Nebraska Insurance Department. QHP Proposed Rates in Nebraska Individual Medical Plans. Area
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- Bathsheba Young
- 7 years ago
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Transcription
1 The Nebraska Department of Insurance is posting the following sample premium rates of all health plans that were submitted for use for plans under the federal Affordable Care Act in Nebraska during These proposed rates were submitted for actuarial review to determine compliance with Nebraska and federal law. These proposed rates are considered to be in draft form for those plans. Some plans will be offered on the federally facilitated marketplace. Others will be offered outside of the federally facilitated marketplace. The federally facilitated marketplace may review these plans again. The sample premium rates are being presented only as a preliminary tool for comparison. Individual premium rates will be different based on geography, tobacco use and age. Please note that this information includes three sample age band rates. When open enrollment for the 2014 year begins on October 1, 2013 please remember that if you have any questions about your insurance options, you may review the resources available on and you should not hesitate to contact your local Nebraska agent or broker. Your agent or broker may be able to assist you in deciding between the options available.
2 Individual Medical s Type ID Company Area NON Catastrophic 29678NE BCBS BlueEssentialsPlus $6350 Catastrophic Both NE CoOportunity CoOportunity Premier Catastrophic Both NE Coventry Catastrophic 100% HMO Methodist Health Partners On NE Coventry Catastrophic 100% POS MIPPA On NE Coventry Catastrophic 100% HMO Alegent Creighton Health On NE Coventry Catastrophic 100% POS On NE Health Alliance Midwest Guide HMO QHDHP 6500/ % 6500/13000 RxDed Both NE Coventry Catastrophic 100% HMO PD Methodist Health Partners Off NE Coventry Catastrophic 100% POS PD MIPPA Off NE Coventry Catastrophic 100% HMO PD Alegent Creighton Health Off NE Coventry Catastrophic 100% POS PD Off NE Time Catastrophic 1 Off NE Time Catastrophic 1 Off Bronze 29678NE BCBS SelectBlue Plus $4500 Bronze Both NE BCBS SelectBlue Plus $2750 HDHP Bronze Both NE BCBS SelectBlue Plus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $3500 Bronze Both NE BCBS BlueEssentialsPlus $4000 Bronze Both NE BCBS BlueEssentialsPlus $4500 Bronze Both NE BCBS BlueEssentialsPlus $5500 Bronze Both NE BCBS BlueEssentialsPlus $2500 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4000 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $6325 HDHP Bronze Both NE CoOportunity CoOportunity Premier Bronze Both NE CoOportunity CoOportunity Premier HSA Bronze Both NE Coventry Bronze $10 Copay HMO Methodist Health Partners On NE Coventry Bronze Deductible Only HMO HSA Eligible Methodist Health Partners On NE Coventry Bronze $10 Copay POS MIPPA On NE Coventry Bronze Deductible Only POS HSA Eligible MIPPA On NE Coventry Bronze $10 Copay HMO Alegent Creighton Health On NE Coventry Bronze Deductible Only HMO HSA Eligible Alegent Creighton Health On NE Coventry Bronze $10 Copay POS On NE Coventry Bronze Deductible Only POS HSA Eligible On NE Health Alliance Midwest Guide HMO QHDHP 2750/ % 6500/13000 Rx3 Both NE Coventry Bronze $10 Copay HMO PD Methodist Health Partners Off NE Coventry Bronze Deductible Only HMO PD HSA Eligible Methodist Health Partners Off NE Coventry Bronze $10 Copay POS PD MIPPA Off NE Coventry Bronze Deductible Only POS PD HSA Eligible MIPPA Off NE Coventry Bronze $10 Copay HMO PD Alegent Creighton Health Off NE Coventry Bronze Deductible Only HMO PD HSA Eligible Alegent Creighton Health Off NE Coventry Bronze $10 Copay POS PD Off NE Coventry Bronze Deductible Only POS PD HSA Eligible Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
3 Individual Medical s Type ID Company Silver Area NON 29678NE BCBS SelectBlue Plus $2000 Silver Both NE BCBS SelectBlue Plus $1500 HDHP Silver Both NE BCBS BlueEssentialsPlus $2500 Silver Both NE BCBS BlueEssentialsPlus $1900 HDHP Silver Both NE CoOportunity CoOportunity Premier Silver Both NE CoOportunity CoOportunity Premier HSA Silver Both NE Coventry Silver $10 Copay HMO Methodist Health Partners On NE Coventry Silver $10 Copay POS MIPPA On NE Coventry Silver $10 Copay HMO Alegent Creighton Health On NE Coventry Silver $10 Copay POS On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Both NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Both NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 5500/11000 Rx2 Both NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Both Gold 15438NE Coventry Silver $10 Copay HMO PD Methodist Health Partners Off NE Coventry Silver $10 Copay POS PD MIPPA Off NE Coventry Silver $10 Copay HMO PD Alegent Creighton Health Off NE Coventry Silver $10 Copay POS PD Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE BCBS SelectBlue Plus $750 Gold Both NE BCBS BlueEssentialsPlus $1000 Gold Both , NE CoOportunity CoOportunity Premier Gold Both , NE CoOportunity CoOportunity Premier HSA Gold Both NE Coventry Gold $5 Copay HMO Methodist Health Partners On NE Coventry Gold $5 Copay POS MIPPA On NE Coventry Gold $5 Copay HMO Alegent Creighton Health On NE Coventry Gold $5 Copay POS On NE Health Alliance Midwest Pathfinder POS 20/ / % 4000/8000 Rx2 Both NE Health Alliance Midwest Pathfinder POS QHDHP 2000/4000 0% 2000/4000 RxDed Both NE Health Alliance Midwest Pathfinder POS QHDHP 2100/4200 0% 2100/4200 RxDed Both NE Coventry Gold $5 Copay HMO PD Methodist Health Partners Off NE Coventry Gold $5 Copay POS PD MIPPA Off NE Coventry Gold $5 Copay HMO PD Alegent Creighton Health Off NE Coventry Gold $5 Copay POS PD Off NE Time CoreMed - Gold 1 Off NE Time CoreMed - Gold 1 Off NE Time CoreMed - Gold 2 Off NE Time CoreMed - Gold 2 Off Platinum 43198NE CoOportunity CoOportunity Premier Platinum Both , NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 2 Off , NE Time CoreMed - Platinum 2 Off , Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
