Table: cy_2023_regional_model_rates , health_plan_name like all*

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rating_period	calendar_year	model	county	health_plan_name	category_of_aid	lower_bound	midpoint	upper_bound
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Alpine	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Alpine	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Amador	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Amador	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Child - UIS Federal	$22.55	$23.93	$25.41
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Adult - UIS Federal	$202.32	$208.96	$215.90
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	ACA Optional Expansion - UIS Federal	$278.20	$287.05	$296.29
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	SPD - UIS Federal	$625.37	$644.38	$664.19
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	SPD/Full-Dual - UIS Federal	$141.99	$146.69	$151.61
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	LTC - UIS Federal	$1,717.21	$1,757.81	$1,799.96
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	LTC/Full-Dual - UIS Federal	$241.84	$248.79	$256.04
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Child - SIS	$97.74	$101.85	$106.19
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Adult - SIS	$237.28	$245.47	$254.05
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	ACA Optional Expansion - SIS	$293.91	$303.66	$313.87
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	SPD - SIS	$851.61	$876.35	$902.13
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	SPD/Full-Dual - SIS	$217.43	$223.35	$229.56
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	LTC - SIS	$10,428.45	$10,575.40	$10,726.63
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	LTC/Full-Dual - SIS	$8,495.76	$8,597.73	$8,702.30
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Child - UIS State-Only	$48.49	$50.45	$52.51
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	Adult - UIS State-Only	$144.43	$149.19	$154.16
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	ACA Optional Expansion - UIS State-Only	$217.54	$224.24	$231.23
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	SPD - UIS State-Only	$371.06	$381.89	$393.18
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	SPD/Full-Dual - UIS State-Only	$219.60	$224.70	$230.02
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	LTC - UIS State-Only	$8,721.42	$8,828.07	$8,937.45
1/23 - 12/23	2023	Regional	Amador	Kaiser Foundation Health Plan	LTC/Full-Dual - UIS State-Only	$8,253.92	$8,348.94	$8,446.26
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Butte	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Butte	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Calaveras	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Calaveras	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Colusa	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Colusa	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	El Dorado	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	El Dorado	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Child - UIS Federal	$22.55	$23.93	$25.41
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Adult - UIS Federal	$202.32	$208.96	$215.90
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	ACA Optional Expansion - UIS Federal	$278.20	$287.05	$296.29
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	SPD - UIS Federal	$625.37	$644.38	$664.19
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	SPD/Full-Dual - UIS Federal	$141.99	$146.69	$151.61
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	LTC - UIS Federal	$1,717.21	$1,757.81	$1,799.96
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	LTC/Full-Dual - UIS Federal	$241.84	$248.79	$256.04
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Child - SIS	$97.74	$101.85	$106.19
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Adult - SIS	$237.28	$245.47	$254.05
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	ACA Optional Expansion - SIS	$293.91	$303.66	$313.87
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	SPD - SIS	$851.61	$876.35	$902.13
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	SPD/Full-Dual - SIS	$217.43	$223.35	$229.56
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	LTC - SIS	$10,428.45	$10,575.40	$10,726.63
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	LTC/Full-Dual - SIS	$8,495.76	$8,597.73	$8,702.30
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Child - UIS State-Only	$48.49	$50.45	$52.51
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	Adult - UIS State-Only	$144.43	$149.19	$154.16
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	ACA Optional Expansion - UIS State-Only	$217.54	$224.24	$231.23
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	SPD - UIS State-Only	$371.06	$381.89	$393.18
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	SPD/Full-Dual - UIS State-Only	$219.60	$224.70	$230.02
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	LTC - UIS State-Only	$8,721.42	$8,828.07	$8,937.45
1/23 - 12/23	2023	Regional	El Dorado	Kaiser Foundation Health Plan	LTC/Full-Dual - UIS State-Only	$8,253.92	$8,348.94	$8,446.26
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Glenn	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Glenn	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Inyo	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Mariposa	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Mariposa	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Mono	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Mono	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Nevada	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Nevada	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Placer	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Placer	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Child - UIS Federal	$22.55	$23.93	$25.41
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Adult - UIS Federal	$202.32	$208.96	$215.90
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	ACA Optional Expansion - UIS Federal	$278.20	$287.05	$296.29
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	SPD - UIS Federal	$625.37	$644.38	$664.19
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	SPD/Full-Dual - UIS Federal	$141.99	$146.69	$151.61
