2021 Plan Information for Utah
Choose a Location, Employee Type, & Payment Period
Click to view Plan Information for this state
Location Specific Rates
| Contract | Enrollment Code | Enrollment Type | Option/Enrollment Type | Payment Period | Employee Payment |
|---|---|---|---|---|---|
| Aetna Direct | 224 | Non-Postal | HDHP Self | Monthly | 262.6 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 515.62 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 578.72 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.96 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 388.27 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 337.64 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 125 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 331.25 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 275 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 535.34 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1196.87 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1270.04 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 193.62 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 424.06 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 488.93 |
| Altius Health Plans | 9K1 | Non-Postal | High Self | Monthly | 524.94 |
| Altius Health Plans | 9K2 | Non-Postal | High Self & Family | Monthly | 1100.25 |
| Altius Health Plans | 9K3 | Non-Postal | High Self Plus One | Monthly | 1174.34 |
| Altius Health Plans | 9K4 | Non-Postal | HDHP Self | Monthly | 168.12 |
| Altius Health Plans | 9K5 | Non-Postal | HDHP Self & Family | Monthly | 351.36 |
| Altius Health Plans | 9K6 | Non-Postal | HDHP Self Plus One | Monthly | 344.46 |
| Altius Health Plans | DK4 | Non-Postal | Standard Self | Monthly | 359.69 |
| Altius Health Plans | DK5 | Non-Postal | Standard Self & Family | Monthly | 731.99 |
| Altius Health Plans | DK6 | Non-Postal | Standard Self Plus One | Monthly | 809.71 |
| SelectHealth, Inc. | SF4 | Non-Postal | Standard Self | Monthly | 157.15 |
| SelectHealth, Inc. | SF5 | Non-Postal | Standard Self & Family | Monthly | 392.89 |
| SelectHealth, Inc. | SF6 | Non-Postal | Standard Self Plus One | Monthly | 345.74 |
| SelectHealth, Inc. | WX1 | Non-Postal | HDHP Self | Monthly | 134.87 |
| SelectHealth, Inc. | WX2 | Non-Postal | HDHP Self & Family | Monthly | 337.17 |
| SelectHealth, Inc. | WX3 | Non-Postal | HDHP Self Plus One | Monthly | 296.71 |
| UnitedHealthcare Advantage Plan | Y51 | Non-Postal | High Self | Monthly | 102.93 |
| UnitedHealthcare Advantage Plan | Y52 | Non-Postal | High Self & Family | Monthly | 272.77 |
| UnitedHealthcare Advantage Plan | Y53 | Non-Postal | High Self Plus One | Monthly | 226.45 |