4 Individual Medical s Type ID Company Area NON Catastrophic 29678NE BCBS BlueEssentialsPlus $6350 Catastrophic Both NE CoOportunity CoOportunity Premier Catastrophic Both NE Coventry Catastrophic 100% HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS On NE Health Alliance Midwest Guide HMO QHDHP 6500/ % 6500/13000 RxDed Both NE Coventry Catastrophic 100% HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS PD Off NE Time Catastrophic 1 Off NE Time Catastrophic 1 Off Bronze 29678NE BCBS SelectBlue Plus $4500 Bronze Both NE BCBS SelectBlue Plus $2750 HDHP Bronze Both NE BCBS SelectBlue Plus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $3500 Bronze Both NE BCBS BlueEssentialsPlus $4000 Bronze Both NE BCBS BlueEssentialsPlus $4500 Bronze Both NE BCBS BlueEssentialsPlus $5500 Bronze Both NE BCBS BlueEssentialsPlus $2500 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4000 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $6325 HDHP Bronze Both NE CoOportunity CoOportunity Premier Bronze Both NE CoOportunity CoOportunity Premier HSA Bronze Both NE Coventry Bronze $10 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO HSA Eligible Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only POS HSA Eligible MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO HSA Eligible Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS On NE Coventry Bronze Deductible Only POS HSA Eligible On NE Health Alliance Midwest Guide HMO QHDHP 2750/ % 6500/13000 Rx3 Both NE Coventry Bronze $10 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO PD HSA Eligible Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only POS PD HSA Eligible MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO PD HSA Eligible Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS PD Off NE Coventry Bronze Deductible Only POS PD HSA Eligible Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
5 Individual Medical s Type ID Company Silver Area NON 29678NE BCBS SelectBlue Plus $2000 Silver Both NE BCBS SelectBlue Plus $1500 HDHP Silver Both NE BCBS BlueEssentialsPlus $2500 Silver Both NE BCBS BlueEssentialsPlus $1900 HDHP Silver Both NE CoOportunity CoOportunity Premier Silver Both NE CoOportunity CoOportunity Premier HSA Silver Both NE Coventry Silver $10 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Both NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Both NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 5500/11000 Rx2 Both NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Both Gold 15438NE Coventry Silver $10 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS PD Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE BCBS SelectBlue Plus $750 Gold Both NE BCBS BlueEssentialsPlus $1000 Gold Both , NE CoOportunity CoOportunity Premier Gold Both NE CoOportunity CoOportunity Premier HSA Gold Both NE Coventry Gold $5 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS On NE Health Alliance Midwest Pathfinder POS 20/ / % 4000/8000 Rx2 Both NE Health Alliance Midwest Pathfinder POS QHDHP 2000/4000 0% 2000/4000 RxDed Both NE Health Alliance Midwest Pathfinder POS QHDHP 2100/4200 0% 2100/4200 RxDed Both NE Coventry Gold $5 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS PD Off NE Time CoreMed - Gold 1 Off NE Time CoreMed - Gold 1 Off NE Time CoreMed - Gold 2 Off NE Time CoreMed - Gold 2 Off Platinum 43198NE CoOportunity CoOportunity Premier Platinum Both NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 2 Off , NE Time CoreMed - Platinum 2 Off , Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
6 Individual Medical s Type ID Company Area NON Catastrophic 29678NE BCBS BlueEssentialsPlus $6350 Catastrophic Both NE CoOportunity CoOportunity Premier Catastrophic Both NE Coventry Catastrophic 100% HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS On NE Health Alliance Midwest Guide HMO QHDHP 6500/ % 6500/13000 RxDed Both n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS PD Off NE Time Catastrophic 1 Off NE Time Catastrophic 1 Off Bronze 29678NE BCBS SelectBlue Plus $4500 Bronze Both NE BCBS SelectBlue Plus $2750 HDHP Bronze Both NE BCBS SelectBlue Plus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $3500 Bronze Both NE BCBS BlueEssentialsPlus $4000 Bronze Both NE BCBS BlueEssentialsPlus $4500 Bronze Both NE BCBS BlueEssentialsPlus $5500 Bronze Both NE BCBS BlueEssentialsPlus $2500 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4000 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $6325 HDHP Bronze Both NE CoOportunity CoOportunity Premier Bronze Both NE CoOportunity CoOportunity Premier HSA Bronze Both NE Coventry Bronze $10 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO HSA Eligible Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only POS HSA Eligible MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO HSA Eligible Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS On NE Coventry Bronze Deductible Only POS HSA Eligible On NE Health Alliance Midwest Guide HMO QHDHP 2750/ % 6500/13000 Rx3 Both n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO PD HSA Eligible Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only POS PD HSA Eligible MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO PD HSA Eligible Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS PD Off NE Coventry Bronze Deductible Only POS PD HSA Eligible Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
7 Individual Medical s Type ID Company Silver Area NON 29678NE BCBS SelectBlue Plus $2000 Silver Both NE BCBS SelectBlue Plus $1500 HDHP Silver Both NE BCBS BlueEssentialsPlus $2500 Silver Both NE BCBS BlueEssentialsPlus $1900 HDHP Silver Both NE CoOportunity CoOportunity Premier Silver Both NE CoOportunity CoOportunity Premier HSA Silver Both NE Coventry Silver $10 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 5500/11000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Both n/a n/a n/a n/a n/a n/a Gold 15438NE Coventry Silver $10 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS PD Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE BCBS SelectBlue Plus $750 Gold Both NE BCBS BlueEssentialsPlus $1000 Gold Both , NE CoOportunity CoOportunity Premier Gold Both NE CoOportunity CoOportunity Premier HSA Gold Both NE Coventry Gold $5 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS On NE Health Alliance Midwest Pathfinder POS 20/ / % 4000/8000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 2000/4000 0% 2000/4000 RxDed Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 2100/4200 0% 2100/4200 RxDed Both n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS PD Off NE Time CoreMed - Gold 1 Off , NE Time CoreMed - Gold 1 Off , NE Time CoreMed - Gold 2 Off , NE Time CoreMed - Gold 2 Off , Platinum 43198NE CoOportunity CoOportunity Premier Platinum Both NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 2 Off , NE Time CoreMed - Platinum 2 Off , Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
