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Healthcare

2021 Plan Information for Wisconsin

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 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 JS1 Non-Postal CDHP Self Monthly 486.51
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1083.94
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1158.17
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 571.16
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1280.59
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1352.91
Dean Health Plan AG1 Non-Postal Basic Self Monthly 113.77
Dean Health Plan AG2 Non-Postal Basic Self & Family Monthly 255.97
Dean Health Plan AG3 Non-Postal Basic Self Plus One Monthly 238.91
Dean Health Plan WD1 Non-Postal High Self Monthly 737.45
Dean Health Plan WD2 Non-Postal High Self & Family Monthly 1681.83
Dean Health Plan WD3 Non-Postal High Self Plus One Monthly 1526.7
Dean Health Plan WD4 Non-Postal Standard Self Monthly 171.28
Dean Health Plan WD5 Non-Postal Standard Self & Family Monthly 426.05
Dean Health Plan WD6 Non-Postal Standard Self Plus One Monthly 386.1
Group Health Cooperative WJ1 Non-Postal High Self Monthly 365.61
Group Health Cooperative WJ2 Non-Postal High Self & Family Monthly 1093.3
Group Health Cooperative WJ3 Non-Postal High Self Plus One Monthly 834.73
Group Health Cooperative WJ4 Non-Postal Standard Self Monthly 154.71
Group Health Cooperative WJ5 Non-Postal Standard Self & Family Monthly 402.25
Group Health Cooperative WJ6 Non-Postal Standard Self Plus One Monthly 340.37
HealthPartners V31 Non-Postal High Self Monthly 167.02
HealthPartners V32 Non-Postal High Self & Family Monthly 409.17
HealthPartners V33 Non-Postal High Self Plus One Monthly 369.1
HealthPartners V34 Non-Postal Standard Self Monthly 127.35
HealthPartners V35 Non-Postal Standard Self & Family Monthly 310.23
HealthPartners V36 Non-Postal Standard Self Plus One Monthly 281.45
Quartz Health Benefit Plans Corporation TF1 Non-Postal High Self Monthly 580.39
Quartz Health Benefit Plans Corporation TF2 Non-Postal High Self & Family Monthly 1430.97
Quartz Health Benefit Plans Corporation TF3 Non-Postal High Self Plus One Monthly 1362.47
Quartz Health Benefit Plans Corporation TF4 Non-Postal Standard Self Monthly 160.1
Quartz Health Benefit Plans Corporation TF5 Non-Postal Standard Self & Family Monthly 384.24
Quartz Health Benefit Plans Corporation TF6 Non-Postal Standard Self Plus One Monthly 352.21
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
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