2017 Plan Information for Ohio
Choose a Location, Employee Type, & Payment Period
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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 | 138.7 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 305.95 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 299.95 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 120.05 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 302.77 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 263.29 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 485.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1106.22 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1148.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 218.24 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 500.05 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 548.01 |
| AultCare Insurance Company | 3A1 | Non-Postal | High Self | Monthly | 234.39 |
| AultCare Insurance Company | 3A2 | Non-Postal | High Self & Family | Monthly | 670.54 |
| AultCare Insurance Company | 3A3 | Non-Postal | High Self Plus One | Monthly | 469.93 |
| AultCare Insurance Company | 3A4 | Non-Postal | HDHP Self | Monthly | 87.54 |
| AultCare Insurance Company | 3A5 | Non-Postal | HDHP Self & Family | Monthly | 280.12 |
| AultCare Insurance Company | 3A6 | Non-Postal | HDHP Self Plus One | Monthly | 166.32 |
| Humana Health Plan of Ohio, Inc. | A61 | Non-Postal | High Self | Monthly | 504.94 |
| Humana Health Plan of Ohio, Inc. | A62 | Non-Postal | High Self & Family | Monthly | 1122.12 |
| Humana Health Plan of Ohio, Inc. | A63 | Non-Postal | High Self Plus One | Monthly | 1087.36 |
| Humana Health Plan of Ohio, Inc. | A64 | Non-Postal | Standard Self | Monthly | 296.42 |
| Humana Health Plan of Ohio, Inc. | A65 | Non-Postal | Standard Self & Family | Monthly | 652.91 |
| Humana Health Plan of Ohio, Inc. | A66 | Non-Postal | Standard Self Plus One | Monthly | 638.99 |
| Medical Mutual of Ohio | 641 | Non-Postal | High Self | Monthly | 391.97 |
| Medical Mutual of Ohio | 642 | Non-Postal | High Self & Family | Monthly | 998.79 |
| Medical Mutual of Ohio | 643 | Non-Postal | High Self Plus One | Monthly | 888.09 |
| Medical Mutual of Ohio | 644 | Non-Postal | Standard Self | Monthly | 250.87 |
| Medical Mutual of Ohio | 645 | Non-Postal | Standard Self & Family | Monthly | 660.17 |
| Medical Mutual of Ohio | 646 | Non-Postal | Standard Self Plus One | Monthly | 577.7 |
| Paramount Health Care | N81 | Non-Postal | High Self | Monthly | 155.57 |
| Paramount Health Care | N82 | Non-Postal | High Self & Family | Monthly | 541.89 |
| Paramount Health Care | N83 | Non-Postal | High Self Plus One | Monthly | 311.13 |