AD1GEORGIA HUMANA COVERAGEFIRST CDHP SELF                                      29.79 89.38    
AD2GEORGIA HUMANA COVERAGEFIRST CDHP FAMILY                                    68.52205.58  
AK1OHIO UNITED HEALTHCARE OF OHIO, INC. HIGH SELF                              61.65145.04  
AK2OHIO UNITED HEALTHCARE OF OHIO, INC. HIGH FAMILY                           150.21329.30  
AU1SOUTH DAKOTA SANFORD HEALTH PLAN HIGH SELF                                  75.56145.04  
AU2SOUTH DAKOTA SANFORD HEALTH PLAN HIGH FAMILY                               178.32329.30  
AU4SOUTH DAKOTA SANFORD HEALTH PLAN STANDARD SELF                              65.04145.04  
AU5SOUTH DAKOTA SANFORD HEALTH PLAN STANDARD FAMILY                           153.83329.30  
A31ARIZONA PACIFICARE OF ARIZONA HIGH SELF                                     64.20145.04  
A32ARIZONA PACIFICARE OF ARIZONA HIGH FAMILY                                  172.93329.30  
A71ARIZONA HEALTH NET OF ARIZONA, INC. HIGH SELF                               45.94137.81  
A72ARIZONA HEALTH NET OF ARIZONA, INC. HIGH FAMILY                            136.24329.30  
A74ARIZONA HEALTH NET OF ARIZONA, INC. STANDARD SELF                           39.57118.72  
A75ARIZONA HEALTH NET OF ARIZONA, INC. STANDARD FAMILY                        100.25300.77  
BJ1LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HIGH SELF                       47.00141.01  
BJ2LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HIGH FAMILY                    109.15327.46  
BJ4LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA STANDARD SELF                   46.32138.98  
BJ5LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA STANDARD FAMILY                107.58322.76  
BP1FLORIDA HUMANA COVERAGEFIRST CDHP SELF                                      38.56115.67  
BP2FLORIDA HUMANA COVERAGEFIRST CDHP FAMILY                                    88.68266.05  
BT1TENNESSEE HUMANA COVERAGEFIRST CDHP SELF                                    38.56115.67  
BT2TENNESSEE HUMANA COVERAGEFIRST CDHP FAMILY                                  88.68266.05  
BW1MICHIGAN HUMANA COVERAGEFIRST CDHP SELF                                     29.79 89.38  
BW2MICHIGAN HUMANA COVERAGEFIRST CDHP FAMILY                                   68.52205.58  
B91MISSOURI UNITED HEALTHCARE OF THE MIDWEST HIGH SELF                         54.31145.04  
B92MISSOURI UNITED HEALTHCARE OF THE MIDWEST HIGH FAMILY                      116.06329.30  
CA1OHIO UNITED HEALTHCARE OF OHIO, INC. HIGH SELF                              72.05145.04  
CA2OHIO UNITED HEALTHCARE OF OHIO, INC. HIGH FAMILY                           171.61329.30  
CK1TEXAS FIRSTCARE HIGH SELF                                                   89.50145.04  
CK2TEXAS FIRSTCARE HIGH FAMILY                                                174.94329.30  
CY1CALIFORNIA PACIFICARE OF CALIFORNIA HIGH SELF                               46.23138.68  
CY2CALIFORNIA PACIFICARE OF CALIFORNIA HIGH FAMILY                            107.25321.76  
CY6PACIFICARE HEALTH PLANS - HIGH SELF                                              184.91  
DA1RHODE ISLAND BLUE CHIP COORDINATED HEALTH PLAN - B HIGH SELF                90.33145.04  
DA2RHODE ISLAND BLUE CHIP COORDINATED HEALTH PLAN - B HIGH FAMILY             294.44329.30  
DB1ARIZONA HUMANA COVERAGEFIRST CDHP SELF                                      29.76 89.38  
DB2ARIZONA HUMANA COVERAGEFIRST CDHP FAMILY                                    68.52205.58  
DK4UTAH ALTIUS HEALTH PLANS STANDARD SELF                                      45.33136.00  
DK5UTAH ALTIUS HEALTH PLANS STANDARD FAMILY                                    99.73299.20  
DL1FLORIDA HUMANA COVERAGEFIRST CDHP SELF                                      42.06126.19  
DL2FLORIDA HUMANA COVERAGEFIRST CDHP FAMILY                                    96.75290.24  
DQ1INDIANA PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA HIGH SELF                71.54145.04  
DQ2INDIANA PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA HIGH FAMILY             155.15329.30  
DV1MASSACHUSETTS FALLON COMMUNITY HEALTH PLAN HDHP HDHP SELF                   68.78145.04  
DV2MASSACHUSETTS FALLON COMMUNITY HEALTH PLAN HDHP HDHP FAMILY                190.40329.30  
D61COLORADO PACIFICARE OF COLORADO HIGH SELF                                   78.15145.04  
D62COLORADO PACIFICARE OF COLORADO HIGH FAMILY                                198.15329.30  
EA1FLORIDA CAPITAL HEALTH PLAN HIGH SELF                                       41.12123.37  
EA2FLORIDA CAPITAL HEALTH PLAN HIGH FAMILY                                    108.98326.94  
ED1PENNSYLVANIA KEYSTONE HEALTH PLAN EAST HIGH SELF                            77.31145.04  
ED2PENNSYLVANIA KEYSTONE HEALTH PLAN EAST HIGH FAMILY                         257.20329.30  
ED4PENNSYLVANIA KEYSTONE HEALTH PLAN EAST STANDARD SELF                        48.32144.98  
ED5PENNSYLVANIA KEYSTONE HEALTH PLAN EAST STANDARD FAMILY                     180.87329.30  
EE1FLORIDA HUMANA MEDICAL PLAN, INC. HIGH SELF                                 41.53124.60  
EE2FLORIDA HUMANA MEDICAL PLAN, INC. HIGH FAMILY                               95.53286.59  
EE4FLORIDA HUMANA MEDICAL PLAN, INC. STANDARD SELF                             36.45109.37  
EE5FLORIDA HUMANA MEDICAL PLAN, INC. STANDARD FAMILY                           83.85251.55  
E31VIRGINIA KAISER FOUNDATION HEALTH PLAN MID-ATLANTI HIGH SELF                59.37145.04  
E32VIRGINIA KAISER FOUNDATION HEALTH PLAN MID-ATLANTI HIGH FAMILY             149.58329.30  
E34VIRGINIA KAISER FOUNDATION HEALTH PLAN MID-ATLANTI STANDARD SELF            27.92 83.78  
E35VIRGINIA KAISER FOUNDATION HEALTH PLAN MID-ATLANTI STANDARD FAMILY          66.46199.37  
E91WISCONSIN UNITEDHEALTHCARE INSURANCE COMPANY, INC. HDHP SELF                41.33123.99  
E92WISCONSIN UNITEDHEALTHCARE INSURANCE COMPANY, INC. HDHP FAMILY              91.40274.20  
E96WISCONSIN UNITEDHEALTHCARE INSURANCE COMPANY, INC. HDHP SELF                     165.32  
FB1WISCONSIN HUMANA COVERAGEFIRST CDHP SELF                                    40.31120.93  
FB2WISCONSIN HUMANA COVERAGEFIRST CDHP FAMILY                                  92.71278.13  
FC1COLORADO HUMANA COVERAGEFIRST CDHP SELF                                     35.05105.15  
FC2COLORADO HUMANA COVERAGEFIRST CDHP FAMILY                                   80.62241.85  
FK1NEW JERSEY AMERIHEALTH HMO HIGH SELF                                        91.52145.04  
FK2NEW JERSEY AMERIHEALTH HMO HIGH FAMILY                                     230.31329.30  
FK4NEW JERSEY AMERIHEALTH HMO STANDARD SELF                                    64.50145.04  
FK5NEW JERSEY AMERIHEALTH HMO STANDARD FAMILY                                 166.59329.30  
FM1IOWA HEALTH ALLIANCE HMO HDHP SELF                                          45.16135.50  
FM2IOWA HEALTH ALLIANCE HMO HDHP FAMILY                                       101.23303.69  
FT1MICHIGAN HUMANA COVERAGEFIRST CDHP SELF                                     35.05105.15  
FT2MICHIGAN HUMANA COVERAGEFIRST CDHP FAMILY                                   80.62241.85  
FX1IOWA HEALTH ALLIANCE HMO HIGH SELF                                          81.49145.04  
