    Aetna HealthFund CDHP and Value Plan G52 Non-Postal CDHP Self & Family Monthly $499.44
    Aetna HealthFund CDHP and Value Plan G53 Non-Postal CDHP Self Plus One Monthly $547.43
    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 $138.70
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $305.95
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $299.95
    Aetna Open Access WQ1 Non-Postal High Self Monthly $457.66
    Aetna Open Access WQ2 Non-Postal High Self & Family Monthly $1182.70
    Aetna Open Access WQ3 Non-Postal High Self Plus One Monthly $1223.91
    Health Net of Arizona, Inc. A74 Non-Postal Standard Self Monthly $265.56
    Health Net of Arizona, Inc. A75 Non-Postal Standard Self & Family Monthly $793.85
    Health Net of Arizona, Inc. A76 Non-Postal Standard Self Plus One Monthly $857.61
    Humana Health Plan, Inc. BF1 Non-Postal High Self Monthly $425.03
    Humana Health Plan, Inc. BF2 Non-Postal High Self & Family Monthly $942.33
    Humana Health Plan, Inc. BF3 Non-Postal High Self Plus One Monthly $915.57
    Humana Health Plan, Inc. BF4 Non-Postal Standard Self Monthly $210.23
    Humana Health Plan, Inc. BF5 Non-Postal Standard Self & Family Monthly $459.03
    Humana Health Plan, Inc. BF6 Non-Postal Standard Self Plus One Monthly $453.72
    Humana Health Plan, Inc. C71 Non-Postal High Self Monthly $257.94
    Humana Health Plan, Inc. C72 Non-Postal High Self & Family Monthly $566.41
    Humana Health Plan, Inc. C73 Non-Postal High Self Plus One Monthly $556.33
    Humana Health Plan, Inc. C74 Non-Postal Standard Self Monthly $170.58
    Humana Health Plan, Inc. C75 Non-Postal Standard Self & Family Monthly $369.83
    Humana Health Plan, Inc. C76 Non-Postal Standard Self Plus One Monthly $368.51
    UnitedHealthcare Insurance Company, Inc. Choice HMO KT1 Non-Postal High Self Monthly $139.27
    UnitedHealthcare Insurance Company, Inc. Choice HMO KT2 Non-Postal High Self & Family Monthly $348.18
    UnitedHealthcare Insurance Company, Inc. Choice HMO KT3 Non-Postal High Self Plus One Monthly $299.43
    UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP LU1 Non-Postal HDHP Self Monthly $123.09
    UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP LU2 Non-Postal HDHP Self & Family Monthly $307.72
    UnitedHealthcare Insurance Company, Inc. Choice Plus HDHP LU3 Non-Postal HDHP Self Plus One Monthly $264.64
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