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12/1/16 - 12/1/16v2 RATE SUMMARY Print formatting is set for Legal Paper. Your print settings will need to be adjusted a...

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12/1/16 - 12/1/16v2 RATE SUMMARY Print formatting is set for Legal Paper. Your print settings will need to be adjusted accordingly. THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER. IMPORTANT NOTE: AN EMPLOYEE MUST RESIDE IN THE HEALTH PLAN'S SERVICE AREA TO BE ELIGIBLE FOR COVERAGE BY THAT HEALTH PLAN. RATING IS BASED ON THE EMPLOYER ZIP CODE/COUNTY. County and ZIP Code rating areas may be found on the "Rate Index" and "ZIP Code Detail" pages. INSTRUCTIONS: 1) Use the Employee's resident ZIP Code/County to determine service area availability by referencing the "County Service Area Index" table and the "ZIP Code Detail Rating Area Key" for each Employee. Go to the correct area table to determine the health plans that offer services in the Employee's resident ZIP Code/County. 2) Use the Employer ZIP Code/County to determine the correct rate/service area table. Go to the correct rate/service area table to calculate the rates for each health plan available to the Employee. 3) Use the Employee's age and age of each dependent to determine the rate for each of them. If the Employee has more than three (3) dependent children under the age of 21, premium rates are only charged for the three (3) oldest under the age of 21. Add the rates for the Employee and each applicable dependent to determine the total premium. For dependent children ages 21-25, premium rates are charged individually based on age of dependent. 1

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County Service/Rate Area Index

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RATE AREA ONLY NO SERVICE/NO RATE

Area 19

SAN DIEGO*

Area 18

ORANGE*

SAN BERNARDINO*

Area 17

RIVERSIDE*

Area 16

LOS ANGELES*

Area 15

LOS ANGELES*

Area 14

KERN*

MONO*

INYO*

Area 13

IMPERIAL*

VENTURA*

SANTA BARBARA*

Area 12

SAN LUIS OBISPO*

MADERA*

KINGS*

Area 11

FRESNO*

TULARE*

STANISLAUS*

SAN JOAQUIN*

MERCED*

Area 10

MARIPOSA*

SANTA CRUZ*

SAN BENITO*

Area 9

MONTEREY*

Area 8

SAN MATEO*

Area 7

SANTA CLARA*

Area 6

ALAMEDA*

Area 5

CONTRA COSTA*

Area 4

SAN FRANCISCO*

YOLO*

SACRAMENTO*

PLACER*

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EL DORADO*

SONOMA*

SOLANO*

NAPA*

Area 2

MARIN*

YUBA*

TUOLUMNE*

TRINITY*

TEHAMA*

SUTTER*

SISKIYOU*

SIERRA*

SHASTA*

PLUMAS*

NEVADA*

MODOC*

MENDOCINO*

LASSEN*

LAKE*

HUMBOLDT*

GLENN*

DEL NORTE*

COLUSA*

CALAVERAS*

BUTTE*

12/1/16 - 12/1/16v2

AMADOR*

Area 1 EFFECTIVE

ALPINE*

HEALTH CARE SERVICE PLAN RATE INDEX FOR 12/1/16-12/1/16v2

AETNA

HMO BASIC HMO DEDUCTIBLE AETNA VALUE NETWORK ANTHEM BLUE CROSS PRUDENT BUYER - SMALL GROUP ADVANTAGE PPO SELECT HMO SELECT PPO HEALTH NET PURECARE SALUD Y MAS WHOLECARE KAISER PERMANENTE FULL SHARP PREMIER PERFORMANCE SUTTER HEALTH PLUS FULL UNITEDHEALTHCARE SIGNATUREVALUE FOCUS ALLIANCE WESTERN HEALTH ADVANTAGE FULL

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Exclusions and ZIP Code detail can be found on printed pages 3-5 *This county contains multi-county ZIP Codes. THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

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CaliforniaChoice® ZIP Code/Service Detail by Rating Area Key - For effective dates 12/1/16-12/1/16v2 INSTRUCTIONS: If the FULL county is not covered, exceptions/inclusions are listed below. Please refer to page 2 for county listings. Aetna - HMO Basic Area 4: San Francisco (except 94014, 94128)

Aetna Value Network continued Area 4: San Francisco (except 94014, 94128)

Anthem Blue Cross - Prudent Buyer - Small Group continued Area 4: San Francisco (except 94014, 94128)

Area 7: Santa Clara (except 94028, 94539, 94550, 95020-95021, 95023, 95033, 95037-95038, 95046, 95076)

Area 5: Contra Costa (except 94551, 94568, 94588, 94611, 94706-94708)

Area 5: Contra Costa (except 94568, 94588, 94611)

Area 8: San Mateo (except 94020-94021, 94060, 94074, 94112, 94134, 94303)

Area 6: Alameda (except 94505, 94514, 94583, 95035, 95304, 95377, 95391)

Area 6: Alameda (except 94583, 95035)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 90704, 91709-91710, 91759, 91786, 93510, 93532, 93534-93536, 93539, 93543-93544, 93550-93553, 93560, 93563, 93584, 93586, 9359093591, 93599)

Area 7: Santa Clara (except 94028, 94539, 94550, 95023, 95076)

Area 7: Santa Clara (except 94028, 94539)

Area 8: San Mateo (except 94112, 94134, 94303)

Area 8: San Mateo (except 94112, 94134)

Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 90189, 90263, 91301-91302, 91305, 91310, 91321-91322, 91350-91351, 91354-91355, 91359, 91361-91362, 91372, 91376, 91380-91387, 91390, 92343)

Area 9: Santa Cruz (except 94060, 95023, 95033)

Area 9: San Benito (except 93925, 95020), Santa Cruz (except 94060)

Area 10: Merced (95316, 95360, 95380), San Joaquin (except 94505, 94514, 95214, 95632, 95690), Stanislaus (except 95322, 95324)

Area 10: Mariposa (except 95369), Merced (except 95316, 95360), San Joaquin (except 94505, 95214), Stanislaus (except 95324), Tulare (except 93230)

Area 14: Kern (except 93219, 93461, 93536)

Area 11: Fresno (except 93603, 93633, 93647), Madera (except 93630)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 91709-91710, 91759, 91786, 93560)

Area 12: San Luis Obispo (except 93458), Ventura (except 93225)

Area 17: Riverside (except 92028, 92201-92203, 92210-92211, 92225-92226, 92234-92236, 92239-92241, 92247-92248, 92253-92255, 92258, 92260-92264, 92270, 92274-92276, 92282, 92536, 92539, 92549, 92561), San Bernardino (except 91766, 91792, 92242, 92252, 92256, 92267-92268, 92277-92278, 92280, 92284-92286, 92304-92305, 92309-92312, 92314-92315, 92323, 92327, 92332-92333, 92338, 92341-92342, 92347, 92356, 92363-92366, 92386, 92397-92398, 93516, 93555, 93558, 93562, 93592)

Area 14: Kern (except 93219, 93461) Area 18: Orange (except 90638) Area 19: San Diego (except 91905, 91934, 91948, 92004, 92036, 92066, 92536, 92672) Aetna - HMO Deductible Area 1: Nevada (except, 95602, 95712, 95960, 95986, 96111, 96160-96162)

Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 90189, 91305, 91359, 9136191362, 93243) Area 17: Riverside (except 92028, 92225-92226, 92239, 92274-92275), San Bernardino (except 91766, 91792, 92242, 92267, 92280, 92309, 92323, 92332, 92363-92364, 93516, 93555, 93558)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 91710, 91786) Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359) Area 17: Riverside (except 91708, 92275), San Bernardino (except 91752, 91759, 92320, 92509, 93558)

Area 18: Orange (except 90638) Area 2: Solano (except 94503, 94558, *4590-94592, 95616, 95618, 95690, 95694), Sonoma (exept 94515, 94574, 95461) Area 3: El Dorado (except 95629, 95656, 95666, 95720-95721, 95726, 95735, 96142, 96150-96152, 96154-96158), Placer (except 95631, 95668, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Sacramento (except 94571), Yolo (except 95620, 95912) Area 4: San Franciso (except 94014, 94128) Area 5: Contra Costa (except 94551, 94568, 94588, 94595-94596, 94611, 94706-94708) Area 6: Alameda (except 94505, 94514, 94583, 95035, 95304, 95377, 95391) Area 7: Santa Clara (except 94028, 94539, 94550, 95023, 95076) Area 8: San Mateo (except 94112, 94134, 94303) Area 9: Santa Cruz (except 94060, 95023, 95033, 95077) Area 10: Merced (except 93610, 93622), San Joaquin (except 94505, 94514, 95632, 95690), Tulare (except 93201, 93207-93208, 93212, 93215, 93218, 93230, 93238, 93244, 93260-93262, 93267, 93270, 93272, 93527, 93603, 93631, 93633, 93641, 93646, 93654, 93666, 93670, 93673) Area 11: Fresno (except 93210, 93603, 93618, 93620, 93633, 93647), Madera (except 93601, 93620, 93623, 93645, 93653, 93669) Area 12: San Luis Obispo (except 93252, 93426), Santa Barbara (except 93252), Ventura (except 90265, 91304, 91307, 91311, 91359, 93225, 93252)

Area 19: San Diego (except 92536, 92672) Area 19: San Diego (except 92536, 92672) Anthem Blue Cross - Select HMO Area 1: Nevada (95602, 95712, 95924, 95945-94946, 95949, 95959-95960, 95975, 95977, 95986) Area 3: Placer (except 95668, 95715, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Yolo (except 95620, 95645, 95899, 95912)

Anthem Blue Cross - Advantage PPO Area 1: Alpine (except 95223), Amador (except 95646), Colusa (except 95988), Humboldt (except 95563, 95587), Mendocino (except 95542), Plumas (except 95981, 96063), Sutter (except 95648), Tehama (except 96007), Trinity (except 95543), Tuolume (except 95230) Area 2: Marin (except 94952), Napa (except 94589, 94590, 94591, 95461), Solano (except 94558), Sonoma (except 94574, 95461)

Area4: San Francisco (except 94014, 94128) Area 3: El Dorado (except 95666), Placer (except 95724, 96162), Yolo (except 95620, 95899) Area 5: Contra Costa (except 94568, 94588, 94611) Area 4: San Francisco (except 94014, 94128) Area 6: Alaneda (except 94583, 95035, 95304) Area 5: Contra Costa (except 94568, 94588, 94611) Area 7: Santa Clara (except 94028, 94539, 95023) Area 6: Alameda (except 94583, 95035) Area 9: Santa Cruz (except 94060) Area 7: Santa Clara (except 94028, 94539) Area 10: Merced (except 93610, 95316, 95360), San Joaquin (except 94505), Stanislaus (except 95324), Tulare (except 93212, 93230)

Area 8: San Mateo (except 94112, 94134)

Area 11: Fresno (except 93245, 93603, 93633, 93647)

Area 9: San Benito (except 93925, 95020), Santa Cruz (except 94060)

Area 12: Ventura (except 93013, 93225)

Area 10: Mariposa (except 95369), Merced (except 95316, 95360), San Joaquin (except 94505, 95214), Stanislaus (except 95324), Tulare (except 93230)

Area 13: Imperial (except 92004, 92222, 92225, 92266, 92283) Area 11: Fresno (except 93603, 93633, 93647), Madera (except 93630)

Area 14: Kern (except 93219, 93461, 93536)

Area 14: Kern (except 93219, 93461, 93555-93556, 93558) Area 12: San Luis Obispo (except 93458), Ventura (except 93225)

Area 15: Los Angeles (ZIPS starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 91709-91710, 91759, 91786, 93560) Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 90189, 91305, 91361-91362, 93243) Area 17: Riverside (except 92028, 92225-92226, 92274-92275), San Bernardino (except 91766, 91792, 92242, 92267, 92280, 92323, 92332, 92363-92364, 93516, 93555, 93558) Area 18: Orange (except 90638) Area 19: San Diego (except 92536, 92672) Aetna Value Network Area 2: Marin (94952), Sonoma (except 94515, 94574, 95461) Area 3: Placer (except 95631, 95668, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Sacramento (except 94571), Yolo (except 95620, 95912)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90704, 91710, 91786) Area 14: Kern (except 93219, 93461) Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359) Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 91710, 91786) Area 17: Riverside (except 91708, 92225-92226, 92275), San Bernardino (except 91752, 91759, 92242, 92267, 92280, 92304, 92309-92310, 92317, 92320-92323, 92325, 92327, 92332, 92338, 92352, 92363-92366, 92378, 92385, 92391, 92509, 93555, 93558, 93562, 93592)

Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359) Area 17: Riverside (except 91708, 92275), San Bernardino (except 91752, 91759, 92320, 92509, 93558)

Area 19: San Diego (except 91901, 91905-91906, 91916-91917, 91934-91935, 91948, 91962-91963, 91980, 92004, 92036, 92059, 92061, 92066, 92086, 92536, 92672)

Area 19: San Diego (except 92536, 92672)

Anthem Blue Cross - Prudent Buyer - Small Group Area 1: Alpine (except 95223), Amador (except 95646), Colusa (except 95988), Humboldt (except 95563, 95587), Mendocino (except 95542), Plumas (except 95981, 96063), Sutter (except 95648), Tehama (except 96007), Trinity (except 95543), Tuolume (except 95230)

Anthem Blue Cross - Select PPO Area 1: Alpine (except 95223), Amador (except 95646), Colusa (except 95988), Humboldt (except 95563, 95587), Mendocino (except 95542), Plumas (except 95981, 96063), Sutter (except 95648), Tehama (except 96007), Trinity (except 95543), Tuolume (except 95230)

Area 2: Marin (except 94952), Napa (except 94589, 94590, 94591, 95461), Solano (except 94558), Sonoma (except 94574, 95461)

Area 2: Marin (except 94952), Napa (except 94589, 94590, 94591, 95461), Solano (except 94558), Sonoma (except 94574, 95461)

Area 3: El Dorado (except 95666), Placer (except 95724, 96162), Yolo (except 95620, 95899)

Area 3: El Dorado (except 95666), Placer (except 95724, 96162), Yolo (except 95620, 95899)

***Please see previous page for complete county listing*** THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

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CaliforniaChoice® ZIP Code/Service Detail by Rating Area Key - For effective dates 12/1/16-12/1/16v2 INSTRUCTIONS: If the FULL county is not covered, exceptions/inclusions are listed below. Please refer to page 2 for county listings. Anthem Blue Cross - Select PPO continued Area 4: San Francisco (except 94014)

Health Net - Salud Y Mas Area 14: Kern (93263, 93301-93309, 93311-93314)

Kaiser Permanente continued Area 4: San Francisco (except 94014, 94128)

Area 5: Contra Costa (except 94568, 94588, 94611)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 91709-91710, 91759, 91786, 93510, 93532, 93534-93536, 93539, 93543-93544, 93550-93553, 93560, 93563, 93584, 93586, 93590-93591, 93599)

Area 5: Contra Costa (except 94568, 94588, 94611)

Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 90090, 91310, 91321-91322, 91350-91351, 91354-91355, 91359, 91361-91362, 91380-91387, 91390, 93243, 93560)

Area 7: Santa Clara (except 94028, 94539, 95023)

Area 6: Alameda (except 94583, 95035) Area 7: Santa Clara (except 94028, 94539) Area 8: San Mateo (except 94112, 94134)

Area 8: San Mateo (except 94112, 94134)

Area 10: Mariposa (except 95369), Merced (except 95316, 95360), San Joaquin (except 94505), Stanislaus (except 95324), Tulare (except 93230)

Area 17: Riverside (91752, 92320, 92501-92509, 92513-92519, 92521-92522, 92551-92557, 92570-92571, 92599, 92860, 92877-92883), San Bernardino (except 91752, 91766, 91785, 91792, 92242, 92252, 92256, 92267-92268, 92277-92278, 92280, 92284-92286, 92301, 92304-92305, 92307-92312, 92314-92315, 92320, 92323, 92327, 92329, 92332-92333, 92338-92342, 92347, 92356, 92363-92366, 92368, 92371-92372, 92386, 92392-92395, 92397-92398, 92509, 92880, 93516, 93555, 93558, 93562, 93592)

Area 11: Fresno (except 93603, 93633, 93647), Madera (except 93630)

Area 18: Orange (except 90638)

Area 12: San Luis Obispo (except 93458), Ventura (except 93225)

Area 19: San Diego (except 91905-91906, 91916, 91934, 91962-91963, 91980, 92004, 92036, 92066, 92086, 92536, 92672)

Area 9: San Benito (except 93925, 95020), Santa Cruz (except 94060)

Area 6: Alameda (except 94583, 95035, 95304)

Area 10: Mariposa (93601, 93623, 93653), Stanislaus (except 95324), Tulare (93238, 93261, 93618, 93631, 93646, 93654, 93666, 93673) Area 11: Fresno (except 93210, 93234, 93245, 93603, 93605, 93608, 93620-93622, 93628, 93633-93634, 93640-93642, 93647, 93664), Kings (93230, 93232, 93242, 93631, 93656), Madera (except 93610, 93620, 93622, 93630) Area 12: Ventura (except 93013, 93023-93024, 93225) Area 13: Imperial (92274-92275)

Area 14: Kern (except 93219, 93461) Health Net - Wholecare

Area 14: Kern (except 93219, 93255, 93283, 93461, 93516, 93523-93524, 93527-93528, 93554-93556, 93558, 93596)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 91710, 91786) Area 1: Nevada (except 95602, 95724, 95728, 95977, 95986, 96111, 96160-96162)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90704, 91710, 91786)

Area 2: Marin (except 94952), Napa (except 94589, 94590-94591, 95461, 95476), Solano (except 94503, 94558, 95616, 95618, 95690, 95694), Sonoma (except 94515, 94574, 95461)

Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359)

Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359) Area 17: Riverside (except 91708, 92275), San Bernardino (except 91752, 91759, 920320, 92509, 93558) Area 19: San Diego (except 92536, 92672) Health Net - PureCare Area 1: Nevada (except 95602, 95724, 95728, 95977, 95986, 96111, 96160-96162)

Area 3: El Dorado (except 95629, 95656, 95666, 95720-95721, 95735, 96142, 96150-96152, 96154-96158), Placer (except 95626, 95715, 95717, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Sacramento (except 94571, 95678), Yolo (except 95615, 95620, 95899, 95912)

Area 17: Riverside (except 91708, 92225-92226, 92239, 92275, 92536, 92539, 92549, 92561), San Bernardino (except 91752, 91759, 92242, 92267, 92280, 92301, 92304, 92309-92312, 92320, 92323, 92327, 92332, 92338, 92342, 92347, 92356, 92363-92366, 92368, 92398, 92509, 93516, 93555, 93558, 93562, 93592) Area 19: San Diego (except 91905-91506, 91934, 91948, 92004, 92036, 92066, 92070, 92536, 92672)

Area 4: San Francisco (except 94014, 94128) Area 2: Marin (except 94952), Napa (except 94589, 94590-94591, 95461, 95476), Solano (except 94503, 94558, 95616, 95618, 95690, 95694), Sonoma (except 94515, 94574, 95461)

Sharp - Performance Network

Area 5: Contra Costa (except 94551, 94568, 94588, 94611, 94706-94708) Area 19: San Diego (except 92536, 92672)

Area 3: El Dorado (except 95629, 95656, 95666, 95720-95721, 95735, 96142, 96150-96152, 96154-96158), Placer (except 95626, 95715, 95717, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Sacramento (except 94571, 95678), Yolo (except 95615, 95620, 95899, 95912)

Area 6: Alameda (except 94505, 94514, 94583, 95035, 95304, 95377, 95391)

Area 4: San Francisco (except 94014, 94128)

Area 8: San Mateo (except 94112, 94134, 94303)

Area 5: Contra Costa (except 94551, 94568, 94588, 94611, 94706-94708)

Area 9: Santa Cruz (except 94060)

Area 1: Sutter (95645, 95659, 95668)

Area 6: Alameda (except 94505, 94514, 94583, 95035, 95304, 95377, 95391)

Area 10: Merced (except 93610, 93622, 95316, 95360, 95380), San Joaquin (except 94505, 94514, 95214, 95297, 95361, 95632, 95690), Stanislaus (except 95230, 95304, 95322, 95324, 95385, 95397), Tulare (except 93212, 93215, 93230, 93238, 93527, 93631, 93633, 93641, 93646, 93654)

Area 2: Sonoma (except 94515, 94574, 94922-94923, 95412, 95416, 95431, 95433, 95461, 95476, 95480, 95487, 95497)

Area 7: Santa Clara (except 94028, 94539, 94550, 95023, 95033, 95076)

Sharp - Premier Network Area 19: San Diego (except 92003-92004, 92007-92011, 92013, 92018, 92023-92030, 92033, 92046, 92049, 9205192052, 92054-92061, 92065, 92068-92070, 92075, 92078-92079, 92081-92085, 92088, 92096, 92536, 92672) Sutter Health Plus - Full

Area 7: Santa Clara (except 94028, 94539, 94550, 95023, 95033, 95076) Area 8: San Mateo (except 94112, 94134, 94303)

Area 11: Fresno (except 93245, 93603, 93618, 93620, 93633, 93844, 93647, 93888), Kings (except 93242, 93246, 93631, 93656), Madera (except 93602, 93620, 93622-93623, 93626, 93630, 93720)

Area 3: El Dorado (95614, 95635, 95651, 95664, 95672, 95682, 95762), Placer (95602-95603, 95648, 95650, 95658, 95661, 95663, 95677-95678, 95681, 95703, 95713, 95722, 95746-95747, 95765) Area 4: San Francisco (94102-94105, 94107-94112, 94114-94118. 94121-94124, 94127, 94129-94134, 94158)

Area 9: Santa Cruz (except 94060) Area 12: Santa Barbara (except 93252), Ventura (except 90265, 91304, 91307, 91311, 93013, 93099, 93225, 93252) Area 10: Merced (except 93610, 93622, 95316, 95360, 95380), San Joaquin (except 94505, 94514, 95214, 95297, 95361, 95632, 95690), Stanislaus (except 95230, 95304, 95322, 95324, 95385, 95397), Tulare (except 93212, 93215, 93230, 93238, 93527, 93631, 93633, 93641, 93646, 93654) Area 11: Fresno (except 93245, 93603, 93618, 93620, 93633, 93844, 93647, 93888), Kings (except 93242, 93246, 93631, 93656), Madera (except 93602, 93620, 93622-93623, 93626, 93630, 93720) Area 12: Santa Barbara (except 93252), Ventura (except 90265, 91304, 91307, 91311, 93013, 93099, 93225, 93252) Area 14: Kern (except 93219, 93461, 93527-93528, 93536, 93554-93556, 93558) Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 91709-91710, 91759, 91786, 93560)

Area 14: Kern (except 93219, 93461, 93527-93528, 93536, 93554-93556, 93558) Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 91709-91710, 91759, 91786, 93560) Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 90090, 90189, 91359, 9136191362, 93243) Area 17: Riverside (except 91708, 92028, 92225-92226, 92239, 92275, 92324, 92373, 92399), San Bernardino (except 91752, 91766, 91792, 92242, 92267, 92280, 92304, 92309-92310, 92320, 92323, 92332, 92338, 92363-92364, 92366, 92509, 92880, 93516, 93555, 93558, 93562, 93592)

Area 7: Santa Clara (94022, 94024, 94040-94041, 94043, 94085-94087, 94089, 94301, 94303-94306, 95002, 95008, 95014, 95030, 95032-95033, 95035, 95050-95051, 95053-95054, 95070, 95110, 95112-95113, 95116-95118, 95122, 95124-95126, 95128-95131, 95133-95134, 95192) UnitedHealthcare - Alliance Area 11: Fresno (except 93245, 93603, 93618, 93620, 93633, 93647), Kings (except 93242, 93631, 93656), Madera (93601, 93604, 93614, 93636, 93643-93645, 93669) Area 12: Ventura (except 90265, 91304, 91307, 91311, 93013, 93225, 93252) Area 14: Kern (except 93219, 93461, 93536, 93558) Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 90704, 91709-91710, 91786, 93560)

Area 18: Orange (except 90638) Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 90090, 90189, 91359, 9136191362, 93243) Area 17: Riverside (except 91708, 92028, 92225-92226, 92239, 92275, 92324, 92373, 92399), San Bernardino (except 91752, 91766, 91792, 92242, 92267, 92280, 92304, 92320, 92323, 92332, 92338, 92363-92364, 92366, 92509, 92880, 93516, 93555, 93558, 93562, 93592)

Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359, 91361-91362, 93243) Area 19: San Diego (except 91987, 92096, 92536, 92672) Kaiser Permanente Area 1: Amador (95640, 95669), Sutter (95626, 95645, 95659, 95668, 95674, 95676, 95692, 95836, 95837), Yuba (95692, 95903, 95961)

Area 18: Orange (except 90638) Area 19: San Diego (except 91987, 92096, 92536, 92672)

Area 2: Napa (except 94589, 94591, 95461), Marin (except 94952, 94998), Solano (except 94558), Sonoma (except 94574, 95412, 95461, 95480, 95497) Area 3: El Dorado (except 95629, 95636, 95656, 95666, 95684, 95709, 95720-95721, 95726, 95735, 96142, 9615096152, 96154-96158), Placer (except 95631, 95701, 95713-95715, 95717, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Sacramento (except 94245, 94299, 95678), Yolo (except 95606, 95627, 95637, 95653, 95679, 95899, 95912, 95937)

***Please see page 2 for complete county listing*** THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

4

CaliforniaChoice® ZIP Code/Service Detail by Rating Area Key - For effective dates 12/1/16-12/1/16v2 INSTRUCTIONS: If the FULL county is not covered, exceptions/inclusions are listed below. Please refer to page 2 for county listings. UnitedHealthcare - Alliance continued Area 17: Riverside (except 91708, 92028, 92225-92226, 92239, 92275, 92320, 92324, 92373, 92399, 92536, 92539, 92561), San Bernardino (except 91752, 91759, 91766, 91792, 92242, 92252, 92256, 92267-92268, 92277-92278, 92280, 92285,92304-92305, 92309-92315, 92317, 92320-92323, 92325, 92327, 92329, 92332-92333, 92338-92339, 9234192342, 92347, 92352, 92356, 92358, 92363-92366, 92368, 92371-92372, 92376, 92378, 92382, 92385-92386, 92391, 92397-92399, 92509, 92880, 93516, 93555, 93558, 93562, 93592)

UnitedHealthcare - SignatureValue continued Area 12: San Luis Obispo (except 93252, 93426, 93454, 93458), Santa Barbara (except 93252), Ventura (except 90265, 91304, 91307, 91311, 93013, 93225, 93252) Area 13: Imperial (except 92004, 92222, 92225, 92266, 92274, 92283) Area 14: Kern (except 93219, 93461, 93536, 93558)

Area 18: Orange (except 90638) Area 19: San Diego (except 91901, 91903, 91905-91906, 91916-91917, 91931, 91934, 91948, 91962-91963, 91980, 91987, 92004, 92036, 92055, 92059-92061, 92066, 92070, 92086, 92536, 92672)

Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 90704, 91709-91710, 91786, 93560) Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359, 91361-91362, 93243)

UnitedHealthcare - Focus Area 3: Placer (except 95626, 95668, 95701, 95714-95715, 95717, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Sacramento (except 94571, 95678), Yolo (except 95606, 95615, 95620, 95637, 95645, 95679, 95899, 95912)

Area 17: Riverside (except 91708, 92028, 92225-92226, 92275, 92324, 92373, 92399), San Bernardino (except 91752, 91759, 91766, 91792, 92242, 92267, 92280, 92304, 92320, 92332, 92363, 92509, 92880, 93516, 93555, 93558, 93562, 93592) Area 18: Orange (except 90638)

Area 4: San Francisco (except 94014, 94128) Area 19: San Diego (except 92536, 92672) Area 5: Contra Costa (except 94505, 94509, 94511, 94513-94514, 94517, 94523, 94531, 94548, 94551, 94561, 94568, 94588, 94611, 94706-94708) Area 6: Alameda (except 94505, 94514, 94583, 95035, 95304, 95377, 95391)

Western Health Advantage Area 2: Marin (except 94952), Napa (except 94589, 94591, 95461), Solano (except 94510, 94558, 94589, 94590-94592), Sonoma (except 94574, 95461, 95486)

Area 7: Santa Clara (except 94022-94024, 94028, 94301-94306, 94309, 94539, 94550, 95020-95021, 95023, 95026, 95031, 95033, 95037-95038, 95044, 95046, 95076, 95140)

Area 3: El Dorado (except 95629, 95720-95721, 95735, 96142, 96150-96152, 96154-96158), Placer (except 95701, 95714-95715, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162)

Area 8: San Mateo (except 94020-94021, 94037-94038, 94044, 94060, 94074, 94112, 94134, 94303, 94401) Area 9: Santa Cruz (except 94060) Area 10: San Joaquin (except 94505, 94514, 95361, 95632, 95690), Stanislaus (except 95230, 95304, 95322, 95324, 95385) Area 12: Santa Barbara (93013-93014, 93067, 93101-93103, 93105-93111, 93116-93118, 93120-93121, 93130, 93140, 93150, 93160, 93190, 93199, 93252), Ventura (except 90265, 91304, 91307, 91311, 93013, 93225, 93252) Area 15: Los Angeles (ZIPs starting with 906-912, 915, 917, 918, 935, except 90623, 90630-90631, 90704, 91709-91710, 91786, 93532, 93534-93536, 93539, 93543, 93550-93552, 93560, 93584, 93586, 93590-93591, 93599) Area 16: Los Angeles (ZIPs starting with 900-905, 913-914, 916, 923, 928, 932, except 91359, 91361-91362, 93243) Area 17: Riverside (except 91708, 92028, 92225-92226, 92239, 92248, 92254, 92275, 92320, 92324, 92373, 92399, 92536, 92539, 92561), San Bernardino (except 91752, 91759, 91766, 91792,92242, 92252, 92256, 92267-92268, 9227792278, 92280, 92285, 92304-92305, 92309-92312, 92314-92315, 92317, 92320-92323, 92325, 92327, 92329, 9233192333, 92338-92339, 92341-92342, 92347, 92352, 92356, 92358, 92363-92366, 92368, 92371-92375, 92378, 92382, 92385-92386, 92391, 92397-92399, 92509, 92880, 93516, 93555, 93558, 93562, 93592) Area 18: Orange (except 90638) Area 19: San Diego (except 91903, 91905-91906, 91931, 91934-91935, 91948, 91962-91963, 91980, 91987, 9200392004, 92036, 92040, 92055, 92059-92061, 92066, 92070-92072, 92082, 92086, 92143, 92173, 92536, 92672) UnitedHealthcare - SignatureValue Area 1: Nevada (95712, 95924, 95945-95946, 95949, 95959-95960, 95975) Area 2: Marin (except 94924, 94952), Solano (except 94503, 94558, 95616, 95618, 95690, 95694), Sonoma (except 94515, 94574, 95461) Area 3: El Dorado (95613-95614, 95619, 95623, 95634, 95651, 95656, 95664, 95667, 95672, 95682, 95762), Placer (except 95626, 95668, 95724, 96140-96141, 96143, 96145-96146, 96148, 96161-96162), Sacramento (except 94571, 95678), Yolo (except 95615, 95620, 95899, 95912) Area 4: San Francisco (except 94014, 94128) Area 5: Contra Costa (except 94551, 94568, 94588, 94611, 94706-94708) Area 6: Alameda (except 94505, 94514, 94583, 95035, 95304, 95377, 95391) Area 7: Santa Clara (except 94028, 94539, 94550, 95023, 95033, 95076) Area 8: San Mateo (except 94112, 94134, 94303) Area 9: Santa Cruz (except 94060) Area 10: Merced (except 93610, 93622, 95316, 95360, 95380), San Joaquin (except 94505, 94514, 95361, 95632, 95690), Stanislaus (except 95230, 95304, 95322, 95324, 95385), Tulare (except 93212, 93215, 93230, 93238, 93527, 93631, 93641, 93646, 93654) Area 11: Fresno (except 93245, 93603, 93618, 93620, 93633, 93647), Kings (except 93242, 93631, 93656), Madera (93601, 93604, 93614, 93636, 93643-93645, 93669)