8 Individual Medical s Type ID Company Area NON Catastrophic 29678NE BCBS BlueEssentialsPlus $6350 Catastrophic Both NE CoOportunity CoOportunity Premier Catastrophic Both NE Coventry Catastrophic 100% HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS On NE Health Alliance Midwest Guide HMO QHDHP 6500/ % 6500/13000 RxDed Both n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Catastrophic 100% POS PD Off NE Time Catastrophic 1 Off NE Time Catastrophic 1 Off Bronze 29678NE BCBS SelectBlue Plus $4500 Bronze Both NE BCBS SelectBlue Plus $2750 HDHP Bronze Both NE BCBS SelectBlue Plus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $3500 Bronze Both NE BCBS BlueEssentialsPlus $4000 Bronze Both NE BCBS BlueEssentialsPlus $4500 Bronze Both NE BCBS BlueEssentialsPlus $5500 Bronze Both NE BCBS BlueEssentialsPlus $2500 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4000 HDHP Bronze Both NE BCBS BlueEssentialsPlus $4750 HDHP Bronze Both NE BCBS BlueEssentialsPlus $6325 HDHP Bronze Both NE CoOportunity CoOportunity Premier Bronze Both NE CoOportunity CoOportunity Premier HSA Bronze Both NE Coventry Bronze $10 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO HSA Eligible Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only POS HSA Eligible MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO HSA Eligible Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS On NE Coventry Bronze Deductible Only POS HSA Eligible On NE Health Alliance Midwest Guide HMO QHDHP 2750/ % 6500/13000 Rx3 Both n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO PD HSA Eligible Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only POS PD HSA Eligible MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Deductible Only HMO PD HSA Eligible Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze $10 Copay POS PD Off NE Coventry Bronze Deductible Only POS PD HSA Eligible Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 1 Off NE Time CoreMed - Bronze 3 Off NE Time OneDeductible - Bronze 1 Off NE Time OneDeductible - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 2 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off NE Time CoreMed - Bronze 4 Off NE Time CoreMed - Bronze 5 Off Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
9 Individual Medical s Type ID Company Silver Area NON 29678NE BCBS SelectBlue Plus $2000 Silver Both NE BCBS SelectBlue Plus $1500 HDHP Silver Both NE BCBS BlueEssentialsPlus $2500 Silver Both NE BCBS BlueEssentialsPlus $1900 HDHP Silver Both NE CoOportunity CoOportunity Premier Silver Both NE CoOportunity CoOportunity Premier HSA Silver Both NE Coventry Silver $10 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 5500/11000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Both n/a n/a n/a n/a n/a n/a Gold 15438NE Coventry Silver $10 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver $10 Copay POS PD Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 1 Off NE Time CoreMed - Silver 3 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE Time CoreMed - Silver 2 Off NE Time CoreMed - Silver 4 Off NE BCBS SelectBlue Plus $750 Gold Both NE BCBS BlueEssentialsPlus $1000 Gold Both , NE CoOportunity CoOportunity Premier Gold Both NE CoOportunity CoOportunity Premier HSA Gold Both NE Coventry Gold $5 Copay HMO Methodist Health Partners On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS MIPPA On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO Alegent Creighton Health On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS On NE Health Alliance Midwest Pathfinder POS 20/ / % 4000/8000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 2000/4000 0% 2000/4000 RxDed Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 2100/4200 0% 2100/4200 RxDed Both n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO PD Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS PD MIPPA Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay HMO PD Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold $5 Copay POS PD Off NE Time CoreMed - Gold 1 Off NE Time CoreMed - Gold 1 Off NE Time CoreMed - Gold 2 Off , NE Time CoreMed - Gold 2 Off , Platinum 43198NE CoOportunity CoOportunity Premier Platinum Both NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 1 Off , NE Time CoreMed - Platinum 2 Off , NE Time CoreMed - Platinum 2 Off , Lewis Ellis, Inc. - Actuaries Consultants 8/21/2013
10 Small Group Medical s Type ID Company Area NON Bronze 29678NE BCBS BluePridePlus Option 301 HDHP Bronze Both NE BCBS BluePridePlus Option 302 HDHP Bronze Both NE BCBS BluePridePlus Option 304 HDHP Bronze Both NE BCBS BluePridePlus Option 305 HDHP Bronze Both NE BCBS BluePridePlus Option 306 HDHP Bronze Both NE BCBS SelectBluePlus Option 403 HDHP Bronze Both NE CoOportunity CoOportunity Premier Bronze Both NE CoOportunity CoOportunity Premier HSA Bronze Both NE Coventry Bronze Essential #2 HMO Methodist Health Partners S On NE Coventry Bronze Essential #5 HMO Methodist Health Partners S On NE Coventry Bronze Essential #2 HMO Alegent Creighton Health S On NE Coventry Bronze Essential #5 HMO Alegent Creighton Health S On NE Coventry Bronze Essential #2 HMO S On NE Coventry Bronze Essential #5 HMO S On NE Health Alliance Midwest Guide HMO QHDHP 3150/ % 6350/12700 Rx3 Both NE BCBS BluePridePlus Option 303 Bronze Off NE BCBS BluePridePlus Option 307 HDHP Bronze Off NE Coventry Bronze Essential #2 HMO Methodist Health Partners Off NE Coventry Bronze Essential #5 HMO Methodist Health Partners Off NE Coventry Bronze Essential #2 HMO Alegent Creighton Health Off NE Coventry Bronze Essential #5 HMO Alegent Creighton Health Off NE Coventry Bronze Essential #2 HMO Off NE Coventry Bronze Essential #5 HMO Off NE John Alden Assurant Small Group Select - Bronze 1 Off NE John Alden Assurant Small Group Select - Bronze 2 Off NE John Alden Assurant Small Group Select - Bronze 3 Off NE John Alden Assurant Small Group Select - Bronze 1 Off NE John Alden Assurant Small Group Select - Bronze 2 Off NE John Alden Assurant Small Group Select - Bronze 3 Off NE John Alden Assurant Small Group Select - Bronze 4 Off NE John Alden Assurant Small Group Select - Bronze 4 Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 1 Off NE Time Assurant Small Group Select - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 3 Off NE Time Assurant Small Group Select - Bronze 1 Off NE Time Assurant Small Group Select - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 3 Off NE Time Assurant Small Group Select - Bronze 4 Off NE Time Assurant Small Group Select - Bronze 4 Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
