2020 Plan Information for Utah
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 | 217.96 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 423.58 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 483.84 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.16 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 386.25 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 335.89 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 115.96 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 307.29 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 255.11 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 393.66 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 879.08 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 950.45 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 201.89 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 448.35 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 508.11 |
| Altius Health Plans | 9K1 | Non-Postal | High Self | Monthly | 498.22 |
| Altius Health Plans | 9K2 | Non-Postal | High Self & Family | Monthly | 1047.5 |
| Altius Health Plans | 9K3 | Non-Postal | High Self Plus One | Monthly | 1117.16 |
| Altius Health Plans | 9K4 | Non-Postal | HDHP Self | Monthly | 132.31 |
| Altius Health Plans | 9K5 | Non-Postal | HDHP Self & Family | Monthly | 276.51 |
| Altius Health Plans | 9K6 | Non-Postal | HDHP Self Plus One | Monthly | 271.09 |
| Altius Health Plans | DK4 | Non-Postal | Standard Self | Monthly | 250.46 |
| Altius Health Plans | DK5 | Non-Postal | Standard Self & Family | Monthly | 497.21 |
| Altius Health Plans | DK6 | Non-Postal | Standard Self Plus One | Monthly | 572.3 |
| SelectHealth, Inc. | SF4 | Non-Postal | Standard Self | Monthly | 151.25 |
| SelectHealth, Inc. | SF5 | Non-Postal | Standard Self & Family | Monthly | 344.72 |
| SelectHealth, Inc. | SF6 | Non-Postal | Standard Self Plus One | Monthly | 344.72 |
| SelectHealth, Inc. | WX1 | Non-Postal | HDHP Self | Monthly | 131.8 |
| SelectHealth, Inc. | WX2 | Non-Postal | HDHP Self & Family | Monthly | 300.38 |
| SelectHealth, Inc. | WX3 | Non-Postal | HDHP Self Plus One | Monthly | 300.38 |