***Please see page 2 for complete county listing*** THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

5

AREA 1

USE EMPLOYER ZIP CODE FOR RATING Bronze CARRIER

AGE --> NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

HMO Deductible

HMO A

249.22

249.22

392.48

392.48

392.48

392.48

394.05

401.90

411.32

426.62

439.18

445.46

454.88

464.30

470.19

476.47

479.61

482.75

485.89

489.03

495.31

501.59

511.01

520.03

532.59

548.29

566.74

588.72

613.44

641.70

669.57

700.97

731.97

766.12

800.66

837.94

875.23

915.65

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

211.19

211.19

332.59

332.59

332.59

332.59

333.92

340.57

348.55

361.53

372.17

377.49

385.47

393.45

398.44

403.76

406.42

409.09

411.75

414.41

419.73

425.05

433.03

440.68

451.32

464.63

480.26

498.89

519.84

543.78

567.40

594.01

620.28

649.22

678.48

710.08

741.68

775.93

810.52

847.44

865.73

902.65

934.58

955.53

981.81

997.77

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

208.39

208.39

328.17

328.17

328.17

328.17

329.48

336.05

343.92

356.72

367.22

372.47

380.35

388.23

393.15

398.40

401.02

403.65

406.27

408.90

414.15

419.40

427.28

434.83

445.33

458.45

473.88

492.26

512.93

536.56

559.86

586.11

612.04

640.59

669.47

700.64

731.82

765.62

799.75

836.18

854.23

890.65

922.16

942.83

968.76

984.51 812.44

956.47 1000.04 1021.62 1065.19 1102.86 1127.59 1158.60 1177.44

Health Net

PureCare

HSP A

177.11

177.11

275.16

275.16

275.16

275.16

276.23

281.61

288.05

298.53

307.13

311.43

317.87

324.32

328.35

332.65

334.80

336.95

339.10

341.25

345.54

349.84

356.29

362.47

371.06

381.81

394.44

409.48

426.40

445.75

464.82

486.31

507.53

530.91

554.55

580.07

605.59

633.26

661.20

691.01

705.79

735.61

761.40

778.32

799.55

Kaiser Permanente

Full

HMO B

150.90

130.91

206.15

206.15

206.15

206.15

206.98

211.10

216.05

224.09

230.68

233.98

238.93

243.88

246.97

250.27

251.92

253.57

255.22

256.87

260.16

263.46

268.41

273.15

279.75

287.99

297.68

309.23

322.22

337.06

351.70

368.19

384.47

402.41

420.55

440.13

459.72

480.95

502.39

525.28

536.61

559.50

579.29

592.27

608.56

618.45

Kaiser Permanente

Full

HMO C

145.13

125.14

197.06

197.06

197.06

197.06

197.85

201.79

206.52

214.21

220.51

223.67

228.40

233.13

236.08

239.23

240.81

242.39

243.96

245.54

248.69

251.85

256.58

261.11

267.41

275.30

284.56

295.59

308.01

322.20

336.19

351.95

367.52

384.67

402.01

420.73

439.45

459.75

480.24

502.12

512.96

534.83

553.75

566.16

581.73

591.18 613.83

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

142.56

142.56

224.50

224.50

224.50

224.50

225.40

229.89

235.28

244.03

251.22

254.81

260.20

265.58

268.95

272.54

274.34

276.13

277.93

279.73

283.32

286.91

292.30

297.46

304.65

313.63

324.18

336.75

350.89

367.06

382.99

400.95

418.69

438.22

457.98

479.30

500.63

523.75

547.10

572.02

584.37

609.29

630.84

644.98

662.72

673.48

Sutter Health Plus

Full

HMO B

139.45

139.45

219.60

219.60

219.60

219.60

220.48

224.87

230.14

238.70

245.73

249.24

254.51

259.78

263.08

266.59

268.35

270.10

271.86

273.62

277.13

280.64

285.91

290.96

297.99

306.77

317.10

329.39

343.23

359.04

374.63

392.20

409.54

428.65

447.97

468.83

489.70

512.31

535.15

559.53

571.60

595.98

617.06

630.89

648.24

658.77 614.58

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver CARRIER

AGE -->

Aetna

HMO Deductible

HMO A

325.13

325.13

512.02

512.02

512.02

512.02

514.07

524.31

536.60

556.57

572.95

581.15

593.43

605.72

613.40

621.60

625.69

629.79

633.88

637.98

646.17

654.36

666.65

678.43

694.81

715.30

739.36

768.03

800.29

837.16

873.51

914.47

954.92

Anthem Blue Cross

Select HMO

HMO A

336.67

336.67

530.19

530.19

530.19

530.19

532.31

542.91

555.64

576.32

593.28

601.77

614.49

627.21

635.17

643.65

647.89

652.13

656.38

660.62

669.10

677.58

690.31

702.50

719.47

740.68

765.59

795.29

828.69

866.86

904.50

946.92

988.80 1034.93 1081.59 1131.96 1182.32 1236.93 1292.07 1350.92 1380.08 1438.94 1489.83 1523.24 1565.12 1590.57

999.47 1044.53 1093.17 1141.81 1194.55 1247.80 1304.63 1332.80 1389.63 1438.78 1471.04 1511.49 1536.07

Anthem Blue Cross

Advantage PPO

PPO A

246.32

246.32

387.90

387.90

387.90

387.90

389.45

397.21

406.52

421.65

434.06

440.27

449.58

458.89

464.70

470.91

474.01

477.12

480.22

483.32

489.53

495.74

505.05

513.97

526.38

541.90

560.13

581.85

606.29

634.22

661.76

692.79

723.43

757.18

791.32

828.17

865.02

904.97

945.31

988.37 1009.70 1052.76 1090.00 1114.44 1145.08 1163.70

Anthem Blue Cross

Select PPO

PPO B

230.32

230.32

362.71

362.71

362.71

362.71

364.16

371.42

380.12

394.27

405.87

411.68

420.38

429.09

434.53

440.33

443.23

446.13

449.03

451.94

457.74

463.54

472.25

480.59

492.20

506.71

523.75

544.07

566.92

593.03

618.78

647.80

676.45

708.01

739.93

774.39

808.84

846.20

883.92

924.19

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

251.90

251.90

396.70

396.70

396.70

396.70

398.29

406.22

415.74

431.21

443.91

450.25

459.78

469.30

475.25

481.59

484.77

487.94

491.11

494.29

500.64

506.98

516.50

525.63

538.32

554.19

572.83

595.05

620.04

648.60

676.77

708.51

739.85

774.36

809.27

846.95

884.64

925.50

966.76 1010.79 1032.61 1076.64 1114.73 1139.72 1171.06 1190.10

944.13

984.39 1019.22 1042.07 1070.72 1088.13

Health Net

PureCare

HSP A

200.03

200.03

311.26

311.26

311.26

311.26

312.48

318.57

325.89

337.77

347.52

352.40

359.71

367.03

371.60

376.47

378.91

381.35

383.79

386.23

391.10

395.98

403.29

410.30

420.05

432.24

446.56

463.63

482.83

504.77

526.41

550.79

574.86

601.37

628.19

657.14

686.09

717.48

749.17

783.00

799.76

833.58

862.84

882.04

906.11

920.74

Kaiser Permanente

Full

HMO B

188.82

168.83

265.87

265.87

265.87

265.87

266.93

272.25

278.63

289.00

297.51

301.76

308.14

314.52

318.51

322.76

324.89

327.02

329.15

331.27

335.53

339.78

346.16

352.28

360.78

371.42

383.91

398.80

415.55

434.70

453.57

474.84

495.85

518.98

542.37

567.63

592.89

620.27

647.92

677.43

692.06

721.57

747.09

763.84

784.84

797.61

Kaiser Permanente

Full

HMO C

191.77

171.78

270.51

270.51

270.51

270.51

271.59

277.01

283.50

294.05

302.70

307.03

313.52

320.02

324.07

328.40

330.57

332.73

334.89

337.06

341.39

345.72

352.21

358.43

367.09

377.91

390.62

405.77

422.81

442.29

461.49

483.14

504.51

528.04

551.85

577.54

603.24

631.11

659.24

689.27

704.14

734.17

760.14

777.18

798.55

811.53

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84 770.64

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

Sutter Health Plus

Full

HMO A

177.01

177.01

278.76

278.76

278.76

278.76

279.87

285.45

292.14

303.01

311.93

316.39

323.08

329.77

333.95

338.41

340.64

342.87

345.10

347.33

351.79

356.25

362.94

369.35

378.27

389.42

402.52

418.13

435.70

455.77

475.56

497.86

519.88

544.13

568.66

595.14

621.62

650.34

679.33

710.27

725.60

756.54

783.30

800.86

822.88

836.25

Sutter Health Plus

Full

HMO B

179.24

179.24

282.27

282.27

282.27

282.27

283.40

289.04

295.82

306.83

315.86

320.38

327.15

333.92

338.16

342.67

344.93

347.19

349.45

351.71

356.22

360.74

367.51

374.01

383.04

394.33

407.60

423.40

441.18

461.51

481.55

504.13

526.43

550.99

575.83

602.64

629.46

658.53

687.88

719.22

734.74

766.07

793.17

810.95

833.25

846.79

Sutter Health Plus

Full

HMO C

175.12

175.12

275.78

275.78

275.78

275.78

276.89

282.40

289.02

299.78

308.60

313.01

319.63

326.25

330.39

334.80

337.01

339.21

341.42

343.63

348.04

352.45

359.07

365.41

374.24

385.27

398.23

413.67

431.05

450.90

470.48

492.55

514.33

538.33

562.59

588.79

614.99

643.40

672.08

702.69

717.86

748.47

774.94

792.32

814.11

827.33

Sutter Health Plus

Full

HMO D

169.04

169.04

266.20

266.20

266.20

266.20

267.26

272.59

278.98

289.36

297.88

302.13

308.52

314.91

318.90

323.16

325.29

327.42

329.55

331.68

335.94

340.20

346.59

352.71

361.23

371.88

384.39

399.29

416.06

435.23

454.13

475.43

496.46

519.61

543.04

568.33

593.62

621.03

648.72

678.27

692.91

722.45

748.01

764.78

785.81

798.57

UnitedHealthcare

SignatureValue

HMO A

295.33

295.33

465.09

465.09

465.09

465.09

466.95

476.25

487.41

505.55

520.44

527.88

539.04

550.20

557.18

564.62

568.34

572.06

575.78

579.50

586.94

594.39

605.55

616.24

631.13

649.73

671.59

697.64

726.94

760.42

793.44

830.65

867.39

907.86

948.78

992.97 1037.15 1085.05 1133.42 1185.05 1210.63 1262.25 1306.90 1336.20 1372.95 1395.27

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

6

AREA 1 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold CARRIER

AGE --> NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Anthem Blue Cross

Select HMO

HMO A

386.58

386.58

608.78

608.78

608.78

608.78

611.22

623.39

638.00

661.74

681.22

690.97

705.58

720.19

729.32

739.06

743.93

748.80

753.67

758.54

768.28

778.02

792.63

806.63

826.11

850.47

879.08

913.17

951.52

995.36 1038.58 1087.28 1135.37 1188.34 1241.91 1299.75 1357.58 1420.28 1483.60 1551.17 1584.65 1652.23 1710.67 1749.02 1797.12 1826.34

Anthem Blue Cross

Advantage PPO

PPO A

291.56

291.56

459.15

459.15

459.15

459.15

460.99

470.17

481.19

499.10

513.79

521.14

532.15

543.17

550.06

557.41

561.08

564.75

568.43

572.10

579.45

586.79

597.81

608.37

623.07

641.43

663.01

688.73

717.65

750.71

783.31

820.04

856.31

896.26

936.67

980.29 1023.90 1071.20 1118.95 1169.91 1195.17 1246.13 1290.21 1319.14 1355.41 1377.45

Anthem Blue Cross

Select PPO

PPO B

256.51

256.51

403.96

403.96

403.96

403.96

405.58

413.66

423.35

439.10

452.03

458.49

468.19

477.88

483.94

490.41

493.64

496.87

500.10

503.33

509.80

516.26

525.96

535.25

548.17

564.33

583.32

605.94

631.39

660.47

689.16

721.47

753.39

788.53

824.08

862.45

900.83

942.44

Anthem Blue Cross

Select PPO

PPO C

266.40

266.40

419.52

419.52

419.52

419.52

421.20

429.59

439.66

456.02

469.44

476.16

486.22

496.29

502.58

509.30

512.65

516.01

519.37

522.72

529.43

536.15

546.22

555.86

569.29

586.07

605.79

629.28

655.71

685.92

715.70

749.26

782.40

818.90

855.82

895.68

935.53

978.74 1022.37 1068.94 1092.01 1138.58 1178.85 1205.28 1238.42 1258.56

Anthem Blue Cross

Select PPO

PPO D

251.94

251.94

396.75

396.75

396.75

396.75

398.34

406.27

415.79

431.27

443.96

450.31

459.83

469.36

475.31

481.65

484.83

488.00

491.18

494.35

500.70

507.05

516.57

525.69

538.39

554.26

572.91

595.13

620.12

648.69

676.86

708.60

739.94

774.46

809.37

847.06

884.75

925.62

966.88 1010.92 1032.74 1076.78 1114.87 1139.86 1171.21 1190.25

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

250.53

250.53

394.54

394.54

394.54

394.54

396.12

404.01

413.48

428.86

441.49

447.80

457.27

466.74

472.66

478.97

482.13

485.28

488.44

491.60

497.91

504.22

513.69

522.77

535.39

551.17

569.72

591.81

616.67

645.07

673.09

704.65

735.82

770.14

804.86

842.34

879.82

920.46

961.49 1005.29 1026.99 1070.78 1108.66 1133.51 1164.68 1183.62

970.26 1013.22 1059.07 1081.79 1127.65 1167.30 1193.33 1225.96 1245.79

984.45 1029.29 1051.51 1096.35 1135.13 1160.58 1192.49 1211.88

Health Net

Wholecare

HMO A

268.83

268.83

419.61

419.61

419.61

419.61

421.26

429.52

439.44

455.55

468.77

475.38

485.29

495.21

501.40

508.01

511.32

514.62

517.93

521.23

527.84

534.45

544.36

553.86

567.08

583.61

603.02

626.16

652.18

681.92

711.25

744.30

776.93

812.87

849.22

888.47

927.71

Health Net

Wholecare

HMO B

249.68

249.68

393.19

393.19

393.19

393.19

394.76

402.63

412.06

427.40

439.98

446.27

455.71

465.14

471.04

477.33

480.48

483.62

486.77

489.91

496.21

502.50

511.93

520.98

533.56

549.29

567.77

589.79

614.56

642.87

670.78

702.24

733.30

767.51

802.11

839.46

876.81

917.31

958.20 1001.85 1023.47 1067.12 1104.86 1129.63 1160.70 1179.57

Health Net

PureCare

HSP A

252.33

252.33

393.63

393.63

393.63

393.63

395.18

402.92

412.21

427.31

439.70

445.89

455.18

464.47

470.28

476.47

479.57

482.67

485.76

488.86

495.05

501.25

510.54

519.44

531.83

547.31

565.51

587.19

611.57

639.44

666.93

697.90

728.48

762.16

796.22

833.00

869.78

909.65

949.91

992.88 1014.17 1057.14 1094.30 1118.69 1149.27 1167.85

Kaiser Permanente

Full

HMO A

217.60

197.61

311.19

311.19

311.19

311.19

312.44

318.66

326.13

338.27

348.23

353.20

360.67

368.14

372.81

377.79

380.28

382.77

385.26

387.75

392.73

397.71

405.17

412.33

422.29

434.74

449.36

466.79

486.40

508.80

530.90

555.79

580.38

607.45

634.83

664.40

693.96

726.01

758.38

792.92

810.04

844.58

874.45

894.06

918.64

933.57

Kaiser Permanente

Full

HMO B

221.27

201.28

316.97

316.97

316.97

316.97

318.24

324.58

332.18

344.55

354.69

359.76

367.37

374.97

379.73

384.80

387.34

389.87

392.41

394.94

400.02

405.09

412.69

419.98

430.13

442.81

457.70

475.45

495.42

518.25

540.75

566.11

591.15

618.72

646.62

676.73

706.84

739.49

772.45

807.64

825.07

860.26

890.68

910.65

935.69

950.91 900.27

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

Sutter Health Plus

Full

HMO A

204.56

204.56

322.13

322.13

322.13

322.13

323.42

329.86

337.59

350.16

360.47

365.62

373.35

381.08

385.91

391.07

393.64

396.22

398.80

401.38

406.53

411.68

419.41

426.82

437.13

450.02

465.16

483.20

503.49

526.68

549.55

575.32

600.77

628.80

657.14

687.75

718.35

751.53

785.03

820.79

838.50

874.26

905.18

925.48

950.92

966.38

Sutter Health Plus

Full

HMO B

212.11

212.11

334.03

334.03

334.03

334.03

335.36

342.04

350.06

363.09

373.78

379.12

387.14

395.15

400.16

405.51

408.18

410.85

413.53

416.20

421.54

426.89

434.90

442.59

453.27

466.63

482.33

501.04

522.08

546.13

569.85

596.57

622.96

652.02

681.41

713.14

744.88

779.28

814.02

851.09

869.47

906.54

938.61

959.65

986.04 1002.06

Sutter Health Plus

Full

HMO C

210.36

210.36

331.28

331.28

331.28

331.28

332.60

339.23

347.18

360.10

370.70

376.00

383.95

391.90

396.87

402.17

404.82

407.47

410.12

412.77

418.07

423.37

431.32

438.94

449.54

462.79

478.36

496.91

517.78

541.63

565.15

591.65

617.82

646.64

675.80

707.27

738.74

772.86

807.31

844.08

862.30

899.07

930.87

951.74

977.92

UnitedHealthcare

SignatureValue

HMO A

353.85

353.85

557.25

557.25

557.25

557.25

559.48

570.62

584.00

605.73

623.56

632.48

645.85

659.23

667.59

676.50

680.96

685.42

689.88

694.33

703.25

712.17

725.54

738.36

756.19

778.48

804.67

835.88

870.98

911.10

950.67

995.25 1039.27 1087.75 1136.79 1189.73 1242.67 1300.06 1358.02 1419.87 1450.52 1512.38 1565.87 1600.98 1645.00 1671.75

993.81

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Platinum CARRIER

AGE -->

834.57

Anthem Blue Cross

Select HMO

HMO A

420.35

420.35

661.97

661.97

661.97

661.97

664.62

677.86

693.74

719.56

740.74

751.34

767.22

783.11

793.04

803.63

808.93

814.22

819.52

824.81

835.41

846.00

861.88

877.11

898.29

924.77

955.88

Kaiser Permanente

Full

HMO A

241.34

221.35

348.59

348.59

348.59

348.59

349.98

356.95

365.32

378.91

390.07

395.65

404.01

412.38

417.61

423.18

425.97

428.76

431.55

434.34

439.92

445.49

453.86

461.88

473.03

486.97

503.36

522.88

544.84

569.94

594.69

622.57

650.11

680.44

711.12

744.23

777.35

813.25

849.50

888.20

907.37

946.06

979.53 1001.49 1029.03 1045.77

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

Sutter Health Plus

Full

HMO A

244.27

244.27

384.68

384.68

384.68

384.68

386.22

393.91

403.14

418.15

430.45

436.61

445.84

455.07

460.84

467.00

470.08

473.15

476.23

479.31

485.46

491.62

500.85

509.70

522.01

537.39

555.47

577.02

601.25

628.95

656.26

687.03

717.42

750.89

784.74

821.28

857.83

897.45

937.45

980.15 1001.31 1044.01 1080.94 1105.17 1135.56 1154.02

Sutter Health Plus

Full

HMO C

242.38

242.38

381.70

381.70

381.70

381.70

383.23

390.87

400.03

414.91

427.13

433.23

442.39

451.56

457.28

463.39

466.44

469.50

472.55

475.60

481.71

487.82

496.98

505.76

517.97

533.24

551.18

572.55

596.60

624.08

651.18

681.72

711.87

745.08

778.67

814.93

851.20

890.51

930.21

972.58

UnitedHealthcare

SignatureValue

HMO A

382.54

382.54

602.43

602.43

602.43

602.43

604.84

616.89

631.35

654.84

674.12

683.76

698.22

712.67

721.71

731.35

736.17

740.99

745.81

750.63

760.27

769.91

784.36

798.22

817.50

841.59

869.91

903.65

941.60

984.97 1027.75 1075.94 1123.53 1175.94 1228.96 1286.19 1343.42 1405.47 1468.12 1534.99 1568.13 1635.00 1692.83 1730.78 1778.37 1807.29

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

992.96 1034.66 1082.32 1129.32 1182.28 1234.57 1292.17 1350.42 1413.31 1476.19 1544.38 1613.22 1686.70 1723.11 1796.59 1860.14 1901.84 1954.14 1985.91

975.90 1002.74 1019.04

993.57 1035.94 1072.58 1096.63 1126.78 1145.09

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

7

AREA 2

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

HMO Deductible

HMO A

233.94

233.94

368.41

368.41

368.41

368.41

369.88

377.25

386.09

400.46

412.25

418.14

426.98

435.83

441.35

447.25

450.19

453.14

456.09

459.04

464.93

470.82

479.67

488.14

499.93

514.66

531.98

552.61

575.82

602.35

628.50

657.98

687.08

719.13

751.55

786.55

821.55

859.49

897.81

938.70

958.96

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

232.44

232.44

366.05

366.05

366.05

366.05

367.51

374.84

383.62

397.90

409.61

415.47

424.25

433.04

438.53

444.38

447.31

450.24

453.17

456.10

461.96

467.81

476.60

485.02

496.73

511.37

528.58

549.08

572.14

598.49

624.48

653.77

682.68

714.53

746.74

781.52

816.29

853.99

892.06

932.70

952.83

993.46 1028.60 1051.66 1080.58 1098.15

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

229.39

229.39

361.24

361.24

361.24

361.24

362.68

369.91

378.58

392.67

404.23

410.01

418.68

427.35

432.77

438.55

441.44

444.33

447.22

450.11

455.88

461.66

470.33

478.64

490.20

504.65

521.63

541.86

564.62

590.63

616.28

645.17

673.71

705.14

736.93

771.25

805.57

842.77

880.34

920.44

940.31

980.41 1015.08 1037.84 1066.38 1083.72

999.86 1035.22 1058.43 1087.54 1105.22

Health Net

PureCare

HSP A

211.30

211.30

329.01

329.01

329.01

329.01

330.30

336.75

344.49

357.07

367.39

372.55

380.29

388.03

392.86

398.02

400.60

403.18

405.76

408.34

413.50

418.66

426.40

433.82

444.14

457.04

472.20

490.26

510.57

533.79

556.69

582.49

607.96

636.02

664.40

695.04

725.67

758.89

792.43

828.22

845.96

881.76

912.72

933.03

958.51

Kaiser Permanente

Full

HMO B

153.79

137.80

217.00

217.00

217.00

217.00

217.87

222.21

227.42

235.88

242.83

246.30

251.51

256.71

259.97

263.44

265.18

266.91

268.65

270.38

273.86

277.33

282.54

287.53

294.47

303.15

313.35

325.50

339.17

354.80

370.21

387.57

404.71

423.59

442.68

463.30

483.91

506.27

528.83

552.92

564.86

588.94

609.78

623.45

640.59

651.00

Kaiser Permanente

Full

HMO C

147.71

131.72

207.43

207.43

207.43

207.43

208.26

212.41

217.39

225.48

232.12

235.44

240.42

245.40

248.51

251.83

253.49

255.15

256.80

258.46

261.78

265.10

270.08

274.85

281.49

289.79

299.54

311.15

324.22

339.16

353.88

370.48

386.87

404.91

423.17

442.87

462.58

483.95

505.52

528.54

539.95

562.98

582.89

595.96

612.35

622.29 613.83

973.99

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

131.41

131.41

206.93

206.93

206.93

206.93

207.76

211.90

216.87

224.94

231.56

234.87

239.84

244.80

247.91

251.22

252.87

254.53

256.18

257.84

261.15

264.46

269.43

274.19

280.81

289.09

298.81

310.40

323.44

338.34

353.03

369.58

385.93

403.93

422.14

441.80

461.46

482.77

504.29

527.26

538.64

561.61

581.48

594.51

610.86

620.78

Sutter Health Plus

Full

HMO B

128.54

128.54

202.41

202.41

202.41

202.41

203.22

207.27

212.13

220.02

226.50

229.74

234.60

239.46

242.49

245.73

247.35

248.97

250.59

252.21

255.45

258.68

263.54

268.20

274.68

282.77

292.28

303.62

316.37

330.95

345.32

361.51

377.50

395.11

412.92

432.15

451.38

472.23

493.28

515.75

526.88

549.35

568.78

581.53

597.52

607.22 639.36

Western Health

Full

HMO A

135.33

135.33

213.12

213.12

213.12

213.12

213.97

218.23

223.34

231.66

238.48

241.89

247.00

252.12

255.31

258.72

260.43

262.13

263.84

265.54

268.95

272.36

277.48

282.38

289.20

297.72

307.74

319.68

333.10

348.45

363.58

380.63

397.46

416.01

434.76

455.01

475.25

497.20

519.37

543.02

554.75

578.40

598.86

612.29

629.13

Western Health

Full

HMO B

122.21

122.21

192.46

192.46

192.46

192.46

193.22

197.07

201.69

209.20

215.36

218.44

223.06

227.68

230.56

233.64

235.18

236.72

238.26

239.80

242.88

245.96

250.58

255.00

261.16

268.86

277.91

288.69

300.81

314.67

328.33

343.73

358.93

375.68

392.61

410.90

429.18

449.00

469.02

490.38

500.97

522.33

540.81

552.93

568.14

577.38

Western Health

Full

HMO C

133.37

133.37

210.04

210.04

210.04

210.04

210.88

215.08

220.12

228.31

235.03

238.39

243.43

248.47

251.62

254.98

256.66

258.34

260.02

261.70

265.07

268.43

273.47

278.30

285.02

293.42

303.29

315.06

328.29

343.41

358.32

375.13

391.72

409.99

428.48

448.43

468.38

490.02

511.86

535.18

546.73

570.04

590.21

603.44

620.03

630.12

Western Health

Full

HMO D

127.20

127.20

200.32

200.32

200.32

200.32

201.12

205.12

209.93

217.74

224.15

227.36

232.17

236.97

239.98

243.18

244.79

246.39

247.99

249.59

252.80

256.00

260.81

265.42

271.83

279.84

289.26

300.48

313.10

327.52

341.74

357.77

373.59

391.02

408.65

427.68

446.71

467.34

488.17

510.41

521.43

543.66

562.89

575.51

591.34

600.96

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

305.19

305.19

480.62

480.62

480.62

480.62

482.54

492.15

503.69

522.43

537.81

545.50

557.04

568.57

575.78

583.47

587.32

591.16

595.01

598.85

606.54

614.23

625.77

636.82

652.20

671.43

694.01

720.93

751.21

785.81

819.94

858.39

896.36

938.17

980.46 1026.12 1071.78 1121.29 1171.27 1224.62 1251.05 1304.40 1350.54 1380.82 1418.79 1441.86

Anthem Blue Cross

Advantage PPO

PPO A

270.06

270.06

425.29

425.29

425.29

425.29

426.99

435.50

445.70

462.29

475.90

482.70

492.91

503.12

509.50

516.30

519.70

523.11

526.51

529.91

536.72

543.52

553.73

563.51

577.12

594.13

614.12

637.94

664.73

695.35

725.54

759.57

793.17

830.17

867.59

907.99

948.40

992.20 1036.43 1083.64 1107.03 1154.24 1195.06 1221.86 1255.46 1275.87

Anthem Blue Cross

Select PPO

PPO B

253.33

253.33

398.95

398.95

398.95

398.95

400.55

408.52

418.10

433.66

446.43

452.81

462.38

471.96

477.94

484.33

487.52

490.71

493.90

497.09

503.47

509.86

519.43

528.61

541.38

557.33

576.08

598.43

623.56

652.28

680.61

712.52

744.04

778.75

813.86

851.76

889.66

930.75

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

277.25

277.25

436.62

436.62

436.62

436.62

438.37

447.10

457.58

474.61

488.58

495.56

506.04

516.52

523.07

530.06

533.55

537.04

540.54

544.03

551.01

558.00

568.48

578.52

592.49

609.96

630.48

654.93

682.44

713.87

744.87

779.80

814.30

852.28

890.70

932.18

973.66 1018.63 1064.04 1112.51 1136.52 1184.99 1226.90 1254.41 1288.90 1309.86

Health Net

PureCare

HSP A

238.82

238.82

372.35

372.35

372.35

372.35

373.81

381.13

389.91

404.18

415.88

421.74

430.52

439.30

444.78

450.64

453.56

456.49

459.42

462.34

468.20

474.05

482.83

491.24

502.95

517.58

534.78

555.27

578.31

604.65

630.63

659.89

688.79

720.62

752.81

787.57

822.32

860.00

898.05

938.65

958.78

999.38 1034.50 1057.55 1086.45 1104.01

Kaiser Permanente

Full

HMO B

193.70

177.71

279.86

279.86

279.86

279.86

280.98

286.58

293.30

304.21

313.17

317.64

324.36

331.08

335.27

339.75

341.99

344.23

346.47

348.71

353.19

357.66

364.38

370.82

379.77

390.97

404.12

419.79

437.42

457.57

477.44

499.83

521.94

546.29

570.92

597.50

624.09

652.92

682.02

713.09

728.48

759.54

786.41

804.04

826.15

839.58

Kaiser Permanente

Full

HMO C

196.81

180.82

284.75

284.75

284.75

284.75

285.89

291.58

298.42

309.52

318.64

323.19

330.03

336.86

341.13

345.69

347.96

350.24

352.52

354.80

359.35

363.91

370.74

377.29

386.41

397.80

411.18

427.13

445.06

465.57

485.78

508.56

531.06

555.83

580.89

607.94

634.99

664.32

693.94

725.54

741.21

772.81

800.15

818.09

840.58

854.25

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64 770.82

972.24 1016.52 1038.47 1082.75 1121.05 1146.18 1177.70 1196.85

Sutter Health Plus

Full

HMO A

163.16

163.16

256.95

256.95

256.95

256.95

257.97

263.11

269.28

279.30

287.52

291.63

297.80

303.97

307.82

311.93

313.99

316.04

318.10

320.15

324.27

328.38

334.54

340.45

348.68

358.95

371.03

385.42

401.61

420.10

438.35

458.90

479.20

501.56

524.17

548.58

572.99

599.45

626.17

654.69

668.82

697.35

722.01

738.20

758.50

Sutter Health Plus

Full

HMO B

165.22

165.22

260.18

260.18

260.18

260.18

261.22

266.43

272.67

282.82

291.15

295.31

301.55

307.80

311.70

315.86

317.94

320.02

322.11

324.19

328.35

332.51

338.76

344.74

353.07

363.47

375.70

390.27

406.66

425.40

443.87

464.68

485.24

507.87

530.77

555.49

580.20

607.00

634.06

662.94

677.25

706.13

731.11

747.50

768.05

780.53

Sutter Health Plus

Full

HMO C

161.42

161.42

254.21

254.21

254.21

254.21

255.22

260.31

266.41

276.32

284.46

288.52

294.62

300.72

304.54

308.60

310.64

312.67

314.71

316.74

320.81

324.87

330.97

336.82

344.96

355.12

367.07

381.31

397.32

415.62

433.67

454.01

474.09

496.20

518.57

542.72

566.87

593.06

619.49

647.71

661.69

689.91

714.31

730.32

750.41

762.60

Sutter Health Plus

Full

HMO D

155.81

155.81

245.37

245.37

245.37

245.37

246.35

251.26

257.15

266.72

274.57

278.49

284.38

290.27

293.95

297.88

299.84

301.80

303.77

305.73

309.66

313.58

319.47

325.11

332.96

342.78

354.31

368.05

383.51

401.18

418.60

438.23

457.61

478.96

500.55

523.86

547.17

572.44

597.96

625.19

638.69

665.92

689.48

704.94

724.32

736.09

UnitedHealthcare

SignatureValue

HMO A

295.33

295.33

465.09

465.09

465.09

465.09

466.95

476.25

487.41

505.55

520.44

527.88

539.04

550.20

557.18

564.62

568.34

572.06

575.78

579.50

586.94

594.39

605.55

616.24

631.13

649.73

671.59

697.64

726.94

760.42

793.44

830.65

867.39

907.86

948.78

992.97 1037.15 1085.05 1133.42 1185.05 1210.63 1262.25 1306.90 1336.20 1372.95 1395.27

Western Health

Full

HMO A

152.46

152.46

240.11

240.11

240.11

240.11

241.07

245.87

251.63

260.99

268.68

272.52

278.28

284.05

287.65

291.49

293.41

295.33

297.25

299.17

303.01

306.86

312.62

318.14

325.82

335.43

346.71

360.16

375.29

392.57

409.62

428.83

447.80

468.69

489.82

512.63

535.44

560.17

585.14

611.80

625.00

651.65

674.70

689.83

708.80

Western Health

Full

HMO B

160.13

160.13

252.18

252.18

252.18

252.18

253.18

258.23

264.28

274.11

282.18

286.22

292.27

298.32

302.11

306.14

308.16

310.18

312.19

314.21

318.25

322.28

328.33

334.13

342.20

352.29

364.14

378.27

394.15

412.31

430.21

450.39

470.31

492.25

514.44

538.40

562.36

588.33

614.56

642.55

656.42

684.41

708.62

724.51

744.43

756.54

Western Health

Full

HMO C

149.51

149.51

235.46

235.46

235.46

235.46

236.40

241.11

246.76

255.94

263.47

267.24

272.89

278.54

282.08

285.84

287.73

289.61

291.49

293.38

297.15

300.91

306.56

311.98

319.51

328.93

340.00

353.19

368.02

384.97

401.69

420.53

439.13

459.61

480.33

502.70

525.07

549.32

573.81

599.95

612.90

639.03

661.64

676.47

695.07

706.38

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

8

720.33

AREA 2 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

327.98

327.98

516.50

516.50

516.50

516.50

518.56

528.89

541.29

561.43

577.96

586.23

598.62

611.02

618.77

627.03

631.16

635.29

639.43

643.56

651.82

660.09

672.48

684.36

700.89

721.55

745.82

774.75

807.29

844.48

881.15

922.47

Aetna

Aetna Value Network

HMO B

321.64

321.64

506.53

506.53

506.53

506.53

508.55

518.68

530.84

550.59

566.80

574.91

587.06

599.22

606.82

614.92

618.97

623.03

627.08

631.13

639.24

647.34

659.50

671.15

687.36

707.62

731.42

759.79

791.70

828.17

864.13

904.66

944.67

988.74 1033.31 1081.43 1129.55 1181.73 1234.40 1290.63 1318.49 1374.71 1423.34 1455.25 1495.26 1519.58

