Table: calendar_year_2023_cohs_rates

rating_period	calendar_year	model	county	health_plan	category_of_aid	lower_bound	midpoint	upper_bound
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Del Norte'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Humboldt'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Lake'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Lassen'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Marin'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Mendocino'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Modoc'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Napa'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Shasta'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Siskiyou'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Solano'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Sonoma'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Trinity'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Child - SIS'	' $103.32 '	' $107.17 '	' $111.20 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Adult - SIS'	' $313.26 '	' $322.64 '	' $332.37 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'ACA Optional Expansion - SIS'	' $406.98 '	' $418.60 '	' $430.65 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'SPD - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'SPD/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'LTC - SIS'	' $1,171.19 '	' $1,200.66 '	' $1,231.12 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'LTC/Full-Dual - SIS'	' $563.15 '	' $572.69 '	' $582.54 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Maternity - SIS'	' $10,943.36 '	' $11,156.01 '	' $11,374.62 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'WCM - SIS'	' $1,990.45 '	' $2,044.30 '	' $2,099.99 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Child - UIS Federally Eligible'	' $31.50 '	' $32.98 '	' $34.54 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Adult - UIS Federally Eligible'	' $299.51 '	' $308.09 '	' $316.99 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS Federally Eligible'	' $414.55 '	' $426.17 '	' $438.21 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'SPD - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'LTC - UIS Federally Eligible'	' $870.78 '	' $894.52 '	' $919.07 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS Federally Eligible'	' $195.13 '	' $200.39 '	' $205.85 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Maternity - UIS Federally Eligible'	' $10,913.12 '	' $11,125.18 '	' $11,343.19 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'WCM - UIS Federally Eligible'	' $829.87 '	' $852.53 '	' $875.96 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Child - UIS State-Only'	' $58.26 '	' $60.29 '	' $62.40 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'Adult - UIS State-Only'	' $200.32 '	' $205.97 '	' $211.83 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'ACA Optional Expansion - UIS State-Only'	' $303.14 '	' $310.95 '	' $319.03 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'SPD - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'SPD/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'LTC - UIS State-Only'	' $769.09 '	' $785.77 '	' $803.00 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'LTC/Full-Dual - UIS State-Only'	' $377.73 '	' $384.36 '	' $391.19 '
'1/23-12/23'	'2023'	'COHS'	'Yolo'	'Partnership Health Plan of California'	'WCM - UIS State-Only'	' $1,162.74 '	' $1,194.01 '	' $1,226.33 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Child - SIS'	' $87.64 '	' $90.91 '	' $94.34 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Adult - SIS'	' $309.08 '	' $318.23 '	' $327.73 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'ACA Optional Expansion - SIS'	' $335.52 '	' $345.21 '	' $355.26 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'SPD - SIS'	' $1,113.84 '	' $1,142.28 '	' $1,171.70 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'SPD/Full-Dual - SIS'	' $432.72 '	' $440.39 '	' $448.31 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'LTC - SIS'	' $1,113.84 '	' $1,142.28 '	' $1,171.70 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'LTC/Full-Dual - SIS'	' $432.72 '	' $440.39 '	' $448.31 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Maternity - SIS'	' $10,845.80 '	' $11,058.65 '	' $11,277.54 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'WCM - SIS'	' $1,503.05 '	' $1,543.95 '	' $1,586.28 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Child - UIS Federally