2023 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 | 269.92 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 511.92 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 586.26 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.35 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 404.39 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 351.67 |
| 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 | 589.68 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1303.9 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1388.18 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 311.33 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 677.2 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 748.24 |
| Altius Health Plans | 9K1 | Non-Postal | High Self | Monthly | 651.99 |
| Altius Health Plans | 9K2 | Non-Postal | High Self & Family | Monthly | 1361.65 |
| Altius Health Plans | 9K3 | Non-Postal | High Self Plus One | Monthly | 1445.36 |
| Altius Health Plans | 9K4 | Non-Postal | HDHP Self | Monthly | 232.16 |
| Altius Health Plans | 9K5 | Non-Postal | HDHP Self & Family | Monthly | 415.31 |
| Altius Health Plans | 9K6 | Non-Postal | HDHP Self Plus One | Monthly | 414.16 |
| Altius Health Plans | DK4 | Non-Postal | Standard Self | Monthly | 430.62 |
| Altius Health Plans | DK5 | Non-Postal | Standard Self & Family | Monthly | 868.95 |
| Altius Health Plans | DK6 | Non-Postal | Standard Self Plus One | Monthly | 957.49 |
| SelectHealth, Inc. | SF4 | Non-Postal | Standard Self | Monthly | 175.4 |
| SelectHealth, Inc. | SF5 | Non-Postal | Standard Self & Family | Monthly | 438.51 |
| SelectHealth, Inc. | SF6 | Non-Postal | Standard Self Plus One | Monthly | 385.88 |
| SelectHealth, Inc. | WX1 | Non-Postal | HDHP Self | Monthly | 163.41 |
| SelectHealth, Inc. | WX2 | Non-Postal | HDHP Self & Family | Monthly | 408.53 |
| SelectHealth, Inc. | WX3 | Non-Postal | HDHP Self Plus One | Monthly | 359.51 |