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    Healthcare Plan Information

    2017 Plan Information for District of Columbia

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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 F51 Non-Postal CDHP Self Monthly $236.68
    Aetna HealthFund CDHP and Value Plan F52 Non-Postal CDHP Self & Family Monthly $540.15
    Aetna HealthFund CDHP and Value Plan F53 Non-Postal CDHP Self Plus One Monthly $587.71
    Aetna HealthFund CDHP and Value Plan F54 Non-Postal Value Self Monthly $139.84
    Aetna HealthFund CDHP and Value Plan F55 Non-Postal Value Self & Family Monthly $320.21
    Aetna HealthFund CDHP and Value Plan F56 Non-Postal Value Self Plus One Monthly $313.93
    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 JN1 Non-Postal High Self Monthly $536.05
    Aetna Open Access JN2 Non-Postal High Self & Family Monthly $1190.28
    Aetna Open Access JN3 Non-Postal High Self Plus One Monthly $1231.42
    Aetna Open Access JN4 Non-Postal Basic Self Monthly $159.34
    Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly $359.96
    Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly $343.50
    CareFirst BlueChoice 2G1 Non-Postal High Self Monthly $297.05
    CareFirst BlueChoice 2G2 Non-Postal High Self & Family Monthly $752.29
    CareFirst BlueChoice 2G3 Non-Postal High Self Plus One Monthly $523.79
    CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly $180.31
    CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly $474.92
    CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly $330.30
    CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly $152.43
    CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly $362.17
    CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly $304.86
    Kaiser Foundation Health Plan Mid-Atlantic States E31 Non-Postal High Self Monthly $161.41
    Kaiser Foundation Health Plan Mid-Atlantic States E32 Non-Postal High Self & Family Monthly $406.99
    Kaiser Foundation Health Plan Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly $419.40
    Kaiser Foundation Health Plan Mid-Atlantic States E34 Non-Postal Standard Self Monthly $121.01
    Kaiser Foundation Health Plan Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly $283.16
    Kaiser Foundation Health Plan Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly $273.47
    M.D. IPA JP1 Non-Postal High Self Monthly $210.44
    M.D. IPA JP2 Non-Postal High Self & Family Monthly $842.17
    M.D. IPA JP3 Non-Postal High Self Plus One Monthly $337.25
    UnitedHealthcare Insurance Company, Inc. Choice HMO LR1 Non-Postal High Self Monthly $151.52
    UnitedHealthcare Insurance Company, Inc. Choice HMO LR2 Non-Postal High Self & Family Monthly $420.62
    UnitedHealthcare Insurance Company, Inc. Choice HMO LR3 Non-Postal High Self Plus One Monthly $310.63
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced L91 Non-Postal Value Self Monthly $108.27
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced L92 Non-Postal Value Self & Family Monthly $303.59
    UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced L93 Non-Postal Value Self Plus One Monthly $211.44
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