2024 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 | 272.61 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 498.46 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 590.61 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 160.8 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 405.51 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 352.64 |
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 | 720.5 |
Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1582.96 |
Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1682.72 |
Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 582.66 |
Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1272.61 |
Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1375.53 |
Dean Health Plan | AG1 | Non-Postal | Basic Self | Monthly | 121.16 |
Dean Health Plan | AG2 | Non-Postal | Basic Self & Family | Monthly | 272.61 |
Dean Health Plan | AG3 | Non-Postal | Basic Self Plus One | Monthly | 254.44 |
Dean Health Plan | WD1 | Non-Postal | High Self | Monthly | 1086.73 |
Dean Health Plan | WD2 | Non-Postal | High Self & Family | Monthly | 2452.06 |
Dean Health Plan | WD3 | Non-Postal | High Self Plus One | Monthly | 2246.4 |
Dean Health Plan | WD4 | Non-Postal | Standard Self | Monthly | 223.97 |
Dean Health Plan | WD5 | Non-Postal | Standard Self & Family | Monthly | 548.9 |
Dean Health Plan | WD6 | Non-Postal | Standard Self Plus One | Monthly | 515.78 |
Group Health Cooperative | WJ1 | Non-Postal | High Self | Monthly | 586.21 |
Group Health Cooperative | WJ2 | Non-Postal | High Self & Family | Monthly | 1653.88 |
Group Health Cooperative | WJ3 | Non-Postal | High Self Plus One | Monthly | 1312.72 |
Group Health Cooperative | WJ4 | Non-Postal | Standard Self | Monthly | 185.57 |
Group Health Cooperative | WJ5 | Non-Postal | Standard Self & Family | Monthly | 530.7 |
Group Health Cooperative | WJ6 | Non-Postal | Standard Self Plus One | Monthly | 408.25 |
HealthPartners | V31 | Non-Postal | High Self | Monthly | 194.54 |
HealthPartners | V32 | Non-Postal | High Self & Family | Monthly | 495.56 |
HealthPartners | V33 | Non-Postal | High Self Plus One | Monthly | 449 |
HealthPartners | V34 | Non-Postal | Standard Self | Monthly | 138.32 |
HealthPartners | V35 | Non-Postal | Standard Self & Family | Monthly | 336.96 |
HealthPartners | V36 | Non-Postal | Standard Self Plus One | Monthly | 305.69 |