11 Small Group Medical s Type ID Company Silver Area NON 29678NE BCBS BluePridePlus Option 202 Silver Both NE BCBS BluePridePlus Option 203 HDHP Silver Both NE BCBS SelectBluePlus Option 402 HDHP Silver Both NE CoOportunity CoOportunity Premier Silver Both NE CoOportunity CoOportunity Premier HSA Silver Both NE Coventry Silver Security #2 HMO Methodist Health Partners S On NE Coventry Silver Security #2 HMO Alegent Creighton Health S On NE Coventry Silver Security #2 HMO S On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Both NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Both NE Health Alliance Midwest Guide HMO 30/ / % 6000/12000 Rx3 Both NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 550/11000 Rx2 Both NE Health Alliance Midwest Guide HMO QHDHP 1500/ % 5250/10500 Rx3 Both NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Both NE BCBS BluePridePlus Option 201 Silver Off NE Coventry Silver Security #2 HMO Methodist Health Partners Off NE Coventry Silver Security #2 HMO Alegent Creighton Health Off NE Coventry Silver Security #2 HMO Off NE John Alden Assurant Small Group Select - Silver 5 Off NE John Alden Assurant Small Group Select - Silver 8 Off NE John Alden Assurant Small Group Select - Silver 5 Off NE John Alden Assurant Small Group Select - Silver 8 Off NE John Alden Assurant Small Group Select - Silver 1 Off NE John Alden Assurant Small Group Select - Silver 2 Off NE John Alden Assurant Small Group Select - Silver 3 Off NE John Alden Assurant Small Group Select - Silver 4 Off NE John Alden Assurant Small Group Select - Silver 6 Off NE John Alden Assurant Small Group Select - Silver 7 Off NE John Alden Assurant Small Group Select - Silver 1 Off NE John Alden Assurant Small Group Select - Silver 2 Off NE John Alden Assurant Small Group Select - Silver 3 Off NE John Alden Assurant Small Group Select - Silver 4 Off NE John Alden Assurant Small Group Select - Silver 6 Off NE John Alden Assurant Small Group Select - Silver 7 Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Off NE Time Assurant Small Group Select - Silver 5 Off NE Time Assurant Small Group Select - Silver 8 Off NE Time Assurant Small Group Select - Silver 5 Off NE Time Assurant Small Group Select - Silver 8 Off NE Time Assurant Small Group Select - Silver 1 Off NE Time Assurant Small Group Select - Silver 2 Off NE Time Assurant Small Group Select - Silver 3 Off NE Time Assurant Small Group Select - Silver 4 Off NE Time Assurant Small Group Select - Silver 6 Off NE Time Assurant Small Group Select - Silver 7 Off NE Time Assurant Small Group Select - Silver 1 Off NE Time Assurant Small Group Select - Silver 2 Off NE Time Assurant Small Group Select - Silver 3 Off NE Time Assurant Small Group Select - Silver 4 Off NE Time Assurant Small Group Select - Silver 6 Off NE Time Assurant Small Group Select - Silver 7 Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
12 Small Group Medical s Type ID Company Gold Area NON 29678NE BCBS BluePridePlus Option 103 Gold Both NE BCBS BluePridePlus Option 106 HDHP Gold Both NE BCBS SelectBluePlus Option 401 Gold Both NE CoOportunity CoOportunity Premier Gold Both , NE CoOportunity CoOportunity Premier HSA Gold Both , NE Coventry Gold Freedon #3 HMO Methodist Health Partners S On NE Coventry Gold Freedom #3 HMO Alegent Creighton Health S On NE Coventry Gold Freedom #3 HMO S On , NE Health Alliance Midwest Pathfinder POS 20/ % 4000/8000 Rx2 Both NE Health Alliance Midwest Guide HMO 25/ / % 4000/8000 Rx2 Both NE Health Alliance Midwest Pathfinder POS QHDHP 2000/4000 0% 2000/4000 RxDed Both NE Health Alliance Midwest Pathfinder POS QHDHP 2100/4200 0% 2100/4200 RxDed Both NE Health Alliance Midwest Pathfinder POS QHDHP 1750/3500 0% 1750/3500 RxDed Both NE BCBS BluePridePlus Option 101 Gold Off NE BCBS BluePridePlus Option 102 Gold Off NE BCBS BluePridePlus Option 104 Gold Off NE BCBS BluePridePlus Option 105 HDHP Gold Off NE Coventry Gold Freedom #3 HMO Methodist Health Partners Off NE Coventry Gold Freedom #3 HMO Alegent Creighton Health Off NE Coventry Gold Freedom #3 HMO Off , NE John Alden Assurant Small Group Select - Gold 5 Off , , NE John Alden Assurant Small Group Select - Gold 6 Off , , NE John Alden Assurant Small Group Select - Gold 5 Off , , NE John Alden Assurant Small Group Select - Gold 6 Off , , NE John Alden Assurant Small Group Select - Gold 1 Off , , NE John Alden Assurant Small Group Select - Gold 2 Off , , NE John Alden Assurant Small Group Select - Gold 3 Off , , NE John Alden Assurant Small Group Select - Gold 4 Off , , NE John Alden Assurant Small Group Select - Gold 7 Off , , NE John Alden Assurant Small Group Select - Gold 1 Off , , NE John Alden Assurant Small Group Select - Gold 2 Off , , NE John Alden Assurant Small Group Select - Gold 3 Off , , NE John Alden Assurant Small Group Select - Gold 4 Off , , NE John Alden Assurant Small Group Select - Gold 7 Off , , NE John Alden Assurant Small Group Select - OneDeductible - Gold 4 Off , , NE John Alden Assurant Small Group Select - OneDeductible - Gold 4 Off , , NE Time Assurant Small Group Select - Gold 5 Off , , NE Time Assurant Small Group Select - Gold 6 Off , , NE Time Assurant Small Group Select - Gold 5 Off , , NE Time Assurant Small Group Select - Gold 6 Off , , NE Time Assurant Small Group Select - Gold 1 Off , , NE Time Assurant Small Group Select - Gold 2 Off , , NE Time Assurant Small Group Select - Gold 3 Off , , NE Time Assurant Small Group Select - Gold 4 Off , , NE Time Assurant Small Group Select - Gold 7 Off , , NE Time Assurant Small Group Select - Gold 1 Off , , NE Time Assurant Small Group Select - Gold 2 Off , , NE Time Assurant Small Group Select - Gold 3 Off , , NE Time Assurant Small Group Select - Gold 4 Off , , NE Time Assurant Small Group Select - Gold 7 Off , , NE Time Assurant Small Group Select - OneDeductible - Gold 4 Off , , NE Time Assurant Small Group Select - OneDeductible - Gold 4 Off , , Platinum 43198NE CoOportunity CoOportunity Premier Platinum Both , NE John Alden Assurant Small Group Select - Platinum 2 Off , , NE John Alden Assurant Small Group Select - Platinum 4 Off , , NE John Alden Assurant Small Group Select - Platinum 5 Off , , NE John Alden Assurant Small Group Select - Platinum 2 Off , , NE John Alden Assurant Small Group Select - Platinum 4 Off , , NE John Alden Assurant Small Group Select - Platinum 5 Off , , NE John Alden Assurant Small Group Select - Platinum 1 Off , , NE John Alden Assurant Small Group Select - Platinum 3 Off , , NE John Alden Assurant Small Group Select - Platinum 1 Off , , NE John Alden Assurant Small Group Select - Platinum 3 Off , , NE Time Assurant Small Group Select - Platinum 2 Off , , NE Time Assurant Small Group Select - Platinum 4 Off , , NE Time Assurant Small Group Select - Platinum 5 Off , , NE Time Assurant Small Group Select - Platinum 2 Off , , NE Time Assurant Small Group Select - Platinum 4 Off , , NE Time Assurant Small Group Select - Platinum 5 Off , , NE Time Assurant Small Group Select - Platinum 1 Off , , NE Time Assurant Small Group Select - Platinum 3 Off , , NE Time Assurant Small Group Select - Platinum 1 Off , , NE Time Assurant Small Group Select - Platinum 3 Off , , Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
