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Healthcare Plan Information

2017 Plan Information for Utah

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 138.7
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 305.95
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 299.95
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 Aetna Value Plan G51 Non-Postal CDHP Self Monthly 218.59
Aetna HealthFund CDHP and Aetna Value Plan G52 Non-Postal CDHP Self & Family Monthly 499.44
Aetna HealthFund CDHP and Aetna Value Plan G53 Non-Postal CDHP Self Plus One Monthly 547.43
Aetna HealthFund CDHP and Aetna Value Plan G54 Non-Postal Value Self Monthly 133.71
Aetna HealthFund CDHP and Aetna Value Plan G55 Non-Postal Value Self & Family Monthly 306.25
Aetna HealthFund CDHP and Aetna Value Plan G56 Non-Postal Value Self Plus One Monthly 300.24
Altius Health Plans 9K1 Non-Postal High Self Monthly 266.06
Altius Health Plans 9K2 Non-Postal High Self & Family Monthly 555.86
Altius Health Plans 9K3 Non-Postal High Self Plus One Monthly 603.29
Altius Health Plans 9K4 Non-Postal HDHP Self Monthly 94.08
Altius Health Plans 9K5 Non-Postal HDHP Self & Family Monthly 196.62
Altius Health Plans 9K6 Non-Postal HDHP Self Plus One Monthly 192.77
Altius Health Plans DK4 Non-Postal Standard Self Monthly 131.14
Altius Health Plans DK5 Non-Postal Standard Self & Family Monthly 289.59
Altius Health Plans DK6 Non-Postal Standard Self Plus One Monthly 286.72
SelectHealth Plan SF1 Non-Postal High Self Monthly 262.51
SelectHealth Plan SF2 Non-Postal High Self & Family Monthly 562.23
SelectHealth Plan SF3 Non-Postal High Self Plus One Monthly 625.99
SelectHealth Plan SF4 Non-Postal Standard Self Monthly 134.48
SelectHealth Plan SF5 Non-Postal Standard Self & Family Monthly 298.63
SelectHealth Plan SF6 Non-Postal Standard Self Plus One Monthly 298.63
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