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Healthcare Plan Information

2019 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 164.93
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 363.8
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 360.1
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 G51 Non-Postal CDHP Self Monthly 286.42
Aetna HealthFund CDHP and Aetna Value Plan G52 Non-Postal CDHP Self & Family Monthly 652.69
Aetna HealthFund CDHP and Aetna Value Plan G53 Non-Postal CDHP Self Plus One Monthly 706.59
Aetna HealthFund CDHP and Aetna Value Plan G54 Non-Postal Value Self Monthly 171.86
Aetna HealthFund CDHP and Aetna Value Plan G55 Non-Postal Value Self & Family Monthly 397.67
Aetna HealthFund CDHP and Aetna Value Plan G56 Non-Postal Value Self Plus One Monthly 439.18
Altius Health Plans 9K1 Non-Postal High Self Monthly 436.52
Altius Health Plans 9K2 Non-Postal High Self & Family Monthly 930.07
Altius Health Plans 9K3 Non-Postal High Self Plus One Monthly 981.19
Altius Health Plans 9K4 Non-Postal HDHP Self Monthly 126.73
Altius Health Plans 9K5 Non-Postal HDHP Self & Family Monthly 264.85
Altius Health Plans 9K6 Non-Postal HDHP Self Plus One Monthly 259.66
Altius Health Plans DK4 Non-Postal Standard Self Monthly 213.72
Altius Health Plans DK5 Non-Postal Standard Self & Family Monthly 435.11
Altius Health Plans DK6 Non-Postal Standard Self Plus One Monthly 491.11
SelectHealth Plan SF1 Non-Postal High Self Monthly 545.74
SelectHealth Plan SF2 Non-Postal High Self & Family Monthly 1242.35
SelectHealth Plan SF3 Non-Postal High Self Plus One Monthly 1313.95
SelectHealth Plan SF4 Non-Postal Standard Self Monthly 154.8
SelectHealth Plan SF5 Non-Postal Standard Self & Family Monthly 352.81
SelectHealth Plan SF6 Non-Postal Standard Self Plus One Monthly 352.81
SelectHealth Plan WX1 Non-Postal HDHP Self Monthly 126.73
SelectHealth Plan WX2 Non-Postal HDHP Self & Family Monthly 288.83
SelectHealth Plan WX3 Non-Postal HDHP Self Plus One Monthly 288.83
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