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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 |
|
| WV Carelink Health Plans |
|
|
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|
|
High Self |
4C1 |
|
81.87 |
108.28 |
81.21 |
27.07 |
6.60 |
|
177.39 |
234.61 |
175.96 |
58.65 |
14.30 |
|
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High Family |
4C2 |
|
241.19 |
319.07 |
195.82 |
123.25 |
58.03 |
|
522.58 |
691.32 |
424.28 |
267.04 |
125.73 |
|
| WV Free State Health Plan |
|
|
|
|
|
|
High Self |
LD1 |
|
124.90 |
119.38 |
86.59 |
32.79 |
-13.28 |
|
270.62 |
258.66 |
187.61 |
71.05 |
-28.77 |
|
|
High Family |
LD2 |
|
284.79 |
272.14 |
195.82 |
76.32 |
-32.50 |
|
617.05 |
589.64 |
424.28 |
165.36 |
-70.42 |
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| WV Health Plan Upper OH Valley |
|
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|
High Self |
U41 |
|
90.80 |
102.24 |
76.68 |
25.56 |
2.86 |
|
196.73 |
221.52 |
166.14 |
55.38 |
6.20 |
|
|
High Family |
U42 |
|
226.89 |
281.16 |
195.82 |
85.34 |
28.62 |
|
491.60 |
609.18 |
424.28 |
184.90 |
62.00 |
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