FX2IOWA HEALTH ALLIANCE HMO HIGH FAMILY                                       199.42329.30  
FX4IOWA HEALTH ALLIANCE HMO STANDARD SELF                                      41.85125.54  
FX5IOWA HEALTH ALLIANCE HMO STANDARD FAMILY                                   105.84317.53  
F81GEORGIA KAISER FOUNDATION HEALTH PLAN OF GEORGIA, HIGH SELF                 46.85140.55  
F82GEORGIA KAISER FOUNDATION HEALTH PLAN OF GEORGIA, HIGH FAMILY              107.28321.86  
F84GEORGIA KAISER FOUNDATION HEALTH PLAN OF GEORGIA, STANDARD SELF             33.83101.48  
F85GEORGIA KAISER FOUNDATION HEALTH PLAN OF GEORGIA, STANDARD FAMILY           77.47232.40  
GA1NEW YORK MVP HEALTH CARE HIGH SELF                                          45.49136.49  
GA2NEW YORK MVP HEALTH CARE HIGH FAMILY                                       140.69329.30  
GA4NEW YORK MVP HEALTH CARE STANDARD SELF                                      42.49127.46  
GA5NEW YORK MVP HEALTH CARE STANDARD FAMILY                                   109.71329.13  
GE1ILLINOIS PERSONALCARES HMO HIGH SELF                                        48.96145.04  
GE2ILLINOIS PERSONALCARES HMO HIGH FAMILY                                     169.30329.30  
GF1TEXAS PACIFICARE OF TEXAS HIGH SELF                                         93.26145.04  
GF2TEXAS PACIFICARE OF TEXAS HIGH FAMILY                                      218.53329.30  
GG1PENNSYLVANIA GEISINGER HEALTH PLAN HIGH SELF                               146.85145.04  
GG2PENNSYLVANIA GEISINGER HEALTH PLAN HIGH FAMILY                             342.04329.30  
GG4PENNSYLVANIA GEISINGER HEALTH PLAN STANDARD SELF                            97.01145.04  
GG5PENNSYLVANIA GEISINGER HEALTH PLAN STANDARD FAMILY                         227.42329.30  
GN1GEORGIA UNITED HEALTHCARE OF GEORGIA HIGH SELF                              48.82145.04  
GN2GEORGIA UNITED HEALTHCARE OF GEORGIA HIGH FAMILY                           120.45329.30  
GT1MICHIGAN HUMANA COVERAGEFIRST CDHP SELF                                     36.80110.41  
GT2MICHIGAN HUMANA COVERAGEFIRST CDHP FAMILY                                   84.65253.94  
GV1NEW YORK PREFERRED CARE HIGH SELF                                           40.91122.75  
GV2NEW YORK PREFERRED CARE HIGH FAMILY                                        109.35328.05  
GV4NEW YORK PREFERRED CARE STANDARD SELF                                       32.52 97.56  
GV5NEW YORK PREFERRED CARE STANDARD FAMILY                                     86.93260.78  
GW1GEORGIA KAISER FOUNDATION HEALTH PLAN OF GEORGIA I HDHP SELF                37.96113.88  
GW2GEORGIA KAISER FOUNDATION HEALTH PLAN OF GEORGIA I HDHP FAMILY              85.34256.01  
GX1MISSOURI UNITED HEALTHCARE OF THE MIDWEST HIGH SELF                         59.39145.04  
GX2MISSOURI UNITED HEALTHCARE OF THE MIDWEST HIGH FAMILY                      151.12329.30  
GZ1MARYLAND COVENTRY HEALTH CARE HDHP HDHP SELF                                30.50 91.50  
GZ2MARYLAND COVENTRY HEALTH CARE HDHP HDHP FAMILY                              73.73221.19  
HA1MISSOURI COVENTRY HEALTH CARE OF KANSAS HIGH SELF                           44.21132.63  
HA2MISSOURI COVENTRY HEALTH CARE OF KANSAS HIGH FAMILY                        127.02329.30  
HA4MISSOURI COVENTRY HEALTH CARE OF KANSAS STANDARD SELF                       48.73145.04  
HA5MISSOURI COVENTRY HEALTH CARE OF KANSAS STANDARD FAMILY                    170.63329.30  
HB1LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HDHP HDHP SELF                  38.01114.05  
HB2LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HDHP HDHP SELF                  88.29264.89  
HQ1WISCONSIN HEALTHPARTNERS PRIMARY CLINIC PLAN HIGH SELF                     118.51145.04  
HQ2WISCONSIN HEALTHPARTNERS PRIMARY CLINIC PLAN HIGH FAMILY                   277.36329.30  
HZ1INDIANA HUMANA COVERAGEFIRST CDHP SELF                                      35.05105.15  
HZ2INDIANA HUMANA COVERAGEFIRST CDHP FAMILY                                    80.62241.85  
IE1NEBRASKA COVENTRY HEALTH CARE OF NEBRASKA HIGH SELF                         41.98125.93  
IE2NEBRASKA COVENTRY HEALTH CARE OF NEBRASKA HIGH FAMILY                      105.64316.91  
IG1MARYLAND COVENTRY HEALTH CARE HIGH SELF                                     45.52136.55  
IG2MARYLAND COVENTRY HEALTH CARE HIGH FAMILY                                  125.89329.30  
IG4MARYLAND COVENTRY HEALTH CARE STANDARD SELF                                 35.72107.16  
IG5MARYLAND COVENTRY HEALTH CARE STANDARD FAMILY                               89.29267.88  
IK1INDIANA AETNA OPEN ACCESS HIGH SELF                                         38.63115.90  
IK2INDIANA AETNA OPEN ACCESS HIGH FAMILY                                       98.07294.20  
IM1OKLAHOMA GLOBALHEALTH, INC. HIGH SELF                                       38.88116.66  
IM2OKLAHOMA GLOBALHEALTH, INC. HIGH FAMILY                                     93.71281.15  
JA1LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HIGH SELF                      104.35145.04  
JA2LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HIGH FAMILY                    249.91329.30  
JA4LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA STANDARD SELF                  125.31145.04  
JA5LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA STANDARD FAMILY                298.63329.30  
JC1NEW YORK AETNA OPEN ACCESS HIGH SELF                                        72.00145.04  
JC2NEW YORK AETNA OPEN ACCESS HIGH FAMILY                                     204.91329.30  
JC4NEW YORK AETNA OPEN ACCESS BASIC SELF                                       46.13138.41  
JC5NEW YORK AETNA OPEN ACCESS BASIC FAMILY                                    140.04329.30  
JK1GUAM TAKECARE HIGH SELF                                                    106.60145.04  
JK2GUAM TAKECARE HIGH FAMILY                                                  331.96329.30  
JK4GUAM TAKECARE STANDARD SELF                                                 52.37145.04  
JK5GUAM TAKECARE STANDARD SELF                                                192.04329.30  
JN1VIRGINIA AETNA OPEN ACCESS HIGH SELF                                        88.39145.04  
JN2VIRGINIA AETNA OPEN ACCESS HIGH FAMILY                                     193.55329.30  
JN4VIRGINIA AETNA OPEN ACCESS BASIC SELF                                       39.18117.54  
JN5VIRGINIA AETNA OPEN ACCESS BASIC FAMILY                                     91.68275.06  
JP1VIRGINIA M.D. IPA HIGH SELF                                                 54.17145.04  
JP2VIRGINIA M.D. IPA HIGH FAMILY                                              130.08329.30  
JR1NEW JERSEY AETNA OPEN ACCESS HIGH SELF                                     108.58145.04  
JR2NEW JERSEY AETNA OPEN ACCESS HIGH FAMILY                                   254.11329.30  
JR4NEW JERSEY AETNA OPEN ACCESS BASIC SELF                                     48.30144.91  
JR5NEW JERSEY AETNA OPEN ACCESS BASIC FAMILY                                  134.37329.30  
JV1MASSACHUSETTS FALLON COMMUNITY HEALTH PLAN HIGH SELF                       106.76145.04  
JV2MASSACHUSETTS FALLON COMMUNITY HEALTH PLAN HIGH FAMILY                     282.68329.30  
JV4MASSACHUSETTS FALLON COMMUNITY HEALTH PLAN STANDARD SELF                    80.55145.04  