13 Small Group Medical s Type ID Company Market Type Area NON Bronze 29678NE BCBS BluePridePlus Option 301 HDHP Bronze Small Group Both NE BCBS BluePridePlus Option 302 HDHP Bronze Small Group Both NE BCBS BluePridePlus Option 304 HDHP Bronze Small Group Both NE BCBS BluePridePlus Option 305 HDHP Bronze Small Group Both NE BCBS BluePridePlus Option 306 HDHP Bronze Small Group Both NE BCBS SelectBluePlus Option 403 HDHP Bronze Small Group Both NE CoOportunity CoOportunity Premier Bronze Small Group Both NE CoOportunity CoOportunity Premier HSA Bronze Small Group Both NE Coventry Bronze Essential #2 HMO Methodist Health Partners S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Methodist Health Partners S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Alegent Creighton Health S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Alegent Creighton Health S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO S Small Group On NE Coventry Bronze Essential #5 HMO S Small Group On NE Health Alliance Midwest Guide HMO QHDHP 3150/ % 6350/12700 Rx3 Small Group Both NE BCBS BluePridePlus Option 303 Bronze Small Group Off NE BCBS BluePridePlus Option 307 HDHP Bronze Small Group Off NE Coventry Bronze Essential #2 HMO Methodist Health Partners Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Methodist Health Partners Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Alegent Creighton Health Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Alegent Creighton Health Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Small Group Off NE Coventry Bronze Essential #5 HMO Small Group Off NE John Alden Assurant Small Group Select - Bronze 1 Small Group Off NE John Alden Assurant Small Group Select - Bronze 2 Small Group Off NE John Alden Assurant Small Group Select - Bronze 3 Small Group Off NE John Alden Assurant Small Group Select - Bronze 1 Small Group Off NE John Alden Assurant Small Group Select - Bronze 2 Small Group Off NE John Alden Assurant Small Group Select - Bronze 3 Small Group Off NE John Alden Assurant Small Group Select - Bronze 4 Small Group Off NE John Alden Assurant Small Group Select - Bronze 4 Small Group Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Small Group Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Small Group Off NE Time Assurant Small Group Select - Bronze 1 Small Group Off NE Time Assurant Small Group Select - Bronze 2 Small Group Off NE Time Assurant Small Group Select - Bronze 3 Small Group Off NE Time Assurant Small Group Select - Bronze 1 Small Group Off NE Time Assurant Small Group Select - Bronze 2 Small Group Off NE Time Assurant Small Group Select - Bronze 3 Small Group Off NE Time Assurant Small Group Select - Bronze 4 Small Group Off NE Time Assurant Small Group Select - Bronze 4 Small Group Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Small Group Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Small Group Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
14 Small Group Medical s Type ID Company Silver Market Type Area NON 29678NE BCBS BluePridePlus Option 202 Silver Small Group Both NE BCBS BluePridePlus Option 203 HDHP Silver Small Group Both NE BCBS SelectBluePlus Option 402 HDHP Silver Small Group Both NE CoOportunity CoOportunity Premier Silver Small Group Both NE CoOportunity CoOportunity Premier HSA Silver Small Group Both NE Coventry Silver Security #2 HMO Methodist Health Partners S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Alegent Creighton Health S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO S Small Group On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Small Group Both NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Small Group Both NE Health Alliance Midwest Guide HMO 30/ / % 6000/12000 Rx3 Small Group Both NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 550/11000 Rx2 Small Group Both NE Health Alliance Midwest Guide HMO QHDHP 1500/ % 5250/10500 Rx3 Small Group Both NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Small Group Both NE BCBS BluePridePlus Option 201 Silver Small Group Off NE Coventry Silver Security #2 HMO Methodist Health Partners Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Alegent Creighton Health Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Small Group Off NE John Alden Assurant Small Group Select - Silver 5 Small Group Off NE John Alden Assurant Small Group Select - Silver 8 Small Group Off NE John Alden Assurant Small Group Select - Silver 5 Small Group Off NE John Alden Assurant Small Group Select - Silver 8 Small Group Off NE John Alden Assurant Small Group Select - Silver 1 Small Group Off NE John Alden Assurant Small Group Select - Silver 2 Small Group Off NE John Alden Assurant Small Group Select - Silver 3 Small Group Off NE John Alden Assurant Small Group Select - Silver 4 Small Group Off NE John Alden Assurant Small Group Select - Silver 6 Small Group Off NE John Alden Assurant Small Group Select - Silver 7 Small Group Off NE John Alden Assurant Small Group Select - Silver 1 Small Group Off NE John Alden Assurant Small Group Select - Silver 2 Small Group Off NE John Alden Assurant Small Group Select - Silver 3 Small Group Off NE John Alden Assurant Small Group Select - Silver 4 Small Group Off NE John Alden Assurant Small Group Select - Silver 6 Small Group Off NE John Alden Assurant Small Group Select - Silver 7 Small Group Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Small Group Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Small Group Off NE Time Assurant Small Group Select - Silver 5 Small Group Off NE Time Assurant Small Group Select - Silver 8 Small Group Off NE Time Assurant Small Group Select - Silver 5 Small Group Off NE Time Assurant Small Group Select - Silver 8 Small Group Off NE Time Assurant Small Group Select - Silver 1 Small Group Off NE Time Assurant Small Group Select - Silver 2 Small Group Off NE Time Assurant Small Group Select - Silver 3 Small Group Off NE Time Assurant Small Group Select - Silver 4 Small Group Off NE Time Assurant Small Group Select - Silver 6 Small Group Off NE Time Assurant Small Group Select - Silver 7 Small Group Off NE Time Assurant Small Group Select - Silver 1 Small Group Off NE Time Assurant Small Group Select - Silver 2 Small Group Off NE Time Assurant Small Group Select - Silver 3 Small Group Off NE Time Assurant Small Group Select - Silver 4 Small Group Off NE Time Assurant Small Group Select - Silver 6 Small Group Off NE Time Assurant Small Group Select - Silver 7 Small Group Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Small Group Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Small Group Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