Anthem Blue Cross

Advantage PPO

PPO A

319.62

319.62

503.34

503.34

503.34

503.34

505.35

515.42

527.50

547.13

563.24

571.29

583.37

595.45

603.00

611.05

615.08

619.11

623.13

627.16

635.22

643.27

655.35

666.93

683.03

703.17

726.82

755.01

786.72

822.96

858.70

898.97

938.73

982.52 1026.81 1074.63 1122.45 1174.29 1226.64 1282.51 1310.19 1366.06 1414.39 1446.10 1485.86 1510.02

963.27 1008.21 1053.66 1102.72 1151.79 1204.99 1258.71 1316.04 1344.45 1401.78 1451.36 1483.90 1524.70 1549.50

Anthem Blue Cross

Select PPO

PPO B

282.15

282.15

444.33

444.33

444.33

444.33

446.11

454.99

465.66

482.99

497.21

504.31

514.98

525.64

532.31

539.42

542.97

546.53

550.08

553.64

560.74

567.85

578.52

588.74

602.96

620.73

641.61

666.50

694.49

726.48

758.03

793.57

828.68

867.33

906.43

948.64

Anthem Blue Cross

Select PPO

PPO C

293.01

293.01

461.44

461.44

461.44

461.44

463.29

472.51

483.59

501.59

516.35

523.73

534.81

545.88

552.81

560.19

563.88

567.57

571.26

574.95

582.34

589.72

600.79

611.41

626.17

644.63

666.32

692.16

721.23

754.45

787.22

824.13

860.59

900.73

941.34

985.17 1029.01 1076.54 1124.53 1175.75 1201.13 1252.35 1296.65 1325.72 1362.17 1384.32

990.86 1036.62 1082.83 1132.15 1156.59 1205.91 1248.57 1276.56 1311.66 1332.99

Anthem Blue Cross

Select PPO

PPO D

277.11

277.11

436.39

436.39

436.39

436.39

438.14

446.86

457.34

474.36

488.32

495.30

505.78

516.25

522.80

529.78

533.27

536.76

540.25

543.74

550.72

557.71

568.18

578.22

592.18

609.64

630.15

654.59

682.08

713.50

744.48

779.39

813.87

851.83

890.24

931.69

973.15 1018.10 1063.48 1111.92 1135.92 1184.36 1226.26 1253.75 1288.22 1309.17

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

275.77

275.77

434.28

434.28

434.28

434.28

436.02

444.70

455.13

472.06

485.96

492.91

503.33

513.75

520.27

527.22

530.69

534.16

537.64

541.11

548.06

555.01

565.43

575.42

589.32

606.69

627.10

651.42

678.78

710.05

740.88

775.62

809.93

847.71

885.93

927.19

968.44 1013.18 1058.34 1106.55 1130.43 1178.64 1220.33 1247.69 1281.99 1302.84

Health Net

Wholecare

HMO A

321.42

321.42

502.42

502.42

502.42

502.42

504.40

514.32

526.22

545.56

561.43

569.37

581.27

593.17

600.61

608.54

612.51

616.48

620.44

624.41

632.35

640.28

652.18

663.59

679.46

699.29

722.60

750.37

781.61

817.32

852.53

892.20

931.37

974.52 1018.16 1065.27 1112.38 1163.45 1215.03 1270.07 1297.35 1352.39 1400.00 1431.24 1470.42 1494.22

Health Net

Wholecare

HMO B

299.72

299.72

472.00

472.00

472.00

472.00

473.89

483.33

494.66

513.06

528.17

535.72

547.05

558.38

565.46

573.01

576.78

580.56

584.34

588.11

595.66

603.22

614.54

625.40

640.50

659.38

681.57

708.00

737.74

771.72

805.23

842.99

880.28

921.34

962.88 1007.72 1052.56 1101.18 1150.26 1202.66 1228.62 1281.01 1326.32 1356.06 1393.34 1416.00

Health Net

PureCare

HSP A

301.61

301.61

471.23

471.23

471.23

471.23

473.09

482.38

493.54

511.66

526.53

533.97

545.12

556.27

563.24

570.68

574.40

578.11

581.83

585.55

592.98

600.42

611.57

622.26

637.13

655.72

677.56

703.59

732.86

766.32

799.32

836.49

873.20

913.63

954.53

Kaiser Permanente

Full

HMO A

224.00

208.01

327.57

327.57

327.57

327.57

328.88

335.43

343.30

356.07

366.55

371.79

379.66

387.52

392.43

397.67

400.29

402.91

405.53

408.15

413.40

418.64

426.50

434.03

444.52

457.62

473.01

491.36

511.99

535.58

558.84

585.04

610.92

639.42

668.25

699.37

730.49

764.23

798.29

834.65

852.67

889.03

920.48

941.11

966.99

Kaiser Permanente

Full

HMO B

227.86

211.87

333.65

333.65

333.65

333.65

334.99

341.66

349.67

362.68

373.36

378.70

386.70

394.71

399.72

405.05

407.72

410.39

413.06

415.73

421.07

426.41

434.42

442.09

452.77

466.11

481.79

500.48

521.50

545.52

569.21

595.90

622.26

651.29

680.65

712.35

744.04

778.41

813.11

850.15

868.50

905.53

937.56

958.58

984.94 1000.95

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40 890.76

998.68 1042.82 1090.69 1139.02 1190.60 1216.16 1267.74 1312.36 1341.63 1378.34 1400.65 982.71

Sutter Health Plus

Full

HMO A

188.55

188.55

296.93

296.93

296.93

296.93

298.11

304.05

311.18

322.76

332.26

337.01

344.14

351.26

355.72

360.47

362.84

365.22

367.59

369.97

374.72

379.47

386.60

393.43

402.93

414.81

428.76

445.39

464.09

485.47

506.55

530.31

553.76

579.60

605.73

633.93

662.14

692.72

723.60

756.56

772.89

805.85

834.36

853.06

876.52

Sutter Health Plus

Full

HMO B

195.51

195.51

307.89

307.89

307.89

307.89

309.12

315.28

322.67

334.68

344.53

349.46

356.85

364.24

368.85

373.78

376.24

378.71

381.17

383.63

388.56

393.48

400.87

407.96

417.81

430.12

444.59

461.84

481.23

503.40

525.26

549.89

574.21

601.00

628.09

657.34

686.59

718.31

750.33

784.50

801.43

835.61

865.17

884.56

908.89

923.66

Sutter Health Plus

Full

HMO C

193.90

193.90

305.35

305.35

305.35

305.35

306.58

312.68

320.01

331.92

341.69

346.58

353.91

361.23

365.81

370.70

373.14

375.59

378.03

380.47

385.36

390.24

397.57

404.59

414.36

426.58

440.93

458.03

477.27

499.25

520.93

545.36

569.48

596.05

622.92

651.93

680.94

712.39

744.14

778.04

794.83

828.72

858.04

877.28

901.40

916.04

995.25 1039.27 1087.75 1136.79 1189.73 1242.67 1300.06 1358.02 1419.87 1450.52 1512.38 1565.87 1600.98 1645.00 1671.75

UnitedHealthcare

SignatureValue

HMO A

353.85

353.85

557.25

557.25

557.25

557.25

559.48

570.62

584.00

605.73

623.56

632.48

645.85

659.23

667.59

676.50

680.96

685.42

689.88

694.33

703.25

712.17

725.54

738.36

756.19

778.48

804.67

835.88

870.98

911.10

950.67

Western Health

Full

HMO A

183.76

183.76

289.40

289.40

289.40

289.40

290.55

296.34

303.29

314.57

323.83

328.46

335.41

342.36

346.70

351.33

353.64

355.96

358.27

360.59

365.22

369.85

376.79

383.45

392.71

404.29

417.89

434.10

452.33

473.16

493.71

516.86

539.73

564.90

590.37

617.86

645.36

675.17

705.26

737.39

753.30

785.43

813.21

831.44

854.30

868.20

Western Health

Full

HMO B

191.87

191.87

302.17

302.17

302.17

302.17

303.37

309.42

316.67

328.45

338.12

342.96

350.21

357.46

361.99

366.83

369.25

371.66

374.08

376.50

381.33

386.17

393.42

400.37

410.04

422.13

436.33

453.25

472.29

494.04

515.50

539.67

563.54

589.83

616.42

645.13

673.83

704.96

736.38

769.92

786.54

820.08

849.09

868.13

892.00

906.51

Western Health

Full

HMO C

173.92

173.92

273.89

273.89

273.89

273.89

274.98

280.46

287.03

297.71

306.48

310.86

317.43

324.01

328.12

332.50

334.69

336.88

339.07

341.26

345.64

350.03

356.60

362.90

371.66

382.62

395.49

410.83

428.09

447.81

467.25

489.16

510.80

534.63

558.73

584.75

610.77

638.98

667.46

697.87

712.93

743.33

769.63

786.88

808.52

821.67

Western Health

Full

HMO D

167.01

167.01

263.02

263.02

263.02

263.02

264.07

269.33

275.64

285.90

294.31

298.52

304.84

311.15

315.09

319.30

321.41

323.51

325.61

327.72

331.93

336.13

342.45

348.50

356.91

367.43

379.80

394.53

411.10

430.03

448.71

469.75

490.53

513.41

536.56

561.54

586.53

613.62

640.97

670.17

684.64

713.83

739.08

755.65

776.43

789.06

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

378.42

378.42

595.93

595.93

595.93

595.93

598.32

610.23

624.54

647.78

666.85

676.38

690.69

704.99

713.93

723.46

728.23

733.00

737.76

742.53

752.07

761.60

775.90

789.61

808.68

832.52

860.53

893.90

931.44

974.35 1016.66 1064.34 1111.41 1163.26 1215.70 1272.32 1328.93 1390.31 1452.29 1518.44 1551.21 1617.36 1674.57 1712.11 1759.19 1787.80

Kaiser Permanente

Full

HMO A

248.99

233.00

366.93

366.93

366.93

366.93

368.40

375.74

384.55

398.86

410.60

416.47

425.27

434.08

439.59

445.46

448.39

451.33

454.26

457.20

463.07

468.94

477.75

486.19

497.93

512.60

529.85

550.40

573.52

599.93

625.99

655.34

684.33

716.25

748.54

783.40

818.26

856.05

894.21

934.94

955.13

995.85 1031.08 1054.20 1083.18 1100.79

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

Platinum

AGE -->

975.90 1002.74 1019.04

Sutter Health Plus

Full

HMO A

225.16

225.16

354.58

354.58

354.58

354.58

356.00

363.09

371.60

385.43

396.77

402.45

410.96

419.47

424.79

430.46

433.30

436.13

438.97

441.80

447.48

453.15

461.66

469.82

481.16

495.35

512.01

531.87

554.20

579.73

604.91

633.28

661.29

692.13

723.34

757.02

790.71

827.23

864.10

903.46

922.96

962.32

996.36 1018.70 1046.71 1063.72

Sutter Health Plus

Full

HMO C

223.42

223.42

351.84

351.84

351.84

351.84

353.25

360.28

368.73

382.45

393.71

399.34

407.78

416.22

421.50

427.13

429.95

432.76

435.57

438.39

444.02

449.65

458.09

466.18

477.44

491.52

508.05

527.75

549.92

575.25

600.23

628.38

656.17

686.78

717.74

751.17

784.59

820.83

857.42

896.48

915.83

954.88

988.66 1010.82 1038.62 1055.49

UnitedHealthcare

SignatureValue

HMO A

382.54

382.54

602.43

602.43

602.43

602.43

604.84

616.89

631.35

654.84

674.12

683.76

698.22

712.67

721.71

731.35

736.17

740.99

745.81

750.63

760.27

769.91

784.36

798.22

817.50

841.59

869.91

903.65

941.60

984.97 1027.75 1075.94 1123.53 1175.94 1228.96 1286.19 1343.42 1405.47 1468.12 1534.99 1568.13 1635.00 1692.83 1730.78 1778.37 1807.29

Western Health

Full

HMO A

212.86

212.86

335.22

335.22

335.22

335.22

336.56

343.26

351.31

364.38

375.11

380.47

388.51

396.56

401.59

406.95

409.63

412.32

415.00

417.68

423.04

428.41

436.45

444.16

454.89

468.30

484.05

502.83

523.94

548.08

571.88

598.70

625.18

654.34

683.84

715.69

747.54

782.06

816.93

854.14

872.57

909.78

941.96

963.08

Western Health

Full

HMO B

218.03

218.03

343.36

343.36

343.36

343.36

344.73

351.60

359.84

373.23

384.21

389.71

397.95

406.19

411.34

416.83

419.58

422.33

425.07

427.82

433.32

438.81

447.05

454.95

465.93

479.67

495.81

515.04

536.67

561.39

585.77

613.24

640.36

670.23

700.45

733.07

765.69

801.05

836.76

874.88

893.76

931.87

964.84

986.47 1013.59 1030.08

989.56 1005.66

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

9

AREA 3

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

HMO Deductible

HMO A

243.94

243.94

384.15

384.15

384.15

384.15

385.69

393.37

402.59

417.58

429.87

436.02

445.23

454.45

460.22

466.36

469.44

472.51

475.58

478.66

484.80

490.95

500.17

509.00

521.30

536.66

554.72

576.23

600.43

628.09

655.37

686.10

716.45

749.87

783.67

820.17

856.66

896.23

936.18

978.83

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

237.03

237.03

373.27

373.27

373.27

373.27

374.76

382.23

391.19

405.74

417.69

423.66

432.62

441.58

447.18

453.15

456.14

459.12

462.11

465.09

471.07

477.04

486.00

494.58

506.53

521.46

539.00

559.91

583.42

610.30

636.80

666.66

696.15

728.62

761.47

796.93

832.39

870.84

909.66

951.09

971.62 1013.05 1048.89 1072.40 1101.89 1119.81

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

233.89

233.89

368.33

368.33

368.33

368.33

369.80

377.17

386.01

400.37

412.16

418.05

426.89

435.73

441.26

447.15

450.10

453.05

455.99

458.94

464.83

470.73

479.57

488.04

499.82

514.56

531.87

552.50

575.70

602.22

628.37

657.84

686.94

718.98

751.39

786.38

821.38

859.31

897.62

938.50

958.76

999.65 1035.01 1058.21 1087.31 1104.99

Health Net

PureCare

HSP A

153.55

153.55

238.06

238.06

238.06

238.06

238.99

243.62

249.17

258.20

265.61

269.32

274.87

280.43

283.90

287.61

289.46

291.31

293.17

295.02

298.72

302.43

307.99

313.31

320.72

329.98

340.86

353.83

368.42

385.09

401.53

420.05

438.34

458.49

478.86

500.86

522.85

546.70

570.78

596.48

609.22

634.92

657.15

671.73

690.03

Kaiser Permanente

Full

HMO B

146.90

130.91

206.15

206.15

206.15

206.15

206.98

211.10

216.05

224.09

230.68

233.98

238.93

243.88

246.97

250.27

251.92

253.57

255.22

256.87

260.16

263.46

268.41

273.15

279.75

287.99

297.68

309.23

322.22

337.06

351.70

368.19

384.47

402.41

420.55

440.13

459.72

480.95

502.39

525.28

536.61

559.50

579.29

592.27

608.56

618.45

Kaiser Permanente

Full

HMO C

141.13

125.14

197.06

197.06

197.06

197.06

197.85

201.79

206.52

214.21

220.51

223.67

228.40

233.13

236.08

239.23

240.81

242.39

243.96

245.54

248.69

251.85

256.58

261.11

267.41

275.30

284.56

295.59

308.01

322.20

336.19

351.95

367.52

384.67

402.01

420.73

439.45

459.75

480.24

502.12

512.96

534.83

553.75

566.16

581.73

591.18 613.83

999.95 1042.59 1079.47 1103.68 1134.02 1152.46

701.14

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

125.00

125.00

196.85

196.85

196.85

196.85

197.64

201.58

206.30

213.98

220.28

223.43

228.15

232.88

235.83

238.98

240.55

242.13

243.70

245.28

248.43

251.58

256.30

260.83

267.13

275.00

284.25

295.28

307.68

321.85

335.83

351.57

367.13

384.25

401.57

420.27

438.98

459.25

479.72

501.57

512.40

534.25

553.15

565.55

581.10

590.54

Sutter Health Plus

Full

HMO B

122.27

122.27

192.55

192.55

192.55

192.55

193.32

197.17

201.80

209.30

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.00

246.08

250.70

255.13

261.29

268.99

278.04

288.83

300.96

314.82

328.49

343.90

359.11

375.86

392.80

411.09

429.39

449.22

469.24

490.62

501.21

522.58

541.06

553.19

568.41

577.64 963.42

UnitedHealthcare

Focus

HMO A

203.92

203.92

321.14

321.14

321.14

321.14

322.42

328.85

336.55

349.08

359.36

364.49

372.20

379.91

384.73

389.86

392.43

395.00

397.57

400.14

405.28

410.42

418.12

425.51

435.79

448.63

463.73

481.71

501.94

525.06

547.86

573.56

598.93

626.87

655.13

685.63

716.14

749.22

782.62

818.26

835.93

871.57

902.40

922.64

948.01

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

318.24

318.24

501.16

501.16

501.16

501.16

503.17

513.19

525.22

544.76

560.80

568.82

580.85

592.88

600.39

608.41

612.42

616.43

620.44

624.45

632.47

640.49

652.51

664.04

680.08

700.12

723.68

751.74

783.32

819.40

854.98

895.08

934.67

Anthem Blue Cross

Select HMO

HMO A

316.99

316.99

499.20

499.20

499.20

499.20

501.20

511.18

523.16

542.63

558.60

566.59

578.57

590.55

598.04

606.03

610.02

614.02

618.01

622.00

629.99

637.98

649.96

661.44

677.41

697.38

720.84

748.80

780.25

816.19

851.64

891.57

931.01

974.44 1018.37 1065.79 1113.22 1164.63 1216.55 1271.96 1299.42 1354.83 1402.75 1434.20 1473.64 1497.60

Anthem Blue Cross

Advantage PPO

PPO A

272.87

272.87

429.71

429.71

429.71

429.71

431.43

440.02

450.34

467.09

480.85

487.72

498.03

508.35

514.79

521.67

525.11

528.54

531.98

535.42

542.29

549.17

559.48

569.37

583.12

600.30

620.50

644.57

671.64

702.58

733.09

767.46

801.41

838.79

876.61

917.43

958.25 1002.51 1047.20 1094.90 1118.54 1166.23 1207.49 1234.56 1268.50 1289.13

Anthem Blue Cross

Select PPO

PPO B

257.33

257.33

405.24

405.24

405.24

405.24

406.86

414.97

424.69

440.50

453.46

459.95

469.67

479.40

485.48

491.96

495.20

498.45

501.69

504.93

511.41

517.90

527.62

536.94

549.91

566.12

585.17

607.86

633.39

662.57

691.34

723.76

755.77

791.03

826.69

865.19

903.69

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

282.72

282.72

445.23

445.23

445.23

445.23

447.01

455.92

466.60

483.97

498.21

505.34

516.02

526.71

533.39

540.51

544.07

547.63

551.19

554.76

561.88

569.00

579.69

589.93

604.18

621.99

642.91

667.85

695.89

727.95

759.56

795.18

830.35

869.09

908.27

950.57

992.86 1038.72 1085.03 1134.45 1158.93 1208.35 1251.10 1279.15 1314.32 1335.69

978.27 1022.37 1069.98 1117.59 1169.21 1221.33 1276.96 1304.53 1360.16 1408.27 1439.84 1479.43 1503.49

945.42

987.57 1032.55 1054.84 1099.82 1138.72 1164.25 1196.27 1215.72

Health Net

PureCare

HSP A

173.30

173.30

269.17

269.17

269.17

269.17

270.22

275.47

281.78

292.02

300.43

304.63

310.93

317.23

321.17

325.38

327.48

329.58

331.68

333.78

337.98

342.19

348.49

354.53

362.94

373.44

385.79

400.50

417.04

435.95

454.60

475.61

496.36

519.21

542.33

567.28

592.23

619.28

646.60

675.75

690.20

719.35

744.57

761.11

781.86

Kaiser Permanente

Full

HMO B

184.82

168.83

265.87

265.87

265.87

265.87

266.93

272.25

278.63

289.00

297.51

301.76

308.14

314.52

318.51

322.76

324.89

327.02

329.15

331.27

335.53

339.78

346.16

352.28

360.78

371.42

383.91

398.80

415.55

434.70

453.57

474.84

495.85

518.98

542.37

567.63

592.89

620.27

647.92

677.43

692.06

721.57

747.09

763.84

784.84

797.61

Kaiser Permanente

Full

HMO C

187.77

171.78

270.51

270.51

270.51

270.51

271.59

277.01

283.50

294.05

302.70

307.03

313.52

320.02

324.07

328.40

330.57

332.73

334.89

337.06

341.39

345.72

352.21

358.43

367.09

377.91

390.62

405.77

422.81

442.29

461.49

483.14

504.51

528.04

551.85

577.54

603.24

631.11

659.24

689.27

704.14

734.17

760.14

777.18

798.55

811.53 741.84

794.47

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

Sutter Health Plus

Full

HMO A

155.21

155.21

244.43

244.43

244.43

244.43

245.41

250.29

256.16

265.69

273.51

277.42

283.29

289.16

292.82

296.73

298.69

300.65

302.60

304.56

308.47

312.38

318.24

323.87

331.69

341.46

352.95

366.64

382.04

399.64

416.99

436.54

455.85

477.12

498.63

521.85

545.07

570.24

595.66

622.79

636.24

663.37

686.83

702.23

721.54

733.26 742.50

Sutter Health Plus

Full

HMO B

157.17

157.17

247.51

247.51

247.51

247.51

248.50

253.45

259.39

269.04

276.96

280.92

286.86

292.80

296.51

300.47

302.45

304.43

306.41

308.39

312.35

316.31

322.25

327.95

335.87

345.77

357.40

371.26

386.85

404.67

422.24

442.04

461.60

483.13

504.91

528.42

551.93

577.43

603.17

630.64

644.25

671.73

695.49

711.08

730.63

Sutter Health Plus

Full

HMO C

153.56

153.56

241.82

241.82

241.82

241.82

242.79

247.62

253.43

262.86

270.60

274.47

280.27

286.07

289.70

293.57

295.50

297.44

299.37

301.31

305.18

309.04

314.85

320.41

328.15

337.82

349.19

362.73

377.96

395.37

412.54

431.89

450.99

472.03

493.31

516.28

539.25

564.16

589.31

616.15

629.45

656.29

679.51

694.74

713.84

725.44

Sutter Health Plus

Full

HMO D

148.22

148.22

233.41

233.41

233.41

233.41

234.35

239.02

244.62

253.72

261.19

264.93

270.53

276.13

279.63

283.36

285.23

287.10

288.97

290.83

294.57

298.30

303.90

309.27

316.74

326.08

337.05

350.12

364.82

381.63

398.20

416.87

435.31

455.62

476.16

498.33

520.51

544.55

568.82

594.73

607.57

633.48

655.89

670.59

689.03

700.22

UnitedHealthcare

SignatureValue

HMO A

263.05

263.05

414.25

414.25

414.25

414.25

415.91

424.19

434.13

450.29

463.55

470.17

480.12

490.06

496.27

502.90

506.21

509.53

512.84

516.16

522.78

529.41

539.35

548.88

562.14

578.71

598.18

621.38

647.47

677.30

706.71

739.85

772.58

808.62

845.07

884.42

923.78

966.45 1009.53 1055.51 1078.29 1124.27 1164.04 1190.14 1222.87 1242.75

UnitedHealthcare

Focus

HMO D

223.06

223.06

351.28

351.28

351.28

351.28

352.69

359.71

368.14

381.84

393.08

398.70

407.13

415.56

420.83

426.45

429.26

432.07

434.88

437.69

443.32

448.94

457.37

465.45

476.69

490.74

507.25

526.92

549.05

574.34

599.28

627.39

655.14

685.70

716.61

749.98

783.35

819.54

856.07

895.06

914.38

953.37

987.10 1009.23 1036.98 1053.84

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(contined)

10

692.40

AREA 3 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

350.29

350.29

551.63

551.63

551.63

551.63

553.84

564.87

578.11

599.63

617.28

626.10

639.34

652.58

660.86

669.68

674.10

678.51

682.92

687.34

696.16

704.99

718.23

730.92

748.57

770.63

796.56

827.45

862.20

901.92

941.09

985.22 1028.80 1076.79 1125.33 1177.74 1230.14 1286.96 1344.33 1405.56 1435.90 1497.14 1550.09 1584.84 1628.42 1654.90

Aetna

Aetna Value Network

HMO B

343.52

343.52

540.98

540.98

540.98

540.98

543.15

553.97

566.95

588.05

605.36

614.02

627.00

639.98

648.10

656.75

661.08

665.41

669.74

674.06

682.72

691.38

704.36

716.80

734.11

755.75

781.18

811.47

845.56

884.51

922.92

966.20 1008.93 1056.00 1103.60 1155.00 1206.39 1262.11 1318.37 1378.42 1408.18 1468.23 1520.16 1554.24 1596.98 1622.95

Anthem Blue Cross

Select HMO

HMO A

363.96

363.96

573.17

573.17

573.17

573.17

575.46

586.93

600.68

623.04

641.38

650.55

664.30

678.06

686.66

695.83

700.41

705.00

709.58

714.17

723.34

732.51

746.27

759.45

777.79

800.72

827.66

859.76

895.86

937.13

977.83 1023.68 1068.96 1118.83 1169.27 1223.72 1278.17 1337.21 1396.82 1460.44 1491.96 1555.58 1610.61 1646.72 1692.00 1719.51

Anthem Blue Cross

Advantage PPO

PPO A

322.94

322.94

508.57

508.57

508.57

508.57

510.60

520.78

532.98

552.82

569.09

577.23

589.43

601.64

609.27

617.40

621.47

625.54

629.61

633.68

641.82

649.95

662.16

673.86

690.13

710.47

734.38

762.86

794.89

831.51

867.62

908.31

948.48

Anthem Blue Cross

Select PPO

PPO B

286.60

286.60

451.34

451.34

451.34

451.34

453.15

462.17

473.00

490.61

505.05

512.27

523.10

533.94

540.71

547.93

551.54

555.15

558.76

562.37

569.59

576.81

587.64

598.03

612.47

630.52

651.73

677.01

705.44

737.94

769.99

806.09

841.75

881.02

920.73

Anthem Blue Cross

Select PPO

PPO C

297.64

297.64

468.72

468.72

468.72

468.72

470.59

479.97

491.22

509.50

524.50

532.00

543.25

554.50

561.53

569.03

572.78

576.53

580.28

584.03

591.52

599.02

610.27

621.05

636.05

654.80

676.83

703.08

732.61

766.36

799.64

837.13

874.16

914.94

956.19 1000.72 1045.25 1093.52 1142.27 1194.30 1220.08 1272.11 1317.10 1346.63 1383.66 1406.16

992.73 1037.48 1085.80 1134.11 1186.49 1239.39 1295.84 1323.81 1380.26 1429.08 1461.12 1501.30 1525.71 963.61 1006.49 1052.98 1099.92 1150.01 1174.84 1224.94 1268.27 1296.70 1332.36 1354.02

Anthem Blue Cross

Select PPO

PPO D

281.48

281.48

443.27

443.27

443.27

443.27

445.04

453.91

464.55

481.83

496.02

503.11

513.75

524.39

531.04

538.13

541.68

545.22

548.77

552.31

559.41

566.50

577.14

587.33

601.52

619.25

640.08

664.91

692.83

724.75

756.22

791.68

826.70

865.26

904.27

946.38

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

281.18

281.18

442.81

442.81

442.81

442.81

444.58

453.44

464.06

481.33

495.50

502.59

513.22

523.84

530.49

537.57

541.11

544.66

548.20

551.74

558.83

565.91

576.54

586.72

600.89

618.61

639.42

664.22

692.11

723.99

755.43

790.86

825.84

864.37

903.33

945.40

987.47 1033.08 1079.13 1128.28 1152.63 1201.79 1244.30 1272.19 1307.18 1328.43

Health Net

Wholecare

HMO A

269.14

269.14

420.09

420.09

420.09

420.09

421.74

430.02

439.94

456.07

469.30

475.92

485.85

495.77

501.98

508.59

511.90

515.21

518.52

521.83

528.45

535.06

544.99

554.50

567.73

584.28

603.72

626.88

652.93

682.71

712.07

745.16

777.83

813.81

850.20

889.49

928.78

971.38 1014.39 1060.30 1083.04 1128.95 1168.65 1194.71 1227.38 1247.23

Health Net

Wholecare

HMO B

249.97

249.97

393.65

393.65

393.65

393.65

395.22

403.10

412.55

427.90

440.49

446.79

456.24

465.69

471.59

477.89

481.04

484.19

487.34

490.49

496.79

503.08

512.53

521.59

534.18

549.93

568.43

590.48

615.27

643.62

671.57

703.06

734.16

768.40

803.05

840.44

877.84

918.39

Health Net

PureCare

HSP A

218.39

218.39

340.17

340.17

340.17

340.17

341.50

348.18

356.19

369.20

379.87

385.21

393.22

401.23

406.23

411.57

414.24

416.91

419.58

422.25

427.59

432.92

440.93

448.61

459.28

472.63

488.31

507.00

528.01

552.04

575.73

602.42

628.78

657.80

687.17

718.86

750.56

784.93

819.63

856.66

875.01

912.05

944.08

965.10

991.45 1007.47

Kaiser Permanente

Full

HMO A

213.60

197.61

311.19

311.19

311.19

311.19

312.44

318.66

326.13

338.27

348.23

353.20

360.67

368.14

372.81

377.79

380.28

382.77

385.26

387.75

392.73

397.71

405.17

412.33

422.29

434.74

449.36

466.79

486.40

508.80

530.90

555.79

580.38

607.45

634.83

664.40

693.96

726.01

758.38

792.92

810.04

844.58

874.45

894.06

918.64

Kaiser Permanente

Full

HMO B

217.27

201.28

316.97

316.97

316.97

316.97

318.24

324.58

332.18

344.55

354.69

359.76

367.37

374.97

379.73

384.80

387.34

389.87

392.41

394.94

400.02

405.09

412.69

419.98

430.13

442.81

457.70

475.45

495.42

518.25

540.75

566.11

591.15

618.72

646.62

676.73

706.84

739.49

772.45

807.64

825.07

860.26

890.68

910.65

935.69

950.91

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27 851.40

988.49 1034.15 1080.25 1129.45 1153.83 1203.03 1245.59 1273.51 1308.53 1329.81

959.33 1003.02 1024.67 1068.37 1106.16 1130.96 1162.05 1180.95

933.57

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

Sutter Health Plus

Full

HMO A

179.36

179.36

282.46

282.46

282.46

282.46

283.59

289.24

296.02

307.03

316.07

320.59

327.37

334.15

338.39

342.91

345.17

347.42

349.68

351.94

356.46

360.98

367.76

374.26

383.30

394.59

407.87

423.69

441.48

461.82

481.87

504.47

526.78

551.36

576.21

603.05

629.88

658.97

688.35

719.70

735.24

766.59

793.70

811.50

833.81

847.36

Sutter Health Plus

Full

HMO B

185.99

185.99

292.89

292.89

292.89

292.89

294.06

299.92

306.95

318.37

327.74

332.43

339.46

346.49

350.88

355.57

357.91

360.25

362.60

364.94

369.63

374.31

381.34

388.08

397.45

409.17

422.93

439.33

457.79

478.87

499.67

523.10

546.24

571.72

597.49

625.32

653.14

683.31

713.77

746.28

762.39

794.90

823.01

841.47

864.60

878.65

592.57

620.16

647.76

677.68

707.89

740.13

756.10

788.35

816.23

834.53

857.48

871.41

Sutter Health Plus

Full

HMO C

184.45

184.45

290.48

290.48

290.48

290.48

291.64

297.45

304.42

315.75

325.04

329.69

336.66

343.63

347.99

352.64

354.96

357.29

359.61

361.93

366.58

371.23

378.20

384.88

394.18

405.79

419.45

435.71

454.01

474.93

495.55

518.79

541.74

567.01

UnitedHealthcare

SignatureValue

HMO A

315.17

315.17

496.33

496.33

496.33

496.33

498.32

508.24

520.15

539.51

555.39

563.33

575.25

587.16

594.60

602.54

606.52

610.49

614.46

618.43

626.37

634.31

646.22

657.64

673.52

693.37

716.70

744.50

775.76

811.50

846.74

886.45

925.66

968.84 1012.51 1059.66 1106.82 1157.94 1209.56 1264.65 1291.95 1347.04 1394.69 1425.96 1465.17 1488.99