JV5MASSACHUSETTS FALLON COMMUNITY HEALTH PLAN STANDARD FAMILY                 218.95329.30  
J81FLORIDA JMH HEALTH PLAN HIGH SELF                                           60.17145.04  
J82FLORIDA JMH HEALTH PLAN HIGH FAMILY                                        163.33329.30  
J84FLORIDA JMH HEALTH PLAN STANDARD SELF                                       52.02145.04  
J85FLORIDA JMH HEALTH PLAN STANDARD FAMILY                                    132.74329.30  
KQ1NEW YORK UNIVERA HEALTHCARE HIGH SELF                                       75.39145.04  
KQ2NEW YORK UNIVERA HEALTHCARE HIGH FAMILY                                    253.93329.30  
KS1MISSOURI AETNA OPEN ACCESS HIGH SELF                                        62.64145.04  
KS2MISSOURI AETNA OPEN ACCESS HIGH FAMILY                                     178.59329.30  
KV1KENTUCKY BLUEGRASS FAMILY HEALTH HDHP SELF                                  44.00132.00  
KV2KENTUCKY BLUEGRASS FAMILY HEALTH HDHP FAMILY                                79.99239.99  
KX1GUAM TAKECARE HDHP SELF                                                     44.80134.39  
KX2GUAM TAKECARE HDHP FAMILY                                                  120.50329.30  
K51MICHIGAN BLUECARE NETWORK OF MI HIGH SELF                                   96.21145.04  
K52MICHIGAN BLUECARE NETWORK OF MI HIGH FAMILY                                220.83329.30  
K91NEVADA PACIFICARE OF NEVADA HIGH SELF                                       46.57139.71  
K92NEVADA PACIFICARE OF NEVADA HIGH FAMILY                                    105.71317.15  
LB1CALIFORNIA HEALTH NET OF CALIFORNIA HIGH SELF                              105.82145.04  
LB2CALIFORNIA HEALTH NET OF CALIFORNIA HIGH FAMILY                            250.72329.30  
LB4CALIFORNIA HEALTH NET OF CALIFORNIA STANDARD SELF                           91.72145.04  
LB5CALIFORNIA HEALTH NET OF CALIFORNIA STANDARD FAMILY                        218.10329.30  
LB6HEALTH NET - HIGH SELF                                                      14.10236.76  
LB8CALIFORNIA HEALTH NET OF CALIFORNIA STANDARD SELF                                236.76  
LF WISCONSIN HEALTHPARTNERS CLASSIC/OPEN ACCESS DEDUC OPEN ACCESS DEDUCTIBLE S145.04227.61  
LK1NEW JERSEY COVENTRY HEALTH CARE HDHP HDHP SELF                              36.38109.15  
LK2NEW JERSEY COVENTRY HEALTH CARE HDHP HDHP FAMILY                            88.15264.45  
LL1FLORIDA HUMANA MEDICAL PLAN, INC. HIGH SELF                                 60.06145.04  
LL2FLORIDA HUMANA MEDICAL PLAN, INC. HIGH FAMILY                              142.44329.30  
LL4FLORIDA HUMANA MEDICAL PLAN, INC. STANDARD SELF                             40.51121.52  
LL5FLORIDA HUMANA MEDICAL PLAN, INC. STANDARD FAMILY                           93.17279.50  
LM1GEORGIA HUMANA COVERAGEFIRST CDHP SELF                                      36.80110.41  
LM2GEORGIA HUMANA COVERAGEFIRST CDHP FAMILY                                    84.65253.94  
LN1MICHIGAN BLUECARE NETWORK OF MI HIGH SELF                                  147.61145.04  
LN2MICHIGAN BLUECARE NETWORK OF MI HIGH FAMILY                                375.50329.30  
LP1CALIFORNIA HEALTH NET OF CALIFORNIA HIGH SELF                               46.49139.48  
LP2CALIFORNIA HEALTH NET OF CALIFORNIA HIGH FAMILY                            107.49322.49  
LP4CALIFORNIA HEALTH NET OF CALIFORNIA STANDARD SELF                           44.20132.62  
LP5CALIFORNIA HEALTH NET OF CALIFORNIA STANDARD FAMILY                        102.21306.62  
LT1 LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HDHP HDHP SELF                 43.78131.35  
LT2 LOUISIANA COVENTRY HEALTH CARE OF LOUISIANA HDHP HDHP FAMILY              101.36304.10  
LX1MICHIGAN BLUECARE NETWORK OF MI HIGH SELF                                   38.76116.29  
LX2MICHIGAN BLUECARE NETWORK OF MI HIGH FAMILY                                100.71302.13  
L11WASHINGTON KPS HEALTH PLANS STANDARD SELF                                   44.45133.34  
L12WASHINGTON KPS HEALTH PLANS STANDARD FAMILY                                 95.93287.81  
L14WASHINGTON KPS HEALTH PLANS HDHP SELF                                       36.82110.46  
L15WASHINGTON KPS HEALTH PLANS HDHP FAMILY                                     80.46241.37  
L41OHIO HMO HEALTH OHIO HIGH SELF                                              77.78145.04  
L42OHIO HMO HEALTH OHIO HIGH FAMILY                                           240.68329.30  
L61TENNESSEE HUMANA COVERAGEFIRST CDHP SELF                                    38.56115.67  
L62TENNESSEE HUMANA COVERAGEFIRST CDHP FAMILY                                  88.68266.05  
L81OHIO HUMANA COVERAGEFIRST CDHP SELF                                         35.05105.15  
L82OHIO HUMANA COVERAGEFIRST CDHP FAMILY                                       80.62241.85  
MILWISCONSIN HEALTHPARTNERS CLASSIC/OPEN ACCESS DEDUC OPEN ACCESS DEDUCTIBLE F523.54461.55  
MJ1FLORIDA HUMANA COVERAGEFIRST CDHP SELF                                      35.05105.15  
MJ2FLORIDA HUMANA COVERAGEFIRST CDHP FAMILY                                    80.62241.85  
MK1NEW YORK BLUE CHOICE HIGH SELF                                              36.91110.73  
MK2NEW YORK BLUE CHOICE HIGH FAMILY                                            92.76278.29  
ML1FLORIDA AV-MED HEALTH PLAN HIGH SELF                                        46.26138.78  
ML2FLORIDA AV-MED HEALTH PLAN HIGH FAMILY                                     151.73329.30  
ML4FLORIDA AV-MED HEALTH PLAN STANDARD SELF                                    41.78125.35  
ML5FLORIDA AV-MED HEALTH PLAN STANDARD FAMILY                                 108.61325.84  
MM1MISSOURI GROUP HEALTH PLAN, INC. HIGH SELF                                 125.60145.04  
MM2MISSOURI GROUP HEALTH PLAN, INC. HIGH FAMILY                               255.32329.30  
MM4MISSOURI GROUP HEALTH PLAN, INC. HDHP SELF                                  71.46145.04  
MM5MISSOURI GROUP HEALTH PLAN, INC. HDHP FAMILY                               135.14329.30  
MP1NORTH CAROLINA AETNA OPEN ACCESS HIGH SELF                                  46.12138.37  
MP2NORTH CAROLINA AETNA OPEN ACCESS HIGH FAMILY                               149.96329.30  
MQ1FLORIDA HUMANA COVERAGEFIRST CDHP SELF                                      40.31120.93  
MQ2FLORIDA HUMANA COVERAGEFIRST CDHP FAMILY                                    92.71278.13  
MS1MISSOURI HUMANA HEALTH PLAN, INC. HIGH SELF                                110.54145.04  
MS2MISSOURI HUMANA HEALTH PLAN, INC. HIGH FAMILY                              258.52329.30  
MS4MISSOURI HUMANA HEALTH PLAN, INC. STANDARD SELF                             39.07117.22  
MS5MISSOURI HUMANA HEALTH PLAN, INC. STANDARD FAMILY                           89.87269.61  
MU4MISSOURI GROUP HEALTH PLAN, INC. STANDARD SELF                             105.13145.04  
MU5MISSOURI GROUP HEALTH PLAN, INC. STANDARD FAMILY                           211.07329.30  
MV1LOUISIANA VANTAGE HEALTH PLAN, INC. HIGH SELF                               51.33145.04  
MV2LOUISIANA VANTAGE HEALTH PLAN, INC. HIGH FAMILY                            122.36329.30  
MV4LOUISIANA VANTAGE HEALTH PLAN, INC. STANDARD SELF                           41.64124.91  