15 Small Group Medical s Type ID Company Gold Market Type Area NON 29678NE BCBS BluePridePlus Option 103 Gold Small Group Both NE BCBS BluePridePlus Option 106 HDHP Gold Small Group Both NE BCBS SelectBluePlus Option 401 Gold Small Group Both NE CoOportunity CoOportunity Premier Gold Small Group Both NE CoOportunity CoOportunity Premier HSA Gold Small Group Both NE Coventry Gold Freedon #3 HMO Methodist Health Partners S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO Alegent Creighton Health S Small Group On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO S Small Group On NE Health Alliance Midwest Pathfinder POS 20/ % 4000/8000 Rx2 Small Group Both NE Health Alliance Midwest Guide HMO 25/ / % 4000/8000 Rx2 Small Group Both NE Health Alliance Midwest Pathfinder POS QHDHP 2000/4000 0% 2000/4000 RxDed Small Group Both NE Health Alliance Midwest Pathfinder POS QHDHP 2100/4200 0% 2100/4200 RxDed Small Group Both NE Health Alliance Midwest Pathfinder POS QHDHP 1750/3500 0% 1750/3500 RxDed Small Group Both NE BCBS BluePridePlus Option 101 Gold Small Group Off NE BCBS BluePridePlus Option 102 Gold Small Group Off NE BCBS BluePridePlus Option 104 Gold Small Group Off NE BCBS BluePridePlus Option 105 HDHP Gold Small Group Off NE Coventry Gold Freedom #3 HMO Methodist Health Partners Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO Alegent Creighton Health Small Group Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO Small Group Off , NE John Alden Assurant Small Group Select - Gold 5 Small Group Off , , NE John Alden Assurant Small Group Select - Gold 6 Small Group Off , , NE John Alden Assurant Small Group Select - Gold 5 Small Group Off , , NE John Alden Assurant Small Group Select - Gold 6 Small Group Off , , NE John Alden Assurant Small Group Select - Gold 1 Small Group Off NE John Alden Assurant Small Group Select - Gold 2 Small Group Off NE John Alden Assurant Small Group Select - Gold 3 Small Group Off NE John Alden Assurant Small Group Select - Gold 4 Small Group Off , , NE John Alden Assurant Small Group Select - Gold 7 Small Group Off , , NE John Alden Assurant Small Group Select - Gold 1 Small Group Off NE John Alden Assurant Small Group Select - Gold 2 Small Group Off NE John Alden Assurant Small Group Select - Gold 3 Small Group Off NE John Alden Assurant Small Group Select - Gold 4 Small Group Off , , NE John Alden Assurant Small Group Select - Gold 7 Small Group Off , , NE John Alden Assurant Small Group Select - OneDeductible - Gold 4 Small Group Off , , NE John Alden Assurant Small Group Select - OneDeductible - Gold 4 Small Group Off , , NE Time Assurant Small Group Select - Gold 5 Small Group Off , , NE Time Assurant Small Group Select - Gold 6 Small Group Off , , NE Time Assurant Small Group Select - Gold 5 Small Group Off , , NE Time Assurant Small Group Select - Gold 6 Small Group Off , , NE Time Assurant Small Group Select - Gold 1 Small Group Off NE Time Assurant Small Group Select - Gold 2 Small Group Off NE Time Assurant Small Group Select - Gold 3 Small Group Off NE Time Assurant Small Group Select - Gold 4 Small Group Off , , NE Time Assurant Small Group Select - Gold 7 Small Group Off , , NE Time Assurant Small Group Select - Gold 1 Small Group Off NE Time Assurant Small Group Select - Gold 2 Small Group Off NE Time Assurant Small Group Select - Gold 3 Small Group Off NE Time Assurant Small Group Select - Gold 4 Small Group Off , , NE Time Assurant Small Group Select - Gold 7 Small Group Off , , NE Time Assurant Small Group Select - OneDeductible - Gold 4 Small Group Off , , NE Time Assurant Small Group Select - OneDeductible - Gold 4 Small Group Off , , Platinum 43198NE CoOportunity CoOportunity Premier Platinum Small Group Both NE John Alden Assurant Small Group Select - Platinum 2 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 4 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 5 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 2 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 4 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 5 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 1 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 3 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 1 Small Group Off , , NE John Alden Assurant Small Group Select - Platinum 3 Small Group Off , , NE Time Assurant Small Group Select - Platinum 2 Small Group Off , , NE Time Assurant Small Group Select - Platinum 4 Small Group Off , , NE Time Assurant Small Group Select - Platinum 5 Small Group Off , , NE Time Assurant Small Group Select - Platinum 2 Small Group Off , , NE Time Assurant Small Group Select - Platinum 4 Small Group Off , , NE Time Assurant Small Group Select - Platinum 5 Small Group Off , , NE Time Assurant Small Group Select - Platinum 1 Small Group Off , , NE Time Assurant Small Group Select - Platinum 3 Small Group Off , , NE Time Assurant Small Group Select - Platinum 1 Small Group Off , , NE Time Assurant Small Group Select - Platinum 3 Small Group Off , , Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
16 Small Group Medical s Type ID Company Bronze Area NON 29678NE BCBS BluePridePlus Option 301 HDHP Bronze Both NE BCBS BluePridePlus Option 302 HDHP Bronze Both NE BCBS BluePridePlus Option 304 HDHP Bronze Both NE BCBS BluePridePlus Option 305 HDHP Bronze Both NE BCBS BluePridePlus Option 306 HDHP Bronze Both NE BCBS SelectBluePlus Option 403 HDHP Bronze Both NE CoOportunity CoOportunity Premier Bronze Both NE CoOportunity CoOportunity Premier HSA Bronze Both NE Coventry Bronze Essential #2 HMO Methodist Health Partners S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Methodist Health Partners S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Alegent Creighton Health S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Alegent Creighton Health S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO S On NE Coventry Bronze Essential #5 HMO S On NE Health Alliance Midwest Guide HMO QHDHP 3150/ % 6350/12700 Rx3 Both n/a n/a n/a n/a n/a n/a 29678NE BCBS BluePridePlus Option 303 Bronze Off NE BCBS BluePridePlus Option 307 HDHP Bronze Off NE Coventry Bronze Essential #2 HMO Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Off NE Coventry Bronze Essential #5 HMO Off NE John Alden Assurant Small Group Select - Bronze 1 Off NE John Alden Assurant Small Group Select - Bronze 2 Off NE John Alden Assurant Small Group Select - Bronze 3 Off NE John Alden Assurant Small Group Select - Bronze 1 Off NE John Alden Assurant Small Group Select - Bronze 2 Off NE John Alden Assurant Small Group Select - Bronze 3 Off NE John Alden Assurant Small Group Select - Bronze 4 Off NE John Alden Assurant Small Group Select - Bronze 4 Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 1 Off NE Time Assurant Small Group Select - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 3 Off NE Time Assurant Small Group Select - Bronze 1 Off NE Time Assurant Small Group Select - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 3 Off NE Time Assurant Small Group Select - Bronze 4 Off NE Time Assurant Small Group Select - Bronze 4 Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