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	LTC - UIS Federal	$1,717.21	$1,757.81	$1,799.96
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	LTC/Full-Dual - UIS Federal	$241.84	$248.79	$256.04
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Child - SIS	$97.74	$101.85	$106.19
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Adult - SIS	$237.28	$245.47	$254.05
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	ACA Optional Expansion - SIS	$293.91	$303.66	$313.87
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	SPD - SIS	$851.61	$876.35	$902.13
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	SPD/Full-Dual - SIS	$217.43	$223.35	$229.56
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	LTC - SIS	$10,428.45	$10,575.40	$10,726.63
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	LTC/Full-Dual - SIS	$8,495.76	$8,597.73	$8,702.30
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Child - UIS State-Only	$48.49	$50.45	$52.51
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	Adult - UIS State-Only	$144.43	$149.19	$154.16
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	ACA Optional Expansion - UIS State-Only	$217.54	$224.24	$231.23
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	SPD - UIS State-Only	$371.06	$381.89	$393.18
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	SPD/Full-Dual - UIS State-Only	$219.60	$224.70	$230.02
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	LTC - UIS State-Only	$8,721.42	$8,828.07	$8,937.45
1/23 - 12/23	2023	Regional	Placer	Kaiser Foundation Health Plan	LTC/Full-Dual - UIS State-Only	$8,253.92	$8,348.94	$8,446.26
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Plumas	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Plumas	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Sierra	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Sierra	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Sutter	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Sutter	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Tehama	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Tehama	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Tuolumne	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Tuolumne	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Child - UIS Federal	$20.21	$21.60	$23.08
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Adult - UIS Federal	$169.05	$174.89	$181.00
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$238.57	$246.48	$254.75
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	SPD - UIS Federal	$676.66	$697.70	$719.62
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$127.25	$131.67	$136.31
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	LTC - UIS Federal	$1,654.53	$1,693.76	$1,734.51
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$137.77	$141.74	$145.89
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Child - SIS	$63.73	$67.16	$70.80
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Adult - SIS	$217.15	$224.95	$233.13
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	ACA Optional Expansion - SIS	$294.50	$304.59	$315.16
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	SPD - SIS	$759.18	$783.67	$809.19
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	SPD/Full-Dual - SIS	$212.24	$218.29	$224.63
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	LTC - SIS	$10,610.47	$10,759.37	$10,912.62
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,558.24	$8,656.20	$8,756.54
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Child - UIS State-Only	$38.90	$40.69	$42.57
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	Adult - UIS State-Only	$134.30	$138.93	$143.78
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$201.24	$207.66	$214.37
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	SPD - UIS State-Only	$422.76	$435.36	$448.49
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$217.89	$223.22	$228.78
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	LTC - UIS State-Only	$8,974.30	$9,084.52	$9,197.59
1/23 - 12/23	2023	Regional	Yuba	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,420.47	$8,514.46	$8,610.65
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Child - UIS Federal	$28.76	$30.58	$32.52
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Adult - UIS Federal	$240.11	$248.13	$256.51
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	ACA Optional Expansion - UIS Federal	$348.87	$360.08	$371.78
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	SPD - UIS Federal	$995.02	$1,025.22	$1,056.67
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	SPD/Full-Dual - UIS Federal	$159.54	$164.99	$170.70
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	LTC - UIS Federal	$1,655.52	$1,694.37	$1,734.71
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	LTC/Full-Dual - UIS Federal	$139.55	$143.71	$148.07
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Child - SIS	$69.64	$73.30	$77.18
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Adult - SIS	$271.10	$280.75	$290.87
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	ACA Optional Expansion - SIS	$356.87	$369.04	$381.78
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	SPD - SIS	$945.55	$975.72	$1,007.18
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	SPD/Full-Dual - SIS	$235.55	$242.37	$249.53
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	LTC - SIS	$10,609.33	$10,757.21	$10,909.38
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	LTC/Full-Dual - SIS	$8,559.18	$8,657.08	$8,757.37
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Maternity - UIS Federal	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Maternity - SIS	$11,596.02	$11,848.72	$12,109.71
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Child - UIS State-Only	$34.56	$36.21	$37.95
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	Adult - UIS State-Only	$158.49	$163.77	$169.29
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	ACA Optional Expansion - UIS State-Only	$226.00	$233.08	$240.48
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	SPD - UIS State-Only	$529.77	$545.22	$561.31
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	SPD/Full-Dual - UIS State-Only	$239.71	$245.59	$251.73
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	LTC - UIS State-Only	$8,972.13	$9,081.71	$9,194.09
1/23 - 12/23	2023	Regional	Yuba	California Health and Wellness	LTC/Full-Dual - UIS State-Only	$8,419.63	$8,513.37	$8,609.30