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    Healthcare Plan Information

    2017 Plan Information for Texas

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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
    Aetna Whole Health ES1 Non-Postal Basic Self Monthly $153.22
    Aetna Whole Health ES2 Non-Postal Basic Self & Family Monthly $527.96
    Aetna Whole Health ES3 Non-Postal Basic Self Plus One Monthly $575.68
    Humana CoverageFirst and Value Plan TP1 Non-Postal CDHP Self Monthly $175.04
    Humana CoverageFirst and Value Plan TP2 Non-Postal CDHP Self & Family Monthly $379.86
    Humana CoverageFirst and Value Plan TP3 Non-Postal CDHP Self Plus One Monthly $378.08
    Humana CoverageFirst and Value Plan TP4 Non-Postal Value Self Monthly $116.33
    Humana CoverageFirst and Value Plan TP5 Non-Postal Value Self & Family Monthly $261.73
    Humana CoverageFirst and Value Plan TP6 Non-Postal Value Self Plus One Monthly $250.10
    Humana CoverageFirst and Value Plan TU1 Non-Postal CDHP Self Monthly $159.40
    Humana CoverageFirst and Value Plan TU2 Non-Postal CDHP Self & Family Monthly $358.66
    Humana CoverageFirst and Value Plan TU3 Non-Postal CDHP Self Plus One Monthly $342.71
    Humana CoverageFirst and Value Plan TU4 Non-Postal Value Self Monthly $116.33
    Humana CoverageFirst and Value Plan TU5 Non-Postal Value Self & Family Monthly $261.73
    Humana CoverageFirst and Value Plan TU6 Non-Postal Value Self Plus One Monthly $250.10
    Humana CoverageFirst and Value Plan TV1 Non-Postal CDHP Self Monthly $172.31
    Humana CoverageFirst and Value Plan TV2 Non-Postal CDHP Self & Family Monthly $373.73
    Humana CoverageFirst and Value Plan TV3 Non-Postal CDHP Self Plus One Monthly $372.23
    Humana CoverageFirst and Value Plan TV4 Non-Postal Value Self Monthly $116.33
    Humana CoverageFirst and Value Plan TV5 Non-Postal Value Self & Family Monthly $261.73
    Humana CoverageFirst and Value Plan TV6 Non-Postal Value Self Plus One Monthly $250.10
    Humana Health Plan of Texas EW1 Non-Postal High Self Monthly $297.05
    Humana Health Plan of Texas EW2 Non-Postal High Self & Family Monthly $654.36
    Humana Health Plan of Texas EW3 Non-Postal High Self Plus One Monthly $640.38
    Humana Health Plan of Texas EW4 Non-Postal Standard Self Monthly $188.13
    Humana Health Plan of Texas EW5 Non-Postal Standard Self & Family Monthly $409.29
    Humana Health Plan of Texas EW6 Non-Postal Standard Self Plus One Monthly $406.18
    Humana Health Plan of Texas UC1 Non-Postal High Self Monthly $313.77
    Humana Health Plan of Texas UC2 Non-Postal High Self & Family Monthly $691.99
    Humana Health Plan of Texas UC3 Non-Postal High Self Plus One Monthly $676.35
    Humana Health Plan of Texas UC4 Non-Postal Standard Self Monthly $162.13
    Humana Health Plan of Texas UC5 Non-Postal Standard Self & Family Monthly $361.38
    Humana Health Plan of Texas UC6 Non-Postal Standard Self Plus One Monthly $350.37
    Humana Health Plan of Texas UR1 Non-Postal High Self Monthly $850.61
    Humana Health Plan of Texas UR2 Non-Postal High Self & Family Monthly $1899.89
    Humana Health Plan of Texas UR3 Non-Postal High Self Plus One Monthly $1830.53
    Humana Health Plan of Texas UR4 Non-Postal Standard Self Monthly $266.04
    Humana Health Plan of Texas UR5 Non-Postal Standard Self & Family Monthly $584.61
    Humana Health Plan of Texas UR6 Non-Postal Standard Self Plus One Monthly $573.71
    Humana Health Plan of Texas UU1 Non-Postal High Self Monthly $691.47
    Humana Health Plan of Texas UU2 Non-Postal High Self & Family Monthly $1541.80
    Humana Health Plan of Texas UU3 Non-Postal High Self Plus One Monthly $1488.39
    Humana Health Plan of Texas UU4 Non-Postal Standard Self Monthly $492.39
    Humana Health Plan of Texas UU5 Non-Postal Standard Self & Family Monthly $1093.87
    Humana Health Plan of Texas UU6 Non-Postal Standard Self Plus One Monthly $1060.34
    New Mexico BlueHMO Preferred Q11 Non-Postal High Self Monthly $244.92
    New Mexico BlueHMO Preferred Q12 Non-Postal High Self & Family Monthly $693.73
    New Mexico BlueHMO Preferred Q13 Non-Postal High Self Plus One Monthly $528.32
    New Mexico BlueHMO Preferred Q14 Non-Postal Standard Self Monthly $162.11
    New Mexico BlueHMO Preferred Q15 Non-Postal Standard Self & Family Monthly $489.50
    New Mexico BlueHMO Preferred Q16 Non-Postal Standard Self Plus One Monthly $350.28
    Scott and White Health Plan A84 Non-Postal Standard Self Monthly $198.18
    Scott and White Health Plan A85 Non-Postal Standard Self & Family Monthly $495.26
    Scott and White Health Plan A86 Non-Postal Standard Self Plus One Monthly $390.24
    Scott and White Health Plan P84 Non-Postal Standard Self Monthly $279.21
    Scott and White Health Plan P85 Non-Postal Standard Self & Family Monthly $685.65
    Scott and White Health Plan P86 Non-Postal Standard Self Plus One Monthly $560.39
    UnitedHealthcare Benefits of Texas, Inc. GF1 Non-Postal High Self Monthly $465.44
    UnitedHealthcare Benefits of Texas, Inc. GF2 Non-Postal High Self & Family Monthly $1557.17
    UnitedHealthcare Benefits of Texas, Inc. GF3 Non-Postal High Self Plus One Monthly $816.12
    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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