Eligible'	' $33.84 '	' $35.28 '	' $36.78 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Adult - UIS Federally Eligible'	' $290.13 '	' $298.39 '	' $306.96 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'ACA Optional Expansion - UIS Federally Eligible'	' $340.28 '	' $349.88 '	' $359.83 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'SPD - UIS Federally Eligible'	' $843.51 '	' $866.53 '	' $890.36 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'SPD/Full-Dual - UIS Federally Eligible'	' $121.66 '	' $125.27 '	' $129.03 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'LTC - UIS Federally Eligible'	' $843.51 '	' $866.53 '	' $890.36 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'LTC/Full-Dual - UIS Federally Eligible'	' $121.66 '	' $125.27 '	' $129.03 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Maternity - UIS Federally Eligible'	' $10,967.37 '	' $11,182.60 '	' $11,403.95 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'WCM - UIS Federally Eligible'	' $575.40 '	' $591.26 '	' $607.69 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Child - UIS State-Only'	' $46.47 '	' $48.11 '	' $49.82 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'Adult - UIS State-Only'	' $185.62 '	' $190.91 '	' $196.41 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'ACA Optional Expansion - UIS State-Only'	' $272.86 '	' $279.87 '	' $287.14 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'SPD - UIS State-Only'	' $752.35 '	' $769.36 '	' $786.93 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'SPD/Full-Dual - UIS State-Only'	' $265.40 '	' $270.42 '	' $275.61 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'LTC - UIS State-Only'	' $752.35 '	' $769.36 '	' $786.93 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'LTC/Full-Dual - UIS State-Only'	' $265.40 '	' $270.42 '	' $275.61 '
'1/23-12/23'	'2023'	'COHS'	'Merced'	'Central California Alliance for Health'	'WCM - UIS State-Only'	' $939.10 '	' $964.40 '	' $990.58 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Child - SIS'	' $87.64 '	' $90.91 '	' $94.34 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Adult - SIS'	' $309.08 '	' $318.23 '	' $327.73 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'ACA Optional Expansion - SIS'	' $335.52 '	' $345.21 '	' $355.26 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'SPD - SIS'	' $1,113.84 '	' $1,142.28 '	' $1,171.70 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'SPD/Full-Dual - SIS'	' $432.72 '	' $440.39 '	' $448.31 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'LTC - SIS'	' $1,113.84 '	' $1,142.28 '	' $1,171.70 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'LTC/Full-Dual - SIS'	' $432.72 '	' $440.39 '	' $448.31 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Maternity - SIS'	' $10,845.80 '	' $11,058.65 '	' $11,277.54 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'WCM - SIS'	' $1,503.05 '	' $1,543.95 '	' $1,586.28 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Child - UIS Federally Eligible'	' $33.84 '	' $35.28 '	' $36.78 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Adult - UIS Federally Eligible'	' $290.13 '	' $298.39 '	' $306.96 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'ACA Optional Expansion - UIS Federally Eligible'	' $340.28 '	' $349.88 '	' $359.83 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'SPD - UIS Federally Eligible'	' $843.51 '	' $866.53 '	' $890.36 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'SPD/Full-Dual - UIS Federally Eligible'	' $121.66 '	' $125.27 '	' $129.03 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'LTC - UIS Federally Eligible'	' $843.51 '	' $866.53 '	' $890.36 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'LTC/Full-Dual - UIS Federally Eligible'	' $121.66 '	' $125.27 '	' $129.03 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Maternity - UIS Federally Eligible'	' $10,967.37 '	' $11,182.60 '	' $11,403.95 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'WCM - UIS Federally Eligible'	' $575.40 '	' $591.26 '	' $607.69 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Child - UIS State-Only'	' $46.47 '	' $48.11 '	' $49.82 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'Adult - UIS State-Only'	' $185.62 '	' $190.91 '	' $196.41 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'ACA Optional Expansion - UIS State-Only'	' $272.86 '	' $279.87 '	' $287.14 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'SPD - UIS State-Only'	' $752.35 '	' $769.36 '	' $786.93 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'SPD/Full-Dual - UIS State-Only'	' $265.40 '	' $270.42 '	' $275.61 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'LTC - UIS State-Only'	' $752.35 '	' $769.36 '	' $786.93 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'LTC/Full-Dual - UIS State-Only'	' $265.40 '	' $270.42 '	' $275.61 '