UnitedHealthcare

Focus

HMO C

267.26

267.26

420.88

420.88

420.88

420.88

422.56

430.98

441.08

457.50

470.96

477.70

487.80

497.90

504.21

510.95

514.32

517.68

521.05

524.42

531.15

537.88

547.99

557.67

571.13

587.97

607.75

631.32

657.84

688.14

718.02

751.69

784.94

821.56

858.60

898.58

938.56

981.91 1025.68 1072.40 1095.55 1142.27 1182.67 1209.19 1242.44 1262.64

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Platinum

AGE -->

CARRIER Aetna

Aetna Value Network

HMO A

404.16

404.16

636.47

636.47

636.47

636.47

639.02

651.75

667.02

691.84

712.21

722.39

737.67

752.94

762.49

772.68

777.77

782.86

787.95

793.04

803.23

813.41

828.68

843.32

863.69

889.15

919.06

954.71

Anthem Blue Cross

Select HMO

HMO A

395.74

395.74

623.22

623.22

623.22

623.22

625.71

638.18

653.13

677.44

697.38

707.35

722.31

737.27

746.62

756.59

761.57

766.56

771.55

776.53

786.50

796.48

811.43

825.77

845.71

870.64

899.93

934.83

974.09 1018.96 1063.21 1113.07 1162.31 1216.53 1271.37 1330.57 1389.78 1453.97 1518.79 1587.96 1622.24 1691.42 1751.25 1790.51 1839.75 1869.66

Kaiser Permanente

Full

HMO A

237.34

221.35

348.59

348.59

348.59

348.59

349.98

356.95

365.32

378.91

390.07

395.65

404.01

412.38

417.61

423.18

425.97

428.76

431.55

434.34

439.92

445.49

453.86

461.88

473.03

486.97

503.36

522.88

544.84

569.94

594.69

622.57

650.11

680.44

711.12

744.23

777.35

813.25

849.50

888.20

907.37

946.06

979.53 1001.49 1029.03 1045.77

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

994.80 1040.63 1085.82 1136.74 1187.02 1242.39 1298.40 1358.87 1419.33 1484.89 1551.08 1621.73 1656.73 1727.38 1788.48 1828.58 1878.86 1909.41

975.90 1002.74 1019.04

Sutter Health Plus

Full

HMO A

214.19

214.19

337.30

337.30

337.30

337.30

338.65

345.40

353.49

366.65

377.44

382.84

390.93

399.03

404.09

409.49

412.18

414.88

417.58

420.28

425.68

431.07

439.17

446.93

457.72

471.21

487.06

505.95

527.20

551.49

575.44

602.42

629.07

658.41

688.09

720.14

752.18

786.92

822.00

859.44

877.99

915.43

947.81

969.06

995.71 1011.89

Sutter Health Plus

Full

HMO C

212.53

212.53

334.70

334.70

334.70

334.70

336.03

342.73

350.76

363.81

374.52

379.88

387.91

395.94

400.96

406.32

409.00

411.67

414.35

417.03

422.38

427.74

435.77

443.47

454.18

467.57

483.30

502.04

523.13

547.22

570.99

597.76

624.20

653.32

682.77

714.57

746.37

780.84

815.65

852.80

871.21

908.36

940.49

961.57

988.01 1004.07

UnitedHealthcare

SignatureValue

HMO A

340.72

340.72

536.57

536.57

536.57

536.57

538.72

549.45

562.33

583.25

600.42

609.01

621.88

634.76

642.81

651.40

655.69

659.98

664.27

668.57

677.15

685.74

698.61

710.96

728.13

749.59

774.81

804.86

838.66

877.29

915.39

958.31 1000.70 1047.38 1094.60 1145.58 1196.55 1251.82 1307.62 1367.18 1396.69 1456.25 1507.76 1541.57 1583.95 1609.71

UnitedHealthcare

Focus

HMO B

288.93

288.93

455.01

455.01

455.01

455.01

456.83

465.93

476.85

494.60

509.16

516.44

527.36

538.28

545.10

552.38

556.02

559.66

563.30

566.94

574.22

581.50

592.42

602.89

617.45

635.65

657.03

682.52

711.18

743.94

776.25

812.65

848.59

888.18

928.22

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

971.45 1014.67 1061.54 1108.86 1159.37 1184.39 1234.90 1278.58 1307.24 1343.19 1365.03

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

11

AREA 4

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER (See Footnote)

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

HMO Deductible

HMO A

201.01

201.01

316.55

316.55

316.55

316.55

317.82

324.15

331.75

344.09

354.22

359.28

366.88

374.48

379.23

384.29

386.82

389.36

391.89

394.42

399.49

404.55

412.15

419.43

429.56

442.22

457.10

474.83

494.77

517.56

540.04

565.36

590.37

617.91

645.76

675.84

705.91

738.51

771.43

806.57

823.98

859.12

889.51

909.45

934.46

949.65

Aetna

Basic HMO

HMO B

188.66

188.66

297.10

297.10

297.10

297.10

298.29

304.23

311.36

322.95

332.45

337.21

344.34

351.47

355.92

360.68

363.05

365.43

367.81

370.18

374.94

379.69

386.82

393.65

403.16

415.05

429.01

445.65

464.36

485.75

506.85

530.62

554.09

579.93

606.08

634.30

662.53

693.13

724.03

757.00

773.35

806.32

834.84

853.56

877.03

891.29

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

233.25

233.25

367.33

367.33

367.33

367.33

368.80

376.15

384.96

399.29

411.04

416.92

425.74

434.55

440.06

445.94

448.88

451.82

454.75

457.69

463.57

469.45

478.26

486.71

498.47

513.16

530.42

551.00

574.14

600.58

626.66

656.05

685.07

717.03

749.35

784.25

819.15

856.98

895.18

935.96

956.16

996.93 1032.20 1055.34 1084.36 1101.99

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

230.19

230.19

362.50

362.50

362.50

362.50

363.95

371.20

379.90

394.04

405.64

411.44

420.14

428.84

434.28

440.08

442.98

445.88

448.78

451.68

457.48

463.28

471.98

480.31

491.91

506.41

523.45

543.75

566.59

592.69

618.43

647.43

676.06

707.60

739.50

773.94

808.38

845.71

883.41

923.65

943.59

983.83 1018.63 1041.46 1070.10 1087.50

Health Net

PureCare

HSP A

160.64

160.64

249.23

249.23

249.23

249.23

250.20

255.06

260.88

270.35

278.11

282.00

287.82

293.65

297.29

301.17

303.11

305.05

306.99

308.94

312.82

316.70

322.53

328.11

335.88

345.59

356.99

370.59

385.88

403.35

420.58

440.00

459.17

480.29

501.65

524.71

547.76

572.76

598.00

624.95

638.29

665.23

688.54

703.83

723.00

Kaiser Permanente

Full

HMO B

159.68

144.69

227.85

227.85

227.85

227.85

228.76

233.32

238.79

247.68

254.97

258.61

264.08

269.55

272.97

276.61

278.44

280.26

282.08

283.90

287.55

291.20

296.66

301.90

309.20

318.31

329.02

341.78

356.13

372.54

388.72

406.94

424.94

444.77

464.82

486.46

508.11

531.58

555.28

580.57

593.10

618.39

640.26

654.62

672.62

683.55

Kaiser Permanente

Full

HMO C

153.30

138.31

217.81

217.81

217.81

217.81

218.68

223.03

228.26

236.76

243.73

247.21

252.44

257.67

260.93

264.42

266.16

267.90

269.64

271.39

274.87

278.36

283.58

288.59

295.56

304.28

314.51

326.71

340.43

356.11

371.58

389.00

406.21

425.16

444.33

465.02

485.71

508.14

530.79

554.97

566.95

591.13

612.04

625.76

642.97

653.43 613.83

734.65

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

167.35

167.35

263.54

263.54

263.54

263.54

264.60

269.87

276.19

286.47

294.90

299.12

305.45

311.77

315.72

319.94

322.05

324.16

326.27

328.37

332.59

336.81

343.13

349.19

357.63

368.17

380.55

395.31

411.92

430.89

449.60

470.68

491.50

514.43

537.62

562.66

587.70

614.84

642.25

671.50

686.00

715.25

740.55

757.15

777.97

790.61

Sutter Health Plus

Full

HMO B

163.70

163.70

257.79

257.79

257.79

257.79

258.82

263.97

270.16

280.21

288.46

292.59

298.77

304.96

308.83

312.95

315.01

317.08

319.14

321.20

325.33

329.45

335.64

341.57

349.82

360.13

372.24

386.68

402.92

421.48

439.78

460.40

480.77

503.20

525.88

550.37

574.86

601.41

628.22

656.83

671.01

699.63

724.37

740.61

760.98

773.34 757.71

UnitedHealthcare

Focus

HMO A

160.38

160.38

252.57

252.57

252.57

252.57

253.58

258.63

264.69

274.54

282.63

286.67

292.73

298.79

302.58

306.62

308.64

310.66

312.68

314.70

318.74

322.78

328.85

334.66

342.74

352.84

364.71

378.86

394.77

412.95

430.88

451.09

471.04

493.02

515.24

539.24

563.23

589.25

615.51

643.55

657.44

685.47

709.72

725.63

745.59

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER (See Footnote) Aetna

HMO Deductible

HMO A

262.23

262.23

412.97

412.97

412.97

412.97

414.62

422.88

432.79

448.90

462.11

468.72

478.63

488.54

494.74

501.34

504.65

507.95

511.25

514.56

521.17

527.77

537.68

547.18

560.40

576.92

596.33

619.45

645.47

675.20

704.52

737.56

770.19

806.11

842.46

881.69

920.92

963.46 1006.40 1052.24 1074.96 1120.80 1160.44 1186.46 1219.08 1238.91

Aetna

Basic HMO

HMO B

246.12

246.12

387.59

387.59

387.59

387.59

389.14

396.89

406.19

421.31

433.71

439.91

449.22

458.52

464.33

470.53

473.64

476.74

479.84

482.94

489.14

495.34

504.64

513.56

525.96

541.46

559.68

581.39

605.80

633.71

661.23

692.24

722.86

756.58

790.68

827.51

864.33

904.25

944.56

987.58 1008.90 1051.92 1089.13 1113.55 1144.17 1162.77

Anthem Blue Cross

Select HMO

HMO A

173.96

173.96

273.96

273.96

273.96

273.96

275.06

280.54

287.11

297.79

306.56

310.94

317.52

324.09

328.20

332.59

334.78

336.97

339.16

341.35

345.74

350.12

356.70

363.00

371.76

382.72

395.60

410.94

428.20

447.92

467.38

489.29

510.94

534.77

558.88

584.90

610.93

639.15

667.64

698.05

Anthem Blue Cross

Advantage PPO

PPO A

262.78

262.78

413.82

413.82

413.82

413.82

415.48

423.75

433.68

449.82

463.06

469.69

479.62

489.55

495.76

502.38

505.69

509.00

512.31

515.62

522.24

528.86

538.79

548.31

561.55

578.11

597.56

620.73

646.80

676.60

705.98

739.08

771.77

807.78

844.19

883.51

922.82

965.44 1008.48 1054.41 1077.17 1123.11 1162.83 1188.90 1221.60 1241.46

965.10 1009.68 1054.68 1102.72 1126.53 1174.56 1216.11 1243.38 1277.57 1298.34

713.12

743.53

769.83

787.09

808.73

821.88

Anthem Blue Cross

Select PPO

PPO B

274.82

274.82

432.78

432.78

432.78

432.78

434.51

443.17

453.55

470.43

484.28

491.21

501.59

511.98

518.47

525.39

528.86

532.32

535.78

539.24

546.17

553.09

563.48

573.43

587.28

604.59

624.93

649.17

676.44

707.60

738.32

772.95

807.13

844.79

882.87

923.99

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

278.23

278.23

438.16

438.16

438.16

438.16

439.91

448.68

459.19

476.28

490.30

497.31

507.83

518.34

524.92

531.93

535.43

538.94

542.44

545.95

552.96

559.97

570.48

580.56

594.58

612.11

632.70

657.24

684.84

716.39

747.50

782.55

817.17

855.29

893.85

935.47

977.10 1022.23 1067.80 1116.43 1140.53 1189.17 1231.23 1258.83 1293.45 1314.48

Health Net

PureCare

HSP A

181.35

181.35

281.84

281.84

281.84

281.84

282.94

288.45

295.06

305.79

314.60

319.01

325.62

332.22

336.35

340.76

342.96

345.16

347.37

349.57

353.97

358.38

364.99

371.32

380.13

391.14

404.08

419.50

436.85

456.67

476.22

498.24

519.99

543.94

568.17

594.33

620.48

648.84

677.47

708.04

723.18

753.74

780.17

797.51

819.26

832.48

Kaiser Permanente

Full

HMO B

201.59

186.60

293.85

293.85

293.85

293.85

295.03

300.91

307.96

319.42

328.82

333.53

340.58

347.63

352.04

356.74

359.09

361.44

363.79

366.14

370.84

375.55

382.60

389.36

398.76

410.52

424.33

440.78

459.30

480.45

501.32

524.82

548.04

573.60

599.46

627.38

655.30

685.56

716.12

748.74

764.90

797.52

825.73

844.24

867.46

881.55

Kaiser Permanente

Full

HMO C

204.85

189.86

298.99

298.99

298.99

298.99

300.18

306.16

313.34

325.00

334.57

339.35

346.53

353.70

358.19

362.97

365.36

367.76

370.15

372.54

377.32

382.11

389.28

396.16

405.73

417.69

431.74

448.48

467.32

488.85

510.07

533.99

557.61

583.62

609.94

638.34

666.74

697.54

728.63

761.82

778.27

811.45

840.16

858.99

882.61

896.97

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

Sutter Health Plus

Full

HMO A

207.80

207.80

327.24

327.24

327.24

327.24

328.55

335.09

342.94

355.71

366.18

371.41

379.27

387.12

392.03

397.26

399.88

402.50

405.12

407.74

412.97

418.21

426.06

433.59

444.06

457.15

472.53

490.85

511.47

535.03

558.26

584.44

610.29

638.76

667.56

698.64

729.73

763.44

797.47

833.79

851.79

888.11

919.53

940.14

965.99

981.69 994.06

Sutter Health Plus

Full

HMO B

210.41

210.41

331.36

331.36

331.36

331.36

332.68

339.31

347.26

360.19

370.79

376.09

384.04

392.00

396.97

402.27

404.92

407.57

410.22

412.87

418.17

423.48

431.43

439.05

449.65

462.91

478.48

497.04

517.91

541.77

565.30

591.80

617.98

646.81

675.97

707.45

738.92

773.05

807.52

844.30

862.52

899.30

931.11

951.99

978.16

Sutter Health Plus

Full

HMO C

205.58

205.58

323.75

323.75

323.75

323.75

325.04

331.52

339.29

351.91

362.27

367.45

375.22

382.99

387.85

393.03

395.62

398.21

400.80

403.39

408.57

413.75

421.52

428.96

439.32

452.27

467.49

485.62

506.01

529.32

552.31

578.21

603.78

631.95

660.44

691.19

721.95

755.29

788.96

824.90

842.70

878.64

909.72

930.11

955.69

971.22

Sutter Health Plus

Full

HMO D

198.43

198.43

312.49

312.49

312.49

312.49

313.74

319.99

327.49

339.68

349.68

354.68

362.18

369.68

374.37

379.36

381.86

384.36

386.86

389.36

394.36

399.36

406.86

414.05

424.05

436.55

451.24

468.74

488.42

510.92

533.11

558.11

582.79

609.98

637.48

667.17

696.85

729.04

761.54

796.22

813.41

848.10

878.10

897.78

922.47

937.46

985.77 1030.67 1052.91 1097.81 1136.65 1162.13 1194.08 1213.50

UnitedHealthcare

SignatureValue

HMO A

256.86

256.86

404.50

404.50

404.50

404.50

406.12

414.21

423.92

439.69

452.64

459.11

468.82

478.52

484.59

491.06

494.30

497.54

500.77

504.01

510.48

516.95

526.66

535.96

548.91

565.09

584.10

606.75

632.23

661.36

690.08

722.44

754.39

789.58

825.18

863.61

902.04

943.70

UnitedHealthcare

Focus

HMO D

175.44

175.44

276.28

276.28

276.28

276.28

277.39

282.91

289.54

300.32

309.16

313.58

320.21

326.84

330.98

335.40

337.61

339.82

342.03

344.24

348.67

353.09

359.72

366.07

374.91

385.96

398.95

414.42

431.83

451.72

471.33

493.44

515.26

539.30

563.61

589.86

616.10

644.56

673.29

703.96

719.16

749.82

776.35

793.75

815.58

828.84

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

12

AREA 4 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER (See Footnote)

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

283.37

283.37

446.25

446.25

446.25

446.25

448.04

456.96

467.67

485.08

499.36

506.50

517.21

527.92

534.61

541.75

545.32

548.89

552.46

556.03

563.17

570.31

581.02

591.29

605.57

623.42

644.39

669.38

697.50

729.63

761.31

797.01

832.26

871.09

910.36

952.75

995.15 1041.11 1087.52 1137.06 1161.60 1211.13 1253.98 1282.09 1317.34 1338.76

Aetna

Aetna Value Network

HMO B

277.90

277.90

437.64

437.64

437.64

437.64

439.39

448.14

458.64

475.71

489.72

496.72

507.22

517.73

524.29

531.29

534.79

538.29

541.80

545.30

552.30

559.30

569.80

579.87

593.87

611.38

631.95

656.46

684.03

715.54

746.61

781.62

816.19

854.27

892.78

934.36

975.93 1021.01 1066.52 1115.10 1139.17 1187.75 1229.76 1257.33 1291.91 1312.91

Anthem Blue Cross

Select HMO

HMO A

199.69

199.69

314.47

314.47

314.47

314.47

315.73

322.02

329.56

341.83

351.89

356.92

364.47

372.02

376.74

381.77

384.28

386.80

389.31

391.83

396.86

401.89

409.44

416.67

426.74

439.31

454.09

471.71

491.52

514.16

536.49

561.64

586.49

613.85

641.52

671.39

701.27

Anthem Blue Cross

Advantage PPO

PPO A

311.00

311.00

489.77

489.77

489.77

489.77

491.73

501.52

513.28

532.38

548.05

555.89

567.64

579.40

586.74

594.58

598.50

602.42

606.34

610.25

618.09

625.93

637.68

648.95

664.62

684.21

707.23

734.66

765.51

800.77

835.55

874.73

913.42

956.03

999.13 1045.66 1092.19 1142.63 1193.57 1247.93 1274.87 1329.24 1376.25 1407.11 1445.80 1469.31 983.30 1029.09 1074.88 1124.53 1174.66 1228.16 1254.67 1308.18 1354.45 1384.81 1422.89 1446.03

733.66

766.36

801.27

818.57

853.47

883.66

903.47

928.32

943.41

Anthem Blue Cross

Select PPO

PPO B

306.08

306.08

482.01

482.01

482.01

482.01

483.94

493.58

505.15

523.94

539.37

547.08

558.65

570.22

577.45

585.16

589.02

592.87

596.73

600.58

608.30

616.01

627.58

638.66

654.09

673.37

696.02

723.02

753.38

788.09

822.31

860.87

898.95

940.88

Anthem Blue Cross

Select PPO

PPO C

317.87

317.87

500.58

500.58

500.58

500.58

502.58

512.59

524.61

544.13

560.15

568.16

580.17

592.19

599.69

607.70

611.71

615.71

619.72

623.72

631.73

639.74

651.76

663.27

679.29

699.31

722.84

750.87

782.41

818.45

853.99

894.04

933.58

977.13 1021.18 1068.74 1116.29 1167.85 1219.91 1275.48 1303.01 1358.57 1406.63 1438.17 1477.71 1501.74

Anthem Blue Cross

Select PPO

PPO D

300.61

300.61

473.40

473.40

473.40

473.40

475.29

484.76

496.12

514.59

529.73

537.31

548.67

560.03

567.13

574.71

578.49

582.28

586.07

589.86

597.43

605.01

616.37

627.26

642.40

661.34

683.59

710.10

739.92

774.01

807.62

845.49

882.89

924.08

965.74 1010.71 1055.68 1104.44 1153.68 1206.22 1232.26 1284.81 1330.25 1360.08 1397.48 1420.20

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

276.71

276.71

435.77

435.77

435.77

435.77

437.51

446.23

456.69

473.68

487.63

494.60

505.06

515.52

522.05

529.02

532.51

536.00

539.48

542.97

549.94

556.91

567.37

577.40

591.34

608.77

629.25

653.66

681.11

712.48

743.42

778.29

812.71

850.62

888.97

930.37

Health Net

Wholecare

HMO A

281.81

281.81

440.04

440.04

440.04

440.04

441.77

450.44

460.85

477.76

491.63

498.57

508.97

519.37

525.88

532.81

536.28

539.75

543.22

546.69

553.62

560.56

570.96

580.93

594.81

612.15

632.52

656.80

684.11

715.33

746.11

780.79

815.03

852.75

890.90

932.09

973.27 1017.92 1063.01 1111.13 1134.97 1183.09 1224.71 1252.02 1286.27 1307.08

Health Net

Wholecare

HMO B

262.02

262.02

412.63

412.63

412.63

412.63

414.28

422.53

432.44

448.53

461.73

468.34

478.24

488.14

494.33

500.93

504.23

507.53

510.84

514.14

520.74

527.34

537.24

546.73

559.94

576.44

595.84

618.95

644.94

674.65

703.95

736.96

769.55

805.45

841.77

880.97

920.16

962.67 1005.58 1051.38 1074.08 1119.88 1159.49 1185.49 1218.08 1237.89

Health Net

PureCare

HSP A

228.60

228.60

356.26

356.26

356.26

356.26

357.66

364.65

373.05

386.69

397.88

403.47

411.87

420.26

425.51

431.10

433.90

436.70

439.50

442.30

447.89

453.49

461.88

469.93

481.12

495.11

511.54

531.13

553.16

578.34

603.18

631.16

658.79

689.21

719.99

753.21

786.44

822.46

858.84

897.66

916.89

955.71

Kaiser Permanente

Full

HMO A

233.40

218.41

343.95

343.95

343.95

343.95

345.33

352.21

360.46

373.87

384.88

390.38

398.64

406.89

412.05

417.56

420.31

423.06

425.81

428.56

434.07

439.57

447.82

455.73

466.74

480.50

496.66

515.93

537.59

562.36

586.78

614.30

641.47

671.39

701.66

734.33

767.01

802.44

838.21

876.39

895.30

933.48

966.50

Kaiser Permanente

Full

HMO B

237.45

222.46

350.33

350.33

350.33

350.33

351.74

358.74

367.15

380.81

392.02

397.63

406.04

414.45

419.70

425.31

428.11

430.91

433.71

436.52

442.12

447.73

456.14

464.19

475.40

489.42

505.88

525.50

547.57

572.80

597.67

625.70

653.37

683.85

714.68

747.96

781.25

817.33

853.77

892.65

911.92

950.81

984.44 1006.51 1034.19 1050.99

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

984.33 1026.30 1062.60 1086.43 1116.30 1134.44

971.77 1016.65 1061.97 1110.34 1134.31 1182.68 1224.51 1251.97 1286.39 1307.31

989.29 1011.32 1038.95 1055.74 988.17 1015.34 1031.85

Sutter Health Plus

Full

HMO A

240.13

240.13

378.15

378.15

378.15

378.15

379.67

387.23

396.31

411.05

423.15

429.20

438.28

447.36

453.03

459.08

462.10

465.13

468.15

471.18

477.23

483.28

492.36

501.05

513.15

528.28

546.05

567.23

591.05

618.28

645.13

675.38

705.25

738.15

771.43

807.35

843.28

882.23

921.56

963.53

Sutter Health Plus

Full

HMO B

249.00

249.00

392.12

392.12

392.12

392.12

393.69

401.53

410.94

426.23

438.78

445.05

454.46

463.88

469.76

476.03

479.17

482.30

485.44

488.58

494.85

501.13

510.54

519.56

532.10

547.79

566.22

588.18

612.88

641.11

668.95

700.32

731.30

765.41

799.92

837.17

874.42

914.81

955.59

999.11 1020.68 1064.20 1101.84 1126.55 1157.52 1176.34

830.27

867.21

907.27

947.71

990.88 1012.27 1055.43 1092.77 1117.26 1147.99 1166.64

Sutter Health Plus

Full

HMO C

246.95

246.95

388.89

388.89

388.89

388.89

390.44

398.22

407.55

422.72

435.16

441.39

450.72

460.05

465.89

472.11

475.22

478.33

481.44

484.55

490.77

497.00

506.33

515.27

527.72

543.27

561.55

583.33

607.83

635.83

663.44

694.55

725.27

759.10

793.33

UnitedHealthcare

SignatureValue

HMO A

307.75

307.75

484.65

484.65

484.65

484.65

486.59

496.28

507.91

526.81

542.32

550.08

561.71

573.34

580.61

588.37

592.24

596.12

600.00

603.87

611.63

619.38

631.01

642.16

657.67

677.06

699.83

726.98

757.51

792.40

826.81

865.58

903.87

946.04

988.69 1034.73 1080.77 1130.69 1181.09 1234.89 1261.54 1315.34 1361.87 1392.40 1430.69 1453.95

UnitedHealthcare

Focus

HMO C

210.20

210.20

331.02

331.02

331.02

331.02

332.34

338.96

346.91

359.82

370.41

375.71

383.65

391.60

396.56

401.86

404.51

407.15

409.80

412.45

417.75

423.04

430.99

438.60

449.19

462.43

477.99

496.53

517.38

541.22

564.72

591.20

617.35

646.15

675.28

706.73

738.17

772.27

806.70

843.44

861.65

898.39

930.17

951.02

977.17

993.06

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER (See Footnote)

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

326.95

326.95

514.88

514.88

514.88

514.88

516.94

527.24

539.60

559.68

576.16

584.39

596.75

609.11

616.83

625.07

629.19

633.31

637.43

641.55

649.78

658.02

670.38

682.22

698.70

719.29

743.49

772.33

804.77

841.84

878.39

919.58

960.26 1005.06 1050.37 1099.28 1148.19 1201.23 1254.77 1311.93 1340.25 1397.40 1446.83 1479.26 1519.94 1544.65

Anthem Blue Cross

Select HMO

HMO A

217.11

217.11

341.90

341.90

341.90

341.90

343.27

350.11

358.31

371.65

382.59

388.06

396.26

404.47

409.60

415.07

417.80

420.54

423.27

426.01

431.48

436.95

445.15

453.02

463.96

477.63

493.70

512.85

534.39

559.01

583.28

610.63

637.64

667.39

697.48

729.96

762.44

797.65

833.21

871.16

Kaiser Permanente

Full

HMO A

259.64

244.65

385.28

385.28

385.28

385.28

386.82

394.53

403.77

418.80

431.13

437.29

446.54

455.79

461.56

467.73

470.81

473.89

476.98

480.06

486.22

492.39

501.63

510.49

522.82

538.24

556.34

577.92

602.19

629.93

657.29

688.11

718.55

752.06

785.97

822.57

859.17

898.86

938.93

981.69 1002.88 1045.65 1082.63 1106.91 1137.34 1155.84

Platinum

AGE -->

889.97

927.92

960.74

982.28 1009.29 1025.70

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

Sutter Health Plus

Full

HMO A

286.75

286.75

451.58

451.58

451.58

451.58

453.38

462.42

473.25

490.87

505.32

512.54

523.38

534.22

540.99

548.21

551.83

555.44

559.05

562.67

569.89

577.12

587.95

598.34

612.79

630.85

652.08

677.36

705.81

738.33

770.39

806.51

842.19

881.48

921.21

964.11 1007.01 1053.53 1100.49 1150.61 1175.45 1225.57 1268.93 1297.37 1333.05 1354.71

Sutter Health Plus

Full

HMO C

284.54

284.54

448.09

448.09

448.09

448.09

449.88

458.84

469.60

487.07

501.41

508.58

519.33

530.09

536.81

543.98

547.56

551.15

554.73

558.32

565.48

572.65

583.41

593.71

608.05

625.98

647.04

672.13

700.36

732.62

764.43

800.28

835.68

874.66

914.09

956.66

UnitedHealthcare

SignatureValue

HMO A

332.70

332.70

523.94

523.94

523.94

523.94

526.04

536.51

549.09

569.52

586.29

594.67

607.25

619.82

627.68

636.06

640.25

644.45

648.64

652.83

661.21

669.60

682.17

694.22

710.99

731.94

756.57

785.91

818.92

856.64

893.84

935.76

977.15 1022.73 1068.84 1118.61 1168.39 1222.35 1276.84 1335.00 1363.82 1421.97 1472.27 1505.28 1546.67 1571.82

