2018 Plan Information for Wisconsin
Choose a Location, Employee Type, & Payment Period
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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 | 151.86 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 334.98 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 328.41 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 131.92 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 332.67 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 289.29 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 546.24 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1247.37 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1290.12 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 267.63 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 614.79 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 663.78 |
| Dean Health Plan | WD1 | Non-Postal | High Self | Monthly | 570.72 |
| Dean Health Plan | WD2 | Non-Postal | High Self & Family | Monthly | 1324.96 |
| Dean Health Plan | WD3 | Non-Postal | High Self Plus One | Monthly | 1177.74 |
| Dean Health Plan | WD4 | Non-Postal | Standard Self | Monthly | 160.75 |
| Dean Health Plan | WD5 | Non-Postal | Standard Self & Family | Monthly | 413.12 |
| Dean Health Plan | WD6 | Non-Postal | Standard Self Plus One | Monthly | 353.65 |
| Group Health Cooperative | WJ1 | Non-Postal | High Self | Monthly | 200.46 |
| Group Health Cooperative | WJ2 | Non-Postal | High Self & Family | Monthly | 947.46 |
| Group Health Cooperative | WJ3 | Non-Postal | High Self Plus One | Monthly | 345.09 |
| HealthPartners | V31 | Non-Postal | High Self | Monthly | 276.62 |
| HealthPartners | V32 | Non-Postal | High Self & Family | Monthly | 753.74 |
| HealthPartners | V33 | Non-Postal | High Self Plus One | Monthly | 645.22 |
| HealthPartners | V34 | Non-Postal | Standard Self | Monthly | 114.37 |
| HealthPartners | V35 | Non-Postal | Standard Self & Family | Monthly | 278.62 |
| HealthPartners | V36 | Non-Postal | Standard Self Plus One | Monthly | 252.77 |
| MercyCare Health Plans | EY1 | Non-Postal | High Self | Monthly | 269.77 |
| MercyCare Health Plans | EY2 | Non-Postal | High Self & Family | Monthly | 870.18 |
| MercyCare Health Plans | EY3 | Non-Postal | High Self Plus One | Monthly | 584.12 |
| Physicians Plus | LW1 | Non-Postal | High Self | Monthly | 204.62 |
| Physicians Plus | LW2 | Non-Postal | High Self & Family | Monthly | 989.82 |
| Physicians Plus | LW3 | Non-Postal | High Self Plus One | Monthly | 577.9 |
| Physicians Plus | LW4 | Non-Postal | Standard Self | Monthly | 189.54 |
| Physicians Plus | LW5 | Non-Postal | Standard Self & Family | Monthly | 516.92 |
| Physicians Plus | LW6 | Non-Postal | Standard Self Plus One | Monthly | 445.93 |