MV5LOUISIANA VANTAGE HEALTH PLAN, INC. STANDARD FAMILY                         95.76287.29  
MW1INDIANA HUMANA COVERAGEFIRST CDHP SELF                                      29.76 89.36  
MW2INDIANA HUMANA COVERAGEFIRST CDHP FAMILY                                    68.50205.52  
MX1NEW YORK MVP HEALTH CARE HIGH SELF                                          58.16145.04  
MX2NEW YORK MVP HEALTH CARE HIGH FAMILY                                       194.94329.30  
MX4NEW YORK MVP HEALTH CARE STANDARD SELF                                      47.56142.70  
MX5NEW YORK MVP HEALTH CARE STANDARD FAMILY                                   161.64329.30  
M21MINNESOTA MEDICA HEALTH PLAN HIGH SELF                                      53.69145.04  
M22MINNESOTA MEDICA HEALTH PLAN HIGH FAMILY                                   125.78329.30  
M51CALIFORNIA BLUE CROSS- HMO HIGH SELF                                        72.39145.04  
M52CALIFORNIA BLUE CROSS- HMO HIGH FAMILY                                     228.42329.30  
M56BLUE CROSS CALIFORNIACARE - HIGH SELF                                            217.43  
M91NEW YORK MVP HEALTH CARE HIGH SELF                                          48.29144.89  
M92NEW YORK MVP HEALTH CARE HIGH FAMILY                                       169.61329.30  
M94NEW YORK MVP HEALTH CARE STANDARD SELF                                      45.38136.13  
M95NEW YORK MVP HEALTH CARE STANDARD FAMILY                                   139.46329.30  
ND1OHIO AETNA OPEN ACCESS HIGH SELF                                            45.36136.09  
ND2OHIO AETNA OPEN ACCESS HIGH FAMILY                                         109.50328.52  
NM1NEVADA HEALTH PLAN OF NEVADA HIGH SELF                                      28.00 84.02  
NM2NEVADA HEALTH PLAN OF NEVADA HIGH FAMILY                                    71.71215.13  
NV1MONTANA NEW WEST HEALTH SERVICES HIGH SELF                                  66.30145.04  
NV2MONTANA NEW WEST HEALTH SERVICES HIGH FAMILY                               122.12329.30  
PH1MISSOURI HUMANA COVERAGEFIRST CDHP SELF                                     28.03 84.11  
PH2MISSOURI HUMANA COVERAGEFIRST CDHP FAMILY                                   64.48193.44  
PN1PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH SELF                          128.73145.04  
PN2PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH FAMILY                        299.28329.30  
PN4PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD SELF_                      46.47139.41  
PN5PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD FAMILY                    106.69320.07  
PU1TEXAS AETNA OPEN ACCESS HIGH SELF                                          103.59145.04  
PU2TEXAS AETNA OPEN ACCESS HIGH FAMILY                                        280.70329.30  
PU4TEXAS AETNA OPEN ACCESS BASIC SELF                                          58.16145.04  
PU5TEXAS AETNA OPEN ACCESS BASIC FAMILY                                       242.01329.30  
P11TEXAS AETNA OPEN ACCESS HIGH SELF                                           51.95145.04  
P12TEXAS AETNA OPEN ACCESS HIGH FAMILY                                        166.94329.30  
P21NEW MEXICO PRESBYTERIAN HEALTH PLAN HIGH SELF                               76.68145.04  
P22NEW MEXICO PRESBYTERIAN HEALTH PLAN HIGH FAMILY                            174.22329.30  
P24NEW MEXICO PRESBYTERIAN HEALTH PLAN STANDARD SELF                           65.51145.04  
P25NEW MEXICO PRESBYTERIAN HEALTH PLAN STANDARD FAMILY                        148.86329.30  
P31PENNSYLVANIA AETNA OPEN ACCESS HIGH SELF                                    96.43145.04  
P32PENNSYLVANIA AETNA OPEN ACCESS HIGH FAMILY                                 253.33329.30  
P34PENNSYLVANIA AETNA OPEN ACCESS BASIC SELF                                   46.05138.15  
P35PENNSYLVANIA AETNA OPEN ACCESS BASIC FAMILY                                111.52329.30  
QA1NEW YORK INDEPENDENT HEALTH ASSOC HIGH SELF                                 46.44139.34  
QA2NEW YORK INDEPENDENT HEALTH ASSOC HIGH FAMILY                              161.01329.30  
QA4NEW YORK INDEPENDENT HEALTH ASSOC HDHP SELF                                 33.32 99.98  
QA5NEW YORK INDEPENDENT HEALTH ASSOC HDHP FAMILY                               83.86251.58  
QP1FLORIDA HUMANA COVERAGEFIRST CDHP SELF                                      31.53 94.61  
QP2FLORIDA HUMANA COVERAGEFIRST CDHP FAMILY                                    72.53217.61  
Q11NEW MEXICO LOVELACE HEALTH PLAN HIGH SELF                                   47.61142.83  
Q12NEW MEXICO LOVELACE HEALTH PLAN HIGH FAMILY                                137.29329.30  
Q81NEW YORK UNIVERA HEALTHCARE HIGH SELF                                       45.00135.00  
Q82NEW YORK UNIVERA HEALTHCARE HIGH FAMILY                                    181.09329.30  
RD1OHIO AETNA OPEN ACCESS HIGH SELF                                            79.82145.04  
RD2OHIO AETNA OPEN ACCESS HIGH FAMILY                                         226.67329.30 
RL1MICHIGAN GRAND VALLEY HEALTH PLAN HIGH SELF                                 49.47145.04  
RL2MICHIGAN GRAND VALLEY HEALTH PLAN HIGH FAMILY                              179.53329.30  
RL4MICHIGAN GRAND VALLEY HEALTH PLAN STANDARD SELF                             42.84128.51  
RL5MICHIGAN GRAND VALLEY HEALTH PLAN STANDARD FAMILY                          116.23329.30  
RU1NORTH DAKOTA HEART OF AMERICA HEALTH PLAN HIGH SELF                         39.63118.89  
RU2NORTH DAKOTA HEART OF AMERICA HEALTH PLAN HIGH FAMILY                      101.85305.54  
R31FLORIDA UNITED HEALTHCARE OF FLORIDA HIGH SELF                              51.25145.04  
R32FLORIDA UNITED HEALTHCARE OF FLORIDA HIGH FAMILY                           116.26329.30  
SA1WASHINGTON PACIFICARE OF WASHINGTON HIGH SELF                               53.00145.04  
SA2WASHINGTON PACIFICARE OF WASHINGTON HIGH FAMILY                            126.21329.30  
SG1NEW YORK CDPHP UNIVERSAL BENEFITS HIGH SELF                                 57.56145.04  
SG2NEW YORK CDPHP UNIVERSAL BENEFITS HIGH FAMILY                              183.79329.30  
SG4NEW YORK CDPHP UNIVERSAL BENEFITS STANDARD SELF                             42.20126.59  
SG5NEW YORK CDPHP UNIVERSAL BENEFITS STANDARD FAMILY                          108.87326.60  
SJ1CALIFORNIA BLUE SHIELD OF CA ACCESS+HMO HIGH SELF                           45.78137.36  
SJ2CALIFORNIA BLUE SHIELD OF CA ACCESS+HMO HIGH FAMILY                        125.01329.30  
SJ6BLUE SHIELD OF CA ACCESS HMO - HIGH SELF                                         183.14  
SL1OKLAHOMA AETNA OPEN ACCESS HIGH SELF                                       100.31145.04  
SL2OKLAHOMA AETNA OPEN ACCESS HIGH FAMILY                                     239.86329.30  
SL4OKLAHOMA AETNA OPEN ACCESS BASIC SELF                                       44.91134.73  
SL5OKLAHOMA AETNA OPEN ACCESS BASIC FAMILY                                    120.06329.30  
SV1IOWA COVENTRY HEALTH CARE OF IOWA HIGH SELF                                 45.94137.84  
SV2IOWA COVENTRY HEALTH CARE OF IOWA HIGH FAMILY                              166.86329.30  
SV4IOWA COVENTRY HEALTH CARE OF IOWA HDHP SELF                                 46.10138.30  