UnitedHealthcare

Focus

HMO B

227.24

227.24

357.86

357.86

357.86

357.86

359.29

366.45

375.04

388.99

400.45

406.17

414.76

423.35

428.72

434.44

437.30

440.17

443.03

445.89

451.62

457.35

465.93

474.16

485.62

499.93

516.75

536.79

559.34

585.10

610.51

639.14

667.41

698.54

730.03

764.03

798.03

834.89

872.10

911.83

931.51

971.23 1005.59 1028.13 1056.40 1073.58

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

975.90 1002.74 1019.04

999.23 1045.38 1091.98 1141.72 1166.36 1216.10 1259.12 1287.35 1322.74 1344.24

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

13

AREA 5

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

875.19

899.25

913.88

PLAN

Aetna

HMO Deductible

HMO A

193.44

193.44

304.63

304.63

304.63

304.63

305.84

311.94

319.25

331.13

340.88

345.75

353.06

360.37

364.94

369.82

372.25

374.69

377.13

379.56

384.44

389.31

396.62

403.63

413.38

425.56

439.88

456.94

476.13

498.06

519.69

544.06

568.13

594.63

621.44

650.38

679.31

710.69

742.37

776.19

792.94

826.75

856.00

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

222.75

222.75

350.79

350.79

350.79

350.79

352.19

359.21

367.63

381.31

392.53

398.15

406.57

414.98

420.25

425.86

428.67

431.47

434.28

437.08

442.70

448.31

456.73

464.80

476.02

490.05

506.54

526.19

548.28

573.54

598.45

626.51

654.22

684.74

715.61

748.94

782.26

818.39

854.88

893.81

913.11

952.04

985.72 1007.82 1035.53 1052.37

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

219.82

219.82

346.17

346.17

346.17

346.17

347.55

354.48

362.79

376.29

387.36

392.90

401.21

409.52

414.71

420.25

423.02

425.79

428.56

431.33

436.87

442.41

450.71

458.68

469.75

483.60

499.87

519.26

541.06

565.99

590.57

618.26

645.61

675.72

706.19

739.07

771.96

807.61

843.62

882.04

901.08

939.51

972.74

994.55 1021.89 1038.51

Health Net

PureCare

HSP A

190.13

190.13

295.67

295.67

295.67

295.67

296.83

302.61

309.55

320.83

330.08

334.71

341.64

348.58

352.92

357.55

359.86

362.17

364.49

366.80

371.43

376.05

382.99

389.64

398.90

410.46

424.05

440.25

458.46

479.28

499.81

522.94

545.78

570.94

596.39

623.86

651.32

681.11

711.18

743.27

759.18

791.27

819.03

837.25

860.09

Kaiser Permanente

Full

HMO B

145.90

130.91

206.15

206.15

206.15

206.15

206.98

211.10

216.05

224.09

230.68

233.98

238.93

243.88

246.97

250.27

251.92

253.57

255.22

256.87

260.16

263.46

268.41

273.15

279.75

287.99

297.68

309.23

322.22

337.06

351.70

368.19

384.47

402.41

420.55

440.13

459.72

480.95

502.39

525.28

536.61

559.50

579.29

592.27

608.56

618.45

Kaiser Permanente

Full

HMO C

140.13

125.14

197.06

197.06

197.06

197.06

197.85

201.79

206.52

214.21

220.51

223.67

228.40

233.13

236.08

239.23

240.81

242.39

243.96

245.54

248.69

251.85

256.58

261.11

267.41

275.30

284.56

295.59

308.01

322.20

336.19

351.95

367.52

384.67

402.01

420.73

439.45

459.75

480.24

502.12

512.96

534.83

553.75

566.16

581.73

591.18 613.83

873.97

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

154.96

154.96

244.02

244.02

244.02

244.02

245.00

249.88

255.73

265.25

273.06

276.96

282.82

288.68

292.34

296.24

298.19

300.15

302.10

304.05

307.95

311.86

317.72

323.33

331.14

340.90

352.37

366.03

381.40

398.97

416.30

435.82

455.10

476.33

497.80

520.98

544.16

569.30

594.67

621.76

635.18

662.27

685.69

701.07

720.34

732.05

Sutter Health Plus

Full

HMO B

151.57

151.57

238.69

238.69

238.69

238.69

239.65

244.42

250.15

259.46

267.10

270.91

276.64

282.37

285.95

289.77

291.68

293.59

295.50

297.41

301.23

305.05

310.78

316.27

323.90

333.45

344.67

358.04

373.07

390.26

407.20

426.30

445.16

465.92

486.93

509.60

532.28

556.86

581.69

608.18

621.31

647.80

670.72

685.75

704.61

716.06

999.78 1027.27 1043.97

UnitedHealthcare

Focus

HMO A

220.97

220.97

347.99

347.99

347.99

347.99

349.38

356.34

364.69

378.27

389.40

394.97

403.32

411.67

416.89

422.46

425.24

428.03

430.81

433.60

439.16

444.73

453.08

461.09

472.22

486.14

502.50

521.99

543.91

568.96

593.67

621.51

649.00

679.28

709.90

742.96

776.02

811.86

848.05

886.68

905.82

944.44

977.85

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

252.36

252.36

397.41

397.41

397.41

397.41

399.00

406.95

416.49

431.99

444.70

451.06

460.60

470.14

476.10

482.46

485.64

488.82

491.99

495.17

501.53

507.89

517.43

526.57

539.29

555.18

573.86

596.12

621.15

649.77

677.98

709.78

741.17

775.75

810.72

848.47

886.23

927.16

Anthem Blue Cross

Select HMO

HMO A

268.90

268.90

423.46

423.46

423.46

423.46

425.15

433.62

443.79

460.30

473.85

480.63

490.79

500.95

507.31

514.08

517.47

520.86

524.24

527.63

534.41

541.18

551.34

561.08

574.64

591.57

611.48

635.19

661.87

692.36

722.42

756.30

789.75

826.59

863.86

904.09

944.32

987.93 1031.97 1078.98 1102.27 1149.27 1189.92 1216.60 1250.05 1270.38

968.49 1012.60 1034.46 1078.57 1116.72 1141.76 1173.16 1192.23

Anthem Blue Cross

Advantage PPO

PPO A

250.16

250.16

393.96

393.96

393.96

393.96

395.54

403.42

412.87

428.23

440.84

447.14

456.60

466.05

471.96

478.27

481.42

484.57

487.72

490.87

497.18

503.48

512.94

522.00

534.60

550.36

568.88

590.94

615.76

644.12

672.10

703.61

734.74

769.01

803.68

841.10

878.53

919.11

960.08 1003.81 1025.48 1069.21 1107.03 1131.85 1162.97 1181.88

Anthem Blue Cross

Select PPO

PPO B

255.21

255.21

401.91

401.91

401.91

401.91

403.52

411.56

421.20

436.88

449.74

456.17

465.81

475.46

481.49

487.92

491.13

494.35

497.56

500.78

507.21

513.64

523.29

532.53

545.39

561.47

580.36

602.87

628.19

657.12

685.66

717.81

749.56

784.53

819.90

858.08

896.26

937.66

979.45 1024.07 1046.17 1090.78 1129.37 1154.69 1186.44 1205.73

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

265.70

265.70

418.42

418.42

418.42

418.42

420.09

428.46

438.50

454.82

468.21

474.91

484.95

494.99

501.27

507.96

511.31

514.66

518.00

521.35

528.05

534.74

544.78

554.41

567.80

584.53

604.20

627.63

653.99

684.12

713.82

747.30

780.35

816.76

853.58

893.33

933.08

976.17 1019.69 1066.13 1089.15 1135.59 1175.76 1202.12 1235.18 1255.26

Health Net

PureCare

HSP A

214.80

214.80

334.52

334.52

334.52

334.52

335.83

342.39

350.26

363.06

373.55

378.80

386.67

394.54

399.46

404.71

407.34

409.96

412.58

415.21

420.46

425.70

433.58

441.12

451.62

464.74

480.15

498.52

519.18

542.80

566.09

592.33

618.24

646.78

675.64

706.80

737.96

771.74

805.86

842.26

860.30

896.71

928.20

948.86

974.78

Kaiser Permanente

Full

HMO B

183.82

168.83

265.87

265.87

265.87

265.87

266.93

272.25

278.63

289.00

297.51

301.76

308.14

314.52

318.51

322.76

324.89

327.02

329.15

331.27

335.53

339.78

346.16

352.28

360.78

371.42

383.91

398.80

415.55

434.70

453.57

474.84

495.85

518.98

542.37

567.63

592.89

620.27

647.92

677.43

692.06

721.57

747.09

763.84

784.84

797.61

Kaiser Permanente

Full

HMO C

186.77

171.78

270.51

270.51

270.51

270.51

271.59

277.01

283.50

294.05

302.70

307.03

313.52

320.02

324.07

328.40

330.57

332.73

334.89

337.06

341.39

345.72

352.21

358.43

367.09

377.91

390.62

405.77

422.81

442.29

461.49

483.14

504.51

528.04

551.85

577.54

603.24

631.11

659.24

689.27

704.14

734.17

760.14

777.18

798.55

811.53 741.84

990.52

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

Sutter Health Plus

Full

HMO A

192.41

192.41

303.00

303.00

303.00

303.00

304.21

310.27

317.54

329.36

339.05

343.90

351.17

358.45

362.99

367.84

370.26

372.69

375.11

377.53

382.38

387.23

394.50

401.47

411.17

423.29

437.53

454.49

473.58

495.40

516.91

541.15

565.09

591.45

618.11

646.89

675.68

706.89

738.40

772.03

788.69

822.33

851.41

870.50

894.44

908.97 920.42

Sutter Health Plus

Full

HMO B

194.83

194.83

306.81

306.81

306.81

306.81

308.04

314.18

321.54

333.51

343.32

348.23

355.60

362.96

367.56

372.47

374.93

377.38

379.84

382.29

387.20

392.11

399.47

406.53

416.35

428.62

443.04

460.22

479.55

501.64

523.42

547.97

572.20

598.90

625.90

655.04

684.19

715.79

747.70

781.76

798.63

832.69

862.14

881.47

905.71

Sutter Health Plus

Full

HMO C

190.35

190.35

299.76

299.76

299.76

299.76

300.96

306.96

314.15

325.84

335.44

340.23

347.43

354.62

359.12

363.91

366.31

368.71

371.11

373.51

378.30

383.10

390.29

397.19

406.78

418.77

432.86

449.64

468.53

490.11

511.40

535.38

559.06

585.14

611.52

639.99

668.47

699.34

730.52

763.79

780.28

813.55

842.33

861.22

884.90

899.27

Sutter Health Plus

Full

HMO D

183.74

183.74

289.35

289.35

289.35

289.35

290.50

296.29

303.23

314.52

323.78

328.41

335.35

342.29

346.63

351.26

353.58

355.89

358.21

360.52

365.15

369.78

376.73

383.38

392.64

404.21

417.81

434.02

452.24

473.08

493.62

516.77

539.62

564.80

590.26

617.75

645.23

675.04

705.13

737.24

753.16

785.27

813.05

831.28

854.14

868.02

UnitedHealthcare

SignatureValue

HMO A

285.05

285.05

448.89

448.89

448.89

448.89

450.69

459.66

470.44

487.94

502.31

509.49

520.26

531.04

537.77

544.95

548.54

552.13

555.73

559.32

566.50

573.68

584.45

594.78

609.14

627.10

648.20

673.34

701.62

733.94

765.81

801.72

837.18

876.23

915.74

958.38 1001.02 1047.26 1093.94 1143.77 1168.46 1218.29 1261.38 1289.66 1325.12 1346.67

UnitedHealthcare

Focus

HMO D

241.71

241.71

380.65

380.65

380.65

380.65

382.17

389.79

398.92

413.77

425.95

432.04

441.17

450.31

456.02

462.11

465.15

468.20

471.24

474.29

480.38

486.47

495.61

504.36

516.54

531.77

549.66

570.98

594.96

622.36

649.39

679.84

709.91

743.03

776.53

812.69

848.85

888.06

927.64

969.90

990.83 1033.08 1069.63 1093.61 1123.68 1141.95

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

692.40

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

14

AREA 5 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

277.23

277.23

436.59

436.59

436.59

436.59

438.33

447.06

457.54

474.57

488.54

495.52

506.00

516.48

523.03

530.01

533.51

537.00

540.49

543.99

550.97

557.96

568.43

578.48

592.45

609.91

630.43

654.88

682.38

713.82

744.82

779.74

814.23

852.22

890.63

932.11

973.59 1018.55 1063.96 1112.42 1136.43 1184.89 1226.81 1254.31 1288.80 1309.76

Aetna

Aetna Value Network

HMO B

271.88

271.88

428.16

428.16

428.16

428.16

429.87

438.43

448.71

465.41

479.11

485.96

496.23

506.51

512.93

519.78

523.21

526.63

530.06

533.48

540.33

547.18

557.46

567.31

581.01

598.13

618.26

642.23

669.21

700.04

730.43

764.69

798.51

835.76

873.44

914.11

954.79

Anthem Blue Cross

Select HMO

HMO A

308.72

308.72

486.18

486.18

486.18

486.18

488.12

497.85

509.52

528.48

544.04

551.81

563.48

575.15

582.44

590.22

594.11

598.00

601.89

605.78

613.56

621.34

633.01

644.19

659.75

679.19

702.04

729.27

759.90

794.90

829.42

868.32

906.73

949.02

991.81 1037.99 1084.18 1134.26 1184.82 1238.79 1265.53 1319.49 1366.17 1396.80 1435.20 1458.54

998.89 1043.42 1090.94 1114.49 1162.02 1203.12 1230.09 1263.92 1284.47

Anthem Blue Cross

Advantage PPO

PPO A

296.08

296.08

466.26

466.26

466.26

466.26

468.13

477.45

488.64

506.82

521.74

529.21

540.40

551.59

558.58

566.04

569.77

573.50

577.23

580.96

588.42

595.88

607.07

617.79

632.71

651.37

673.28

699.39

728.76

762.34

795.44

832.74

869.57

910.14

951.17

Anthem Blue Cross

Select PPO

PPO B

284.25

284.25

447.63

447.63

447.63

447.63

449.42

458.37

469.12

486.57

500.90

508.06

518.80

529.55

536.26

543.42

547.00

550.58

554.17

557.75

564.91

572.07

582.81

593.11

607.43

625.34

646.38

671.45

699.65

731.88

763.66

799.47

834.83

873.77

913.17

955.69

Anthem Blue Cross

Select PPO

PPO C

295.19

295.19

464.87

464.87

464.87

464.87

466.73

476.03

487.18

505.31

520.19

527.63

538.78

549.94

556.91

564.35

568.07

571.79

575.51

579.23

586.67

594.10

605.26

615.95

630.83

649.42

671.27

697.31

726.59

760.06

793.07

830.26

866.98

907.43

948.33

992.50 1036.66 1084.54 1132.89 1184.49 1210.06 1261.66 1306.28 1335.57 1372.30 1394.61

995.47 1039.76 1087.78 1136.28 1188.03 1213.67 1265.43 1310.19 1339.56 1376.40 1398.78 998.21 1044.32 1090.87 1140.56 1165.18 1214.87 1257.84 1286.04 1321.40 1342.89

Anthem Blue Cross

Select PPO

PPO D

279.17

279.17

439.63

439.63

439.63

439.63

441.39

450.18

460.73

477.88

491.95

498.98

509.53

520.08

526.68

533.71

537.23

540.74

544.26

547.78

554.81

561.85

572.40

582.51

596.58

614.16

634.83

659.45

687.14

718.80

750.01

785.18

819.91

858.16

896.85

938.61

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

264.26

264.26

416.15

416.15

416.15

416.15

417.81

426.14

436.13

452.36

465.67

472.33

482.32

492.31

498.55

505.21

508.54

511.86

515.19

518.52

525.18

531.84

541.83

551.40

564.72

581.36

600.92

624.23

650.44

680.41

709.95

743.24

776.12

812.32

848.95

888.48

928.01

Health Net

Wholecare

HMO A

288.85

288.85

451.14

451.14

451.14

451.14

452.92

461.81

472.48

489.82

504.05

511.16

521.83

532.51

539.17

546.29

549.85

553.40

556.96

560.52

567.63

574.74

585.42

595.64

609.87

627.65

648.55

673.45

701.46

733.47

765.04

800.61

835.74

874.42

913.54

955.78

998.02 1043.82 1090.06 1139.41 1163.87 1213.22 1255.90 1283.91 1319.04 1340.38

Health Net

Wholecare

HMO B

268.73

268.73

423.20

423.20

423.20

423.20

424.89

433.36

443.51

460.02

473.56

480.33

490.49

500.65

506.99

513.76

517.15

520.54

523.92

527.31

534.08

540.85

551.01

560.74

574.28

591.21

611.10

634.80

661.46

691.93

721.98

755.84

789.27

826.09

863.33

903.53

943.74

Health Net

PureCare

HSP A

271.10

271.10

423.18

423.18

423.18

423.18

424.85

433.18

443.18

459.43

472.76

479.43

489.43

499.43

505.68

512.35

515.68

519.01

522.35

525.68

532.34

539.01

549.01

558.59

571.93

588.59

608.18

631.51

657.76

687.76

717.34

750.67

783.59

819.84

856.51

896.09

935.67

978.59 1021.92 1068.17 1091.09 1137.34 1177.33 1203.58 1236.50 1256.50

Kaiser Permanente

Full

HMO A

212.60

197.61

311.19

311.19

311.19

311.19

312.44

318.66

326.13

338.27

348.23

353.20

360.67

368.14

372.81

377.79

380.28

382.77

385.26

387.75

392.73

397.71

405.17

412.33

422.29

434.74

449.36

466.79

486.40

508.80

530.90

555.79

580.38

607.45

634.83

664.40

693.96

726.01

758.38

792.92

810.04

844.58

874.45

894.06

918.64

Kaiser Permanente

Full

HMO B

216.27

201.28

316.97

316.97

316.97

316.97

318.24

324.58

332.18

344.55

354.69

359.76

367.37

374.97

379.73

384.80

387.34

389.87

392.41

394.94

400.02

405.09

412.69

419.98

430.13

442.81

457.70

475.45

495.42

518.25

540.75

566.11

591.15

618.72

646.62

676.73

706.84

739.49

772.45

807.64

825.07

860.26

890.68

910.65

935.69

950.91

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

815.36

837.78

851.40

980.37 1025.66 1071.38 1120.18 1144.36 1193.16 1235.36 1263.06 1297.79 1318.89 970.88 1014.16 1060.35 1083.24 1129.43 1169.38 1195.60 1228.47 1248.45

987.33 1031.34 1078.31 1101.59 1148.56 1189.19 1215.85 1249.29 1269.60

933.57

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

Sutter Health Plus

Full

HMO A

222.34

222.34

350.14

350.14

350.14

350.14

351.54

358.55

366.95

380.61

391.81

397.41

405.82

414.22

419.47

425.07

427.87

430.68

433.48

436.28

441.88

447.48

455.89

463.94

475.14

489.15

505.60

525.21

547.27

572.48

597.34

625.35

653.01

683.48

714.29

747.55

780.81

816.88

853.29

892.16

911.42

950.28

983.89 1005.95 1033.61 1050.41

Sutter Health Plus

Full

HMO B

230.55

230.55

363.07

363.07

363.07

363.07

364.53

371.79

380.50

394.66

406.28

412.09

420.80

429.51

434.96

440.77

443.67

446.58

449.48

452.39

458.20

464.01

472.72

481.07

492.69

507.21

524.28

544.61

567.48

593.62

619.40

648.44

677.13

708.71

740.66

775.16

809.65

847.04

884.80

925.10

945.07

985.37 1020.23 1043.10 1071.78 1089.20

Sutter Health Plus

Full

HMO C

228.65

228.65

360.08

360.08

360.08

360.08

361.52

368.72

377.37

391.41

402.93

408.69

417.33

425.98

431.38

437.14

440.02

442.90

445.78

448.66

454.42

460.18

468.82

477.11

488.63

503.03

519.96

540.12

562.80

588.73

614.30

643.10

671.55

702.87

734.56

768.77

802.98

840.06

877.51

917.48

937.28

977.25 1011.82 1034.50 1062.95 1080.22

UnitedHealthcare

SignatureValue

HMO A

341.52

341.52

537.83

537.83

537.83

537.83

539.98

550.74

563.65

584.62

601.83

610.44

623.34

636.25

644.32

652.93

657.23

661.53

665.83

670.14

678.74

687.35

700.25

712.62

729.84

751.35

776.63

806.75

840.63

879.35

917.54

960.56 1003.05 1049.84 1097.17 1148.27 1199.36 1254.76 1310.69 1370.39 1399.97 1459.67 1511.30 1545.19 1587.67 1613.49

UnitedHealthcare

Focus

HMO C

289.60

289.60

456.07

456.07

456.07

456.07

457.89

467.02

477.96

495.75

510.34

517.64

528.59

539.53

546.37

553.67

557.32

560.97

564.61

568.26

575.56

582.86

593.80

604.29

618.89

637.13

658.57

684.11

712.84

745.67

778.06

814.54

850.57

890.25

930.38

973.71 1017.04 1064.01 1111.44 1162.07 1187.15 1237.77 1281.56 1310.29 1346.32 1368.21

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

319.87

319.87

503.73

503.73

503.73

503.73

505.74

515.82

527.91

547.55

563.67

571.73

583.82

595.91

603.47

611.53

615.56

619.59

623.62

627.65

635.71

643.77

655.86

667.44

683.56

703.71

727.39

755.59

787.33

823.60

859.36

899.66

939.46

Anthem Blue Cross

Select HMO

HMO A

335.67

335.67

528.61

528.61

528.61

528.61

530.72

541.30

553.98

574.60

591.51

599.97

612.66

625.35

633.27

641.73

645.96

650.19

654.42

658.65

667.11

675.56

688.25

700.41

717.32

738.47

763.31

792.92

826.22

864.28

901.81

944.10

985.86 1031.85 1078.36 1128.58 1178.80 1233.25 1288.22 1346.90 1375.97 1434.65 1485.39 1518.70 1560.46 1585.83

Platinum

AGE -->

983.28 1027.61 1075.46 1123.32 1175.20 1227.59 1283.50 1311.21 1367.12 1415.48 1447.21 1487.01 1511.19

Kaiser Permanente

Full

HMO A

236.34

221.35

348.59

348.59

348.59

348.59

349.98

356.95

365.32

378.91

390.07

395.65

404.01

412.38

417.61

423.18

425.97

428.76

431.55

434.34

439.92

445.49

453.86

461.88

473.03

486.97

503.36

522.88

544.84

569.94

594.69

622.57

650.11

680.44

711.12

744.23

777.35

813.25

849.50

888.20

907.37

946.06

979.53 1001.49 1029.03 1045.77

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

975.90 1002.74 1019.04

Sutter Health Plus

Full

HMO A

265.51

265.51

418.13

418.13

418.13

418.13

419.80

428.16

438.20

454.51

467.89

474.58

484.61

494.64

500.92

507.61

510.95

514.30

517.64

520.99

527.68

534.37

544.40

554.02

567.40

584.12

603.78

627.19

653.53

683.64

713.32

746.77

779.81

816.18

852.98

892.70

932.42

975.49 1018.97 1065.38 1088.38 1134.79 1174.93 1201.27 1234.31 1254.37

Sutter Health Plus

Full

HMO C

263.46

263.46

414.90

414.90

414.90

414.90

416.56

424.85

434.81

450.99

464.27

470.91

480.86

490.82

497.04

503.68

507.00

510.32

513.64

516.96

523.60

530.24

540.19

549.74

563.01

579.61

599.11

622.34

648.48

678.35

707.81

741.00

773.78

809.87

846.38

885.80

925.21

967.95 1011.09 1057.15 1079.97 1126.02 1165.85 1191.99 1224.76 1244.67

UnitedHealthcare

SignatureValue

HMO A

369.21

369.21

581.44

581.44

581.44

581.44

583.77

595.39

609.35

632.03

650.63

659.93

673.89

687.84

696.57

705.87

710.52

715.17

719.82

724.47

733.78

743.08

757.03

770.41

789.01

812.27

839.60

872.16

908.79

950.65

991.94 1038.45 1084.39 1134.97 1186.14 1241.37 1296.61 1356.50 1416.97 1481.51 1513.49 1578.03 1633.85 1670.48 1716.41 1744.32

UnitedHealthcare

Focus

HMO B

313.09

313.09

493.05

493.05

493.05

493.05

495.02

504.88

516.72

535.95

551.72

559.61

571.44

583.28

590.67

598.56

602.51

606.45

610.40

614.34

622.23

630.12

641.95

653.29

669.07

688.79

711.96

739.58

770.64

806.14

841.14

880.59

919.54

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

962.43 1005.82 1052.66 1099.50 1150.29 1201.56 1256.29 1283.41 1338.14 1385.47 1416.53 1455.48 1479.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

15

AREA 6

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

861.13

897.85

929.61

950.45

976.59

992.46

PLAN

Aetna

HMO Deductible

HMO A

210.07

210.07

330.82

330.82

330.82

330.82

332.14

338.76

346.70

359.60

370.19

375.48

383.42

391.36

396.32

401.62

404.26

406.91

409.56

412.20

417.50

422.79

430.73

438.34

448.92

462.16

477.71

496.23

517.07

540.89

564.38

590.85

616.98

645.76

674.88

706.30

737.73

771.81

806.21

842.93

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

245.50

245.50

386.61

386.61

386.61

386.61

388.16

395.89

405.17

420.25

432.62

438.80

448.08

457.36

463.16

469.34

472.44

475.53

478.62

481.72

487.90

494.09

503.37

512.26

524.63

540.09

558.26

579.92

604.27

632.11

659.56

690.49

721.03

754.66

788.68

825.41

862.14

901.96

942.17

985.08 1006.35 1049.26 1086.37 1110.73 1141.27 1159.83

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

242.25

242.25

381.49

381.49

381.49

381.49

383.02

390.65

399.80

414.68

426.89

432.99

442.15

451.30

457.03

463.13

466.18

469.23

472.28

475.34

481.44

487.54

496.70

505.47

517.68

532.94

550.87

572.24

596.27

623.74

650.82

681.34

711.48

744.67

778.24

814.48

850.72

890.02

929.69

972.04

993.02 1035.36 1071.99 1096.02 1126.16 1144.47

Health Net

PureCare

HSP A

197.29

197.29

306.94

306.94

306.94

306.94

308.14

314.15

321.36

333.08

342.69

347.50

354.71

361.92

366.42

371.23

373.63

376.04

378.44

380.84

385.65

390.46

397.67

404.58

414.19

426.21

440.33

457.15

476.08

497.71

519.04

543.07

566.80

592.94

619.38

647.92

676.46

707.40

738.64

771.99

788.51

821.86

850.70

869.63

893.36

Kaiser Permanente

Full

HMO B

152.79

137.80

217.00

217.00

217.00

217.00

217.87

222.21

227.42

235.88

242.83

246.30

251.51

256.71

259.97

263.44

265.18

266.91

268.65

270.38

273.86

277.33

282.54

287.53

294.47

303.15

313.35

325.50

339.17

354.80

370.21

387.57

404.71

423.59

442.68

463.30

483.91

506.27

528.83

552.92

564.86

588.94

609.78

623.45

640.59

651.00

Kaiser Permanente

Full

HMO C

146.71

131.72

207.43

207.43

207.43

207.43

208.26

212.41

217.39

225.48

232.12

235.44

240.42

245.40

248.51

251.83

253.49

255.15

256.80

258.46

261.78

265.10

270.08

274.85

281.49

289.79

299.54

311.15

324.22

339.16

353.88

370.48

386.87

404.91

423.17

442.87

462.58

483.95

505.52

528.54

539.95

562.98

582.89

595.96

612.35

622.29 613.83

907.78

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

156.12

156.12

245.85

245.85

245.85

245.85

246.84

251.75

257.65

267.24

275.11

279.04

284.94

290.84

294.53

298.46

300.43

302.40

304.36

306.33

310.26

314.20

320.10

325.75

333.62

343.45

355.01

368.78

384.26

401.97

419.42

439.09

458.51

479.90

501.53

524.89

548.24

573.57

599.13

626.42

639.95

667.23

690.84

706.32

725.75

737.54

Sutter Health Plus

Full

HMO B

152.71

152.71

240.48

240.48

240.48

240.48

241.44

246.25

252.02

261.40

269.10

272.95

278.72

284.49

288.10

291.94

293.87

295.79

297.72

299.64

303.49

307.33

313.11

318.64

326.33

335.95

347.25

360.72

375.87

393.19

410.26

429.50

448.49

469.42

490.58

513.42

536.27

561.04

586.05

612.74

625.97

652.66

675.75

690.90

709.89

721.43 940.77

UnitedHealthcare

Focus

HMO A

199.13

199.13

313.59

313.59

313.59

313.59

314.84

321.12

328.64

340.87

350.91

355.92

363.45

370.98

375.68

380.70

383.21

385.72

388.22

390.73

395.75

400.77

408.29

415.51

425.54

438.09

452.82

470.39

490.14

512.72

534.98

560.07

584.85

612.13

639.72

669.51

699.31

731.61

764.22

799.03

816.27

851.08

881.19

900.94

925.72

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

274.06

274.06

431.59

431.59

431.59

431.59

433.31

441.94

452.30

469.13

482.94

489.85

500.21

510.57

517.04

523.95

527.40

530.85

534.30

537.76

544.66

551.57

561.92

571.85

585.66

602.93

623.21

647.38

674.57

705.64

736.29

770.81

804.91

842.46

880.44

921.44

Anthem Blue Cross

Select HMO

HMO A

285.24

285.24

449.19

449.19

449.19

449.19

450.99

459.97

470.75

488.27

502.64

509.83

520.61

531.39

538.13

545.32

548.91

552.50

556.10

559.69

566.88

574.06

584.85

595.18

609.55

627.52

648.63

673.79

702.08

734.43

766.32

802.25

837.74

876.82

916.35

959.02 1001.69 1047.96 1094.68 1144.54 1169.24 1219.10 1262.22 1290.52 1326.01 1347.57

962.44 1006.89 1051.77 1099.68 1123.42 1171.32 1212.76 1239.95 1274.04 1294.76

Anthem Blue Cross

Advantage PPO

PPO A

265.03

265.03

417.37

417.37

417.37

417.37

419.04

427.39

437.40

453.68

467.04

473.71

483.73

493.75

500.01

506.69

510.03

513.37

516.70

520.04

526.72

533.40

543.42

553.02

566.37

583.07

602.68

626.06

652.35

682.40

712.03

745.42

778.40

814.71

851.43

891.08

930.74

Anthem Blue Cross

Select PPO

PPO B

277.51

277.51

437.03

437.03

437.03

437.03

438.78

447.52

458.01

475.05

489.04

496.03

506.52

517.01

523.56

530.55

534.05

537.55

541.04

544.54

551.53

558.52

569.01

579.06

593.05

610.53

631.07

655.55

683.08

714.54

745.57

780.54

815.06

853.08

891.54

933.06

974.58 1019.59 1065.04 1113.55 1137.59 1186.10 1228.05 1255.59 1290.11 1311.09

973.72 1017.13 1063.46 1086.41 1132.74 1172.81 1199.10 1232.08 1252.11

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

292.80

292.80

461.10

461.10

461.10

461.10

462.94

472.17

483.23

501.22

515.97

523.35

534.41

545.48

552.40

559.78

563.46

567.15

570.84

574.53

581.91

589.29

600.35

610.96

625.71

644.16

665.83

691.65

720.70

753.90

786.64

823.52

859.95

900.07

940.64

984.45 1028.25 1075.75 1123.70 1174.88 1200.24 1251.43 1295.69 1324.74 1361.17 1383.30

Health Net

PureCare

HSP A

222.92

222.92

347.31

347.31

347.31

347.31

348.67

355.49

363.67

376.96

387.86

393.32

401.50

409.67

414.79

420.24

422.97

425.69

428.42

431.14

436.60

442.05

450.23

458.07

468.97

482.60

498.62

517.71

539.17

563.71

587.91

615.17

642.09

671.74

701.73

734.11

766.48

801.58

837.03

874.85

893.60

931.42

964.14

Kaiser Permanente

Full

HMO B

192.70

177.71

279.86

279.86

279.86

279.86

280.98

286.58

293.30

304.21

313.17

317.64

324.36

331.08

335.27

339.75

341.99

344.23

346.47

348.71

353.19

357.66

364.38

370.82

379.77

390.97

404.12

419.79

437.42

457.57

477.44

499.83

521.94

546.29

570.92

597.50

624.09

652.92

682.02

713.09

728.48

759.54

786.41

804.04

826.15

839.58

Kaiser Permanente

Full

HMO C

195.81

180.82

284.75

284.75

284.75

284.75

285.89

291.58

298.42

309.52

318.64

323.19

330.03

336.86

341.13

345.69

347.96

350.24

352.52

354.80

359.35

363.91

370.74

377.29

386.41

397.80

411.18

427.13

445.06

465.57

485.78

508.56

531.06

555.83

580.89

607.94

634.99

664.32

693.94

725.54

741.21

772.81

800.15

818.09

840.58

854.25 741.84

985.61 1012.53 1028.89

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

Sutter Health Plus

Full

HMO A

193.85

193.85

305.27

305.27

305.27

305.27

306.49

312.60

319.92

331.83

341.60

346.48

353.81

361.13

365.71

370.60

373.04

375.48

377.92

380.37

385.25

390.13

397.46

404.48

414.25

426.46

440.81

457.90

477.13

499.11

520.79

545.21

569.32

595.88

622.75

651.75

680.75

712.19

743.94

777.82

794.61

828.49

857.80

877.03

901.15

915.79 927.33

Sutter Health Plus

Full

HMO B

196.29

196.29

309.12

309.12

309.12

309.12

310.35

316.53

323.95

336.01

345.90

350.85

358.26

365.68

370.32

375.27

377.74

380.21

382.68

385.16

390.10

395.05

402.47

409.58

419.47

431.83

446.36

463.67

483.14

505.40

527.35

552.08

576.50

603.39

630.59

659.96

689.32

721.16

753.31

787.62

804.62

838.93

868.61

888.08

912.50

Sutter Health Plus

Full

HMO C

191.78

191.78

302.01

302.01

302.01

302.01

303.22

309.26

316.51

328.29

337.95

342.78

350.03

357.28

361.81

366.64

369.06

371.48

373.89

376.31

381.14

385.97

393.22

400.17

409.83

421.91

436.10

453.02

472.04

493.79

515.23

539.39

563.25

589.52

616.10

644.79

673.48

704.59

736.00

769.52

786.13

819.66

848.65

867.67

891.53

906.02

Sutter Health Plus

Full

HMO D

185.11

185.11

291.52

291.52

291.52

291.52

292.68

298.51

305.51

316.88

326.21

330.87

337.87

344.86

349.23

353.90

356.23

358.56

360.89

363.23

367.89

372.56

379.55

386.26

395.58

407.25

420.95

437.27

455.64

476.62

497.32

520.64

543.67

569.03

594.69

622.38

650.07

680.10

710.42

742.77

758.81

791.16

819.15

837.51

860.54

874.53

UnitedHealthcare

SignatureValue

HMO A

256.86

256.86

404.50

404.50

404.50

404.50

406.12

414.21

423.92

439.69

452.64

459.11

468.82

478.52

484.59

491.06

494.30

497.54

500.77

504.01

510.48

516.95

526.66

535.96

548.91

565.09

584.10

606.75

632.23

661.36

690.08

722.44

754.39

789.58

825.18

863.61

902.04

943.70

985.77 1030.67 1052.91 1097.81 1136.65 1162.13 1194.08 1213.50

UnitedHealthcare

Focus

HMO D

217.82

217.82

343.02

343.02

343.02

343.02

344.39

351.25

359.48

372.86

383.84

389.33

397.56

405.79

410.94

416.43

419.17

421.91

424.66

427.40

432.89

438.38

446.61

454.50

465.48

479.20

495.32

514.53

536.14

560.84

585.19

612.63

639.73

669.58

699.76

732.35

764.93

800.27

835.94

874.01

892.88

930.96

963.89

985.50 1012.60 1029.06

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

692.40

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

16

AREA 6 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

298.27

298.27

469.71

469.71

469.71

469.71

471.59

480.99

492.26

510.58

525.61

533.12

544.40

555.67

562.71

570.23

573.99

577.75

581.50

585.26

592.78

600.29

611.57

622.37

637.40

656.19

678.26

704.57

734.16

767.98

801.33

838.91

876.01

916.88

958.21 1002.84 1047.46 1095.84 1144.69 1196.83 1222.66 1274.80 1319.89 1349.48 1386.59 1409.14

Aetna

Aetna Value Network

HMO B

292.51

292.51

460.64

460.64

460.64

460.64

462.49

471.70

482.75

500.72

515.46

522.83

533.89

544.94

551.85

559.22

562.91

566.59

570.28

573.96

581.33

588.70

599.76

610.35

625.09

643.52

665.17

690.96

719.98

753.15

785.86

822.71

859.10

899.17

939.71

Anthem Blue Cross

Select HMO

HMO A

327.49

327.49

515.74

515.74

515.74

515.74

517.80

528.12

540.50

560.61

577.11

585.36

597.74

610.12

617.86

626.11

630.23

634.36

638.49

642.61

650.86

659.12

671.49

683.36

699.86

720.49

744.73

773.61

806.10

843.23

879.85

921.11

961.86 1006.72 1052.11 1101.10 1150.10 1203.22 1256.86 1314.11 1342.47 1399.72 1449.23 1481.72 1522.46 1547.22

983.47 1027.23 1074.68 1122.59 1173.72 1199.05 1250.18 1294.41 1323.43 1359.82 1381.93

Anthem Blue Cross

Advantage PPO

PPO A

313.67

313.67

493.97

493.97

493.97

493.97

495.95

505.83

517.68

536.95

552.75

560.66

572.51

584.37

591.78

599.68

603.63

607.58

611.53

615.49

623.39

631.29

643.15

654.51

670.32

690.08

713.29

740.96

772.08

807.64

842.71

882.23

921.25

Anthem Blue Cross

Select PPO

PPO B

309.08

309.08

486.74

486.74

486.74

486.74

488.69

498.42

510.10

529.09

544.66

552.45

564.13

575.81

583.11

590.90

594.80

598.69

602.58

606.48

614.27

622.05

633.74

644.93

660.51

679.98

702.85

730.11

760.77

795.82

830.38

869.32

907.77

950.12

Anthem Blue Cross

Select PPO

PPO C

320.98

320.98

505.48

505.48

505.48

505.48

507.50

517.61

529.74

549.46

565.63

573.72

585.85

597.98

605.57

613.65

617.70

621.74

625.78

629.83

637.92

646.00

658.13

669.76

685.94

706.16

729.91

758.22

790.07

826.46

862.35

902.79

942.72

986.70 1031.18 1079.20 1127.22 1179.28 1231.85 1287.96 1315.76 1371.87 1420.40 1452.24 1492.18 1516.44

