Table: cy_2023_two_plan_model_rates , health_plan_name like A*

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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	Two Plan	Alameda	Alameda Alliance for Health	Child - UIS Federal	$31.98	$33.88	$35.91
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	Adult - UIS Federal	$159.56	$165.24	$171.19
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	ACA Optional Expansion - UIS Federal	$262.52	$271.24	$280.36
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	SPD - UIS Federal	$777.28	$801.25	$826.24
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	SPD/Full-Dual - UIS Federal	$121.65	$126.08	$130.73
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	LTC - UIS Federal	$1,530.17	$1,565.44	$1,602.07
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	LTC/Full-Dual - UIS Federal	$108.61	$111.90	$115.35
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	Child - SIS	$101.97	$107.07	$112.47
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	Adult - SIS	$246.98	$256.10	$265.67
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	ACA Optional Expansion - SIS	$317.31	$328.57	$340.37
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	SPD - SIS	$885.32	$914.60	$945.13
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	SPD/Full-Dual - SIS	$245.62	$252.53	$259.79
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	LTC - SIS	$10,296.01	$10,435.04	$10,578.00
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	LTC/Full-Dual - SIS	$7,796.32	$7,885.98	$7,977.85
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	Maternity - UIS Federal	$9,507.77	$9,715.00	$9,929.01
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	Maternity - SIS	$9,507.77	$9,715.00	$9,929.01
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	Child - UIS State-Only	$69.58	$72.46	$75.50
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	Adult - UIS State-Only	$128.25	$132.87	$137.71
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	ACA Optional Expansion - UIS State-Only	$226.09	$233.16	$240.56
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	SPD - UIS State-Only	$564.38	$580.71	$597.73
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	SPD/Full-Dual - UIS State-Only	$230.83	$236.62	$242.66
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	LTC - UIS State-Only	$8,774.99	$8,879.01	$8,985.63
1/23-12/23	2023	Two Plan	Alameda	Alameda Alliance for Health	LTC/Full-Dual - UIS State-Only	$7,687.71	$7,774.09	$7,862.50
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Child - UIS Federal	$22.68	$24.22	$25.86
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Adult - UIS Federal	$172.99	$179.14	$185.58
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$194.13	$200.93	$208.04
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	SPD - UIS Federal	$663.33	$684.54	$706.66
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$112.88	$117.07	$121.46
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	LTC - UIS Federal	$1,535.89	$1,572.27	$1,610.08
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$108.46	$111.70	$115.10
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Child - SIS	$86.91	$91.47	$96.31
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Adult - SIS	$207.44	$215.30	$223.55
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	ACA Optional Expansion - SIS	$272.06	$281.93	$292.29
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	SPD - SIS	$777.51	$804.67	$832.99
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	SPD/Full-Dual - SIS	$350.48	$358.02	$365.89
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	LTC - SIS	$10,305.10	$10,446.19	$10,591.34
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	LTC/Full-Dual - SIS	$7,798.11	$7,888.25	$7,980.62
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Maternity - UIS Federal	$9,507.77	$9,715.00	$9,929.01
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Maternity - SIS	$9,507.77	$9,715.00	$9,929.01
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Child - UIS State-Only	$56.10	$58.68	$61.39
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	Adult - UIS State-Only	$142.47	$147.65	$153.07
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$199.33	$205.84	$212.66
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	SPD - UIS State-Only	$500.59	$515.30	$530.64
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$206.86	$212.11	$217.59
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	LTC - UIS State-Only	$8,778.40	$8,883.39	$8,991.02
1/23-12/23	2023	Two Plan	Alameda	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$7,689.65	$7,776.55	$7,865.51
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Child - UIS Federal	$20.52	$21.87	$23.30
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Adult - UIS Federal	$216.42	$223.66	$231.23
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$205.61	$212.52	$219.74
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	SPD - UIS Federal	$585.84	$604.20	$623.33
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$108.12	$111.96	$115.98
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	LTC - UIS Federal	$1,959.67	$2,008.17	$2,058.56
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$116.34	$119.63	$123.08
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Child - SIS	$84.80	$89.12	$93.70
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Adult - SIS	$215.28	$223.08	$231.26
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	ACA Optional Expansion - SIS	$245.75	$254.39	$263.43
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	SPD - SIS	$718.96	$743.45	$768.98
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	SPD/Full-Dual - SIS	$311.40	$318.40	$325.70
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	LTC - SIS	$10,857.53	$11,014.17	$11,175.47
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,226.37	$8,321.55	$8,419.07
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Maternity - UIS Federal	$10,716.42	$10,949.95	$11,191.13
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Maternity - SIS	$10,716.42	$10,949.95	$11,191.13
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Child - UIS State-Only	$52.06	$54.32	$56.70
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	Adult - UIS State-Only	$171.91	$177.69	$183.74
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$200.26	$206.81	$213.66
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	SPD - UIS State-Only	$420.10	$432.67	$445.78
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$257.96	$263.39	$269.03
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	LTC - UIS State-Only	$8,909.81	$9,018.31	$9,129.59
