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    Healthcare Plan Information

    2019 Plan Information for New York

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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 $139.33
    Aetna Direct N62 Non-Postal CDHP Self & Family Monthly $351.38
    Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly $305.56
    Aetna HealthFund CDHP and Aetna Value Plan EP1 Non-Postal CDHP Self Monthly $418.08
    Aetna HealthFund CDHP and Aetna Value Plan EP2 Non-Postal CDHP Self & Family Monthly $952.64
    Aetna HealthFund CDHP and Aetna Value Plan EP3 Non-Postal CDHP Self Plus One Monthly $1003.53
    Aetna HealthFund CDHP and Aetna Value Plan EP4 Non-Postal Value Self Monthly $154.77
    Aetna HealthFund CDHP and Aetna Value Plan EP5 Non-Postal Value Self & Family Monthly $354.41
    Aetna HealthFund CDHP and Aetna Value Plan EP6 Non-Postal Value Self Plus One Monthly $347.46
    Aetna HealthFund HDHP 224 Non-Postal HDHP Self Monthly $164.93
    Aetna HealthFund HDHP 225 Non-Postal HDHP Self & Family Monthly $363.80
    Aetna HealthFund HDHP 226 Non-Postal HDHP Self Plus One Monthly $360.10
    Aetna Open Access JC1 Non-Postal High Self Monthly $804.34
    Aetna Open Access JC2 Non-Postal High Self & Family Monthly $2081.65
    Aetna Open Access JC3 Non-Postal High Self Plus One Monthly $2121.40
    Aetna Open Access JC4 Non-Postal Basic Self Monthly $564.49
    Aetna Open Access JC5 Non-Postal Basic Self & Family Monthly $1455.18
    Aetna Open Access JC6 Non-Postal Basic Self Plus One Monthly $1501.13
    CDPHP Universal Benefits, Inc. SG1 Non-Postal High Self Monthly $371.57
    CDPHP Universal Benefits, Inc. SG2 Non-Postal High Self & Family Monthly $1472.36
    CDPHP Universal Benefits, Inc. SG3 Non-Postal High Self Plus One Monthly $673.96
    CDPHP Universal Benefits, Inc. SG4 Non-Postal Standard Self Monthly $144.39
    CDPHP Universal Benefits, Inc. SG5 Non-Postal Standard Self & Family Monthly $594.47
    CDPHP Universal Benefits, Inc. SG6 Non-Postal Standard Self Plus One Monthly $288.78
    GHI Health Plan - 804 Non-Postal Standard Self Monthly $427.25
    GHI Health Plan - 805 Non-Postal Standard Self & Family Monthly $1108.28
    GHI Health Plan - 806 Non-Postal Standard Self Plus One Monthly $1087.25
    Highmark Choice Company NP1 Non-Postal High Self Monthly $279.01
    Highmark Choice Company NP2 Non-Postal High Self & Family Monthly $629.59
    Highmark Choice Company NP3 Non-Postal High Self Plus One Monthly $497.40
    HIP of Greater New York 511 Non-Postal High Self Monthly $486.64
    HIP of Greater New York 512 Non-Postal High Self & Family Monthly $1683.20
    HIP of Greater New York 513 Non-Postal High Self Plus One Monthly $688.87
    HIP of Greater New York YL4 Non-Postal Standard Self Monthly $164.65
    HIP of Greater New York YL5 Non-Postal Standard Self & Family Monthly $746.49
    HIP of Greater New York YL6 Non-Postal Standard Self Plus One Monthly $292.30
    Independent Health Assoc C54 Non-Postal Standard Self Monthly $203.11
    Independent Health Assoc C55 Non-Postal Standard Self & Family Monthly $756.76
    Independent Health Assoc C56 Non-Postal Standard Self Plus One Monthly $723.06
    Independent Health Assoc QA1 Non-Postal High Self Monthly $228.91
    Independent Health Assoc QA2 Non-Postal High Self & Family Monthly $826.37
    Independent Health Assoc QA3 Non-Postal High Self Plus One Monthly $788.84
    Independent Health Assoc QA4 Non-Postal HDHP Self Monthly $147.64
    Independent Health Assoc QA5 Non-Postal HDHP Self & Family Monthly $386.65
    Independent Health Assoc QA6 Non-Postal HDHP Self Plus One Monthly $355.30
    MVP Health Care GA4 Non-Postal Standard Self Monthly $243.15
    MVP Health Care GA5 Non-Postal Standard Self & Family Monthly $679.36
    MVP Health Care GA6 Non-Postal Standard Self Plus One Monthly $639.68
    MVP Health Care GV4 Non-Postal Standard Self Monthly $157.34
    MVP Health Care GV5 Non-Postal Standard Self & Family Monthly $403.72
    MVP Health Care GV6 Non-Postal Standard Self Plus One Monthly $380.94
    MVP Health Care M94 Non-Postal Standard Self Monthly $224.54
    MVP Health Care M95 Non-Postal Standard Self & Family Monthly $633.82
    MVP Health Care M96 Non-Postal Standard Self Plus One Monthly $596.89
    MVP Health Care MF4 Non-Postal Standard Self Monthly $482.65
    MVP Health Care MF5 Non-Postal Standard Self & Family Monthly $1266.16
    MVP Health Care MF6 Non-Postal Standard Self Plus One Monthly $1190.58
    MVP Health Care MX4 Non-Postal Standard Self Monthly $379.73
    MVP Health Care MX5 Non-Postal Standard Self & Family Monthly $1014.00
    MVP Health Care MX6 Non-Postal Standard Self Plus One Monthly $953.87
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