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| HMO Plans |
|
2000 Total Biweekly
Premium |
2001 Biweekly premium rates |
2000 Total Monthly
Premium |
2001 Monthly premium rates |
| Location - Plan
- Option - |
|
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
| Enrollment Code |
|
| CT Aetna U.S. Healthcare |
|
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High Self |
H11 |
|
112.63 |
128.28 |
86.59 |
41.69 |
7.89 |
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244.03 |
277.94 |
187.61 |
90.33 |
17.10 |
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High Family |
H12 |
|
303.21 |
343.06 |
195.82 |
147.24 |
20.00 |
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656.96 |
743.30 |
424.28 |
319.02 |
43.33 |
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| CT Blue Cross and Blue Shield |
|
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Standard Self |
104 |
|
108.87 |
120.85 |
86.59 |
34.26 |
4.22 |
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235.89 |
261.84 |
187.61 |
74.23 |
9.14 |
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Standard Family |
105 |
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242.75 |
276.73 |
195.82 |
80.91 |
14.13 |
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525.96 |
599.58 |
424.28 |
175.30 |
30.61 |
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| CT ConnectiCare |
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High Self |
TE1 |
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95.64 |
98.31 |
73.73 |
24.58 |
0.67 |
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207.22 |
213.01 |
159.76 |
53.25 |
1.45 |
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High Family |
TE2 |
|
250.45 |
257.45 |
193.09 |
64.36 |
-10.12 |
|
542.64 |
557.81 |
418.36 |
139.45 |
-21.92 |
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| CT Health New England |
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High Self |
DJ1 |
|
107.07 |
122.27 |
86.59 |
35.68 |
7.44 |
|
231.99 |
264.92 |
187.61 |
77.31 |
16.12 |
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High Family |
DJ2 |
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236.61 |
304.72 |
195.82 |
108.90 |
48.26 |
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512.66 |
660.23 |
424.28 |
235.95 |
104.56 |
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| CT Physicians Health Services/CT |
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High Self |
DP1 |
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112.23 |
137.69 |
86.59 |
51.10 |
17.70 |
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243.17 |
298.33 |
187.61 |
110.72 |
38.35 |
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High Family |
DP2 |
|
313.64 |
384.76 |
195.82 |
188.94 |
51.27 |
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679.55 |
833.65 |
424.28 |
409.37 |
111.09 |
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