1/23-12/23	2023	Two Plan	Contra Costa	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,110.03	$8,201.92	$8,295.99
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Child - UIS Federal	$19.87	$21.07	$22.35
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Adult - UIS Federal	$166.41	$171.92	$177.69
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$221.74	$228.88	$236.34
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	SPD - UIS Federal	$528.09	$544.27	$561.13
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$101.80	$105.26	$108.88
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	LTC - UIS Federal	$1,022.66	$1,045.43	$1,069.06
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$70.60	$72.63	$74.76
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Child - SIS	$63.63	$66.67	$69.90
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Adult - SIS	$174.27	$180.33	$186.68
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	ACA Optional Expansion - SIS	$223.47	$231.02	$238.93
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	SPD - SIS	$575.36	$594.23	$613.92
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	SPD/Full-Dual - SIS	$228.28	$234.45	$240.90
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	LTC - SIS	$7,851.79	$7,959.42	$8,070.13
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	LTC/Full-Dual - SIS	$5,885.01	$5,957.19	$6,031.26
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Maternity - UIS Federal	$8,078.38	$8,254.46	$8,436.32
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Maternity - SIS	$8,095.84	$8,272.31	$8,454.56
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Child - UIS State-Only	$44.57	$46.48	$48.48
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	Adult - UIS State-Only	$138.57	$143.22	$148.09
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$229.31	$236.36	$243.71
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	SPD - UIS State-Only	$401.15	$412.87	$425.09
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$189.53	$194.44	$199.56
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	LTC - UIS State-Only	$6,692.33	$6,775.56	$6,860.96
1/23-12/23	2023	Two Plan	Fresno	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$5,891.69	$5,961.29	$6,032.63
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Child - UIS Federal	$19.87	$21.07	$22.35
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Adult - UIS Federal	$166.41	$171.92	$177.69
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$221.74	$228.88	$236.34
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	SPD - UIS Federal	$528.09	$544.27	$561.13
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$101.80	$105.26	$108.88
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	LTC - UIS Federal	$1,022.66	$1,045.43	$1,069.06
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$70.60	$72.63	$74.76
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Child - SIS	$63.63	$66.67	$69.90
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Adult - SIS	$174.27	$180.33	$186.68
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	ACA Optional Expansion - SIS	$223.47	$231.02	$238.93
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	SPD - SIS	$575.36	$594.23	$613.92
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	SPD/Full-Dual - SIS	$228.28	$234.45	$240.90
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	LTC - SIS	$7,851.79	$7,959.42	$8,070.13
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	LTC/Full-Dual - SIS	$5,885.01	$5,957.19	$6,031.26
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Maternity - UIS Federal	$8,078.38	$8,254.46	$8,436.32
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Maternity - SIS	$8,095.84	$8,272.31	$8,454.56
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Child - UIS State-Only	$44.57	$46.48	$48.48
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	Adult - UIS State-Only	$138.57	$143.22	$148.09
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$229.31	$236.36	$243.71
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	SPD - UIS State-Only	$401.15	$412.87	$425.09
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$189.53	$194.44	$199.56
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	LTC - UIS State-Only	$6,692.33	$6,775.56	$6,860.96
1/23-12/23	2023	Two Plan	Kings	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$5,891.69	$5,961.29	$6,032.63
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Child - UIS Federal	$19.87	$21.07	$22.35
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Adult - UIS Federal	$166.41	$171.92	$177.69
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$221.74	$228.88	$236.34
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	SPD - UIS Federal	$528.09	$544.27	$561.13
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$101.80	$105.26	$108.88
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	LTC - UIS Federal	$1,022.66	$1,045.43	$1,069.06
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$70.60	$72.63	$74.76
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Child - SIS	$63.63	$66.67	$69.90
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Adult - SIS	$174.27	$180.33	$186.68
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	ACA Optional Expansion - SIS	$223.47	$231.02	$238.93
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	SPD - SIS	$575.36	$594.23	$613.92
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	SPD/Full-Dual - SIS	$228.28	$234.45	$240.90
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	LTC - SIS	$7,851.79	$7,959.42	$8,070.13
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	LTC/Full-Dual - SIS	$5,885.01	$5,957.19	$6,031.26
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Maternity - UIS Federal	$8,078.38	$8,254.46	$8,436.32
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Maternity - SIS	$8,095.84	$8,272.31	$8,454.56
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Child - UIS State-Only	$44.57	$46.48	$48.48
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	Adult - UIS State-Only	$138.57	$143.22	$148.09
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$229.31	$236.36	$243.71
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	SPD - UIS State-Only	$401.15	$412.87	$425.09
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$189.53	$194.44	$199.56
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	LTC - UIS State-Only	$6,692.33	$6,775.56	$6,860.96
1/23-12/23	2023	Two Plan	Madera	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$5,891.69	$5,961.29	$6,032.63
