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    Healthcare Plan Information

    2017 Plan Information for Indiana

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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 JS1 Non-Postal CDHP Self Monthly $485.20
    Aetna HealthFund CDHP and Value Plan JS2 Non-Postal CDHP Self & Family Monthly $1106.22
    Aetna HealthFund CDHP and Value Plan JS3 Non-Postal CDHP Self Plus One Monthly $1148.20
    Aetna HealthFund CDHP and Value Plan JS4 Non-Postal Value Self Monthly $218.24
    Aetna HealthFund CDHP and Value Plan JS5 Non-Postal Value Self & Family Monthly $500.05
    Aetna HealthFund CDHP and Value Plan JS6 Non-Postal Value Self Plus One Monthly $548.01
    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
    Health Alliance HMO K84 Non-Postal Standard Self Monthly $151.54
    Health Alliance HMO K85 Non-Postal Standard Self & Family Monthly $587.45
    Health Alliance HMO K86 Non-Postal Standard Self Plus One Monthly $318.24
    Highmark Choice Company NP1 Non-Postal High Self Monthly $154.80
    Highmark Choice Company NP2 Non-Postal High Self & Family Monthly $351.09
    Highmark Choice Company NP3 Non-Postal High Self Plus One Monthly $291.34
    Humana CoverageFirst and Value Plan MW1 Non-Postal CDHP Self Monthly $217.94
    Humana CoverageFirst and Value Plan MW2 Non-Postal CDHP Self & Family Monthly $476.39
    Humana CoverageFirst and Value Plan MW3 Non-Postal CDHP Self Plus One Monthly $470.32
    Humana CoverageFirst and Value Plan MW4 Non-Postal Value Self Monthly $122.14
    Humana CoverageFirst and Value Plan MW5 Non-Postal Value Self & Family Monthly $274.82
    Humana CoverageFirst and Value Plan MW6 Non-Postal Value Self Plus One Monthly $262.61
    Humana Health Plan of Ohio A61 Non-Postal High Self Monthly $504.94
    Humana Health Plan of Ohio A62 Non-Postal High Self & Family Monthly $1122.12
    Humana Health Plan of Ohio A63 Non-Postal High Self Plus One Monthly $1087.36
    Humana Health Plan of Ohio A64 Non-Postal Standard Self Monthly $296.42
    Humana Health Plan of Ohio A65 Non-Postal Standard Self & Family Monthly $652.91
    Humana Health Plan of Ohio A66 Non-Postal Standard Self Plus One Monthly $638.99
    Humana Health Plan, Inc. 751 Non-Postal High Self Monthly $777.53
    Humana Health Plan, Inc. 752 Non-Postal High Self & Family Monthly $1735.42
    Humana Health Plan, Inc. 753 Non-Postal High Self Plus One Monthly $1673.38
    Humana Health Plan, Inc. 754 Non-Postal Standard Self Monthly $399.40
    Humana Health Plan, Inc. 755 Non-Postal Standard Self & Family Monthly $884.65
    Humana Health Plan, Inc. 756 Non-Postal Standard Self Plus One Monthly $860.43
    Humana Health Plan, Inc. MH1 Non-Postal High Self Monthly $235.45
    Humana Health Plan, Inc. MH2 Non-Postal High Self & Family Monthly $515.78
    Humana Health Plan, Inc. MH3 Non-Postal High Self Plus One Monthly $507.97
    Humana Health Plan, Inc. MH4 Non-Postal Standard Self Monthly $173.16
    Humana Health Plan, Inc. MH5 Non-Postal Standard Self & Family Monthly $375.62
    Humana Health Plan, Inc. MH6 Non-Postal Standard Self Plus One Monthly $374.03
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