17 Small Group Medical s Type ID Company Silver Area NON 29678NE BCBS BluePridePlus Option 202 Silver Both NE BCBS BluePridePlus Option 203 HDHP Silver Both NE BCBS SelectBluePlus Option 402 HDHP Silver Both NE CoOportunity CoOportunity Premier Silver Both NE CoOportunity CoOportunity Premier HSA Silver Both NE Coventry Silver Security #2 HMO Methodist Health Partners S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Alegent Creighton Health S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO S On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO 30/ / % 6000/12000 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 550/11000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO QHDHP 1500/ % 5250/10500 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Both n/a n/a n/a n/a n/a n/a 29678NE BCBS BluePridePlus Option 201 Silver Off NE Coventry Silver Security #2 HMO Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Off NE John Alden Assurant Small Group Select - Silver 5 Off NE John Alden Assurant Small Group Select - Silver 8 Off NE John Alden Assurant Small Group Select - Silver 5 Off NE John Alden Assurant Small Group Select - Silver 8 Off NE John Alden Assurant Small Group Select - Silver 1 Off NE John Alden Assurant Small Group Select - Silver 2 Off NE John Alden Assurant Small Group Select - Silver 3 Off NE John Alden Assurant Small Group Select - Silver 4 Off NE John Alden Assurant Small Group Select - Silver 6 Off NE John Alden Assurant Small Group Select - Silver 7 Off NE John Alden Assurant Small Group Select - Silver 1 Off NE John Alden Assurant Small Group Select - Silver 2 Off NE John Alden Assurant Small Group Select - Silver 3 Off NE John Alden Assurant Small Group Select - Silver 4 Off NE John Alden Assurant Small Group Select - Silver 6 Off NE John Alden Assurant Small Group Select - Silver 7 Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Off NE Time Assurant Small Group Select - Silver 5 Off NE Time Assurant Small Group Select - Silver 8 Off NE Time Assurant Small Group Select - Silver 5 Off NE Time Assurant Small Group Select - Silver 8 Off NE Time Assurant Small Group Select - Silver 1 Off NE Time Assurant Small Group Select - Silver 2 Off NE Time Assurant Small Group Select - Silver 3 Off NE Time Assurant Small Group Select - Silver 4 Off NE Time Assurant Small Group Select - Silver 6 Off NE Time Assurant Small Group Select - Silver 7 Off NE Time Assurant Small Group Select - Silver 1 Off NE Time Assurant Small Group Select - Silver 2 Off NE Time Assurant Small Group Select - Silver 3 Off NE Time Assurant Small Group Select - Silver 4 Off NE Time Assurant Small Group Select - Silver 6 Off NE Time Assurant Small Group Select - Silver 7 Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
18 Small Group Medical s Type ID Company Gold Area NON 29678NE BCBS BluePridePlus Option 103 Gold Both NE BCBS BluePridePlus Option 106 HDHP Gold Both NE BCBS SelectBluePlus Option 401 Gold Both NE CoOportunity CoOportunity Premier Gold Both NE CoOportunity CoOportunity Premier HSA Gold Both NE Coventry Gold Freedon #3 HMO Methodist Health Partners S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO Alegent Creighton Health S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO S On NE Health Alliance Midwest Pathfinder POS 20/ % 4000/8000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO 25/ / % 4000/8000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 2000/4000 0% 2000/4000 RxDed Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 2100/4200 0% 2100/4200 RxDed Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 1750/3500 0% 1750/3500 RxDed Both n/a n/a n/a n/a n/a n/a 29678NE BCBS BluePridePlus Option 101 Gold Off NE BCBS BluePridePlus Option 102 Gold Off NE BCBS BluePridePlus Option 104 Gold Off NE BCBS BluePridePlus Option 105 HDHP Gold Off NE Coventry Gold Freedom #3 HMO Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Gold Freedom #3 HMO Off , NE John Alden Assurant Small Group Select - Gold 5 Off , , NE John Alden Assurant Small Group Select - Gold 6 Off , , NE John Alden Assurant Small Group Select - Gold 5 Off , , NE John Alden Assurant Small Group Select - Gold 6 Off , , NE John Alden Assurant Small Group Select - Gold 1 Off , , NE John Alden Assurant Small Group Select - Gold 2 Off , , NE John Alden Assurant Small Group Select - Gold 3 Off , , NE John Alden Assurant Small Group Select - Gold 4 Off , , NE John Alden Assurant Small Group Select - Gold 7 Off , , NE John Alden Assurant Small Group Select - Gold 1 Off , , NE John Alden Assurant Small Group Select - Gold 2 Off , , NE John Alden Assurant Small Group Select - Gold 3 Off , , NE John Alden Assurant Small Group Select - Gold 4 Off , , NE John Alden Assurant Small Group Select - Gold 7 Off , , NE John Alden Assurant Small Group Select - OneDeductible - Gold 4 Off , , NE John Alden Assurant Small Group Select - OneDeductible - Gold 4 Off , , NE Time Assurant Small Group Select - Gold 5 Off , , NE Time Assurant Small Group Select - Gold 6 Off , , NE Time Assurant Small Group Select - Gold 5 Off , , NE Time Assurant Small Group Select - Gold 6 Off , , NE Time Assurant Small Group Select - Gold 1 Off , , NE Time Assurant Small Group Select - Gold 2 Off , , NE Time Assurant Small Group Select - Gold 3 Off , , NE Time Assurant Small Group Select - Gold 4 Off , , NE Time Assurant Small Group Select - Gold 7 Off , , NE Time Assurant Small Group Select - Gold 1 Off , , NE Time Assurant Small Group Select - Gold 2 Off , , NE Time Assurant Small Group Select - Gold 3 Off , , NE Time Assurant Small Group Select - Gold 4 Off , , NE Time Assurant Small Group Select - Gold 7 Off , , NE Time Assurant Small Group Select - OneDeductible - Gold 4 Off , , NE Time Assurant Small Group Select - OneDeductible - Gold 4 Off , , Platinum 43198NE CoOportunity CoOportunity Premier Platinum Both NE John Alden Assurant Small Group Select - Platinum 2 Off , , NE John Alden Assurant Small Group Select - Platinum 4 Off , , NE John Alden Assurant Small Group Select - Platinum 5 Off , , NE John Alden Assurant Small Group Select - Platinum 2 Off , , NE John Alden Assurant Small Group Select - Platinum 4 Off , , NE John Alden Assurant Small Group Select - Platinum 5 Off , , NE John Alden Assurant Small Group Select - Platinum 1 Off , , NE John Alden Assurant Small Group Select - Platinum 3 Off , , NE John Alden Assurant Small Group Select - Platinum 1 Off , , NE John Alden Assurant Small Group Select - Platinum 3 Off , , NE Time Assurant Small Group Select - Platinum 2 Off , , NE Time Assurant Small Group Select - Platinum 4 Off , , NE Time Assurant Small Group Select - Platinum 5 Off , , NE Time Assurant Small Group Select - Platinum 2 Off , , NE Time Assurant Small Group Select - Platinum 4 Off , , NE Time Assurant Small Group Select - Platinum 5 Off , , NE Time Assurant Small Group Select - Platinum 1 Off , , NE Time Assurant Small Group Select - Platinum 3 Off , , NE Time Assurant Small Group Select - Platinum 1 Off , , NE Time Assurant Small Group Select - Platinum 3 Off , , Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
