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    Healthcare Plan Information

    2019 Plan Information for Pennsylvania

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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 H41 Non-Postal CDHP Self Monthly $330.14
    Aetna HealthFund CDHP and Aetna Value Plan H42 Non-Postal CDHP Self & Family Monthly $751.19
    Aetna HealthFund CDHP and Aetna Value Plan H43 Non-Postal CDHP Self Plus One Monthly $804.09
    Aetna HealthFund CDHP and Aetna Value Plan H44 Non-Postal Value Self Monthly $154.13
    Aetna HealthFund CDHP and Aetna Value Plan H45 Non-Postal Value Self & Family Monthly $353.75
    Aetna HealthFund CDHP and Aetna Value Plan H46 Non-Postal Value Self Plus One Monthly $346.81
    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 P31 Non-Postal High Self Monthly $986.49
    Aetna Open Access P32 Non-Postal High Self & Family Monthly $2462.72
    Aetna Open Access P33 Non-Postal High Self Plus One Monthly $2498.66
    Aetna Open Access P34 Non-Postal Basic Self Monthly $799.74
    Aetna Open Access P35 Non-Postal Basic Self & Family Monthly $1875.56
    Aetna Open Access P36 Non-Postal Basic Self Plus One Monthly $1917.30
    Aetna Open Access YE1 Non-Postal High Self Monthly $439.40
    Aetna Open Access YE2 Non-Postal High Self & Family Monthly $1217.43
    Aetna Open Access YE3 Non-Postal High Self Plus One Monthly $1265.70
    Geisinger Health Plan GG4 Non-Postal Standard Self Monthly $230.45
    Geisinger Health Plan GG5 Non-Postal Standard Self & Family Monthly $531.27
    Geisinger Health Plan GG6 Non-Postal Standard Self Plus One Monthly $508.95
    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
    UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly $123.92
    UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly $285.01
    UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly $266.43
    UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly $169.22
    UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly $444.80
    UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly $369.46
    UPMC Health Plan 8W1 Non-Postal High Self Monthly $374.06
    UPMC Health Plan 8W2 Non-Postal High Self & Family Monthly $913.12
    UPMC Health Plan 8W3 Non-Postal High Self Plus One Monthly $897.54
    UPMC Health Plan 8W4 Non-Postal HDHP Self Monthly $143.39
    UPMC Health Plan 8W5 Non-Postal HDHP Self & Family Monthly $329.40
    UPMC Health Plan 8W6 Non-Postal HDHP Self Plus One Monthly $317.01
    UPMC Health Plan UW4 Non-Postal Standard Self Monthly $162.96
    UPMC Health Plan UW5 Non-Postal Standard Self & Family Monthly $385.61
    UPMC Health Plan UW6 Non-Postal Standard Self Plus One Monthly $392.68
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