SV5IOWA COVENTRY HEALTH CARE OF IOWA HDHP FAMILY                              148.33329.30
SW1PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH SELF                          127.46145.04  
SW2PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH FAMILY                        297.45329.30  
SW4PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD SELF                       51.32145.04  
SW5PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD FAMILY                    122.32329.30  
SX1NEW YORK CDPHP UNIVERSAL BENEFITS - HDHP HDHP SELF                          31.90 95.69  
SX2NEW YORK CDPHP UNIVERSAL BENEFITS - HDHP HDHP FAMILY                        82.29246.89  
S41PENNSYLVANIA KEYSTONE HEALTH PLAN CENTRAL HIGH SELF                        108.66145.04  
S42PENNSYLVANIA KEYSTONE HEALTH PLAN CENTRAL HIGH FAMILY                      275.83329.30  
S44PENNSYLVANIA KEYSTONE HEALTH PLAN CENTRAL STANDARD SELF                     88.40145.04  
S45PENNSYLVANIA KEYSTONE HEALTH PLAN CENTRAL STANDARD FAMILY                  227.69329.30  
TE1MASSACHUSETTS CONNECTICARE HIGH SELF                                        82.14145.04  
TE2MASSACHUSETTS CONNECTICARE HIGH FAMILY                                     187.61329.30  
TE4MASSACHUSETTS CONNECTICARE STANDARD SELF                                    57.29145.04  
TE5MASSACHUSETTS CONNECTICARE STANDARD FAMILY                                 131.06329.30  
TP1TEXAS HUMANA COVERAGEFIRST CDHP SELF                                        36.80110.41  
TP2TEXAS HUMANA COVERAGEFIRST CDHP FAMILY                                      84.65253.94  
TU1TEXAS HUMANA COVERAGEFIRST CDHP SELF                                        35.04105.14  
TU2TEXAS HUMANA COVERAGEFIRST CDHP FAMILY                                      80.61241.82  
TV1TEXAS HUMANA COVERAGEFIRST CDHP SELF                                        36.80110.41  
TV2TEXAS HUMANA COVERAGEFIRST CDHP FAMILY                                      84.65253.94  
T21TEXAS HUMANA COVERAGEFIRST CDHP SELF                                        36.80110.41  
T22TEXAS HUMANA COVERAGEFIRST CDHP FAMILY                                      84.65253.94  
T81TEXAS HUMANA COVERAGEFIRST CDHP SELF                                        42.06126.19  
T82TEXAS HUMANA COVERAGEFIRST CDHP FAMILY                                      96.75290.24  
UB1TENNESSEE AETNA OPEN ACCESS HIGH SELF                                       43.53130.61  
UB2TENNESSEE AETNA OPEN ACCESS HIGH FAMILY                                    114.76329.30  
UR1TEXAS HUMANA HEALTH PLAN OF TEXAS HIGH SELF                                134.17145.04  
UR2TEXAS HUMANA HEALTH PLAN OF TEXAS HIGH FAMILY                              312.90329.30  
UR4TEXAS HUMANA HEALTH PLAN OF TEXAS STANDARD SELF                             40.56121.70  
UR5TEXAS HUMANA HEALTH PLAN OF TEXAS STANDARD FAMILY                           93.30279.89  
UW4PENNSYLVANIA UPMC HEALTH PLAN STANDARD SELF                                 48.39145.04  
UW5PENNSYLVANIA UPMC HEALTH PLAN STANDARD FAMILY                              164.10329.30  
U21OHIO PARAMOUNT HEALTH CARE HIGH SELF                                        47.71143.14  
U22OHIO PARAMOUNT HEALTH CARE HIGH FAMILY                                     128.75329.30  
U41WEST VIRGINIA THE HEALTH PLAN OF THE UPPER OHIO VA HIGH SELF                47.75143.26  
U42WEST VIRGINIA THE HEALTH PLAN OF THE UPPER OHIO VA HIGH FAMILY             110.02329.30  
VR1GROUP HEWASHINGTON GROUP HEALTH COOPERATIVE HIGH SELFALTH COOPERATIVE       89.90145.04  
VR2WASHINGTON GROUP HEALTH COOPERATIVE HIGH FAMILY                            175.82329.30  
VR4WASHINGTON GROUP HEALTH COOPERATIVE STANDARD SELF                           36.31108.94  
VR5WASHINGTON GROUP HEALTH COOPERATIVE STANDARD FAMILY                         83.52250.57  
VT1WASHINGTON KPS HEALTH PLANS HIGH SELF                                       72.06145.04  
VT2WASHINGTON KPS HEALTH PLANS HIGH FAMILY                                    145.10329.30  
VW1VERMONT MVP HEALTH CARE HIGH SELF                                          167.70145.04  
VW2VERMONT MVP HEALTH CARE HIGH FAMILY                                        478.42329.30  
VW4VERMONT MVP HEALTH CARE STANDARD SELF                                      153.77145.04  
VW5VERMONT MVP HEALTH CARE STANDARD FAMILY                                    442.48329.30  
WD1WISCONSIN DEAN HEALTH PLAN HIGH SELF                                        45.62136.87  
WD2WISCONSIN DEAN HEALTH PLAN HIGH FAMILY                                     126.92329.30  
WJ1WISCONSIN GROUP HEALTH COOPERATIVE HIGH SELF                                44.81134.45  
WJ2WISCONSIN GROUP HEALTH COOPERATIVE HIGH FAMILY                             148.60329.30  
WQ1ARIZONA AETNA OPEN ACCESS HIGH SELF                                         45.63136.91  
WQ2ARIZONA AETNA OPEN ACCESS HIGH FAMILY                                      127.06329.30  
X41NEW YORK GHI HMO SELECT HIGH SELF                                           46.75140.24  
X42NEW YORK GHI HMO SELECT HIGH FAMILY                                        149.22329.30  
X51MICHIGAN HEALTHPLUS MI HIGH SELF                                            63.73145.04  
X52MICHIGAN HEALTHPLUS MI HIGH FAMILY                                         146.80329.30  
YE1PENNSYLVANIA AETNA OPEN ACCESS HIGH SELF                                    33.28 99.85  
YE2PENNSYLVANIA AETNA OPEN ACCESS HIGH FAMILY                                  91.77275.33  
YG1FLORIDA HUMANA COVERAGEFIRST CDHP SELF                                      38.56115.67  
YG2FLORIDA HUMANA COVERAGEFIRST CDHP FAMILY                                    88.68266.05  
YH1IOWA UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY INC HIGH SELF                41.18123.54  
YH2IOWA UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY INC HIGH FAMILY             100.89302.66  
YM1HMO BLUE TEXAS HIGH SELF                                                    89.10141.92  
YM2HMO BLUE TEXAS HIGH FAMILY_                                                243.61321.89  
YN1PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP SELF                     95.37145.04  
YN2PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP FAMILY                  216.06329.30  
YW1PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP SELF                     45.56136.67  
YW2PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP FAMILY                  102.89308.69  
Y11NEVADA AETNA OPEN ACCESS HIGH SELF                                          39.03117.08  
Y12NEVADA AETNA OPEN ACCESS HIGH FAMILY                                        97.18291.53  
Y61PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP SELF                     37.97113.92  
Y62PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP FAMILY                   93.35280.07  
ZJ1PUERTO RICO HUMANA HEALTH PLANS OF PUERTO RICO, IN HIGH SELF                31.10 93.30  
ZJ2PUERTO RICO HUMANA HEALTH PLANS OF PUERTO RICO, IN HIGH FAMILY              71.53214.59  
ZZWAGENCY-SPONSORED HEALTH PLAN.  EMP ENROLLED IN PLAN NOT PART OF PROGRAM                  
ZZXPENDING. EMPLOYEE HAS NOT ELECTED COVERAGE BUT IS ELIGIBLE TO DO SO.                     