'1/23-12/23'	'2023'	'COHS'	'Monterey'	'Central California Alliance for Health'	'WCM - UIS State-Only'	' $939.10 '	' $964.40 '	' $990.58 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Child - SIS'	' $87.64 '	' $90.91 '	' $94.34 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Adult - SIS'	' $309.08 '	' $318.23 '	' $327.73 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'ACA Optional Expansion - SIS'	' $335.52 '	' $345.21 '	' $355.26 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'SPD - SIS'	' $1,113.84 '	' $1,142.28 '	' $1,171.70 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'SPD/Full-Dual - SIS'	' $432.72 '	' $440.39 '	' $448.31 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'LTC - SIS'	' $1,113.84 '	' $1,142.28 '	' $1,171.70 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'LTC/Full-Dual - SIS'	' $432.72 '	' $440.39 '	' $448.31 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Maternity - SIS'	' $10,845.80 '	' $11,058.65 '	' $11,277.54 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'WCM - SIS'	' $1,503.05 '	' $1,543.95 '	' $1,586.28 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Child - UIS Federally Eligible'	' $33.84 '	' $35.28 '	' $36.78 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Adult - UIS Federally Eligible'	' $290.13 '	' $298.39 '	' $306.96 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'ACA Optional Expansion - UIS Federally Eligible'	' $340.28 '	' $349.88 '	' $359.83 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'SPD - UIS Federally Eligible'	' $843.51 '	' $866.53 '	' $890.36 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'SPD/Full-Dual - UIS Federally Eligible'	' $121.66 '	' $125.27 '	' $129.03 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'LTC - UIS Federally Eligible'	' $843.51 '	' $866.53 '	' $890.36 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'LTC/Full-Dual - UIS Federally Eligible'	' $121.66 '	' $125.27 '	' $129.03 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Maternity - UIS Federally Eligible'	' $10,967.37 '	' $11,182.60 '	' $11,403.95 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'WCM - UIS Federally Eligible'	' $575.40 '	' $591.26 '	' $607.69 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Child - UIS State-Only'	' $46.47 '	' $48.11 '	' $49.82 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'Adult - UIS State-Only'	' $185.62 '	' $190.91 '	' $196.41 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'ACA Optional Expansion - UIS State-Only'	' $272.86 '	' $279.87 '	' $287.14 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'SPD - UIS State-Only'	' $752.35 '	' $769.36 '	' $786.93 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'SPD/Full-Dual - UIS State-Only'	' $265.40 '	' $270.42 '	' $275.61 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'LTC - UIS State-Only'	' $752.35 '	' $769.36 '	' $786.93 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'LTC/Full-Dual - UIS State-Only'	' $265.40 '	' $270.42 '	' $275.61 '
'1/23-12/23'	'2023'	'COHS'	'Santa Cruz'	'Central California Alliance for Health'	'WCM - UIS State-Only'	' $939.10 '	' $964.40 '	' $990.58 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Child - SIS'	' $103.35 '	' $107.07 '	' $110.96 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Adult - SIS'	' $268.29 '	' $276.40 '	' $284.82 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'ACA Optional Expansion - SIS'	' $333.01 '	' $342.68 '	' $352.73 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'SPD - SIS'	' $1,006.60 '	' $1,031.54 '	' $1,057.33 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'SPD/Full-Dual - SIS'	' $658.57 '	' $669.42 '	' $680.61 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'LTC - SIS'	' $1,006.60 '	' $1,031.54 '	' $1,057.33 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'LTC/Full-Dual - SIS'	' $658.57 '	' $669.42 '	' $680.61 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Maternity - SIS'	' $8,665.06 '	' $8,834.72 '	' $9,009.20 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'WCM - SIS'	' $1,571.89 '	' $1,614.77 '	' $1,659.14 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Child - UIS Federally Eligible'	' $29.65 '	' $30.94 '	' $32.29 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Adult - UIS Federally Eligible'	' $190.85 '	' $196.45 '	' $202.26 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'ACA Optional Expansion - UIS Federally Eligible'	' $298.35 '	' $306.82 '	' $315.60 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'SPD - UIS Federally Eligible'	' $675.85 '	' $694.44 '	' $713.68 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'SPD/Full-Dual - UIS Federally Eligible'	' $170.34 '	' $175.08 '	' $180.00 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'LTC - UIS Federally Eligible'	' $675.85 '	' $694.44 '	' $713.68 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'LTC/Full-Dual - UIS Federally Eligible'	' $170.34 '	' $175.08 '	' $180.00 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Maternity - UIS Federally Eligible'	' $8,714.94 '	' $8,885.59 '	' $9,061.07 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'WCM - UIS Federally Eligible'	' $622.41 '	' $639.58 '	' $657.35 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Child - UIS State-Only'	' $61.06 '	' $63.16 '	' $65.35 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'Adult - UIS State-Only'	' $170.61 '	' $175.49 '	' $180.55 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'ACA Optional Expansion - UIS State-Only'	' $271.78 '	' $278.89 '	' $286.26 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'SPD - UIS State-Only'	' $696.26 '	' $711.45 '	' $727.14 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'SPD/Full-Dual - UIS State-Only'	' $305.48 '	' $311.76 '	' $318.26 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'LTC - UIS State-Only'	' $696.26 '	' $711.45 '	' $727.14 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'LTC/Full-Dual - UIS State-Only'	' $305.48 '	' $311.76 '	' $318.26 '
'1/23-12/23'	'2023'	'COHS'	'San Luis Obispo'	'CenCal Health'	'WCM - UIS State-Only'	' $955.17 '	' $981.02 '	' $1,007.76 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Child - SIS'	' $103.35 '	' $107.07 '	' $110.96 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Adult - SIS'	' $268.29 '	' $276.40 '	' $284.82 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'ACA Optional Expansion - SIS'	' $333.01 '	' $342.68 '	' $352.73 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'SPD - SIS'	' $1,006.60 '	' $1,031.54 '	' $1,057.33 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'SPD/Full-Dual - SIS'	' $658.57 '	' $669.42 '	' $680.61 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'LTC - SIS'	' $1,006.60 '	' $1,031.54 '	' $1,057.33 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'LTC/Full-Dual - SIS'	' $658.57 '	' $669.42 '	' $680.61 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Maternity - SIS'	' $8,665.06 '	' $8,834.72 '	' $9,009.20 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'WCM - SIS'	' $1,571.89 '	' $1,614.77 '	' $1,659.14 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Child - UIS Federally Eligible'	' $29.65 '	' $30.94 '	' $32.29 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Adult - UIS Federally Eligible'	' $190.85 '	' $196.45 '	' $202.26 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'ACA Optional Expansion - UIS Federally Eligible'	' $298.35 '	' $306.82 '	' $315.60 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'SPD - UIS Federally Eligible'	' $675.85 '	' $694.44 '	' $713.68 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'SPD/Full-Dual - UIS Federally Eligible'	' $170.34 '	' $175.08 '	' $180.00 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'LTC - UIS Federally Eligible'	' $675.85 '	' $694.44 '	' $713.68 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'LTC/Full-Dual - UIS Federally Eligible'	' $170.34 '	' $175.08 '	' $180.00 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Maternity - UIS Federally Eligible'	' $8,714.94 '	' $8,885.59 '	' $9,061.07 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'WCM - UIS Federally Eligible'	' $622.41 '	' $639.58 '	' $657.35 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Child - UIS State-Only'	' $61.06 '	' $63.16 '	' $65.35 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'Adult - UIS State-Only'	' $170.61 '	' $175.49 '	' $180.55 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'ACA Optional Expansion - UIS State-Only'	' $271.78 '	' $278.89 '	' $286.26 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'SPD - UIS State-Only'	' $696.26 '	' $711.45 '	' $727.14 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'SPD/Full-Dual - UIS State-Only'	' $305.48 '	' $311.76 '	' $318.26 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'LTC - UIS State-Only'	' $696.26 '	' $711.45 '	' $727.14 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'LTC/Full-Dual - UIS State-Only'	' $305.48 '	' $311.76 '	' $318.26 '