964.23 1007.70 1054.63 1101.55 1152.43 1203.80 1258.64 1285.80 1340.63 1388.06 1419.18 1458.20 1481.91 992.95 1039.19 1085.43 1135.56 1186.19 1240.21 1266.98 1321.01 1367.74 1398.40 1436.86 1460.22

Anthem Blue Cross

Select PPO

PPO D

303.56

303.56

478.04

478.04

478.04

478.04

479.95

489.51

500.99

519.63

534.93

542.58

554.05

565.52

572.69

580.34

584.16

587.99

591.81

595.64

603.29

610.94

622.41

633.40

648.70

667.82

690.29

717.06

747.18

781.60

815.54

853.78

891.54

933.13

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

291.24

291.24

458.64

458.64

458.64

458.64

460.47

469.65

480.65

498.54

513.22

520.56

531.56

542.57

549.45

556.79

560.46

564.13

567.80

571.47

578.80

586.14

597.15

607.70

622.37

640.72

662.28

687.96

716.85

749.88

782.44

819.13

855.36

895.27

935.63

979.20 1022.77 1070.01 1117.71 1168.61 1193.84 1244.75 1288.78 1317.67 1353.91 1375.92

Health Net

Wholecare

HMO A

299.86

299.86

468.48

468.48

468.48

468.48

470.33

479.57

490.65

508.67

523.45

530.84

541.93

553.02

559.95

567.34

571.04

574.73

578.43

582.12

589.51

596.90

607.99

618.62

633.40

651.88

673.59

699.46

728.56

761.82

794.62

831.58

868.08

908.27

948.92

992.80 1036.69 1084.27 1132.32 1183.59 1209.00 1260.28 1304.63 1333.73 1370.23 1392.40

Health Net

Wholecare

HMO B

279.21

279.21

439.70

439.70

439.70

439.70

441.46

450.25

460.81

477.95

492.02

499.06

509.61

520.17

526.76

533.80

537.31

540.83

544.35

547.87

554.90

561.94

572.49

582.60

596.67

614.26

634.93

659.55

687.25

718.91

750.13

785.30

820.04

858.29

896.99

938.76

Health Net

PureCare

HSP A

281.42

281.42

439.43

439.43

439.43

439.43

441.16

449.82

460.21

477.09

490.95

497.87

508.26

518.65

525.15

532.07

535.54

539.00

542.46

545.93

552.85

559.78

570.17

580.13

593.98

611.30

631.64

655.89

683.16

714.33

745.06

779.70

813.90

851.56

889.66

930.78

971.91 1016.50 1061.52 1109.57 1133.38 1181.44 1223.00 1250.27 1284.47 1305.25

Kaiser Permanente

Full

HMO A

223.00

208.01

327.57

327.57

327.57

327.57

328.88

335.43

343.30

356.07

366.55

371.79

379.66

387.52

392.43

397.67

400.29

402.91

405.53

408.15

413.40

418.64

426.50

434.03

444.52

457.62

473.01

491.36

511.99

535.58

558.84

585.04

610.92

639.42

668.25

699.37

730.49

764.23

798.29

834.65

852.67

889.03

920.48

941.11

966.99

Kaiser Permanente

Full

HMO B

226.86

211.87

333.65

333.65

333.65

333.65

334.99

341.66

349.67

362.68

373.36

378.70

386.70

394.71

399.72

405.05

407.72

410.39

413.06

415.73

421.07

426.41

434.42

442.09

452.77

466.11

481.79

500.48

521.50

545.52

569.21

595.90

622.26

651.29

680.65

712.35

744.04

778.41

813.11

850.15

868.50

905.53

937.56

958.58

984.94 1000.95

975.20 1020.62 1066.03 1115.27 1164.98 1218.05 1244.34 1297.40 1343.29 1373.41 1411.17 1434.12

980.53 1025.82 1071.55 1120.36 1144.54 1193.35 1235.56 1263.26 1297.99 1319.10

982.71

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

Sutter Health Plus

Full

HMO A

224.01

224.01

352.77

352.77

352.77

352.77

354.18

361.24

369.70

383.46

394.75

400.39

408.86

417.33

422.62

428.26

431.08

433.91

436.73

439.55

445.19

450.84

459.30

467.42

478.71

492.82

509.40

529.15

551.38

576.77

601.82

630.04

657.91

688.60

719.64

753.16

786.67

823.00

859.69

898.85

918.25

957.41

991.27 1013.50 1041.37 1058.29

Sutter Health Plus

Full

HMO B

232.28

232.28

365.80

365.80

365.80

365.80

367.26

374.58

383.35

397.62

409.33

415.18

423.96

432.74

438.22

444.08

447.00

449.93

452.85

455.78

461.63

467.49

476.27

484.68

496.38

511.02

528.21

548.69

571.74

598.07

624.04

653.31

682.21

714.03

746.22

780.97

815.72

853.40

891.44

932.04

952.16

992.76 1027.88 1050.92 1079.82 1097.37

774.53

809.00

846.36

884.09

924.36

944.31

984.58 1019.41 1042.26 1070.92 1088.33

Sutter Health Plus

Full

HMO C

230.37

230.37

362.78

362.78

362.78

362.78

364.23

371.49

380.20

394.34

405.95

411.76

420.46

429.17

434.61

440.42

443.32

446.22

449.12

452.03

457.83

463.63

472.34

480.68

492.29

506.80

523.86

544.17

567.03

593.15

618.90

647.92

676.58

708.15

740.07

UnitedHealthcare

SignatureValue

HMO A

307.75

307.75

484.65

484.65

484.65

484.65

486.59

496.28

507.91

526.81

542.32

550.08

561.71

573.34

580.61

588.37

592.24

596.12

600.00

603.87

611.63

619.38

631.01

642.16

657.67

677.06

699.83

726.98

757.51

792.40

826.81

865.58

903.87

946.04

988.69 1034.73 1080.77 1130.69 1181.09 1234.89 1261.54 1315.34 1361.87 1392.40 1430.69 1453.95

UnitedHealthcare

Focus

HMO C

260.98

260.98

410.99

410.99

410.99

410.99

412.63

420.85

430.72

446.75

459.90

466.47

476.34

486.20

492.37

498.94

502.23

505.52

508.81

512.09

518.67

525.25

535.11

544.56

557.71

574.15

593.47

616.49

642.38

671.97

701.15

734.03

766.50

802.25

838.42

877.46

916.51

958.84 1001.58 1047.20 1069.81 1115.43 1154.88 1180.77 1213.24 1232.97

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

344.14

344.14

541.95

541.95

541.95

541.95

544.12

554.96

567.96

589.10

606.44

615.11

628.12

641.13

649.26

657.93

662.26

666.60

670.93

675.27

683.94

692.61

705.62

718.08

735.43

757.10

782.58

812.93

847.07

886.09

924.57

Anthem Blue Cross

Select HMO

HMO A

356.09

356.09

560.77

560.77

560.77

560.77

563.01

574.23

587.69

609.56

627.50

636.47

649.93

663.39

671.80

680.77

685.26

689.75

694.23

698.72

707.69

716.66

730.12

743.02

760.96

783.40

809.75

841.16

876.48

916.86

956.67 1001.54 1045.84 1094.62 1143.97 1197.24 1250.52 1308.28 1366.60 1428.84 1459.68 1521.93 1575.76 1611.09 1655.39 1682.31

Platinum

AGE -->

967.92 1010.74 1057.89 1105.58 1157.06 1208.55 1264.37 1320.73 1380.89 1410.70 1470.85 1522.88 1557.02 1599.84 1625.85

Kaiser Permanente

Full

HMO A

247.99

233.00

366.93

366.93

366.93

366.93

368.40

375.74

384.55

398.86

410.60

416.47

425.27

434.08

439.59

445.46

448.39

451.33

454.26

457.20

463.07

468.94

477.75

486.19

497.93

512.60

529.85

550.40

573.52

599.93

625.99

655.34

684.33

716.25

748.54

783.40

818.26

856.05

894.21

934.94

955.13

995.85 1031.08 1054.20 1083.18 1100.79

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

975.90 1002.74 1019.04

Sutter Health Plus

Full

HMO A

267.50

267.50

421.26

421.26

421.26

421.26

422.95

431.37

441.48

457.91

471.39

478.13

488.24

498.35

504.67

511.41

514.78

518.15

521.52

524.89

531.63

538.37

548.48

558.17

571.65

588.50

608.30

631.89

658.43

688.76

718.67

752.37

785.65

822.30

859.37

899.39

939.41

982.80 1026.61 1073.37 1096.54 1143.30 1183.74 1210.28 1243.56 1263.77

Sutter Health Plus

Full

HMO C

265.44

265.44

418.01

418.01

418.01

418.01

419.68

428.04

438.07

454.37

467.75

474.44

484.47

494.50

500.77

507.46

510.80

514.15

517.49

520.84

527.52

534.21

544.24

553.86

567.23

583.95

603.60

627.01

653.34

683.44

713.12

746.56

779.58

815.95

852.73

892.44

932.15

975.21 1018.68 1065.08 1088.07 1134.46 1174.59 1200.93 1233.95 1254.00

UnitedHealthcare

SignatureValue

HMO A

332.70

332.70

523.94

523.94

523.94

523.94

526.04

536.51

549.09

569.52

586.29

594.67

607.25

619.82

627.68

636.06

640.25

644.45

648.64

652.83

661.21

669.60

682.17

694.22

710.99

731.94

756.57

785.91

818.92

856.64

893.84

935.76

977.15 1022.73 1068.84 1118.61 1168.39 1222.35 1276.84 1335.00 1363.82 1421.97 1472.27 1505.28 1546.67 1571.82

UnitedHealthcare

Focus

HMO B

282.14

282.14

444.31

444.31

444.31

444.31

446.09

454.97

465.64

482.96

497.18

504.29

514.96

525.62

532.28

539.39

542.95

546.50

550.06

553.61

560.72

567.83

578.49

588.71

602.93

620.70

641.58

666.47

694.46

726.45

757.99

793.54

828.64

867.29

906.39

948.60

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

990.81 1036.58 1082.78 1132.10 1156.54 1205.86 1248.51 1276.50 1311.60 1332.93

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

17

AREA 7

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

920.86

PLAN

Aetna

HMO Deductible

HMO A

194.92

194.92

306.95

306.95

306.95

306.95

308.18

314.32

321.69

333.66

343.48

348.39

355.76

363.13

367.73

372.64

375.10

377.55

380.01

382.46

387.37

392.29

399.65

406.71

416.54

428.81

443.24

460.43

479.77

501.87

523.66

548.22

572.47

599.17

626.18

655.34

684.50

716.12

748.04

782.12

799.00

833.07

862.54

881.88

906.12

Aetna

Basic HMO

HMO B

175.47

175.47

276.33

276.33

276.33

276.33

277.44

282.97

289.60

300.38

309.22

313.64

320.27

326.90

331.05

335.47

337.68

339.89

342.10

344.31

348.73

353.16

359.79

366.14

374.99

386.04

399.03

414.50

431.91

451.81

471.43

493.53

515.36

539.41

563.72

589.97

616.23

644.69

673.43

704.10

719.30

749.97

776.50

793.91

815.74

829.00

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

205.51

205.51

323.64

323.64

323.64

323.64

324.93

331.41

339.17

351.80

362.15

367.33

375.10

382.87

387.72

392.90

395.49

398.08

400.67

403.26

408.43

413.61

421.38

428.82

439.18

452.13

467.34

485.46

505.85

529.15

552.13

578.02

603.59

631.75

660.23

690.97

721.72

755.05

788.71

824.63

842.43

878.36

909.43

929.82

955.39

970.92 958.17

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

202.81

202.81

319.39

319.39

319.39

319.39

320.67

327.06

334.72

347.18

357.40

362.51

370.17

377.84

382.63

387.74

390.29

392.85

395.40

397.96

403.07

408.18

415.85

423.19

433.41

446.19

461.20

479.09

499.21

522.20

544.88

570.43

595.66

623.45

651.56

681.90

712.24

745.14

778.35

813.81

831.37

866.82

897.49

917.61

942.84

Health Net

PureCare

HSP A

175.89

175.89

273.25

273.25

273.25

273.25

274.32

279.65

286.05

296.46

304.99

309.26

315.66

322.06

326.06

330.33

332.46

334.60

336.73

338.87

343.13

347.40

353.80

359.94

368.47

379.14

391.68

406.62

423.42

442.62

461.56

482.90

503.97

527.18

550.65

575.99

601.33

628.80

656.54

686.15

700.82

730.43

756.03

772.84

793.91

806.71

Kaiser Permanente

Full

HMO B

156.92

141.93

223.51

223.51

223.51

223.51

224.41

228.88

234.24

242.96

250.11

253.69

259.05

264.42

267.77

271.34

273.13

274.92

276.71

278.50

282.07

285.65

291.01

296.15

303.31

312.25

322.75

335.27

349.35

365.44

381.31

399.19

416.85

436.30

455.97

477.20

498.43

521.45

544.70

569.51

581.80

606.61

628.07

642.15

659.81

670.53 640.98

Kaiser Permanente

Full

HMO C

150.66

135.67

213.66

213.66

213.66

213.66

214.51

218.79

223.91

232.25

239.08

242.50

247.63

252.76

255.96

259.38

261.09

262.80

264.51

266.22

269.64

273.05

278.18

283.10

289.93

298.48

308.52

320.49

333.95

349.33

364.50

381.59

398.47

417.06

435.86

456.16

476.46

498.46

520.68

544.40

556.15

579.87

600.38

613.84

630.72

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

149.93

149.93

236.11

236.11

236.11

236.11

237.06

241.78

247.45

256.65

264.21

267.99

273.65

279.32

282.86

286.64

288.53

290.42

292.31

294.20

297.97

301.75

307.42

312.85

320.40

329.85

340.95

354.17

369.04

386.04

402.81

421.69

440.35

460.89

481.67

504.10

526.53

550.85

575.40

601.61

614.60

640.80

663.47

678.34

697.00

708.32 692.85

Sutter Health Plus

Full

HMO B

146.66

146.66

230.96

230.96

230.96

230.96

231.88

236.50

242.04

251.05

258.44

262.13

267.68

273.22

276.68

280.38

282.23

284.07

285.92

287.77

291.47

295.16

300.70

306.02

313.41

322.64

333.50

346.43

360.98

377.61

394.01

412.48

430.73

450.82

471.15

493.09

515.03

538.81

562.83

588.47

601.17

626.81

648.98

663.53

681.77

UnitedHealthcare

Focus

HMO A

199.13

199.13

313.59

313.59

313.59

313.59

314.84

321.12

328.64

340.87

350.91

355.92

363.45

370.98

375.68

380.70

383.21

385.72

388.22

390.73

395.75

400.77

408.29

415.51

425.54

438.09

452.82

470.39

490.14

512.72

534.98

560.07

584.85

612.13

639.72

669.51

699.31

731.61

764.22

799.03

816.27

851.08

881.19

900.94

925.72

940.77

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58 555.00

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

HMO Deductible

HMO A

254.28

254.28

400.45

400.45

400.45

400.45

402.05

410.06

419.67

435.29

448.10

454.51

464.12

473.73

479.74

486.14

489.35

492.55

495.75

498.96

505.36

511.77

521.38

530.59

543.41

559.42

578.25

600.67

625.90

654.73

683.16

715.20

746.83

781.67

816.91

854.95

893.00

934.24

975.89 1020.34 1042.36 1086.81 1125.26 1150.48 1182.12 1201.34

Aetna

Basic HMO

HMO B

228.92

228.92

360.50

360.50

360.50

360.50

361.95

369.16

377.81

391.87

403.40

409.17

417.82

426.48

431.88

437.65

440.53

443.42

446.30

449.19

454.96

460.72

469.38

477.67

489.20

503.62

520.57

540.75

563.47

589.42

615.02

643.86

672.34

703.70

735.43

769.67

803.92

841.05

878.55

918.56

938.39

Anthem Blue Cross

Select HMO

HMO A

241.65

241.65

380.55

380.55

380.55

380.55

382.07

389.68

398.82

413.66

425.84

431.92

441.06

450.19

455.90

461.99

465.03

468.08

471.12

474.17

480.25

486.34

495.48

504.23

516.41

531.63

549.51

570.83

594.80

622.20

649.22

679.66

709.73

742.83

776.32

812.47

848.63

887.82

927.40

969.64

990.57 1032.81 1069.35 1093.32 1123.38 1141.65

Silver

AGE -->

978.41 1013.01 1035.73 1064.21 1081.51

Anthem Blue Cross

Advantage PPO

PPO A

234.43

234.43

369.18

369.18

369.18

369.18

370.66

378.04

386.90

401.30

413.11

419.02

427.88

436.74

442.28

448.18

451.14

454.09

457.04

460.00

465.91

471.81

480.67

489.16

500.98

515.74

533.10

553.77

577.03

603.61

629.82

659.36

688.52

720.64

753.13

788.20

823.27

861.30

899.69

940.67

960.98 1001.95 1037.40 1060.65 1089.82 1107.54

Anthem Blue Cross

Select PPO

PPO B

228.16

228.16

359.31

359.31

359.31

359.31

360.75

367.93

376.56

390.57

402.07

407.82

416.44

425.06

430.45

436.20

439.08

441.95

444.83

447.70

453.45

459.20

467.82

476.09

487.58

501.96

518.84

538.97

561.60

587.47

612.98

641.73

670.11

701.37

732.99

767.13

801.26

838.27

875.64

915.52

935.28

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

245.14

245.14

386.04

386.04

386.04

386.04

387.58

395.30

404.57

419.63

431.98

438.16

447.42

456.69

462.48

468.65

471.74

474.83

477.92

481.01

487.18

493.36

502.62

511.50

523.86

539.30

557.44

579.06

603.38

631.18

658.58

689.47

719.96

753.55

787.52

824.20

860.87

900.63

940.78

983.63 1004.86 1047.71 1084.77 1109.09 1139.59 1158.12

975.17 1009.66 1032.30 1060.68 1077.93

Health Net

PureCare

HSP A

198.65

198.65

309.09

309.09

309.09

309.09

310.30

316.35

323.61

335.41

345.10

349.94

357.20

364.46

369.00

373.84

376.26

378.68

381.10

383.52

388.36

393.20

400.47

407.43

417.11

429.21

443.43

460.38

479.44

501.22

522.70

546.91

570.81

597.14

623.76

652.51

681.25

712.42

743.88

777.47

794.11

827.69

856.74

875.80

899.71

914.23

Kaiser Permanente

Full

HMO B

198.03

183.04

288.26

288.26

288.26

288.26

289.41

295.18

302.09

313.34

322.56

327.17

334.09

341.01

345.33

349.94

352.25

354.56

356.86

359.17

363.78

368.39

375.31

381.94

391.17

402.70

416.24

432.39

450.55

471.30

491.77

514.83

537.60

562.68

588.05

615.43

642.81

672.50

702.48

734.48

750.33

782.33

810.00

828.16

850.94

864.78

Kaiser Permanente

Full

HMO C

201.23

186.24

293.29

293.29

293.29

293.29

294.47

300.33

307.37

318.81

328.19

332.89

339.93

346.97

351.36

356.06

358.40

360.75

363.10

365.44

370.14

374.83

381.87

388.61

398.00

409.73

423.51

439.94

458.42

479.53

500.36

523.82

546.99

572.51

598.32

626.18

654.04

684.25

714.75

747.31

763.44

796.00

824.15

842.63

865.80

879.87

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84 770.64

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

Sutter Health Plus

Full

HMO A

186.17

186.17

293.18

293.18

293.18

293.18

294.35

300.21

307.25

318.68

328.06

332.76

339.79

346.83

351.23

355.92

358.26

360.61

362.95

365.30

369.99

374.68

381.72

388.46

397.84

409.57

423.35

439.76

458.23

479.34

500.16

523.61

546.77

572.28

598.08

625.93

653.78

683.98

714.47

747.01

763.13

795.68

823.82

842.29

865.45

879.51

Sutter Health Plus

Full

HMO B

188.51

188.51

296.87

296.87

296.87

296.87

298.06

304.00

311.12

322.70

332.20

336.95

344.07

351.20

355.65

360.40

362.78

365.15

367.52

369.90

374.65

379.40

386.52

393.35

402.85

414.73

428.68

445.30

464.01

485.38

506.46

530.21

553.66

579.49

605.61

633.81

662.02

692.59

723.47

756.42

772.75

805.70

834.20

852.90

876.35

890.59

Sutter Health Plus

Full

HMO C

184.18

184.18

290.05

290.05

290.05

290.05

291.21

297.01

303.97

315.28

324.57

329.21

336.17

343.13

347.48

352.12

354.44

356.76

359.08

361.40

366.04

370.68

377.64

384.31

393.60

405.20

418.83

435.07

453.34

474.23

494.82

518.02

540.94

566.17

591.70

619.25

646.80

676.68

706.84

739.04

754.99

787.19

815.03

833.30

856.22

870.13

Sutter Health Plus

Full

HMO D

177.78

177.78

279.97

279.97

279.97

279.97

281.09

286.69

293.41

304.32

313.28

317.76

324.48

331.20

335.40

339.88

342.12

344.36

346.60

348.84

353.32

357.80

364.52

370.96

379.91

391.11

404.27

419.95

437.59

457.74

477.62

500.02

522.14

546.49

571.13

597.73

624.32

653.16

682.27

713.35

728.75

759.82

786.70

804.34

826.46

839.88

985.77 1030.67 1052.91 1097.81 1136.65 1162.13 1194.08 1213.50

UnitedHealthcare

SignatureValue

HMO A

256.86

256.86

404.50

404.50

404.50

404.50

406.12

414.21

423.92

439.69

452.64

459.11

468.82

478.52

484.59

491.06

494.30

497.54

500.77

504.01

510.48

516.95

526.66

535.96

548.91

565.09

584.10

606.75

632.23

661.36

690.08

722.44

754.39

789.58

825.18

863.61

902.04

943.70

UnitedHealthcare

Focus

HMO D

217.82

217.82

343.02

343.02

343.02

343.02

344.39

351.25

359.48

372.86

383.84

389.33

397.56

405.79

410.94

416.43

419.17

421.91

424.66

427.40

432.89

438.38

446.61

454.50

465.48

479.20

495.32

514.53

536.14

560.84

585.19

612.63

639.73

669.58

699.76

732.35

764.93

800.27

835.94

874.01

892.88

930.96

963.89

985.50 1012.60 1029.06

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

18

AREA 7 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

277.04

277.04

436.28

436.28

436.28

436.28

438.02

446.75

457.22

474.23

488.19

495.17

505.65

516.12

522.66

529.64

533.13

536.62

540.11

543.60

550.58

557.56

568.03

578.07

592.03

609.48

629.98

654.42

681.90

713.31

744.29

779.19

813.66

851.61

890.01

931.45

Aetna

Aetna Value Network

HMO B

271.69

271.69

427.85

427.85

427.85

427.85

429.56

438.12

448.39

465.08

478.77

485.61

495.88

506.15

512.57

519.41

522.84

526.26

529.68

533.11

539.95

546.80

557.07

566.91

580.60

597.71

617.82

641.78

668.73

699.54

729.92

764.15

797.95

835.17

872.82

913.47

954.11

Anthem Blue Cross

Select HMO

HMO A

277.46

277.46

436.95

436.95

436.95

436.95

438.70

447.44

457.92

474.96

488.95

495.94

506.43

516.91

523.47

530.46

533.95

537.45

540.94

544.44

551.43

558.42

568.91

578.96

592.94

610.42

630.96

655.43

682.95

714.41

745.44

780.39

814.91

852.93

891.38

932.89

974.40 1019.40 1064.85 1113.35 1137.38 1185.88 1227.83 1255.36 1289.88 1310.85 974.40 1019.40 1064.85 1113.35 1137.38 1185.88 1227.83 1255.36 1289.88 1310.85

972.90 1017.83 1063.21 1111.63 1135.63 1184.06 1225.94 1253.42 1287.89 1308.83 998.18 1042.68 1090.17 1113.70 1161.19 1202.27 1229.22 1263.02 1283.56

Anthem Blue Cross

Advantage PPO

PPO A

277.46

277.46

436.95

436.95

436.95

436.95

438.70

447.44

457.92

474.96

488.95

495.94

506.43

516.91

523.47

530.46

533.95

537.45

540.94

544.44

551.43

558.42

568.91

578.96

592.94

610.42

630.96

655.43

682.95

714.41

745.44

780.39

814.91

852.93

891.38

932.89

Anthem Blue Cross

Select PPO

PPO B

254.11

254.11

400.17

400.17

400.17

400.17

401.77

409.77

419.38

434.98

447.79

454.19

463.80

473.40

479.40

485.81

489.01

492.21

495.41

498.61

505.01

511.42

521.02

530.23

543.03

559.04

577.85

600.26

625.47

654.28

682.69

714.70

746.32

781.13

816.35

854.36

892.38

933.60

Anthem Blue Cross

Select PPO

PPO C

263.90

263.90

415.59

415.59

415.59

415.59

417.25

425.56

435.54

451.75

465.05

471.69

481.67

491.64

497.88

504.53

507.85

511.18

514.50

517.83

524.47

531.12

541.10

550.66

563.96

580.58

600.11

623.39

649.57

679.49

709.00

742.24

775.08

811.23

847.80

887.28

926.77

969.57 1012.79 1058.92 1081.78 1127.91 1167.81 1193.99 1226.82 1246.77

975.21 1019.63 1041.64 1086.06 1124.48 1149.69 1181.30 1200.51

Anthem Blue Cross

Select PPO

PPO D

249.57

249.57

393.03

393.03

393.03

393.03

394.60

402.46

411.90

427.22

439.80

446.09

455.52

464.95

470.85

477.14

480.28

483.43

486.57

489.72

496.00

502.29

511.73

520.76

533.34

549.06

567.54

589.55

614.31

642.60

670.51

701.95

733.00

767.19

801.78

839.12

876.46

916.94

957.81 1001.44 1023.06 1066.68 1104.41 1129.18 1160.22 1179.09

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

243.80

243.80

383.93

383.93

383.93

383.93

385.47

393.14

402.36

417.33

429.62

435.76

444.97

454.19

459.95

466.09

469.16

472.23

475.31

478.38

484.52

490.66

499.88

508.71

520.99

536.35

554.39

575.90

600.08

627.73

654.98

685.70

716.03

749.43

783.22

819.69

856.16

895.71

935.64

Health Net

Wholecare

HMO A

266.97

266.97

416.67

416.67

416.67

416.67

418.31

426.51

436.36

452.35

465.48

472.04

481.88

491.73

497.88

504.44

507.72

511.00

514.29

517.57

524.13

530.69

540.54

549.97

563.09

579.50

598.78

621.75

647.58

677.12

706.24

739.05

771.45

807.13

843.23

882.19

921.15

963.40 1006.06 1051.58 1074.14 1119.67 1159.04 1184.88 1217.28 1236.97

Health Net

Wholecare

HMO B

247.90

247.90

390.39

390.39

390.39

390.39

391.95

399.76

409.13

424.35

436.85

443.09

452.46

461.83

467.69

473.93

477.06

480.18

483.30

486.43

492.67

498.92

508.29

517.27

529.76

545.37

563.72

585.59

610.18

638.29

666.01

697.24

728.08

762.04

796.40

833.48

870.57

910.78

951.38

Health Net

PureCare

HSP A

250.59

250.59

390.88

390.88

390.88

390.88

392.42

400.10

409.33

424.32

436.62

442.77

451.99

461.22

466.98

473.13

476.21

479.28

482.36

485.43

491.58

497.73

506.96

515.80

528.10

543.47

561.54

583.06

607.27

634.95

662.24

692.99

723.35

756.79

790.61

827.13

863.64

903.23

943.21

985.87 1007.01 1049.67 1086.57 1110.79 1141.15 1159.60

Kaiser Permanente

Full

HMO A

229.24

214.25

337.40

337.40

337.40

337.40

338.75

345.50

353.59

366.75

377.55

382.95

391.05

399.14

404.20

409.60

412.30

415.00

417.70

420.40

425.80

431.20

439.29

447.05

457.85

471.35

487.20

506.10

527.35

551.65

575.60

602.59

629.25

658.60

688.29

720.35

752.40

787.15

822.24

859.69

878.25

915.70

948.09

969.35

Kaiser Permanente

Full

HMO B

233.22

218.23

343.66

343.66

343.66

343.66

345.04

351.91

360.16

373.56

384.56

390.06

398.30

406.55

411.71

417.21

419.95

422.70

425.45

428.20

433.70

439.20

447.45

455.35

466.35

480.10

496.25

515.49

537.14

561.89

586.29

613.78

640.93

670.83

701.07

733.72

766.37

801.76

837.50

875.65

894.55

932.70

965.69

987.34 1014.49 1030.98

978.25

999.37 1041.99 1078.84 1103.03 1133.36 1151.79

994.71 1016.19 1059.52 1097.00 1121.59 1152.43 1171.17

996.00 1012.20

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

Sutter Health Plus

Full

HMO A

215.14

215.14

338.80

338.80

338.80

338.80

340.15

346.93

355.06

368.27

379.11

384.53

392.66

400.79

405.88

411.30

414.01

416.72

419.43

422.14

427.56

432.98

441.11

448.90

459.74

473.30

489.22

508.19

529.53

553.93

577.98

605.08

631.85

661.32

691.14

723.32

755.51

790.40

825.64

863.24

881.88

919.48

952.01

973.35 1000.11 1016.37

Sutter Health Plus

Full

HMO B

223.08

223.08

351.31

351.31

351.31

351.31

352.71

359.74

368.17

381.87

393.11

398.73

407.16

415.59

420.86

426.48

429.30

432.11

434.92

437.73

443.35

448.97

457.40

465.48

476.72

490.77

507.28

526.96

549.09

574.38

599.32

627.43

655.18

685.74

716.66

750.03

783.41

819.59

856.13

895.12

914.44

953.44

987.16 1009.29 1037.05 1053.90

743.85

776.95

812.84

849.07

887.74

906.91

945.58

979.03 1000.98 1028.50 1045.21

Sutter Health Plus

Full

HMO C

221.24

221.24

348.41

348.41

348.41

348.41

349.81

356.77

365.13

378.72

389.87

395.45

403.81

412.17

417.40

422.97

425.76

428.54

431.33

434.12

439.69

445.27

453.63

461.64

472.79

486.73

503.10

522.61

544.56

569.65

594.39

622.26

649.78

680.09

710.75

UnitedHealthcare

SignatureValue

HMO A

307.75

307.75

484.65

484.65

484.65

484.65

486.59

496.28

507.91

526.81

542.32

550.08

561.71

573.34

580.61

588.37

592.24

596.12

600.00

603.87

611.63

619.38

631.01

642.16

657.67

677.06

699.83

726.98

757.51

792.40

826.81

865.58

903.87

946.04

988.69 1034.73 1080.77 1130.69 1181.09 1234.89 1261.54 1315.34 1361.87 1392.40 1430.69 1453.95

UnitedHealthcare

Focus

HMO C

260.98

260.98

410.99

410.99

410.99

410.99

412.63

420.85

430.72

446.75

459.90

466.47

476.34

486.20

492.37

498.94

502.23

505.52

508.81

512.09

518.67

525.25

535.11

544.56

557.71

574.15

593.47

616.49

642.38

671.97

701.15

734.03

766.50

802.25

838.42

877.46

916.51

958.84 1001.58 1047.20 1069.81 1115.43 1154.88 1180.77 1213.24 1232.97

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

319.64

319.64

503.37

503.37

503.37

503.37

505.39

515.45

527.53

547.17

563.27

571.33

583.41

595.49

603.04

611.09

615.12

619.15

623.18

627.20

635.26

643.31

655.39

666.97

683.08

703.21

726.87

755.06

786.77

823.01

858.75

899.02

938.79

Anthem Blue Cross

Select HMO

HMO A

301.66

301.66

475.05

475.05

475.05

475.05

476.95

486.45

497.85

516.38

531.58

539.18

550.58

561.98

569.11

576.71

580.51

584.31

588.11

591.91

599.51

607.11

618.52

629.44

644.64

663.64

685.97

712.58

742.50

776.71

810.44

848.44

885.97

927.30

969.10 1014.23 1059.36 1108.29 1157.70 1210.43 1236.56 1289.29 1334.89 1364.82 1402.35 1425.15

Kaiser Permanente

Full

HMO A

254.98

239.99

377.94

377.94

377.94

377.94

379.45

387.01

396.08

410.82

422.92

428.96

438.03

447.10

452.77

458.82

461.84

464.87

467.89

470.91

476.96

483.01

492.08

500.77

512.87

527.98

545.75

566.91

590.72

617.93

644.77

675.00

704.86

737.74

771.00

806.90

842.81

881.74

921.04

962.99

983.78 1025.73 1062.01 1085.82 1115.68 1133.82

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

Platinum

AGE -->

982.58 1026.88 1074.70 1122.52 1174.37 1226.72 1282.59 1310.28 1366.15 1414.48 1446.19 1485.96 1510.12