ZZYDECLINED ENROLLMENT.  DECLINED ENROLLMENT OR CANCELED POLICY.                            
ZZZNOT ELIGIBLE.  NOT ELIGIBLE FOR FEDERAL EMPLOYEE HEALTH BENEFITS.                        
104BLUE CROSS AND BLUE SHIELD SERVICE BENEFIT PLAN STANDARD SELF               62.15145.04  
105BLUE CROSS AND BLUE SHIELD SERVICE BENEFIT PLAN STANDARD FAMILY            145.14329.30  
106BLUE CROSS AND BLUE SHIELD - HIGH SELF                                      23.02184.17  
111BLUE CROSS AND BLUE SHIELD SERVICE BENEFIT PLAN BASIC SELF                  39.13117.41  
112BLUE CROSS AND BLUE SHIELD SERVICE BENEFIT PLAN BASIC FAMILY                91.66275.00  
114TENNESSEE BLUE CROSS AND BLUE SHIELD SERVICE BENEF HDHP SELF                39.13117.41  
115TENNESSEE BLUE CROSS AND BLUE SHIELD SERVICE BENEF HDHP FAMILY              91.66275.00  
116LUE CROSS AND BLUE SHIELD SERVICE BENEFIT PLAN BASIC SELF                        156.54  
171INDIANA UNICARE HMO HIGH SELF                                               68.65145.04  
172INDIANA UNICARE HMO HIGH FAMILY_                                           144.62329.30  
174INDIANA UNICARE HMO STANDARD SELF                                           37.19111.56  
175INDIANA UNICARE HMO STANDARD FAMILY                                         82.47247.42  
2C1VIRGINIA PIEDMONT COMMUNITY HEALTHCARE HIGH SELF                            63.96145.04  
2C2VIRGINIA PIEDMONT COMMUNITY HEALTHCARE HIGH FAMILY                         149.30329.30  
2C4VIRGINIA PIEDMONT COMMUNITY HEALTHCARE HDHP SELF                            97.07145.04  
2C5VIRGINIA PIEDMONT COMMUNITY HEALTHCARE HDHP FAMILY                         200.78329.30  
2G1VIRGINIA CAREFIRST BLUECHOICE HIGH SELF                                     61.63145.04  
2G2VIRGINIA CAREFIRST BLUECHOICE HIGH FAMILY                                  135.64329.30  
2J1NEW JERSEY COVENTRY HEALTH CARE HIGH SELF                                   70.40145.04  
2J2NEW JERSEY COVENTRY HEALTH CARE HIGH FAMILY                                209.28329.30  
2J4NEW JERSEY COVENTRY HEALTH CARE STANDARD SELF                               43.20129.59  
2J5NEW JERSEY COVENTRY HEALTH CARE STANDARD FAMILY                            107.99323.98  
2L1NEVADA HEALTH PLAN OF NEVADA HIGH SELF                                      39.75119.25  
2L2NEVADA HEALTH PLAN OF NEVADA HIGH FAMILY                                   101.77305.30  
2N1OKLAHOMA PACIFICARE OF OKLAHOMA HIGH SELF                                   84.61145.04  
2N2OKLAHOMA PACIFICARE OF OKLAHOMA HIGH FAMILY                                208.06329.30  
2U1GEORGIA AETNA OPEN ACCESS HIGH SELF                                         48.22144.66  
2U2GEORGIA AETNA OPEN ACCESS HIGH FAMILY                                      113.27329.30  
2X1CALIFORNIA AETNA OPEN ACCESS HIGH SELF                                      35.31105.95  
2X2CALIFORNIA AETNA OPEN ACCESS HIGH FAMILY                                    87.00261.00  
221WISCONSIN AETNA HEALTHFUND CDHP SELF                                        37.87113.63  
222WISCONSIN AETNA HEALTHFUND CDHP FAMILY                                      87.11261.35  
224WISCONSIN AETNA HEALTHFUND HDHP SELF                                        30.92 92.77  
225WISCONSIN AETNA HEALTHFUND HDHP FAMILY                                      67.72203.15  
226AETNA HEALTH FUND - CONSUMER DRIVEN SELF                                     6.95144.55  
228AETNA HEALTHFUND (CDHP/HDHP) HDHP SELF                                           123.69  
261PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH SELF                           76.86145.04  
262PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH FAMILY                        236.57329.30  
264PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD SELF                       39.79119.37  
265PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD FAMILY                    101.47304.40  
3A1OHIO AULTCARE HMO HIGH SELF                                                 83.61145.04  
3A2OHIO AULTCARE HMO HIGH FAMILY                                              232.06329.30  
3A4OHIO AULTCARE HMO HDHP SELF                                                 42.13126.40  
3A5OHIO AULTCARE HMO HDHP FAMILY                                               84.42253.27  
311GEHA BENEFIT PLAN HIGH SELF                                                 91.47145.04  
312GEHA BENEFIT PLAN HIGH FAMILY                                              185.44329.30  
314GEHA BENEFIT PLAN STANDARD SELF                                             33.28 99.83  
315GEHA BENEFIT PLAN STANDARD FAMILY                                           75.62226.87  
316GEHA BENEFIT PLAN - HIGH SELF                                               58.19178.32  
318GEHA BENEFIT PLAN - STANDARD SELF                                                133.11  
321NALC HIGH SELF                                                              58.80145.04  
322NALC HIGH FAMILY                                                           114.00329.30  
326NALC - HIGH SELF                                                                 203.84  
341GEHA HIGH DEDUCTIBLE HEALTH PLAN HDHP SELF                                  43.94131.82  
342GEHA HIGH DEDUCTIBLE HEALTH PLAN HDHP FAMILY                               100.36301.08  
346GEHA HIGH DEDUCTIBLE HEALTH PLAN HDHP SELF                                       175.76  
366POSTMASTERS - HIGH SELF                                                    123.24220.80  
368POSTMASTERS - STANDARD SELF                                                      220.80  
381RURAL CARRIER BENEFIT PLAN HIGH SELF                                        92.03145.04  
382RURAL CARRIER BENEFIT PLAN HIGH FAMILY                                     153.04329.30  
4N1PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH SELF                          144.33145.04  
4N2PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA HIGH FAMILY                        336.26329.30  
4N4PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD SELF                       86.21145.04  
4N5PENNSYLVANIA HEALTHAMERICA PENNSYLVANIA STANDARD FAMILY                    202.59329.30  
401FOREIGN SERVICE BENEFIT PLAN HIGH SELF                                      48.57145.04  
402FOREIGN SERVICE BENEFIT PLAN HIGH FAMILY                                   130.81329.30  
414MAIL HANDLERS BENEFIT PLAN VALUE OPTION SELF                                20.50 61.50  
415MAIL HANDLERS BENEFIT PLAN VALUE OPTION FAMILY                              48.89146.66  