'1/23-12/23'	'2023'	'COHS'	'Santa Barbara'	'CenCal Health'	'WCM - UIS State-Only'	' $955.17 '	' $981.02 '	' $1,007.76 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Child - SIS'	' $99.09 '	' $102.60 '	' $106.27 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Adult - SIS'	' $212.50 '	' $218.98 '	' $225.70 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'ACA Optional Expansion - SIS'	' $304.58 '	' $313.34 '	' $322.43 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'SPD - SIS'	' $949.31 '	' $971.98 '	' $995.41 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'SPD/Full-Dual - SIS'	' $456.76 '	' $464.64 '	' $472.77 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'LTC - SIS'	' $949.31 '	' $971.98 '	' $995.41 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'LTC/Full-Dual - SIS'	' $456.76 '	' $464.64 '	' $472.77 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Maternity - SIS'	' $8,897.75 '	' $9,070.60 '	' $9,248.29 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'WCM - SIS'	' $1,761.91 '	' $1,806.69 '	' $1,852.98 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Child - UIS Federally Eligible'	' $32.09 '	' $33.38 '	' $34.73 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Adult - UIS Federally Eligible'	' $178.51 '	' $183.69 '	' $189.06 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'ACA Optional Expansion - UIS Federally Eligible'	' $292.09 '	' $300.28 '	' $308.77 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'SPD - UIS Federally Eligible'	' $755.35 '	' $775.86 '	' $797.07 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'SPD/Full-Dual - UIS Federally Eligible'	' $119.05 '	' $122.45 '	' $125.99 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'LTC - UIS Federally Eligible'	' $755.35 '	' $775.86 '	' $797.07 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'LTC/Full-Dual - UIS Federally Eligible'	' $119.05 '	' $122.45 '	' $125.99 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Maternity - UIS Federally Eligible'	' $8,897.75 '	' $9,070.60 '	' $9,248.29 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'WCM - UIS Federally Eligible'	' $552.77 '	' $567.90 '	' $583.55 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Child - UIS State-Only'	' $53.32 '	' $55.18 '	' $57.12 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'Adult - UIS State-Only'	' $163.08 '	' $167.59 '	' $172.26 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'ACA Optional Expansion - UIS State-Only'	' $296.91 '	' $304.53 '	' $312.41 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'SPD - UIS State-Only'	' $845.65 '	' $863.24 '	' $881.40 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'SPD/Full-Dual - UIS State-Only'	' $321.56 '	' $327.08 '	' $332.78 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'LTC - UIS State-Only'	' $845.65 '	' $863.24 '	' $881.40 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'LTC/Full-Dual - UIS State-Only'	' $321.56 '	' $327.08 '	' $332.78 '
'1/23-12/23'	'2023'	'COHS'	'Orange'	'CalOptima'	'WCM - UIS State-Only'	' $1,205.52 '	' $1,235.08 '	' $1,265.62 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Child - SIS'	' $95.22 '	' $98.77 '	' $102.49 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Adult - SIS'	' $286.20 '	' $294.81 '	' $303.77 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'ACA Optional Expansion - SIS'	' $347.35 '	' $357.36 '	' $367.74 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'SPD - SIS'	' $1,177.76 '	' $1,206.22 '	' $1,235.67 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'SPD/Full-Dual - SIS'	' $579.28 '	' $589.20 '	' $599.45 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'LTC - SIS'	' $1,177.76 '	' $1,206.22 '	' $1,235.67 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'LTC/Full-Dual - SIS'	' $579.28 '	' $589.20 '	' $599.45 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Maternity - SIS'	' $9,668.75 '	' $9,858.70 '	' $10,054.06 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Child - UIS Federally Eligible'	' $29.55 '	' $30.83 '	' $32.19 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Adult - UIS Federally Eligible'	' $270.10 '	' $277.90 '	' $285.99 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'ACA Optional