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    Healthcare Plan Information

    2019 Plan Information for Wisconsin

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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 JS1 Non-Postal CDHP Self Monthly $550.32
    Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly $1253.16
    Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly $1301.10
    Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly $305.27
    Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly $697.22
    Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly $750.66
    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
    Dean Health Plan WD1 Non-Postal High Self Monthly $598.42
    Dean Health Plan WD2 Non-Postal High Self & Family Monthly $1385.20
    Dean Health Plan WD3 Non-Postal High Self Plus One Monthly $1237.38
    Dean Health Plan WD4 Non-Postal Standard Self Monthly $161.42
    Dean Health Plan WD5 Non-Postal Standard Self & Family Monthly $411.43
    Dean Health Plan WD6 Non-Postal Standard Self Plus One Monthly $355.13
    Group Health Cooperative WJ1 Non-Postal High Self Monthly $232.31
    Group Health Cooperative WJ2 Non-Postal High Self & Family Monthly $762.50
    Group Health Cooperative WJ3 Non-Postal High Self Plus One Monthly $541.68
    HealthPartners V31 Non-Postal High Self Monthly $291.59
    HealthPartners V32 Non-Postal High Self & Family Monthly $787.02
    HealthPartners V33 Non-Postal High Self Plus One Monthly $679.98
    HealthPartners V34 Non-Postal Standard Self Monthly $107.02
    HealthPartners V35 Non-Postal Standard Self & Family Monthly $260.70
    HealthPartners V36 Non-Postal Standard Self Plus One Monthly $236.52
    MercyCare Health Plans EY1 Non-Postal High Self Monthly $265.33
    MercyCare Health Plans EY2 Non-Postal High Self & Family Monthly $855.82
    MercyCare Health Plans EY3 Non-Postal High Self Plus One Monthly $576.22
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