416MAIL HANDLERS BENEFIT PLAN VALUE OPTION SELF                                      82.02  
421ASSOCIATION BENEFIT PLAN HIGH SELF                                          58.11145.04  
422ASSOCIATION BENEFIT PLAN HIGH FAMILY                                       138.69329.30  
431PANAMA CANAL AREA BENEFIT PLAN HIGH SELF                                    44.51133.53  
432PANAMA CANAL AREA BENEFIT PLAN HIGH FAMILY                                  92.90278.72  
441SAMBA HIGH SELF                                                            108.51145.04  
442SAMBA HIGH FAMILY                                                          267.82329.30  
444SAMBA STANDARD SELF                                                         45.91137.73  
445SAMBA STANDARD FAMILY                                                      104.85314.57  
454MAIL HANDLERS BENEFIT PLAN STANDARD SELF                                    52.23145.04  
455MAIL HANDLERS BENEFIT PLAN STANDARD FAMILY                                 111.17329.30  
456MAIL HANDLERS - HIGH SELF                                                  123.38190.60  
458MAIL HANDLERS - STANDARD SELF                                                    197.27  
471APWU HEALTH PLAN HIGH SELF                                                  48.03144.08  
472APWU HEALTH PLAN HIGH FAMILY                                               108.59325.78  
474APWU HEALTH PLAN CDHP SELF                                                  38.85116.55  
475APWU HEALTH PLAN CDHP FAMILY                                                87.40262.20  
476APWU - HIGH SELF                                                             9.18182.93  
478APWU HEALTH PLAN CONSUMER-DRIVEN SELF                                            155.40  
481MAIL HANDLERS BENEFIT PLAN CONSUMER OPTION HDHP SELF                        33.80101.42  
482MAIL HANDLERS BENEFIT PLAN CONSUMER OPTION HDHP FAMILY                      76.60229.82  
486MAIL HANDLERS BENEFIT PLAN CONSUMER OPTION HDHP SELF                             135.22  
5E1FLORIDA VISTA HEALTHPLAN OF SOUTH FLORIDA HIGH SELF                         34.25102.75  
5E2FLORIDA VISTA HEALTHPLAN OF SOUTH FLORIDA HIGH FAMILY                       94.20282.60  
5M1OHIO SUPERMED HMO HIGH SELF                                                156.59145.04  
5M2OHIO SUPERMED HMO HIGH FAMILY                                              442.26329.30  
5W1OHIO SUMMACARE HEALTH PLAN HIGH SELF                                        73.77145.04  
5W2OHIO SUMMACARE HEALTH PLAN HIGH FAMILY                                     173.97329.30  
511NEW YORK HIP OF GREATER NEW YORK HIGH SELF                                  46.46139.40  
512NEW YORK HIP OF GREATER NEW YORK HIGH FAMILY                               191.67329.30  
514NEW YORK HIP OF GREATER NEW YORK STANDARD SELF                              45.36136.09  
515NEW YORK HIP OF GREATER NEW YORK STANDARD FAMILY                           178.76329.30  
521MICHIGAN HEALTH ALLIANCE PLAN HIGH SELF                                     39.59118.76  
522MICHIGAN HEALTH ALLIANCE PLAN HIGH FAMILY                                  104.91314.73  
524MICHIGAN HEALTH ALLIANCE PLAN HDHP SELF                                     43.19129.56  
525MICHIGAN HEALTH ALLIANCE PLAN HDHP FAMILY                                  109.57328.72  
531WISCONSIN HEALTHPARTNERS CLASSIC/OPEN ACCESS DEDUC CLASSIC SELF            103.45145.04  
532WISCONSIN HEALTHPARTNERS CLASSIC/OPEN ACCESS DEDUC CLASSIC FAMILY          242.71329.30  
534HEALTHPARTNERS CLASSIC/OPEN ACCESS DEDUCTIBLE OPEN ACCESS DEDUCTIBLE S      82.57145.04  
535HEALTHPARTNERS CLASSIC/OPEN ACCESS DEDUCTIBLE OPEN ACCESS DEDUCTIBLE F     194.24329.30  
541WASHINGTON GROUP HEALTH COOPERATIVE HIGH SELF                               77.14145.04  
542WASHINGTON GROUP HEALTH COOPERATIVE HIGH FAMILY                            148.38329.30  
544WASHINGTON GROUP HEALTH COOPERATIVE STANDARD SELF                           35.40106.22  
545WASHINGTON GROUP HEALTH COOPERATIVE STANDARD FAMILY                         79.93239.80  
571WASHINGTON KAISER FOUNDATION HEALTH PLAN OF NORTHW HIGH SELF                72.84145.04  
572WASHINGTON KAISER FOUNDATION HEALTH PLAN OF NORTHW HIGH FAMILY             171.22329.30  
574WASHINGTON KAISER FOUNDATION HEALTH PLAN OF NORTHW STANDARD SELF            44.23132.71  
575WASHINGTON KAISER FOUNDATION HEALTH PLAN OF NORTHW STANDARD FAMILY         101.61304.85  
591CALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO HIGH SELF                78.47145.04  
592CALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO HIGH FAMILY             204.24329.30  
594CALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO STANDARD SELF            38.93116.81  
595ALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO STANDARD FAMILY           92.94278.82  
596CALIFORNIA HEALTH NET OF CALIFORNIA STANDARD FAMILY                         39.54183.97  
598KAISER FOUNDATION HEALTH PLAN, INC. STANDARD SELF                                155.74  
6J1TENNESSEE AETNA OPEN ACCESS HIGH SELF                                      114.10145.04  
6J2TENNESSEE AETNA OPEN ACCESS HIGH FAMILY                                    261.50329.30  
6N1KENTUCKY HUMANA COVERAGEFIRST CDHP SELF                                     38.56115.67  
6N2KENTUCKY HUMANA COVERAGEFIRST CDHP FAMILY                                   88.68266.05  
6U1TEXAS FIRSTCARE HIGH SELF                                                   44.60133.81  
6U2TEXAS FIRSTCARE HIGH FAMILY                                                 95.89287.68  
6V1NEW YORK GHI HMO SELECT HIGH SELF                                           52.99145.04  
6V2NEW YORK GHI HMO SELECT HIGH FAMILY                                        173.17329.30  
6Y1INDIANA ADVANTAGE HEALTH SOLUTIONS, INC. HIGH SELF                          71.80145.04  
6Y2INDIANA ADVANTAGE HEALTH SOLUTIONS, INC. HIGH FAMILY                       179.84329.30  
6Y4INDIANA ADVANTAGE HEALTH SOLUTIONS, INC. HDHP SELF                          38.45115.36  
6Y5INDIANA ADVANTAGE HEALTH SOLUTIONS, INC. HDHP FAMILY                        86.38259.15  
621CALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO HIGH SELF                47.55142.66  
622CALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO HIGH FAMILY             110.31329.30  
624CALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO STANDARD SELF            29.84 89.52  
625CALIFORNIA KAISER FOUNDATION HEALTH PLAN OF CALIFO STANDARD FAMILY          68.97206.91  