Expansion - UIS Federally Eligible'	' $350.87 '	' $360.85 '	' $371.20 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'SPD - UIS Federally Eligible'	' $801.99 '	' $824.20 '	' $847.20 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'SPD/Full-Dual - UIS Federally Eligible'	' $120.73 '	' $124.34 '	' $128.10 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'LTC - UIS Federally Eligible'	' $801.99 '	' $824.20 '	' $847.20 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'LTC/Full-Dual - UIS Federally Eligible'	' $120.73 '	' $124.34 '	' $128.10 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Maternity - UIS Federally Eligible'	' $9,668.75 '	' $9,858.70 '	' $10,054.06 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Child - UIS State-Only'	' $48.63 '	' $50.44 '	' $52.33 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'Adult - UIS State-Only'	' $219.87 '	' $225.74 '	' $231.83 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'ACA Optional Expansion - UIS State-Only'	' $387.86 '	' $396.54 '	' $405.52 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'SPD - UIS State-Only'	' $1,021.52 '	' $1,041.80 '	' $1,062.74 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'SPD/Full-Dual - UIS State-Only'	' $321.64 '	' $327.84 '	' $334.25 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'LTC - UIS State-Only'	' $1,021.52 '	' $1,041.80 '	' $1,062.74 '
'1/23-12/23'	'2023'	'COHS'	'Ventura'	'Gold Coast Health Plan'	'LTC/Full-Dual - UIS State-Only'	' $321.64 '	' $327.84 '	' $334.25 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Child - SIS'	' $103.41 '	' $107.45 '	' $111.68 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Adult - SIS'	' $286.61 '	' $295.62 '	' $304.98 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'ACA Optional Expansion - SIS'	' $327.88 '	' $337.50 '	' $347.50 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'SPD - SIS'	' $1,162.84 '	' $1,190.06 '	' $1,218.21 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'SPD/Full-Dual - SIS'	' $807.74 '	' $820.56 '	' $833.78 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'LTC - SIS'	' $1,162.84 '	' $1,190.06 '	' $1,218.21 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'LTC/Full-Dual - SIS'	' $807.74 '	' $820.56 '	' $833.78 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Maternity - SIS'	' $10,152.74 '	' $10,351.90 '	' $10,556.71 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'WCM - SIS'	' $1,857.84 '	' $1,908.35 '	' $1,960.65 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Child - UIS Federally Eligible'	' $30.40 '	' $31.81 '	' $33.30 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Adult - UIS Federally Eligible'	' $257.08 '	' $264.74 '	' $272.68 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'ACA Optional Expansion - UIS Federally Eligible'	' $264.99 '	' $272.86 '	' $281.02 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'SPD - UIS Federally Eligible'	' $704.16 '	' $724.14 '	' $744.84 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'SPD/Full-Dual - UIS Federally Eligible'	' $133.23 '	' $137.30 '	' $141.52 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'LTC - UIS Federally Eligible'	' $704.16 '	' $724.14 '	' $744.84 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'LTC/Full-Dual - UIS Federally Eligible'	' $133.23 '	' $137.30 '	' $141.52 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Maternity - UIS Federally Eligible'	' $10,152.74 '	' $10,351.90 '	' $10,556.71 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'WCM - UIS Federally Eligible'	' $617.53 '	' $635.13 '	' $653.36 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Child - UIS State-Only'	' $60.50 '	' $62.79 '	' $65.17 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'Adult - UIS State-Only'	' $195.46 '	' $201.26 '	' $207.28 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'ACA Optional Expansion - UIS State-Only'	' $297.13 '	' $304.49 '	' $312.12 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'SPD - UIS State-Only'	' $908.99 '	' $927.17 '	' $945.94 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'SPD/Full-Dual - UIS State-Only'	' $625.70 '	' $635.63 '	' $645.86 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'LTC - UIS State-Only'	' $908.99 '	' $927.17 '	' $945.94 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'LTC/Full-Dual - UIS State-Only'	' $625.70 '	' $635.63 '	' $645.86 '
'1/23-12/23'	'2023'	'COHS'	'San Mateo'	'Health Plan of San Mateo'	'WCM - UIS State-Only'	' $1,233.73 '	' $1,266.47 '	' $1,300.34 '