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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 |
|
| MI Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
8Z1 |
|
85.40 |
89.96 |
67.47 |
22.49 |
1.14 |
|
185.03 |
194.91 |
146.18 |
48.73 |
2.47 |
|
|
High Family |
8Z2 |
|
222.80 |
232.74 |
174.56 |
58.18 |
2.48 |
|
482.73 |
504.27 |
378.20 |
126.07 |
5.39 |
|
| MI Blue Care Network West MI |
|
|
|
|
|
|
High Self |
G71 |
|
123.97 |
148.51 |
86.59 |
61.92 |
16.78 |
|
268.60 |
321.77 |
187.61 |
134.16 |
36.36 |
|
|
High Family |
G72 |
|
313.02 |
375.34 |
195.82 |
179.52 |
42.47 |
|
678.21 |
813.24 |
424.28 |
388.96 |
92.02 |
|
| MI Blue Care Network West MI |
|
|
|
|
|
|
High Self |
K51 |
|
96.08 |
109.56 |
82.17 |
27.39 |
3.37 |
|
208.17 |
237.38 |
178.04 |
59.34 |
7.30 |
|
|
High Family |
K52 |
|
267.79 |
305.96 |
195.82 |
110.14 |
18.32 |
|
580.21 |
662.91 |
424.28 |
238.63 |
39.69 |
|
| MI Blue Care Network West MI |
|
|
|
|
|
|
High Self |
KF1 |
|
81.55 |
116.06 |
86.59 |
29.47 |
9.08 |
|
176.69 |
251.46 |
187.61 |
63.85 |
19.68 |
|
|
High Family |
KF2 |
|
223.79 |
319.20 |
195.82 |
123.38 |
67.43 |
|
484.88 |
691.60 |
424.28 |
267.32 |
146.10 |
|
| MI Blue Care Network West MI |
|
|
|
|
|
|
High Self |
KN1 |
|
97.60 |
114.78 |
86.09 |
28.69 |
4.29 |
|
211.47 |
248.69 |
186.52 |
62.17 |
9.30 |
|
|
High Family |
KN2 |
|
272.07 |
320.57 |
195.82 |
124.75 |
28.65 |
|
589.49 |
694.57 |
424.28 |
270.29 |
62.07 |
|
| MI Blue Care Network West MI |
|
|
|
|
|
|
High Self |
KR1 |
|
89.51 |
120.73 |
86.59 |
34.14 |
11.76 |
|
193.94 |
261.58 |
187.61 |
73.97 |
25.49 |
|
|
High Family |
KR2 |
|
257.47 |
348.29 |
195.82 |
152.47 |
70.97 |
|
557.85 |
754.63 |
424.28 |
330.35 |
153.77 |
|
| MI Blue Care Network West MI |
|
|
|
|
|
|
High Self |
LN1 |
|
104.20 |
135.74 |
86.59 |
49.15 |
23.10 |
|
225.77 |
294.10 |
187.61 |
106.49 |
50.05 |
|
|
High Family |
LN2 |
|
250.58 |
326.72 |
195.82 |
130.90 |
56.29 |
|
542.92 |
707.89 |
424.28 |
283.61 |
121.96 |
|
| MI Blue Care Network West MI |
|
|
|
|
|
|
High Self |
LX1 |
|
65.86 |
78.80 |
59.10 |
19.70 |
3.24 |
|
142.70 |
170.73 |
128.05 |
42.68 |
7.01 |
|
|
High Family |
LX2 |
|
215.81 |
259.01 |
194.26 |
64.75 |
10.80 |
|
467.59 |
561.19 |
420.89 |
140.30 |
23.40 |
|
| MI Grand Valley Health Plan |
|
|
|
|
|
|
High Self |
RL1 |
|
92.11 |
104.10 |
78.08 |
26.02 |
2.99 |
|
199.57 |
225.55 |
169.16 |
56.39 |
6.50 |
|
|
High Family |
RL2 |
|
235.45 |
262.39 |
195.82 |
66.57 |
7.09 |
|
510.14 |
568.51 |
424.28 |
144.23 |
15.36 |
|
| MI Health Alliance |
|
|
|
|
|
|
|
High Self |
521 |
|
88.28 |
95.62 |
71.72 |
23.90 |
1.83 |
|
191.27 |
207.18 |
155.39 |
51.79 |
3.97 |
|
|
High Family |
522 |
|
233.93 |
253.41 |
190.06 |
63.35 |
4.87 |
|
506.85 |
549.06 |
411.80 |
137.26 |
10.55 |
|
| MI HealthPlus MI |
|
|
|
|
|
|
|
High Self |
X51 |
|
100.70 |
108.91 |
81.68 |
27.23 |
2.06 |
|
218.18 |
235.97 |
176.98 |
58.99 |
4.45 |
|
|
High Family |
X52 |
|
246.88 |
266.98 |
195.82 |
71.16 |
0.25 |
|
534.91 |
578.46 |
424.28 |
154.18 |
0.54 |
|
| MI M-Care |
|
|
|
|
|
|
|
High Self |
EG1 |
|
87.37 |
95.40 |
71.55 |
23.85 |
2.01 |
|
189.30 |
206.70 |
155.03 |
51.67 |
4.35 |
|
|
High Family |
EG2 |
|
231.60 |
252.80 |
189.60 |
63.20 |
5.30 |
|
501.80 |
547.73 |
410.80 |
136.93 |
11.48 |
|
| MI OmniCare |
|
|
|
|
|
|
|
High Self |
KA1 |
|
70.77 |
90.78 |
68.09 |
22.69 |
5.00 |
|
153.34 |
196.69 |
147.52 |
49.17 |
10.84 |
|
|
High Family |
KA2 |
|
176.95 |
227.88 |
170.91 |
56.97 |
12.73 |
|
383.39 |
493.74 |
370.31 |
123.43 |
27.58 |
|
| MI SelectCare HMO |
|
|
|
|
|
|
|
High Self |
K61 |
|
72.80 |
91.30 |
68.48 |
22.82 |
4.62 |
|
157.73 |
197.82 |
148.37 |
49.45 |
10.02 |
|
|
High Family |
K62 |
|
203.87 |
255.61 |
191.71 |
63.90 |
12.93 |
|
441.72 |
553.82 |
415.37 |
138.45 |
28.02 |
|
| MI SelectCare HMO |
|
|
|
|
|
|
|
High Self |
KP1 |
|
New Area |
109.54 |
82.16 |
27.38 |
N/A |
|
New Area |
237.34 |
178.01 |
59.33 |
N/A |
|
|
High Family |
KP2 |
|
New Area |
306.74 |
195.82 |
110.92 |
N/A |
|
New Area |
664.60 |
424.28 |
240.32 |
N/A |
|
| MI The Wellness Plan |
|
|
|
|
|
|
|
High Self |
K31 |
|
78.45 |
93.41 |
70.06 |
23.35 |
3.74 |
|
169.98 |
202.39 |
151.79 |
50.60 |
8.11 |
|
|
High Family |
K32 |
|
213.40 |
255.73 |
191.80 |
63.93 |
10.58 |
|
462.37 |
554.08 |
415.56 |
138.52 |
22.93 |
|
| MI Total Health Care |
|
|
|
|
|
|
|
High Self |
N21 |
|
78.46 |
88.56 |
66.42 |
22.14 |
2.53 |
|
170.00 |
191.88 |
143.91 |
47.97 |
5.47 |
|
|
High Family |
N22 |
|
198.99 |
224.13 |
168.10 |
56.03 |
6.28 |
|
431.15 |
485.62 |
364.22 |
121.40 |
13.61 |
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