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    Healthcare Plan Information

    2017 Plan Information for Utah

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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 Health of Utah, Inc. dba Altius Health Plans 9K1 Non-Postal High Self Monthly $266.06
    Aetna Health of Utah, Inc. dba Altius Health Plans 9K2 Non-Postal High Self & Family Monthly $555.86
    Aetna Health of Utah, Inc. dba Altius Health Plans 9K3 Non-Postal High Self Plus One Monthly $603.29
    Aetna Health of Utah, Inc. dba Altius Health Plans 9K4 Non-Postal HDHP Self Monthly $94.08
    Aetna Health of Utah, Inc. dba Altius Health Plans 9K5 Non-Postal HDHP Self & Family Monthly $196.62
    Aetna Health of Utah, Inc. dba Altius Health Plans 9K6 Non-Postal HDHP Self Plus One Monthly $192.77
    Aetna Health of Utah, Inc. dba Altius Health Plans DK4 Non-Postal Standard Self Monthly $131.14
    Aetna Health of Utah, Inc. dba Altius Health Plans DK5 Non-Postal Standard Self & Family Monthly $289.59
    Aetna Health of Utah, Inc. dba Altius Health Plans DK6 Non-Postal Standard Self Plus One Monthly $286.72
    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
    SelectHealth SF1 Non-Postal High Self Monthly $262.51
    SelectHealth SF2 Non-Postal High Self & Family Monthly $562.23
    SelectHealth SF3 Non-Postal High Self Plus One Monthly $625.99
    SelectHealth SF4 Non-Postal Standard Self Monthly $134.48
    SelectHealth SF5 Non-Postal Standard Self & Family Monthly $298.63
    SelectHealth SF6 Non-Postal Standard Self Plus One Monthly $298.63
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