2025 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 | 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 | JS1 | Non-Postal | CDHP Self | Monthly | 757.16 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1650.7 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1758.19 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 702.52 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1530.58 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1639.37 |
| Group Health Cooperative | WJ1 | Non-Postal | High Self | Monthly | 655.11 |
| Group Health Cooperative | WJ2 | Non-Postal | High Self & Family | Monthly | 1835.19 |
| Group Health Cooperative | WJ3 | Non-Postal | High Self Plus One | Monthly | 1453.92 |
| Group Health Cooperative | WJ4 | Non-Postal | Standard Self | Monthly | 206.24 |
| Group Health Cooperative | WJ5 | Non-Postal | Standard Self & Family | Monthly | 597.46 |
| Group Health Cooperative | WJ6 | Non-Postal | Standard Self Plus One | Monthly | 453.74 |
| HealthPartners | V31 | Non-Postal | High Self | Monthly | 264.14 |
| HealthPartners | V32 | Non-Postal | High Self & Family | Monthly | 669.22 |
| HealthPartners | V33 | Non-Postal | High Self Plus One | Monthly | 602.73 |
| HealthPartners | V34 | Non-Postal | Standard Self | Monthly | 158.02 |
| HealthPartners | V35 | Non-Postal | Standard Self & Family | Monthly | 384.94 |
| HealthPartners | V36 | Non-Postal | Standard Self Plus One | Monthly | 349.23 |