19 Small Group Medical s Type ID Company Bronze Area NON 29678NE BCBS BluePridePlus Option 301 HDHP Bronze Both NE BCBS BluePridePlus Option 302 HDHP Bronze Both NE BCBS BluePridePlus Option 304 HDHP Bronze Both NE BCBS BluePridePlus Option 305 HDHP Bronze Both NE BCBS BluePridePlus Option 306 HDHP Bronze Both NE BCBS SelectBluePlus Option 403 HDHP Bronze Both NE CoOportunity CoOportunity Premier Bronze Both NE CoOportunity CoOportunity Premier HSA Bronze Both NE Coventry Bronze Essential #2 HMO Methodist Health Partners S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Methodist Health Partners S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Alegent Creighton Health S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Alegent Creighton Health S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO S On NE Coventry Bronze Essential #5 HMO S On NE Health Alliance Midwest Guide HMO QHDHP 3150/ % 6350/12700 Rx3 Both n/a n/a n/a n/a n/a n/a 29678NE BCBS BluePridePlus Option 303 Bronze Off NE BCBS BluePridePlus Option 307 HDHP Bronze Off NE Coventry Bronze Essential #2 HMO Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #5 HMO Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Bronze Essential #2 HMO Off NE Coventry Bronze Essential #5 HMO Off NE John Alden Assurant Small Group Select - Bronze 1 Off NE John Alden Assurant Small Group Select - Bronze 2 Off NE John Alden Assurant Small Group Select - Bronze 3 Off NE John Alden Assurant Small Group Select - Bronze 1 Off NE John Alden Assurant Small Group Select - Bronze 2 Off NE John Alden Assurant Small Group Select - Bronze 3 Off NE John Alden Assurant Small Group Select - Bronze 4 Off NE John Alden Assurant Small Group Select - Bronze 4 Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Off NE John Alden Assurant Small Group Select - OneDeductible - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 1 Off NE Time Assurant Small Group Select - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 3 Off NE Time Assurant Small Group Select - Bronze 1 Off NE Time Assurant Small Group Select - Bronze 2 Off NE Time Assurant Small Group Select - Bronze 3 Off NE Time Assurant Small Group Select - Bronze 4 Off NE Time Assurant Small Group Select - Bronze 4 Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Off NE Time Assurant Small Group Select - OneDeductible - Bronze 2 Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
20 Small Group Medical s Type ID Company Silver Area NON 29678NE BCBS BluePridePlus Option 202 Silver Both NE BCBS BluePridePlus Option 203 HDHP Silver Both NE BCBS SelectBluePlus Option 402 HDHP Silver Both NE CoOportunity CoOportunity Premier Silver Both NE CoOportunity CoOportunity Premier HSA Silver Both NE Coventry Silver Security #2 HMO Methodist Health Partners S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Alegent Creighton Health S On n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO S On NE Health Alliance Midwest Pathfinder POS 1750/ % 5500/11000 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS 30/ / % 5500/11000 Rx5 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO 30/ / % 6000/12000 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO QHDHP 1750/ % 550/11000 Rx2 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Guide HMO QHDHP 1500/ % 5250/10500 Rx3 Both n/a n/a n/a n/a n/a n/a 77931NE Health Alliance Midwest Pathfinder POS QHDHP 1750/ % 5000/10000 Rx2 Both n/a n/a n/a n/a n/a n/a 29678NE BCBS BluePridePlus Option 201 Silver Off NE Coventry Silver Security #2 HMO Methodist Health Partners Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Alegent Creighton Health Off n/a n/a n/a n/a n/a n/a 15438NE Coventry Silver Security #2 HMO Off NE John Alden Assurant Small Group Select - Silver 5 Off NE John Alden Assurant Small Group Select - Silver 8 Off NE John Alden Assurant Small Group Select - Silver 5 Off NE John Alden Assurant Small Group Select - Silver 8 Off NE John Alden Assurant Small Group Select - Silver 1 Off NE John Alden Assurant Small Group Select - Silver 2 Off NE John Alden Assurant Small Group Select - Silver 3 Off NE John Alden Assurant Small Group Select - Silver 4 Off NE John Alden Assurant Small Group Select - Silver 6 Off NE John Alden Assurant Small Group Select - Silver 7 Off NE John Alden Assurant Small Group Select - Silver 1 Off NE John Alden Assurant Small Group Select - Silver 2 Off NE John Alden Assurant Small Group Select - Silver 3 Off NE John Alden Assurant Small Group Select - Silver 4 Off NE John Alden Assurant Small Group Select - Silver 6 Off NE John Alden Assurant Small Group Select - Silver 7 Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Off NE John Alden Assurant Small Group Select - OneDeductible - Silver 4 Off NE Time Assurant Small Group Select - Silver 5 Off NE Time Assurant Small Group Select - Silver 8 Off NE Time Assurant Small Group Select - Silver 5 Off NE Time Assurant Small Group Select - Silver 8 Off NE Time Assurant Small Group Select - Silver 1 Off NE Time Assurant Small Group Select - Silver 2 Off NE Time Assurant Small Group Select - Silver 3 Off NE Time Assurant Small Group Select - Silver 4 Off NE Time Assurant Small Group Select - Silver 6 Off NE Time Assurant Small Group Select - Silver 7 Off NE Time Assurant Small Group Select - Silver 1 Off NE Time Assurant Small Group Select - Silver 2 Off NE Time Assurant Small Group Select - Silver 3 Off NE Time Assurant Small Group Select - Silver 4 Off NE Time Assurant Small Group Select - Silver 6 Off NE Time Assurant Small Group Select - Silver 7 Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Off NE Time Assurant Small Group Select - OneDeductible - Silver 4 Off Lewis Ellis, Inc - Actuaries and Consultants 8/21/2013
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