Form Number: et-2107prtg

Health Plan With Dental
Individual / Family
Without Dental
Individual / Family
Access Plan by WEA Trust $1,081.96  /  $2,667.92 $1,051.76  /  $2,592.42
Dean Health Insurance $514.26  /  $1,248.66 $484.06  /  $1,173.16
Dean Health Insurance-Prevea360 $601.06  /  $1,465.66 $570.86  /  $1,390.16
Group Health Cooperative of Eau Claire $643.08  /  $1,570.72 $612.88  /  $1,495.22
Group Health Cooperative of South Central Wisconsin $522.60  /  $1,269.52 $492.40  /  $1,194.02
HealthPartners Health Plan $634.88  /  $1,550.22 $604.68  /  $1,474.72
Medical Associates Health Plan $545.16  /  $1,325.92 $514.96  /  $1,250.42
MercyCare Health Plan $483.54  /  $1,171.86 $453.34  /  $1,096.36
Network Health $655.18  /  $1,600.96 $624.98  /  $1,525.46
Quartz - Community $622.90  /  $1,520.26 $592.70  /  $1,444.76
Quartz - UW Health $536.14  /  $1,303.36 $505.94  /  $1,227.86
Robin with HealthPartners Health Plan $660.36  /  $1,613.92 $630.16  /  $1,538.42
State Maintenance Plan (SMP) by WEA Trust $723.16  /  $1,770.92 $692.96  /  $1,695.42
WEA Trust - East $566.88  /  $1,380.22 $536.68  /  $1,304.72
WEA Trust West - Chippewa Valley $581.26  /  $1,416.16 $551.06  /  $1,340.66
 WEA Trust West - Mayo Clinic Health System $608.38  /  $1,483.96 $578.18  /  $1,408.46
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