631HAWAII KAISER FOUNDATION HEALTH PLAN OF HAWAII HIGH SELF                    44.48133.45  
632HAWAII KAISER FOUNDATION HEALTH PLAN OF HAWAII HIGH FAMILY                  95.64286.92  
634HAWAII KAISER FOUNDATION HEALTH PLAN OF HAWAII STANDARD SELF                23.08 69.24  
635HAWAII KAISER FOUNDATION HEALTH PLAN OF HAWAII STANDARD FAMILY              49.62148.86  
641OHIO KAISER FOUNDATION HEALTH PLAN OF OHIO HIGH SELF                        69.52145.04  
642OHIO KAISER FOUNDATION HEALTH PLAN OF OHIO HIGH FAMILY                     197.24329.30  
644OHIO KAISER FOUNDATION HEALTH PLAN OF OHIO STANDARD SELF                    35.53106.58  
645OHIO KAISER FOUNDATION HEALTH PLAN OF OHIO STANDARD FAMILY                  87.18261.53  
651COLORADO KAISER FOUNDATION HEALTH PLAN OF COLORADO HIGH SELF                62.88145.04  
652COLORADO KAISER FOUNDATION HEALTH PLAN OF COLORADO HIGH FAMILY             146.83329.30  
654COLORADO KAISER FOUNDATION HEALTH PLAN OF COLORADO STANDARD SELF            34.66103.99  
655COLORADO KAISER FOUNDATION HEALTH PLAN OF COLORADO STANDARD FAMILY          79.38238.13  
7D1OHIO AETNA OPEN ACCESS HIGH SELF                                            49.42145.04  
7D2HIO AETNA OPEN ACCESS HIGH FAMILY                                          133.54329.30  
7T1COLORADO HUMANA COVERAGEFIRST CDHP SELF                                     33.30 99.90  
7T2COLORADO HUMANA COVERAGEFIRST CDHP FAMILY                                   76.59229.77  
721INDIANA UNICARE HMO HDHP SELF                                               33.62100.86  
722INDIANA UNICARE HMO HDHP FAMILY                                             73.51220.55  
751INDIANA HUMANA HEALTH PLAN INC. HIGH SELF                                   62.46145.04  
752INDIANA HUMANA HEALTH PLAN INC. HIGH FAMILY                                147.98329.30  
754INDIANA HUMANA HEALTH PLAN INC. STANDARD SELF                               34.60103.80  
755INDIANA HUMANA HEALTH PLAN INC. STANDARD FAMILY                             79.58238.73  
761ILLINOIS UNION HEALTH SERVICE HIGH SELF                                     37.59112.77  
762LLINOIS UNION HEALTH SERVICE HIGH FAMILY                                    93.23279.68  
8G1TEXAS AETNA OPEN ACCESS HIGH SELF                                           56.29145.04  
8G2TEXAS AETNA OPEN ACCESS HIGH FAMILY                                        173.36329.30  
8J1WASHINGTON AETNA OPEN ACCESS HIGH SELF                                      63.95145.04  
8J2WASHINGTON AETNA OPEN ACCESS HIGH FAMILY                                   202.17329.30  
8W1PENNSYLVANIA UPMC HEALTH PLAN HIGH SELF                                     74.40145.04  
8W2PENNSYLVANIA UPMC HEALTH PLAN HIGH FAMILY                                  230.45329.30  
8W4PENNSYLVANIA UPMC HEALTH PLAN HDHP SELF                                     72.80145.04  
8W5PENNSYLVANIA UPMC HEALTH PLAN HDHP FAMILY                                  195.98329.30  
801NEW YORK GHI HEALTH PLAN HIGH SELF                                          95.28145.04  
802NEW YORK GHI HEALTH PLAN HIGH FAMILY                                       271.53329.30  
804NEW YORK GHI HEALTH PLAN STANDARD SELF                                      44.56133.68  
805NEW YORK GHI HEALTH PLAN STANDARD FAMILY                                   104.02312.05  
851VIRGIN ISLANDS TRIPLE-S HIGH SELF                                           47.56142.68  
852VIRGIN ISLANDS TRIPLE-S HIGH FAMILY                                        108.01324.03  
871HAWAII HMSA HIGH SELF                                                       39.95119.85  
872HAWAII HMSA HIGH FAMILY                                                     88.92266.78  
891PUERTO RICO TRIPLE-S HIGH SELF                                              30.21 90.65  
892PUERTO RICO TRIPLE-S HIGH FAMILY                                            69.49208.48  
9E1COLORADO AETNA OPEN ACCESS HIGH SELF                                       103.38145.04  
9E2COLORADO AETNA OPEN ACCESS HIGH FAMILY                                     253.72329.30  
9E4COLORADO AETNA OPEN ACCESS BASIC SELF                                       49.93145.04  
9E5COLORADO AETNA OPEN ACCESS BASIC FAMILY                                    156.79329.30  
9F1ILLINOIS OSF HEALTH PLANS, INC. HIGH SELF                                   68.43145.04  
9F2LLINOIS OSF HEALTH PLANS, INC. HIGH FAMILY                                 232.05329.30  
9F4ILLINOIS OSF HEALTH PLANS, INC. HDHP SELF                                   46.85140.57  
9F5ILLINOIS OSF HEALTH PLANS, INC. HDHP FAMILY                                137.38329.30  
9G1MISSOURI BLUE PREFERRED HMO HIGH SELF                                       68.80145.04  
9G2MISSOURI BLUE PREFERRED HMO HIGH FAMILY                                    133.70329.30  
9H1MISSOURI COVENTRY HEALTH CARE OF KANSAS (KANSAS CI HDHP SELF                41.24123.72  
9H2MISSOURI COVENTRY HEALTH CARE OF KANSAS (KANSAS CI HDHP FAMILY             106.40319.21  
9J1LOUISIANA HUMANA COVERAGEFIRST CDHP SELF                                    33.30 99.90  
9J2LOUISIANA HUMANA COVERAGEFIRST CDHP FAMILY                                  76.59229.77  
9K1UTAH ALTIUS HEALTH PLANS HIGH SELF                                          67.57145.04  
9K2UTAH ALTIUS HEALTH PLANS HIGH FAMILY                                       138.47329.30  
9K4UTAH ALTIUS HEALTH PLANS HDHP SELF                                          46.02138.06  
9K5UTAH ALTIUS HEALTH PLANS HDHP FAMILY                                        95.34286.02  
9L1LOUISIANA HUMANA COVERAGEFIRST CDHP SELF                                    36.80110.41  
9L2LOUISIANA HUMANA COVERAGEFIRST CDHP FAMILY                                  84.65253.94  
9N1PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP SELF                     44.42133.26  
9N2PENNSYLVANIA HEALTH AMERICA PENNSYLVANIA-HDHP HDHP FAMILY                  100.22300.66  
9R1VIRGINIA OPTIMA HEALTH PLAN HIGH SELF                                       74.16145.04  
9R2VIRGINIA OPTIMA HEALTH PLAN HIGH FAMILY                                    189.36329.30  
9U1MICHIGAN PHYSICIANS HEALTH PLAN OF MID-MICHIGAN HIGH SELF                   60.21145.04  
9U2MICHIGAN PHYSICIANS HEALTH PLAN OF MID-MICHIGAN HIGH FAMILY                165.36329.30  
9U4MICHIGAN PHYSICIANS HEALTH PLAN OF MID-MICHIGAN STANDARD SELF               45.50136.51  
9U5MICHIGAN PHYSICIANS HEALTH PLAN OF MID-MICHIGAN STANDARD FAMILY            109.66328.98