2022 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 | 293.78 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 574.3 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 645.93 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 157.07 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 396.12 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 344.47 |
| 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 | 604.57 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1345.26 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1426.9 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 303.85 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 667.12 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 736.93 |
| Altius Health Plans | 9K1 | Non-Postal | High Self | Monthly | 620.32 |
| Altius Health Plans | 9K2 | Non-Postal | High Self & Family | Monthly | 1301.15 |
| Altius Health Plans | 9K3 | Non-Postal | High Self Plus One | Monthly | 1383.22 |
| Altius Health Plans | 9K4 | Non-Postal | HDHP Self | Monthly | 228.69 |
| Altius Health Plans | 9K5 | Non-Postal | HDHP Self & Family | Monthly | 396.68 |
| Altius Health Plans | 9K6 | Non-Postal | HDHP Self Plus One | Monthly | 418.86 |
| Altius Health Plans | DK4 | Non-Postal | Standard Self | Monthly | 412.01 |
| Altius Health Plans | DK5 | Non-Postal | Standard Self & Family | Monthly | 837.48 |
| Altius Health Plans | DK6 | Non-Postal | Standard Self Plus One | Monthly | 924.1 |
| SelectHealth, Inc. | SF4 | Non-Postal | Standard Self | Monthly | 160.77 |
| SelectHealth, Inc. | SF5 | Non-Postal | Standard Self & Family | Monthly | 401.93 |
| SelectHealth, Inc. | SF6 | Non-Postal | Standard Self Plus One | Monthly | 353.69 |
| SelectHealth, Inc. | WX1 | Non-Postal | HDHP Self | Monthly | 143.09 |
| SelectHealth, Inc. | WX2 | Non-Postal | HDHP Self & Family | Monthly | 357.73 |
| SelectHealth, Inc. | WX3 | Non-Postal | HDHP Self Plus One | Monthly | 314.8 |