975.90 1002.74 1019.04

Sutter Health Plus

Full

HMO A

256.91

256.91

404.58

404.58

404.58

404.58

406.20

414.29

424.00

439.77

452.72

459.19

468.90

478.61

484.68

491.16

494.39

497.63

500.87

504.10

510.57

517.05

526.76

536.06

549.01

565.19

584.21

606.86

632.35

661.48

690.20

722.57

754.53

789.73

825.33

863.77

902.20

943.87

985.95 1030.85 1053.11 1098.01 1136.85 1162.34 1194.30 1213.71

Sutter Health Plus

Full

HMO C

254.92

254.92

401.45

401.45

401.45

401.45

403.06

411.08

420.72

436.37

449.22

455.64

465.28

474.91

480.94

487.36

490.57

493.78

496.99

500.20

506.63

513.05

522.69

531.92

544.76

560.82

579.69

602.17

627.46

656.37

684.87

716.98

748.70

783.62

818.95

857.09

895.23

936.57

978.32 1022.89 1044.96 1089.52 1128.06 1153.35 1185.07 1204.33

UnitedHealthcare

SignatureValue

HMO A

332.70

332.70

523.94

523.94

523.94

523.94

526.04

536.51

549.09

569.52

586.29

594.67

607.25

619.82

627.68

636.06

640.25

644.45

648.64

652.83

661.21

669.60

682.17

694.22

710.99

731.94

756.57

785.91

818.92

856.64

893.84

935.76

977.15 1022.73 1068.84 1118.61 1168.39 1222.35 1276.84 1335.00 1363.82 1421.97 1472.27 1505.28 1546.67 1571.82

UnitedHealthcare

Focus

HMO B

282.14

282.14

444.31

444.31

444.31

444.31

446.09

454.97

465.64

482.96

497.18

504.29

514.96

525.62

532.28

539.39

542.95

546.50

550.06

553.61

560.72

567.83

578.49

588.71

602.93

620.70

641.58

666.47

694.46

726.45

757.99

793.54

828.64

867.29

906.39

948.60

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

990.81 1036.58 1082.78 1132.10 1156.54 1205.86 1248.51 1276.50 1311.60 1332.93

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

19

AREA 8

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

HMO Deductible

HMO A

205.13

205.13

323.04

323.04

323.04

323.04

324.33

330.79

338.55

351.15

361.48

366.65

374.41

382.16

387.00

392.17

394.76

397.34

399.93

402.51

407.68

412.85

420.60

428.03

438.37

451.29

466.47

484.56

504.91

528.17

551.11

576.95

602.47

630.58

659.00

689.69

720.38

753.66

787.25

823.11

840.88

876.73

907.75

928.10

953.62

969.12

Aetna

Basic HMO

HMO B

187.29

187.29

294.95

294.95

294.95

294.95

296.13

302.03

309.11

320.61

330.05

334.77

341.85

348.93

353.35

358.07

360.43

362.79

365.15

367.51

372.23

376.95

384.03

390.81

400.25

412.05

425.91

442.43

461.01

482.24

503.19

526.78

550.08

575.74

601.70

629.72

657.74

688.12

718.80

751.53

767.76

800.50

828.81

847.39

870.69

884.85

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

261.45

261.45

411.73

411.73

411.73

411.73

413.38

421.61

431.49

447.55

460.73

467.31

477.20

487.08

493.25

499.84

503.13

506.43

509.72

513.02

519.60

526.19

536.07

545.54

558.72

575.19

594.54

617.60

643.53

673.18

702.41

735.35

767.88

803.70

839.93

879.04

918.16

960.57 1003.39 1049.09 1071.73 1117.44 1156.96 1182.90 1215.43 1235.19

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

258.01

258.01

406.31

406.31

406.31

406.31

407.94

416.06

425.81

441.66

454.66

461.16

470.91

480.66

486.76

493.26

496.51

499.76

503.01

506.26

512.76

519.26

529.02

538.36

551.36

567.62

586.71

609.47

635.06

664.32

693.16

725.67

757.77

793.12

828.87

867.47

906.07

947.92

Health Net

PureCare

HSP A

184.24

184.24

286.40

286.40

286.40

286.40

287.52

293.12

299.83

310.75

319.71

324.18

330.90

337.62

341.82

346.29

348.53

350.77

353.01

355.25

359.73

364.21

370.92

377.36

386.32

397.51

410.67

426.34

443.97

464.12

484.00

506.39

528.50

552.85

577.48

604.06

630.65

659.48

688.59

719.65

735.05

766.11

792.98

810.62

832.73

846.16

Kaiser Permanente

Full

HMO B

159.68

144.69

227.85

227.85

227.85

227.85

228.76

233.32

238.79

247.68

254.97

258.61

264.08

269.55

272.97

276.61

278.44

280.26

282.08

283.90

287.55

291.20

296.66

301.90

309.20

318.31

329.02

341.78

356.13

372.54

388.72

406.94

424.94

444.77

464.82

486.46

508.11

531.58

555.28

580.57

593.10

618.39

640.26

654.62

672.62

683.55 653.43

990.18 1035.28 1057.62 1102.73 1141.73 1167.33 1199.43 1218.93

Kaiser Permanente

Full

HMO C

153.30

138.31

217.81

217.81

217.81

217.81

218.68

223.03

228.26

236.76

243.73

247.21

252.44

257.67

260.93

264.42

266.16

267.90

269.64

271.39

274.87

278.36

283.58

288.59

295.56

304.28

314.51

326.71

340.43

356.11

371.58

389.00

406.21

425.16

444.33

465.02

485.71

508.14

530.79

554.97

566.95

591.13

612.04

625.76

642.97

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

167.35

167.35

263.54

263.54

263.54

263.54

264.60

269.87

276.19

286.47

294.90

299.12

305.45

311.77

315.72

319.94

322.05

324.16

326.27

328.37

332.59

336.81

343.13

349.19

357.63

368.17

380.55

395.31

411.92

430.89

449.60

470.68

491.50

514.43

537.62

562.66

587.70

614.84

642.25

671.50

686.00

715.25

740.55

757.15

777.97

790.61 773.34

Sutter Health Plus

Full

HMO B

163.70

163.70

257.79

257.79

257.79

257.79

258.82

263.97

270.16

280.21

288.46

292.59

298.77

304.96

308.83

312.95

315.01

317.08

319.14

321.20

325.33

329.45

335.64

341.57

349.82

360.13

372.24

386.68

402.92

421.48

439.78

460.40

480.77

503.20

525.88

550.37

574.86

601.41

628.22

656.83

671.01

699.63

724.37

740.61

760.98

UnitedHealthcare

Focus

HMO A

186.84

186.84

294.24

294.24

294.24

294.24

295.42

301.30

308.36

319.84

329.25

333.96

341.02

348.09

352.50

357.21

359.56

361.92

364.27

366.62

371.33

376.04

383.10

389.87

399.28

411.05

424.88

441.36

459.90

481.08

501.97

525.51

548.76

574.36

600.25

628.20

656.16

686.46

717.06

749.72

765.91

798.57

826.81

845.35

868.60

882.72

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58 555.00

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

HMO Deductible

HMO A

267.61

267.61

421.44

421.44

421.44

421.44

423.12

431.55

441.67

458.10

471.59

478.33

488.44

498.56

504.88

511.62

515.00

518.37

521.74

525.11

531.85

538.60

548.71

558.40

571.89

588.75

608.55

632.15

658.70

689.05

718.97

752.69

785.98

822.64

859.73

899.77

939.80

983.21 1027.04 1073.82 1097.00 1143.78 1184.24 1210.79 1244.08 1264.31

Aetna

Basic HMO

HMO B

244.34

244.34

384.79

384.79

384.79

384.79

386.33

394.02

403.26

418.27

430.58

436.74

445.97

455.21

460.98

467.13

470.21

473.29

476.37

479.45

485.60

491.76

501.00

509.85

522.16

537.55

555.64

577.18

601.43

629.13

656.45

687.23

717.63

751.11

784.97

821.53

858.08

897.71

Anthem Blue Cross

Advantage PPO

PPO A

292.39

292.39

460.45

460.45

460.45

460.45

462.29

471.50

482.55

500.51

515.24

522.61

533.66

544.71

551.62

558.99

562.67

566.35

570.04

573.72

581.09

588.46

599.51

610.10

624.83

643.25

664.89

690.68

719.68

752.84

785.53

822.36

858.74

898.80

939.32

983.06 1026.80 1074.23 1122.12 1173.23 1198.55 1249.66 1293.86 1322.87 1359.25 1381.35

962.35 1007.16 1051.98 1100.57 1149.63 1201.99 1227.94 1280.30 1325.59 1355.31 1392.58 1415.22

Silver

AGE -->

937.73

980.44 1001.61 1044.32 1081.26 1105.50 1135.90 1154.37

Anthem Blue Cross

Select PPO

PPO B

299.55

299.55

471.74

471.74

471.74

471.74

473.63

483.06

494.38

512.78

527.88

535.42

546.75

558.07

565.14

572.69

576.47

580.24

584.01

587.79

595.34

602.88

614.21

625.06

640.15

659.02

681.19

707.61

737.33

771.29

804.79

842.53

879.80

920.84

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

311.85

311.85

491.10

491.10

491.10

491.10

493.06

502.89

514.67

533.83

549.54

557.40

569.18

580.97

588.34

596.20

600.12

604.05

607.98

611.91

619.77

627.63

639.41

650.71

666.42

686.07

709.15

736.65

767.59

802.95

837.82

877.10

915.90

958.63 1001.84 1048.50 1095.15 1145.74 1196.81 1251.32 1278.33 1332.85 1379.99 1410.93 1449.73 1473.30

Health Net

PureCare

HSP A

208.12

208.12

324.00

324.00

324.00

324.00

325.27

331.62

339.24

351.62

361.78

366.86

374.48

382.10

386.86

391.94

394.48

397.02

399.56

402.10

407.18

412.26

419.88

427.18

437.34

450.04

464.96

482.74

502.74

525.60

548.14

573.54

598.62

626.24

654.18

684.34

714.50

747.20

780.22

815.46

832.92

868.16

898.64

918.64

943.72

958.96

Kaiser Permanente

Full

HMO B

201.59

186.60

293.85

293.85

293.85

293.85

295.03

300.91

307.96

319.42

328.82

333.53

340.58

347.63

352.04

356.74

359.09

361.44

363.79

366.14

370.84

375.55

382.60

389.36

398.76

410.52

424.33

440.78

459.30

480.45

501.32

524.82

548.04

573.60

599.46

627.38

655.30

685.56

716.12

748.74

764.90

797.52

825.73

844.24

867.46

881.55 896.97

Kaiser Permanente

Full

HMO C

204.85

189.86

298.99

298.99

298.99

298.99

300.18

306.16

313.34

325.00

334.57

339.35

346.53

353.70

358.19

362.97

365.36

367.76

370.15

372.54

377.32

382.11

389.28

396.16

405.73

417.69

431.74

448.48

467.32

488.85

510.07

533.99

557.61

583.62

609.94

638.34

666.74

697.54

728.63

761.82

778.27

811.45

840.16

858.99

882.61

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64 981.69

Sutter Health Plus

Full

HMO A

207.80

207.80

327.24

327.24

327.24

327.24

328.55

335.09

342.94

355.71

366.18

371.41

379.27

387.12

392.03

397.26

399.88

402.50

405.12

407.74

412.97

418.21

426.06

433.59

444.06

457.15

472.53

490.85

511.47

535.03

558.26

584.44

610.29

638.76

667.56

698.64

729.73

763.44

797.47

833.79

851.79

888.11

919.53

940.14

965.99

Sutter Health Plus

Full

HMO B

210.41

210.41

331.36

331.36

331.36

331.36

332.68

339.31

347.26

360.19

370.79

376.09

384.04

392.00

396.97

402.27

404.92

407.57

410.22

412.87

418.17

423.48

431.43

439.05

449.65

462.91

478.48

497.04

517.91

541.77

565.30

591.80

617.98

646.81

675.97

707.45

738.92

773.05

807.52

844.30

862.52

899.30

931.11

951.99

978.16

994.06

Sutter Health Plus

Full

HMO C

205.58

205.58

323.75

323.75

323.75

323.75

325.04

331.52

339.29

351.91

362.27

367.45

375.22

382.99

387.85

393.03

395.62

398.21

400.80

403.39

408.57

413.75

421.52

428.96

439.32

452.27

467.49

485.62

506.01

529.32

552.31

578.21

603.78

631.95

660.44

691.19

721.95

755.29

788.96

824.90

842.70

878.64

909.72

930.11

955.69

971.22

Sutter Health Plus

Full

HMO D

198.43

198.43

312.49

312.49

312.49

312.49

313.74

319.99

327.49

339.68

349.68

354.68

362.18

369.68

374.37

379.36

381.86

384.36

386.86

389.36

394.36

399.36

406.86

414.05

424.05

436.55

451.24

468.74

488.42

510.92

533.11

558.11

582.79

609.98

637.48

667.17

696.85

729.04

761.54

796.22

813.41

848.10

878.10

897.78

922.47

937.46

UnitedHealthcare

SignatureValue

HMO A

265.43

265.43

418.00

418.00

418.00

418.00

419.67

428.03

438.06

454.37

467.74

474.43

484.46

494.49

500.76

507.45

510.80

514.14

517.48

520.83

527.52

534.20

544.24

553.85

567.23

583.95

603.59

627.00

653.33

683.43

713.11

746.55

779.57

815.94

852.72

892.43

932.14

975.19 1018.67 1065.06 1088.05 1134.45 1174.58 1200.91 1233.94 1254.00

UnitedHealthcare

Focus

HMO D

204.37

204.37

321.85

321.85

321.85

321.85

323.14

329.57

337.30

349.85

360.15

365.30

373.02

380.75

385.58

390.73

393.30

395.88

398.45

401.03

406.17

411.32

419.05

426.45

436.75

449.62

464.75

482.78

503.05

526.22

549.08

574.82

600.25

628.25

656.57

687.15

717.73

750.88

784.35

820.07

837.78

873.50

904.40

924.68

950.10

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

965.55

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

20

AREA 8 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

284.63

284.63

448.24

448.24

448.24

448.24

450.03

459.00

469.76

487.24

501.58

508.75

519.51

530.27

536.99

544.17

547.75

551.34

554.92

558.51

565.68

572.85

583.61

593.92

608.26

626.19

647.26

672.36

700.60

732.88

764.70

800.56

835.97

874.97

914.41

957.00

999.58 1045.75 1092.37 1142.12 1166.77 1216.53 1259.56 1287.80 1323.21 1344.73

Aetna

Aetna Value Network

HMO B

279.14

279.14

439.59

439.59

439.59

439.59

441.35

450.14

460.69

477.83

491.90

498.93

509.48

520.03

526.63

533.66

537.18

540.69

544.21

547.73

554.76

561.79

572.34

582.45

596.52

614.10

634.76

659.38

687.07

718.72

749.94

785.10

819.83

858.07

896.76

938.52

980.28 1025.56 1071.27 1120.07 1144.24 1193.04 1235.24 1262.93 1297.66 1318.76

Anthem Blue Cross

Advantage PPO

PPO A

346.06

346.06

544.98

544.98

544.98

544.98

547.16

558.06

571.14

592.39

609.83

618.55

631.63

644.71

652.89

661.61

665.97

670.33

674.69

679.05

687.76

696.48

709.56

722.10

739.54

761.34

786.95

817.47

851.80

891.04

929.74

973.33 1016.39 1063.80 1111.76 1163.53 1215.31 1271.44 1328.12 1388.61 1418.58 1479.08 1531.39 1565.73 1608.78 1634.94

Anthem Blue Cross

Select PPO

PPO B

333.62

333.62

525.39

525.39

525.39

525.39

527.49

538.00

550.61

571.10

587.91

596.32

608.93

621.54

629.42

637.82

642.03

646.23

650.43

654.64

663.04

671.45

684.06

696.14

712.95

733.97

758.66

788.09

821.18

859.01

896.32

938.35

Anthem Blue Cross

Select PPO

PPO C

346.48

346.48

545.63

545.63

545.63

545.63

547.81

558.73

571.82

593.10

610.56

619.29

632.39

645.48

653.66

662.39

666.76

671.12

675.49

679.85

688.59

697.32

710.41

722.96

740.42

762.25

787.89

818.45

852.82

892.11

930.84

974.50 1017.60 1065.07 1113.09 1164.92 1216.75 1272.95 1329.70 1390.27 1420.27 1480.84 1533.22 1567.59 1610.70 1636.89

979.85 1025.56 1071.80 1121.71 1171.62 1225.73 1280.38 1338.69 1367.59 1425.91 1476.35 1509.45 1550.95 1576.17

Anthem Blue Cross

Select PPO

PPO D

327.67

327.67

516.01

516.01

516.01

516.01

518.07

528.39

540.78

560.90

577.42

585.67

598.06

610.44

618.18

626.44

630.56

634.69

638.82

642.95

651.20

659.46

671.85

683.71

700.23

720.87

745.12

774.02

806.52

843.68

880.31

921.59

962.36 1007.25 1052.66 1101.68 1150.70 1203.85 1257.52 1314.79 1343.17 1400.45 1449.99 1482.50 1523.26 1548.03

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

310.17

310.17

488.45

488.45

488.45

488.45

490.40

500.17

511.90

530.95

546.58

554.39

566.11

577.84

585.16

592.98

596.89

600.79

604.70

608.61

616.42

624.24

635.96

647.20

662.83

682.36

705.32

732.68

763.45

798.62

833.30

872.37

910.96

953.45

Health Net

Wholecare

HMO A

279.80

279.80

436.89

436.89

436.89

436.89

438.61

447.22

457.55

474.33

488.10

494.99

505.32

515.65

522.10

528.99

532.43

535.88

539.32

542.76

549.65

556.53

566.86

576.76

590.53

607.75

627.97

652.08

679.19

710.17

740.73

775.16

809.16

846.60

884.47

925.36

966.25 1010.57 1055.33 1103.10 1126.77 1174.54 1215.86 1242.97 1276.97 1297.63

Health Net

Wholecare

HMO B

260.12

260.12

409.63

409.63

409.63

409.63

411.27

419.46

429.29

445.27

458.38

464.93

474.76

484.59

490.74

497.29

500.57

503.84

507.12

510.40

516.95

523.51

533.34

542.76

555.87

572.25

591.51

614.45

640.25

669.75

698.83

731.60

763.96

799.60

835.65

874.56

913.47

955.67

998.27 1043.74 1066.27 1111.74 1151.06 1176.87 1209.23 1228.89

Health Net

PureCare

HSP A

262.62

262.62

409.82

409.82

409.82

409.82

411.43

419.50

429.18

444.91

457.81

464.27

473.94

483.62

489.67

496.13

499.35

502.58

505.81

509.03

515.48

521.94

531.62

540.89

553.80

569.93

588.89

611.47

636.88

665.92

694.55

726.81

758.67

793.76

829.25

867.57

905.88

947.42

989.36 1034.13 1056.31 1101.08 1139.79 1165.20 1197.06 1216.42

996.44 1042.84 1089.24 1139.55 1190.35 1244.57 1271.44 1325.65 1372.54 1403.32 1441.90 1465.35

Kaiser Permanente

Full

HMO A

233.40

218.41

343.95

343.95

343.95

343.95

345.33

352.21

360.46

373.87

384.88

390.38

398.64

406.89

412.05

417.56

420.31

423.06

425.81

428.56

434.07

439.57

447.82

455.73

466.74

480.50

496.66

515.93

537.59

562.36

586.78

614.30

641.47

671.39

701.66

734.33

767.01

802.44

838.21

876.39

895.30

933.48

966.50

Kaiser Permanente

Full

HMO B

237.45

222.46

350.33

350.33

350.33

350.33

351.74

358.74

367.15

380.81

392.02

397.63

406.04

414.45

419.70

425.31

428.11

430.91

433.71

436.52

442.12

447.73

456.14

464.19

475.40

489.42

505.88

525.50

547.57

572.80

597.67

625.70

653.37

683.85

714.68

747.96

781.25

817.33

853.77

892.65

911.92

950.81

984.44 1006.51 1034.19 1050.99

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

984.33 1026.30 1062.60 1086.43 1116.30 1134.44

988.17 1015.34 1031.85

Sutter Health Plus

Full

HMO A

240.13

240.13

378.15

378.15

378.15

378.15

379.67

387.23

396.31

411.05

423.15

429.20

438.28

447.36

453.03

459.08

462.10

465.13

468.15

471.18

477.23

483.28

492.36

501.05

513.15

528.28

546.05

567.23

591.05

618.28

645.13

675.38

705.25

738.15

771.43

807.35

843.28

882.23

921.56

963.53

Sutter Health Plus

Full

HMO B

249.00

249.00

392.12

392.12

392.12

392.12

393.69

401.53

410.94

426.23

438.78

445.05

454.46

463.88

469.76

476.03

479.17

482.30

485.44

488.58

494.85

501.13

510.54

519.56

532.10

547.79

566.22

588.18

612.88

641.11

668.95

700.32

731.30

765.41

799.92

837.17

874.42

914.81

955.59

999.11 1020.68 1064.20 1101.84 1126.55 1157.52 1176.34

793.33

830.27

867.21

907.27

947.71

990.88 1012.27 1055.43 1092.77 1117.26 1147.99 1166.64

Sutter Health Plus

Full

HMO C

246.95

246.95

388.89

388.89

388.89

388.89

390.44

398.22

407.55

422.72

435.16

441.39

450.72

460.05

465.89

472.11

475.22

478.33

481.44

484.55

490.77

497.00

506.33

515.27

527.72

543.27

561.55

583.33

607.83

635.83

663.44

694.55

725.27

759.10

UnitedHealthcare

SignatureValue

HMO A

318.02

318.02

500.82

500.82

500.82

500.82

502.82

512.84

524.86

544.39

560.42

568.43

580.45

592.47

599.98

608.00

612.00

616.01

620.02

624.02

632.03

640.05

652.07

663.59

679.61

699.65

723.18

751.23

782.78

818.84

854.40

894.46

934.03

977.60 1021.67 1069.25 1116.83 1168.41 1220.50 1276.09 1303.63 1359.23 1407.30 1438.86 1478.42 1502.46

UnitedHealthcare

Focus

HMO C

244.87

244.87

385.62

385.62

385.62

385.62

387.16

394.87

404.13

419.17

431.51

437.68

446.93

456.19

461.97

468.14

471.23

474.31

477.40

480.48

486.65

492.82

502.08

510.95

523.29

538.71

556.84

578.43

602.72

630.49

657.87

688.72

719.18

752.73

786.66

823.30

859.93

899.65

939.76

982.56 1003.77 1046.57 1083.59 1107.89 1138.35 1156.86

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Platinum

AGE -->

CARRIER

834.57

Aetna

Aetna Value Network

HMO A

328.41

328.41

517.18

517.18

517.18

517.18

519.25

529.59

542.00

562.17

578.72

587.00

599.41

611.82

619.58

627.85

631.99

636.13

640.27

644.40

652.68

660.95

673.37

685.26

701.81

722.50

746.80

775.77

808.35

845.59

882.30

923.68

964.54 1009.53 1055.04 1104.17 1153.31 1206.58 1260.36 1317.77 1346.21 1403.62 1453.27 1485.85 1526.71 1551.53

Kaiser Permanente

Full

HMO A

259.64

244.65

385.28

385.28

385.28

385.28

386.82

394.53

403.77

418.80

431.13

437.29

446.54

455.79

461.56

467.73

470.81

473.89

476.98

480.06

486.22

492.39

501.63

510.49

522.82

538.24

556.34

577.92

602.19

629.93

657.29

688.11

718.55

752.06

785.97

822.57

859.17

898.86

938.93

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

981.69 1002.88 1045.65 1082.63 1106.91 1137.34 1155.84 975.90 1002.74 1019.04

Sutter Health Plus

Full

HMO A

286.75

286.75

451.58

451.58

451.58

451.58

453.38

462.42

473.25

490.87

505.32

512.54

523.38

534.22

540.99

548.21

551.83

555.44

559.05

562.67

569.89

577.12

587.95

598.34

612.79

630.85

652.08

677.36

705.81

738.33

770.39

806.51

842.19

881.48

921.21

964.11 1007.01 1053.53 1100.49 1150.61 1175.45 1225.57 1268.93 1297.37 1333.05 1354.71

Sutter Health Plus

Full

HMO C

284.54

284.54

448.09

448.09

448.09

448.09

449.88

458.84

469.60

487.07

501.41

508.58

519.33

530.09

536.81

543.98

547.56

551.15

554.73

558.32

565.48

572.65

583.41

593.71

608.05

625.98

647.04

672.13

700.36

732.62

764.43

800.28

835.68

874.66

914.09

956.66

UnitedHealthcare

SignatureValue

HMO A

343.81

343.81

541.43

541.43

541.43

541.43

543.60

554.42

567.42

588.53

605.86

614.52

627.52

640.51

648.63

657.30

661.63

665.96

670.29

674.62

683.28

691.95

704.94

717.39

734.72

756.38

781.82

812.15

846.26

885.24

923.68

966.99 1009.77 1056.87 1104.52 1155.95 1207.39 1263.16 1319.46 1379.56 1409.34 1469.44 1521.42 1555.53 1598.30 1624.29

UnitedHealthcare

Focus

HMO B

264.73

264.73

416.89

416.89

416.89

416.89

418.56

426.90

436.90

453.16

466.50

473.17

483.18

493.18

499.43

506.10

509.44

512.77

516.11

519.44

526.12

532.79

542.79

552.38

565.72

582.40

601.99

625.34

651.60

681.62

711.21

744.57

777.50

813.77

850.46

890.06

929.66

972.60 1015.96 1062.24 1085.16 1131.44 1171.46 1197.72 1230.66 1250.67

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

999.23 1045.38 1091.98 1141.72 1166.36 1216.10 1259.12 1287.35 1322.74 1344.24

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

21

AREA 9

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

929.56

950.40

976.53

992.41

PLAN

Aetna

HMO Deductible

HMO A

210.06

210.06

330.80

330.80

330.80

330.80

332.13

338.74

346.68

359.58

370.17

375.46

383.40

391.34

396.30

401.60

404.24

406.89

409.54

412.18

417.48

422.77

430.71

438.32

448.90

462.13

477.68

496.21

517.05

540.87

564.35

590.82

616.95

645.73

674.84

706.27

737.69

771.77

806.17

842.89

861.08

897.80

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

232.25

232.25

365.75

365.75

365.75

365.75

367.21

374.53

383.31

397.57

409.27

415.13

423.90

432.68

438.17

444.02

446.95

449.87

452.80

455.72

461.58

467.43

476.21

484.62

496.32

510.95

528.14

548.63

571.67

598.00

623.97

653.23

682.12

713.94

746.13

780.88

815.62

853.29

891.33

931.93

952.05

992.65 1027.76 1050.80 1079.69 1097.25

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

229.17

229.17

360.90

360.90

360.90

360.90

362.34

369.56

378.22

392.30

403.85

409.62

418.28

426.94

432.36

438.13

441.02

443.91

446.79

449.68

455.46

461.23

469.89

478.19

489.74

504.18

521.14

541.35

564.09

590.07

615.70

644.57

673.08

704.48

736.24

770.52

804.81

841.98

879.51

919.57

939.42

979.48 1014.13 1036.87 1065.38 1082.70

Health Net

PureCare

HSP A

170.56

170.56

264.85

264.85

264.85

264.85

265.88

271.05

277.25

287.32

295.59

299.72

305.92

312.12

316.00

320.13

322.20

324.27

326.33

328.40

332.53

336.67

342.87

348.81

357.07

367.41

379.55

394.02

410.29

428.89

447.23

467.90

488.31

510.78

533.51

558.05

582.60

609.20

636.07

664.74

678.95

707.63

732.43

748.70

769.11

Kaiser Permanente

Full

HMO B

157.92

141.93

223.51

223.51

223.51

223.51

224.41

228.88

234.24

242.96

250.11

253.69

259.05

264.42

267.77

271.34

273.13

274.92

276.71

278.50

282.07

285.65

291.01

296.15

303.31

312.25

322.75

335.27

349.35

365.44

381.31

399.19

416.85

436.30

455.97

477.20

498.43

521.45

544.70

569.51

581.80

606.61

628.07

642.15

659.81

670.53

Kaiser Permanente

Full

HMO C

151.66

135.67

213.66

213.66

213.66

213.66

214.51

218.79

223.91

232.25

239.08

242.50

247.63

252.76

255.96

259.38

261.09

262.80

264.51

266.22

269.64

273.05

278.18

283.10

289.93

298.48

308.52

320.49

333.95

349.33

364.50

381.59

398.47

417.06

435.86

456.16

476.46

498.46

520.68

544.40

556.15

579.87

600.38

613.84

630.72

640.98 613.83

781.51

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Focus

HMO A

213.42

213.42

336.10

336.10

336.10

336.10

337.44

344.17

352.23

365.34

376.10

381.47

389.54

397.61

402.65

408.03

410.71

413.40

416.09

418.78

424.16

429.54

437.60

445.33

456.09

469.53

485.33

504.15

525.32

549.52

573.39

600.27

626.83

656.07

685.64

717.57

749.50

784.12

819.08

856.38

874.87

912.18

944.44

965.62

992.17 1008.30

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

HMO Deductible

HMO A

274.04

274.04

431.56

431.56

431.56

431.56

433.29

441.92

452.28

469.11

482.92

489.82

500.18

510.54

517.01

523.92

527.37

530.82

534.28

537.73

544.63

551.54

561.90

571.82

585.63

602.89

623.18

647.35

674.53

705.61

736.25

770.77

804.87

842.41

880.39

921.39

962.39 1006.84 1051.72 1099.62 1123.36 1171.26 1212.69 1239.88 1273.98 1294.69

Anthem Blue Cross

Select HMO

HMO A

272.40

272.40

428.97

428.97

428.97

428.97

430.69

439.27

449.56

466.29

480.02

486.88

497.18

507.47

513.91

520.77

524.20

527.63

531.06

534.50

541.36

548.22

558.52

568.39

582.11

599.27

619.43

643.46

670.48

701.37

731.82

766.14

800.03

837.35

875.10

915.85

956.60 1000.79 1045.40 1093.02 1116.61 1164.22 1205.41 1232.43 1266.32 1286.91

AGE -->

Silver

Anthem Blue Cross

Advantage PPO

PPO A

271.18

271.18

427.06

427.06

427.06

427.06

428.77

437.31

447.56

464.21

477.88

484.71

494.96

505.21

511.62

518.45

521.87

525.28

528.70

532.12

538.95

545.78

556.03

565.85

579.52

596.60

616.67

640.59

667.49

698.24

728.56

762.73

796.47

833.62

871.20

911.77

952.34

996.33 1040.75 1088.15 1111.64 1159.04 1200.04 1226.94 1260.68 1281.18

Anthem Blue Cross

Select PPO

PPO B

257.45

257.45

405.43

405.43

405.43

405.43

407.05

415.16

424.89

440.70

453.68

460.16

469.89

479.62

485.71

492.19

495.44

498.68

501.92

505.17

511.65

518.14

527.87

537.19

550.17

566.39

585.44

608.15

633.69

662.88

691.66

724.10

756.13

791.40

827.08

865.59

904.11

945.87

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

277.02

277.02

436.25

436.25

436.25

436.25

438.00

446.72

457.19

474.20

488.16

495.14

505.61

516.08

522.63

529.61

533.10

536.59

540.08

543.57

550.55

557.53

568.00

578.03

591.99

609.44

629.95

654.38

681.86

713.27

744.24

779.14

813.61

851.56

889.95

931.39

972.84 1017.77 1063.14 1111.57 1135.56 1183.98 1225.86 1253.35 1287.81 1308.75

Health Net

PureCare

HSP A

192.61

192.61

299.57

299.57

299.57

299.57

300.74

306.60

313.64

325.07

334.44

339.13

346.16

353.20

357.59

362.28

364.63

366.97

369.32

371.66

376.35

381.04

388.07

394.81

404.19

415.91

429.68

446.10

464.56

485.66

506.46

529.91

553.06

578.55

604.34

632.18

660.02

690.21

720.68

753.21

769.33

801.86

829.99

848.45

871.60

885.67

Kaiser Permanente

Full

HMO B

199.03

183.04

288.26

288.26

288.26

288.26

289.41

295.18

302.09

313.34

322.56

327.17

334.09

341.01

345.33

349.94

352.25

354.56

356.86

359.17

363.78

368.39

375.31

381.94

391.17

402.70

416.24

432.39

450.55

471.30

491.77

514.83

537.60

562.68

588.05

615.43

642.81

672.50

702.48

734.48

750.33

782.33

810.00

828.16

850.94

864.78 879.87

988.03 1033.04 1055.33 1100.34 1139.26 1164.80 1196.83 1216.29

Kaiser Permanente

Full

HMO C

202.23

186.24

293.29

293.29

293.29

293.29

294.47

300.33

307.37

318.81

328.19

332.89

339.93

346.97

351.36

356.06

358.40

360.75

363.10

365.44

370.14

374.83

381.87

388.61

398.00

409.73

423.51

439.94

458.42

479.53

500.36

523.82

546.99

572.51

598.32

626.18

654.04

684.25

714.75

747.31

763.44

796.00

824.15

842.63

865.80

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

966.77 1011.43 1056.51 1104.63 1128.48 1176.60 1218.22 1245.53 1279.78 1300.59

UnitedHealthcare

SignatureValue

HMO A

275.29

275.29

433.53

433.53

433.53

433.53

435.26

443.93

454.34

471.25

485.12

492.06

502.46

512.87

519.37

526.31

529.77

533.24

536.71

540.18

547.11

554.05

564.46

574.43

588.30

605.64

626.02

650.30

677.61

708.82

739.60

774.28

808.53

846.25

884.40

925.59

UnitedHealthcare

Focus

HMO D

233.45

233.45

367.64

367.64

367.64

367.64

369.11

376.46

385.29

399.62

411.39

417.27

426.09

434.92

440.43

446.31

449.26

452.20

455.14

458.08

463.96

469.84

478.67

487.12

498.89

513.59

530.87

551.46

574.62

601.09

627.19

656.61

685.65

717.63

749.99

784.91

819.84

857.70

895.94

936.75

956.97

997.77 1033.07 1056.23 1085.27 1102.92

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

22

AREA 9 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

304.47

304.47

479.48

479.48

479.48

479.48

481.40

490.99

502.50

521.20

536.54

544.21

555.72

567.23

574.42

582.09

585.93

589.77

593.60

597.44

605.11

612.78

624.29

635.32

650.66

669.84

692.37

719.23

749.43

783.96

818.00

856.36

894.24

935.95

978.15 1023.70 1069.25 1118.64 1168.50 1221.72 1248.10 1301.32 1347.35 1377.56 1415.44 1438.45

