Form Number: et-2107prtg

Health Plan With Dental
Individual / Family
Without Dental
Individual / Family
Access Plan by WEA Trust $1,108.96 / $2,737.10 $1,078.76 / $2,661.60
Aspirus Health Plan $655.76 / $1,604.10 $625.56 / $1,528.60
Dean Health Insurance $540.70 / $1,316.44 $510.50 / $1,240.94
Dean Health Insurance-Prevea360 $635.02 / $1,552.24 $604.82 / $1,476.74
Group Health Cooperative of Eau Claire $661.82 / $1,619.24 $631.62 / $1,543.74
Group Health Cooperative of South Central Wisconsin $544.96 / $1,327.1 $514.76 / $1,251.6
HealthPartners Health Plan $665.94 / $1,629.54 $635.74 / $1,554.04
Medical Associates Health Plan $567.62 / $1,383.74 $537.42 / $1,308.24
MercyCare Health Plan $483.70 / $1,173.94 $453.50 / $1,098.44
Network Health $672.14 / $1,645.04 $641.94 / $1,569.54
Quartz Central $643.40 / $1,573.2 $613.20 / $1,497.70
Quartz - UW Health $559.06 / $1,362.34 $528.86 / $1,286.84
Quartz West  $617.02 / $1,507.24 $586.82 / $1,431.74
Robin with HealthPartners Health Plan $710.30 / $1,740.44 $680.10 / $1,664.94
State Maintenance Plan (SMP) by WEA Trust $865.58 / $2,128.66 $835.38 / $2,053.16
WEA Trust - East $580.88 / $1,416.90 $550.68 / $1,341.40
WEA Trust West - Chippewa Valley $629.36 / $1,538.1 $599.16 / $1,462.60
 WEA Trust West - Mayo Clinic Health System $622.90 / $1,521.94 $592.70 / $1,446.44
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