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Child - UIS Federal	$26.96	$29.04	$31.26
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Adult - UIS Federal	$251.79	$260.95	$270.56
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$305.41	$316.27	$327.63
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	SPD - UIS Federal	$871.10	$899.81	$929.78
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$100.79	$105.09	$109.62
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	LTC - UIS Federal	$2,280.67	$2,331.11	$2,383.48
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$212.73	$218.89	$225.35
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Child - SIS	$82.30	$87.13	$92.24
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Adult - SIS	$280.07	$290.96	$302.39
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	ACA Optional Expansion - SIS	$317.29	$329.26	$341.81
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	SPD - SIS	$992.83	$1,028.28	$1,065.25
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	SPD/Full-Dual - SIS	$362.84	$372.14	$381.88
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	LTC - SIS	$17,765.37	$17,985.15	$18,210.72
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	LTC/Full-Dual - SIS	$13,668.42	$13,819.15	$13,973.39
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Maternity - UIS Federal	$9,692.93	$9,904.23	$10,122.46
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Maternity - SIS	$9,692.93	$9,904.23	$10,122.46
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Child - UIS State-Only	$37.05	$39.23	$41.54
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	Adult - UIS State-Only	$173.46	$179.86	$186.56
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$265.78	$273.83	$282.24
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	SPD - UIS State-Only	$678.02	$696.55	$715.87
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$229.34	$236.18	$243.33
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	LTC - UIS State-Only	$15,496.22	$15,665.92	$15,839.50
1/23-12/23	2023	Two Plan	San Francisco	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$13,455.69	$13,600.26	$13,748.04
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Child - UIS Federal	$23.40	$24.74	$26.16
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Adult - UIS Federal	$136.95	$141.78	$146.83
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$200.58	$207.36	$214.45
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	SPD - UIS Federal	$443.24	$457.49	$472.35
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$82.20	$85.27	$88.49
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	LTC - UIS Federal	$2,135.26	$2,201.48	$2,270.45
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$59.28	$61.55	$63.94
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Child - SIS	$70.90	$74.63	$78.58
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Adult - SIS	$185.30	$192.24	$199.53
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	ACA Optional Expansion - SIS	$228.47	$236.79	$245.50
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	SPD - SIS	$538.22	$556.84	$576.27
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	SPD/Full-Dual - SIS	$228.06	$233.71	$239.63
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	LTC - SIS	$12,064.52	$12,257.52	$12,456.69
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	LTC/Full-Dual - SIS	$8,305.86	$8,401.60	$8,499.67
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Maternity - UIS Federal	$8,777.00	$8,968.29	$9,165.85
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Maternity - SIS	$8,777.00	$8,968.29	$9,165.85
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Child - UIS State-Only	$33.50	$35.13	$36.86
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	Adult - UIS State-Only	$111.91	$115.88	$120.03
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$185.57	$191.19	$197.05
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	SPD - UIS State-Only	$492.70	$504.70	$517.18
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$202.97	$207.44	$212.09
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	LTC - UIS State-Only	$9,939.36	$10,066.55	$10,197.15
1/23-12/23	2023	Two Plan	Santa Clara	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$8,246.59	$8,340.05	$8,435.73
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Child - UIS Federal	$16.73	$17.72	$18.77
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Adult - UIS Federal	$128.89	$133.17	$137.64
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	ACA Optional Expansion - UIS Federal	$227.80	$234.98	$242.46
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	SPD - UIS Federal	$498.53	$513.65	$529.40
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	SPD/Full-Dual - UIS Federal	$94.04	$97.20	$100.51
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	LTC - UIS Federal	$1,617.88	$1,657.37	$1,698.38
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	LTC/Full-Dual - UIS Federal	$60.49	$62.21	$64.03
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Child - SIS	$53.84	$56.46	$59.24
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Adult - SIS	$169.39	$175.34	$181.57
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	ACA Optional Expansion - SIS	$227.33	$234.97	$242.96
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	SPD - SIS	$613.04	$632.63	$653.05
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	SPD/Full-Dual - SIS	$158.03	$162.79	$167.77
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	LTC - SIS	$8,830.23	$8,960.02	$9,093.69
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	LTC/Full-Dual - SIS	$5,192.77	$5,255.60	$5,320.06
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Maternity - UIS Federal	$6,496.92	$6,638.53	$6,784.78
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Maternity - SIS	$6,496.92	$6,638.53	$6,784.78
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Child - UIS State-Only	$38.62	$40.29	$42.04
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	Adult - UIS State-Only	$132.30	$136.67	$141.24
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	ACA Optional Expansion - UIS State-Only	$255.13	$262.85	$270.89
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	SPD - UIS State-Only	$405.92	$417.71	$429.99
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	SPD/Full-Dual - UIS State-Only	$134.11	$138.09	$142.25
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	LTC - UIS State-Only	$7,224.79	$7,315.45	$7,408.49
1/23-12/23	2023	Two Plan	Tulare	Anthem Blue Cross	LTC/Full-Dual - UIS State-Only	$5,132.28	$5,193.39	$5,256.03