2025 Plan Information for Utah
Choose a Location, Employee Type, & Payment Period
Click to view Plan Information for this state
Location Specific Rates
| Contract | Enrollment Code | Enrollment Type | Option/Enrollment Type | Payment Period | Employee Payment |
|---|---|---|---|---|---|
| Aetna Direct | 224 | Non-Postal | HDHP Self | Monthly | 292.93 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 523.23 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 621.86 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 166.53 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 419.96 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 365.21 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 115.34 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 305.63 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 253.74 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 712.1 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 1549.9 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 1658.46 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 386.6 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 817.07 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 909.94 |
| Altius Health Plans | 9K1 | Non-Postal | High Self | Monthly | 726.09 |
| Altius Health Plans | 9K2 | Non-Postal | High Self & Family | Monthly | 1486.57 |
| Altius Health Plans | 9K3 | Non-Postal | High Self Plus One | Monthly | 1595.75 |
| Altius Health Plans | 9K4 | Non-Postal | HDHP Self | Monthly | 313.43 |
| Altius Health Plans | 9K5 | Non-Postal | HDHP Self & Family | Monthly | 501.21 |
| Altius Health Plans | 9K6 | Non-Postal | HDHP Self Plus One | Monthly | 557.1 |
| Altius Health Plans | DK4 | Non-Postal | Standard Self | Monthly | 463.8 |
| Altius Health Plans | DK5 | Non-Postal | Standard Self & Family | Monthly | 902.98 |
| Altius Health Plans | DK6 | Non-Postal | Standard Self Plus One | Monthly | 1017.88 |
| SelectHealth, Inc. | SF4 | Non-Postal | Standard Self | Monthly | 239.98 |
| SelectHealth, Inc. | SF5 | Non-Postal | Standard Self & Family | Monthly | 667.09 |
| SelectHealth, Inc. | SF6 | Non-Postal | Standard Self Plus One | Monthly | 540.48 |
| SelectHealth, Inc. | WX1 | Non-Postal | HDHP Self | Monthly | 204.75 |
| SelectHealth, Inc. | WX2 | Non-Postal | HDHP Self & Family | Monthly | 511.89 |
| SelectHealth, Inc. | WX3 | Non-Postal | HDHP Self Plus One | Monthly | 450.46 |