Aetna

Aetna Value Network

HMO B

298.59

298.59

470.23

470.23

470.23

470.23

472.11

481.51

492.80

511.14

526.18

533.71

544.99

556.28

563.33

570.85

574.62

578.38

582.14

585.90

593.42

600.95

612.23

623.05

638.10

656.91

679.01

705.34

734.96

768.82

802.21

839.82

876.97

917.88

959.26 1003.93 1048.60 1097.04 1145.94 1198.14 1224.00 1276.19 1321.33 1350.96 1388.11 1410.68

Anthem Blue Cross

Select HMO

HMO A

312.72

312.72

492.48

492.48

492.48

492.48

494.45

504.30

516.12

535.33

551.09

558.96

570.78

582.60

589.99

597.87

601.81

605.75

609.69

613.63

621.51

629.39

641.21

652.54

668.30

687.99

711.14

738.72

769.75

805.20

840.17

879.57

918.48

961.32 1004.66 1051.44 1098.23 1148.96 1200.17 1254.84 1281.93 1336.59 1383.87 1414.90 1453.80 1477.44 986.62 1031.10 1079.11 1127.13 1179.19 1231.76 1287.86 1315.66 1371.76 1420.29 1452.13 1492.06 1516.32

Anthem Blue Cross

Advantage PPO

PPO A

320.95

320.95

505.44

505.44

505.44

505.44

507.46

517.57

529.70

549.41

565.59

573.67

585.80

597.94

605.52

613.60

617.65

621.69

625.73

629.78

637.87

645.95

658.08

669.71

685.88

706.10

729.86

758.16

790.00

826.39

862.28

902.72

942.65

Anthem Blue Cross

Select PPO

PPO B

286.73

286.73

451.54

451.54

451.54

451.54

453.35

462.38

473.21

490.82

505.27

512.50

523.33

534.17

540.94

548.17

551.78

555.39

559.01

562.62

569.84

577.07

587.91

598.29

612.74

630.80

652.02

677.31

705.76

738.27

770.33

806.45

842.12

881.41

921.14

Anthem Blue Cross

Select PPO

PPO C

297.77

297.77

468.93

468.93

468.93

468.93

470.81

480.18

491.44

509.73

524.73

532.24

543.49

554.74

561.78

569.28

573.03

576.78

580.54

584.29

591.79

599.29

610.55

621.33

636.34

655.10

677.13

703.40

732.94

766.70

799.99

837.51

874.55

915.35

956.62 1001.17 1045.71 1094.01 1142.78 1194.83 1220.62 1272.68 1317.69 1347.24 1384.28 1406.79

964.04 1006.93 1053.44 1100.40 1150.52 1175.36 1225.48 1268.83 1297.27 1332.95 1354.62

Anthem Blue Cross

Select PPO

PPO D

281.60

281.60

443.47

443.47

443.47

443.47

445.24

454.11

464.76

482.05

496.24

503.34

513.98

524.63

531.28

538.37

541.92

545.47

549.02

552.56

559.66

566.75

577.40

587.60

601.79

619.53

640.37

665.21

693.14

725.07

756.56

792.04

827.07

865.65

904.68

946.81

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

275.51

275.51

433.87

433.87

433.87

433.87

435.61

444.28

454.70

471.62

485.50

492.44

502.86

513.27

519.78

526.72

530.19

533.66

537.13

540.60

547.54

554.49

564.90

574.88

588.76

606.12

626.51

650.81

678.14

709.38

740.18

774.89

809.17

846.91

885.09

926.31

967.53 1012.22 1057.34 1105.50 1129.36 1177.52 1219.17 1246.51 1280.78 1301.61

Health Net

Wholecare

HMO A

283.06

283.06

442.01

442.01

442.01

442.01

443.75

452.46

462.91

479.90

493.83

500.80

511.25

521.70

528.24

535.20

538.69

542.17

545.66

549.14

556.11

563.08

573.53

583.54

597.48

614.90

635.37

659.76

687.19

718.55

749.47

784.31

818.71

856.60

894.92

936.29

977.66 1022.52 1067.81 1116.15 1140.10 1188.44 1230.25 1257.68 1292.09 1312.99

Health Net

Wholecare

HMO B

263.21

263.21

414.50

414.50

414.50

414.50

416.16

424.45

434.40

450.56

463.83

470.46

480.41

490.35

496.57

503.20

506.52

509.84

513.15

516.47

523.10

529.73

539.68

549.21

562.48

579.06

598.54

621.75

647.86

677.71

707.14

740.30

773.04

809.10

845.58

884.96

924.34

Health Net

PureCare

HSP A

242.91

242.91

378.78

378.78

378.78

378.78

380.27

387.71

396.65

411.17

423.08

429.04

437.97

446.90

452.49

458.44

461.42

464.40

467.38

470.36

476.31

482.27

491.20

499.76

511.68

526.57

544.06

564.91

588.36

615.17

641.60

671.38

700.78

733.17

765.93

801.30

836.66

875.00

913.72

955.04

975.51 1016.83 1052.57 1076.02 1105.43 1123.30

Kaiser Permanente

Full

HMO A

230.24

214.25

337.40

337.40

337.40

337.40

338.75

345.50

353.59

366.75

377.55

382.95

391.05

399.14

404.20

409.60

412.30

415.00

417.70

420.40

425.80

431.20

439.29

447.05

457.85

471.35

487.20

506.10

527.35

551.65

575.60

602.59

629.25

658.60

688.29

720.35

752.40

787.15

822.24

859.69

878.25

915.70

948.09

969.35

Kaiser Permanente

Full

HMO B

234.22

218.23

343.66

343.66

343.66

343.66

345.04

351.91

360.16

373.56

384.56

390.06

398.30

406.55

411.71

417.21

419.95

422.70

425.45

428.20

433.70

439.20

447.45

455.35

466.35

480.10

496.25

515.49

537.14

561.89

586.29

613.78

640.93

670.83

701.07

733.72

766.37

801.76

837.50

875.65

894.55

932.70

965.69

987.34 1014.49 1030.98

988.94 1034.62 1080.74 1129.96 1154.35 1203.58 1246.15 1274.09 1309.12 1330.41

967.03 1010.14 1056.15 1078.94 1124.95 1164.75 1190.86 1223.60 1243.50

996.00 1012.20

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

UnitedHealthcare

SignatureValue

HMO A

329.84

329.84

519.44

519.44

519.44

519.44

521.52

531.91

544.37

564.63

581.25

589.56

602.03

614.50

622.29

630.60

634.76

638.91

643.07

647.22

655.53

663.84

676.31

688.26

704.88

725.66

750.07

779.16

811.88

849.28

886.16

927.72

968.76 1013.95 1059.66 1109.00 1158.35 1211.85 1265.88 1323.53 1352.10 1409.76 1459.63 1492.35 1533.39 1558.32

UnitedHealthcare

Focus

HMO C

279.71

279.71

440.49

440.49

440.49

440.49

442.25

451.06

461.63

478.81

492.91

499.96

510.53

521.10

527.71

534.75

538.28

541.80

545.33

548.85

555.90

562.95

573.52

583.65

597.74

615.36

636.07

660.74

688.49

720.20

751.48

786.72

821.51

859.84

898.60

940.45

982.29 1027.66 1073.47 1122.37 1146.60 1195.49 1237.78 1265.53 1300.33 1321.47

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Platinum

AGE -->

CARRIER

834.57

Aetna

Aetna Value Network

HMO A

351.30

351.30

553.22

553.22

553.22

553.22

555.44

566.50

579.78

601.35

619.06

627.91

641.19

654.46

662.76

671.61

676.04

680.47

684.89

689.32

698.17

707.02

720.30

733.02

750.73

772.85

798.86

829.84

864.69

904.52

943.80

Anthem Blue Cross

Select HMO

HMO A

340.02

340.02

535.47

535.47

535.47

535.47

537.61

548.32

561.17

582.06

599.19

607.76

620.61

633.46

641.49

650.06

654.34

658.63

662.91

667.20

675.76

684.33

697.18

709.50

726.63

748.05

773.22

803.21

836.94

875.49

913.51

956.35

998.65 1045.24 1092.36 1143.23 1194.10 1249.25 1304.94 1364.38 1393.83 1453.27 1504.67 1538.41 1580.71 1606.41

Kaiser Permanente

Full

HMO A

255.98

239.99

377.94

377.94

377.94

377.94

379.45

387.01

396.08

410.82

422.92

428.96

438.03

447.10

452.77

458.82

461.84

464.87

467.89

470.91

476.96

483.01

492.08

500.77

512.87

527.98

545.75

566.91

590.72

617.93

644.77

675.00

704.86

737.74

771.00

806.90

842.81

881.74

921.04

962.99

983.78 1025.73 1062.01 1085.82 1115.68 1133.82

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

988.06 1031.76 1079.89 1128.58 1181.13 1233.69 1290.67 1348.21 1409.62 1440.04 1501.45 1554.56 1589.41 1633.12 1659.67

975.90 1002.74 1019.04

UnitedHealthcare

SignatureValue

HMO A

356.58

356.58

561.55

561.55

561.55

561.55

563.80

575.03

588.50

610.40

628.37

637.36

650.84

664.31

672.74

681.72

686.21

690.71

695.20

699.69

708.68

717.66

731.14

744.05

762.02

784.49

810.88

842.33

877.70

918.13

958.00 1002.93 1047.29 1096.15 1145.56 1198.91 1252.26 1310.10 1368.50 1430.83 1461.71 1524.05 1577.96 1613.33 1657.70 1684.65

UnitedHealthcare

Focus

HMO B

302.39

302.39

476.20

476.20

476.20

476.20

478.10

487.63

499.06

517.63

532.87

540.49

551.92

563.34

570.49

578.11

581.92

585.73

589.54

593.35

600.96

608.58

620.01

630.97

646.20

665.25

687.63

714.30

744.30

778.59

812.40

850.49

888.11

929.54

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

971.45 1016.69 1061.93 1110.97 1160.50 1213.36 1239.55 1292.41 1338.12 1368.12 1405.74 1428.60

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

23

AREA 10

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

HMO Deductible

HMO A

220.63

220.63

347.45

347.45

347.45

347.45

348.84

355.79

364.13

377.68

388.80

394.36

402.70

411.04

416.25

421.81

424.59

427.37

430.15

432.92

438.48

444.04

452.38

460.37

471.49

485.39

501.72

521.18

543.07

568.08

592.75

620.55

648.00

678.23

708.80

741.81

774.82

810.60

846.74

885.31

904.42

942.98

976.34

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

194.06

194.06

305.61

305.61

305.61

305.61

306.83

312.94

320.28

332.20

341.98

346.87

354.20

361.54

366.12

371.01

373.46

375.90

378.35

380.79

385.68

390.57

397.90

404.93

414.71

426.94

441.30

458.42

477.67

499.67

521.37

545.82

569.96

596.55

623.44

652.48

681.51

712.99

744.77

778.69

795.50

829.43

858.76

878.02

902.16

916.83

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

191.51

191.51

301.59

301.59

301.59

301.59

302.80

308.83

316.07

327.83

337.48

342.30

349.54

356.78

361.30

366.13

368.54

370.96

373.37

375.78

380.61

385.43

392.67

399.61

409.26

421.32

435.50

452.39

471.39

493.10

514.51

538.64

562.47

588.70

615.24

643.89

672.55

703.61

734.97

768.45

785.04

818.52

847.47

866.47

890.29

904.77 917.74

998.23 1025.68 1042.36

Health Net

PureCare

HSP A

199.39

199.39

310.26

310.26

310.26

310.26

311.47

317.55

324.84

336.69

346.41

351.26

358.55

365.84

370.40

375.26

377.69

380.12

382.55

384.98

389.84

394.70

401.99

408.98

418.70

430.84

445.12

462.13

481.27

503.13

524.70

549.00

573.00

599.42

626.15

655.00

683.86

715.15

746.73

780.45

797.16

830.87

860.03

879.17

903.16

Kaiser Permanente

Full

HMO B

140.01

124.02

195.30

195.30

195.30

195.30

196.08

199.99

204.68

212.29

218.54

221.67

226.35

231.04

233.97

237.10

238.66

240.22

241.78

243.35

246.47

249.60

254.28

258.78

265.02

272.84

282.02

292.95

305.26

319.32

333.19

348.81

364.24

381.23

398.42

416.97

435.52

455.64

475.95

497.63

508.37

530.05

548.80

561.10

576.53

585.90

Kaiser Permanente

Full

HMO C

134.54

118.55

186.69

186.69

186.69

186.69

187.44

191.17

195.65

202.93

208.91

211.89

216.38

220.86

223.66

226.64

228.14

229.63

231.12

232.62

235.60

238.59

243.07

247.37

253.34

260.81

269.58

280.04

291.80

305.24

318.50

333.43

348.18

364.42

380.85

398.59

416.32

435.55

454.97

475.69

485.96

506.68

524.60

536.36

551.11

560.07 613.83

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

Sutter Health Plus

Full

HMO A

130.16

130.16

204.98

204.98

204.98

204.98

205.80

209.90

214.82

222.81

229.37

232.65

237.57

242.49

245.56

248.84

250.48

252.12

253.76

255.40

258.68

261.96

266.88

271.60

278.16

286.35

295.99

307.47

320.38

335.14

349.69

366.09

382.28

400.11

418.15

437.63

457.10

478.21

499.53

522.28

533.55

556.31

575.98

588.90

605.09

614.92

Sutter Health Plus

Full

HMO B

127.32

127.32

200.50

200.50

200.50

200.50

201.30

205.31

210.13

217.95

224.36

227.57

232.38

237.19

240.20

243.41

245.01

246.62

248.22

249.82

253.03

256.24

261.05

265.66

272.08

280.10

289.52

300.75

313.38

327.82

342.05

358.09

373.93

391.38

409.02

428.07

447.11

467.76

488.62

510.87

521.90

544.15

563.40

576.03

591.87

601.49 947.37

UnitedHealthcare

Focus

HMO A

200.53

200.53

315.79

315.79

315.79

315.79

317.05

323.37

330.95

343.26

353.37

358.42

366.00

373.58

378.32

383.37

385.90

388.42

390.95

393.47

398.53

403.58

411.16

418.42

428.53

441.16

456.00

473.69

493.58

516.32

538.74

564.00

588.95

616.42

644.21

674.21

704.21

736.74

769.58

804.63

822.00

857.05

887.37

907.26

932.21

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

287.83

287.83

453.28

453.28

453.28

453.28

455.09

464.16

475.04

492.72

507.22

514.47

525.35

536.23

543.03

550.28

553.91

557.54

561.16

564.79

572.04

579.29

590.17

600.60

615.10

633.23

654.54

679.92

708.48

741.12

773.30

809.56

845.37

884.81

924.69

Anthem Blue Cross

Select HMO

HMO A

272.83

272.83

429.65

429.65

429.65

429.65

431.37

439.96

450.27

467.03

480.78

487.65

497.96

508.28

514.72

521.60

525.03

528.47

531.91

535.34

542.22

549.09

559.40

569.29

583.04

600.22

620.41

644.48

671.54

702.48

732.98

767.35

801.30

838.68

876.49

917.30

958.12 1002.37 1047.06 1094.75 1118.38 1166.07 1207.32 1234.38 1268.33 1288.95

Anthem Blue Cross

Advantage PPO

PPO A

218.85

218.85

344.65

344.65

344.65

344.65

346.03

352.92

361.19

374.63

385.66

391.18

399.45

407.72

412.89

418.41

421.16

423.92

426.68

429.43

434.95

440.46

448.73

456.66

467.69

481.48

497.67

516.98

538.69

563.50

587.97

615.54

642.77

672.76

703.09

735.83

768.57

804.07

839.91

878.17

897.12

935.38

968.47

990.18 1017.41 1033.95

Anthem Blue Cross

Select PPO

PPO B

215.36

215.36

339.15

339.15

339.15

339.15

340.51

347.29

355.43

368.66

379.51

384.94

393.07

401.21

406.30

411.73

414.44

417.15

419.87

422.58

428.01

433.43

441.57

449.37

460.23

473.79

489.73

508.73

530.09

554.51

578.59

605.72

632.51

662.02

691.87

724.09

756.30

791.24

826.51

864.15

882.81

920.45

953.01

974.38 1001.17 1017.45

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

231.49

231.49

364.55

364.55

364.55

364.55

366.01

373.30

382.05

396.27

407.93

413.76

422.51

431.26

436.73

442.56

445.48

448.40

451.31

454.23

460.06

465.89

474.64

483.03

494.69

509.28

526.41

546.83

569.79

596.04

621.92

651.09

679.89

711.60

743.68

778.31

812.95

850.50

888.41

928.87

948.92

989.39 1024.39 1047.35 1076.15 1093.65

967.76 1010.82 1057.51 1104.65 1154.96 1179.89 1230.21 1273.72 1302.28 1338.09 1359.84

Health Net

PureCare

HSP A

225.31

225.31

351.07

351.07

351.07

351.07

352.45

359.34

367.61

381.05

392.07

397.58

405.85

414.12

419.29

424.80

427.56

430.32

433.07

435.83

441.34

446.85

455.12

463.05

474.07

487.86

504.05

523.35

545.05

569.86

594.32

621.89

649.11

679.08

709.40

742.13

774.87

810.36

846.19

884.43

903.38

941.63

974.71

Kaiser Permanente

Full

HMO B

175.93

159.94

251.88

251.88

251.88

251.88

252.88

257.92

263.97

273.79

281.85

285.88

291.92

297.97

301.75

305.78

307.79

309.81

311.82

313.84

317.87

321.90

327.94

333.74

341.80

351.87

363.71

377.81

393.68

411.82

429.70

449.85

469.75

491.66

513.83

537.75

561.68

587.63

613.82

641.78

655.63

683.59

707.77

723.64

743.54

755.64

Kaiser Permanente

Full

HMO C

178.72

162.73

256.28

256.28

256.28

256.28

257.30

262.43

268.58

278.57

286.77

290.87

297.02

303.17

307.02

311.12

313.17

315.22

317.27

319.32

323.42

327.52

333.67

339.56

347.77

358.02

370.06

384.41

400.56

419.01

437.21

457.71

477.95

500.25

522.80

547.15

571.49

597.89

624.54

652.99

667.08

695.53

720.13

736.28

756.52

768.84 741.84

996.41 1023.63 1040.17

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

Sutter Health Plus

Full

HMO A

161.62

161.62

254.52

254.52

254.52

254.52

255.54

260.63

266.74

276.66

284.81

288.88

294.99

301.09

304.91

308.98

311.02

313.06

315.09

317.13

321.20

325.27

331.38

337.24

345.38

355.56

367.52

381.78

397.81

416.13

434.21

454.57

474.67

496.82

519.21

543.39

567.57

593.79

620.25

648.51

662.50

690.76

715.19

731.22

751.33

763.54 773.15

Sutter Health Plus

Full

HMO B

163.66

163.66

257.72

257.72

257.72

257.72

258.76

263.91

270.10

280.15

288.39

292.52

298.70

304.89

308.75

312.88

314.94

317.00

319.06

321.12

325.25

329.37

335.56

341.48

349.73

360.04

372.15

386.58

402.82

421.38

439.68

460.29

480.65

503.07

525.75

550.24

574.72

601.27

628.07

656.68

670.85

699.46

724.20

740.43

760.79

Sutter Health Plus

Full

HMO C

159.90

159.90

251.80

251.80

251.80

251.80

252.81

257.85

263.89

273.71

281.77

285.80

291.84

297.88

301.66

305.69

307.70

309.72

311.73

313.75

317.77

321.80

327.85

333.64

341.70

351.77

363.60

377.70

393.57

411.70

429.57

449.72

469.61

491.52

513.67

537.59

561.52

587.45

613.64

641.59

655.44

683.39

707.56

723.42

743.31

755.39

Sutter Health Plus

Full

HMO D

154.34

154.34

243.05

243.05

243.05

243.05

244.02

248.88

254.72

264.20

271.97

275.86

281.70

287.53

291.17

295.06

297.01

298.95

300.90

302.84

306.73

310.62

316.45

322.04

329.82

339.54

350.96

364.57

379.89

397.39

414.64

434.09

453.29

474.43

495.82

518.91

542.00

567.03

592.31

619.29

632.65

659.63

682.96

698.28

717.48

729.13

UnitedHealthcare

SignatureValue

HMO A

284.87

284.87

448.61

448.61

448.61

448.61

450.40

459.38

470.14

487.64

501.99

509.17

519.94

530.71

537.43

544.61

548.20

551.79

555.38

558.97

566.15

573.32

584.09

594.41

608.76

626.71

647.79

672.92

701.18

733.48

765.33

801.22

836.66

875.69

915.16

957.78 1000.40 1046.61 1093.26 1143.06 1167.73 1217.53 1260.59 1288.86 1324.30 1345.83

UnitedHealthcare

Focus

HMO D

219.35

219.35

345.43

345.43

345.43

345.43

346.81

353.72

362.01

375.48

386.54

392.06

400.35

408.64

413.83

419.35

422.12

424.88

427.64

430.41

435.93

441.46

449.75

457.69

468.75

482.57

498.80

518.15

539.91

564.78

589.30

616.94

644.23

674.28

704.68

737.49

770.31

805.89

841.81

880.16

899.15

937.50

970.66

992.42 1019.71 1036.29

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

692.40

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

24

AREA 10 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

316.82

316.82

498.93

498.93

498.93

498.93

500.93

510.90

522.88

542.34

558.30

566.29

578.26

590.23

597.72

605.70

609.69

613.68

617.68

621.67

629.65

637.63

649.61

661.08

677.05

697.01

720.46

748.40

779.83

815.75

851.18

891.09

930.51

Aetna

Aetna Value Network

HMO B

310.70

310.70

489.30

489.30

489.30

489.30

491.25

501.04

512.78

531.87

547.52

555.35

567.09

578.84

586.18

594.01

597.92

601.83

605.75

609.66

617.49

625.32

637.06

648.32

663.98

683.55

706.54

733.94

764.77

800.00

834.74

873.88

912.54

955.11

Anthem Blue Cross

Select HMO

HMO A

313.25

313.25

493.30

493.30

493.30

493.30

495.27

505.14

516.98

536.22

552.00

559.90

571.73

583.57

590.97

598.87

602.81

606.76

610.71

614.65

622.54

630.44

642.28

653.62

669.41

689.14

712.33

739.95

771.03

806.55

841.57

881.03

920.00

962.92 1006.33 1053.20 1100.06 1150.87 1202.17 1256.93 1284.06 1338.82 1386.17 1417.25 1456.22 1479.90

973.91 1017.82 1065.22 1112.61 1164.00 1215.89 1271.27 1298.72 1354.10 1401.99 1433.43 1472.84 1496.79 998.17 1044.65 1091.13 1141.53 1192.42 1246.73 1273.64 1327.95 1374.92 1405.75 1444.40 1467.89

Anthem Blue Cross

Advantage PPO

PPO A

259.03

259.03

407.92

407.92

407.92

407.92

409.55

417.71

427.50

443.41

456.46

462.99

472.78

482.57

488.69

495.21

498.48

501.74

505.00

508.27

514.80

521.32

531.11

540.49

553.55

569.86

589.04

611.88

637.58

666.95

695.91

728.55

760.77

796.26

832.16

870.91

909.66

951.68

Anthem Blue Cross

Select PPO

PPO B

239.86

239.86

377.73

377.73

377.73

377.73

379.24

386.80

395.86

410.59

422.68

428.72

437.79

446.85

452.52

458.56

461.59

464.61

467.63

470.65

476.70

482.74

491.80

500.49

512.58

527.69

545.44

566.60

590.39

617.59

644.41

674.63

704.47

737.33

770.57

806.45

842.34

881.24

920.53

962.46

Anthem Blue Cross

Select PPO

PPO C

249.10

249.10

392.28

392.28

392.28

392.28

393.85

401.69

411.11

426.41

438.96

445.24

454.65

464.07

469.95

476.23

479.37

482.50

485.64

488.78

495.06

501.33

510.75

519.77

532.32

548.02

566.45

588.42

613.13

641.38

669.23

700.61

731.60

765.73

800.25

837.52

874.78

915.19

955.99

999.53 1021.10 1064.65 1102.31 1127.02 1158.01 1176.84

994.10 1039.38 1061.82 1107.09 1146.26 1171.95 1204.18 1223.76 983.23 1025.16 1061.42 1085.22 1115.06 1133.19

Anthem Blue Cross

Select PPO

PPO D

235.57

235.57

370.98

370.98

370.98

370.98

372.46

379.88

388.79

403.26

415.13

421.06

429.97

438.87

444.43

450.37

453.34

456.31

459.27

462.24

468.18

474.11

483.02

491.55

503.42

518.26

535.70

556.47

579.84

606.55

632.89

662.57

691.88

724.15

756.80

792.04

827.29

865.50

904.08

945.26

965.66 1006.84 1042.45 1065.83 1095.13 1112.94

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

230.23

230.23

362.56

362.56

362.56

362.56

364.01

371.26

379.96

394.10

405.70

411.51

420.21

428.91

434.35

440.15

443.05

445.95

448.85

451.75

457.55

463.35

472.05

480.39

491.99

506.50

523.54

543.84

566.68

592.79

618.53

647.53

676.17

707.72

739.62

774.07

808.51

845.85

883.56

923.80

943.74

Health Net

Wholecare

HMO A

303.10

303.10

473.57

473.57

473.57

473.57

475.44

484.78

495.99

514.20

529.15

536.62

547.83

559.04

566.05

573.52

577.26

580.99

584.73

588.46

595.94

603.41

614.62

625.36

640.31

658.99

680.94

707.10

736.52

770.15

803.31

840.67

877.57

918.20

959.30 1003.67 1048.04 1096.15 1144.72 1196.56 1222.25 1274.09 1318.93 1348.35 1385.25 1407.67

Health Net

Wholecare

HMO B

282.29

282.29

444.55

444.55

444.55

444.55

446.33

455.22

465.89

483.23

497.45

504.56

515.23

525.90

532.57

539.68

543.24

546.80

550.35

553.91

561.02

568.13

578.80

589.03

603.25

621.04

641.93

666.83

694.83

726.84

758.40

793.97

829.09

867.76

906.88

949.11

Health Net

PureCare

HSP A

284.45

284.45

444.20

444.20

444.20

444.20

445.95

454.70

465.21

482.28

496.28

503.29

513.79

524.30

530.86

537.86

541.36

544.87

548.37

551.87

558.87

565.88

576.38

586.45

600.45

617.96

638.53

663.04

690.61

722.13

753.20

788.22

822.79

860.87

899.39

940.97

982.55 1027.63 1073.15 1121.73 1145.80 1194.38 1236.40 1263.97 1298.55 1319.56

Kaiser Permanente

Full

HMO A

203.20

187.21

294.81

294.81

294.81

294.81

295.99

301.89

308.97

320.46

329.90

334.61

341.69

348.77

353.19

357.91

360.26

362.62

364.98

367.34

372.06

376.77

383.85

390.63

400.06

411.86

425.71

442.22

460.80

482.02

502.95

526.54

549.83

575.48

601.42

629.43

657.44

687.80

718.46

751.19

767.40

800.13

828.43

847.00

870.29

Kaiser Permanente

Full

HMO B

206.67

190.68

300.29

300.29

300.29

300.29

301.49

307.49

314.70

326.41

336.02

340.83

348.03

355.24

359.74

364.55

366.95

369.35

371.76

374.16

378.96

383.77

390.97

397.88

407.49

419.50

433.61

450.43

469.35

490.97

512.29

536.31

560.04

586.16

612.59

641.11

669.64

700.57

731.80

765.13

781.65

814.98

843.81

862.72

886.45

900.87

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27 851.40

983.99 1018.79 1041.63 1070.28 1087.68

991.35 1037.14 1083.37 1132.71 1157.16 1206.51 1249.19 1277.19 1312.31 1333.65

884.43

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

Sutter Health Plus

Full

HMO A

186.77

186.77

294.12

294.12

294.12

294.12

295.30

301.18

308.24

319.71

329.12

333.83

340.89

347.94

352.36

357.06

359.42

361.77

364.12

366.47

371.18

375.89

382.94

389.71

399.12

410.89

424.71

441.18

459.71

480.88

501.77

525.30

548.53

574.12

600.00

627.94

655.88

686.18

716.77

749.41

765.59

798.24

826.47

845.00

868.24

882.34

Sutter Health Plus

Full

HMO B

193.67

193.67

304.98

304.98

304.98

304.98

306.20

312.30

319.62

331.52

341.27

346.15

353.47

360.79

365.37

370.25

372.69

375.13

377.57

380.01

384.89

389.77

397.09

404.10

413.86

426.06

440.39

457.47

476.68

498.64

520.30

544.69

568.79

595.32

622.16

651.13

680.10

711.52

743.23

777.09

793.86

827.71

856.99

876.20

900.30

914.93

564.10

590.42

617.03

645.77

674.50

705.65

737.11

770.68

787.32

820.89

849.93

868.98

892.88

907.39

Sutter Health Plus

Full

HMO C

192.07

192.07

302.47

302.47

302.47

302.47

303.68

309.73

316.99

328.78

338.46

343.30

350.56

357.82

362.36

367.20

369.62

372.04

374.46

376.88

381.71

386.55

393.81

400.77

410.45

422.55

436.76

453.70

472.76

494.53

516.01

540.21

UnitedHealthcare

SignatureValue

HMO A

341.31

341.31

537.50

537.50

537.50

537.50

539.65

550.40

563.30

584.26

601.46

610.06

622.96

635.86

643.93

652.53

656.83

661.13

665.43

669.73

678.33

686.93

699.83

712.19

729.39

750.89

776.15

806.25

840.11

878.81

916.98

959.98 1002.44 1049.20 1096.50 1147.56 1198.63 1253.99 1309.89 1369.55 1399.11 1458.78 1510.38 1544.24 1586.70 1612.50

UnitedHealthcare

Focus

HMO C

262.81

262.81

413.87

413.87

413.87

413.87

415.53

423.80

433.74

449.88

463.12

469.74

479.68

489.61

495.82

502.44

505.75

509.06

512.37

515.68

522.30

528.93

538.86

548.38

561.62

578.18

597.63

620.81

646.88

676.68

706.06

739.17

771.87

807.87

844.29

883.61

922.93

965.56 1008.60 1054.54 1077.30 1123.24 1162.97 1189.05 1221.74 1241.61

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

AGE -->

Platinum CARRIER Aetna

Aetna Value Network

HMO A

365.55

365.55

575.66

575.66

575.66

575.66

577.96

589.48

603.29

625.74

644.17

653.38

667.19

681.01

689.64

698.85

703.46

708.06

712.67

717.27

726.48

735.70

749.51

762.75

781.17

804.20

831.26

863.49

899.76

941.21

Anthem Blue Cross

Select HMO

HMO A

340.59

340.59

536.37

536.37

536.37

536.37

538.52

549.24

562.12

583.03

600.20

608.78

621.65

634.53

642.57

651.15

655.44

659.74

664.03

668.32

676.90

685.48

698.35

710.69

727.85

749.31

774.52

804.56

838.35

876.96

915.05

957.96 1000.33 1046.99 1094.19 1145.15 1196.11 1251.35 1307.13 1366.67 1396.17 1455.71 1507.20 1540.99 1583.36 1609.11

Kaiser Permanente

Full

HMO A

225.69

209.70

330.24

330.24

330.24

330.24

331.56

338.17

346.09

358.97

369.54

374.82

382.75

390.67

395.63

400.91

403.55

406.19

408.84

411.48

416.76

422.05

429.97

437.57

448.13

461.34

476.87

495.36

516.16

539.94

563.39

589.81

615.90

644.63

673.69

705.06

736.43

770.45

804.79

841.45

859.61

896.27

927.97

948.78

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

Sutter Health Plus

Full

HMO A

223.02

223.02

351.23

351.23

351.23

351.23

352.63

359.66

368.09

381.79

393.02

398.64

407.07

415.50

420.77

426.39

429.20

432.01

434.82

437.63

443.25

448.87

457.30

465.38

476.62

490.66

507.17

526.84

548.97

574.26

599.19

627.29

655.04

685.59

716.50

749.87

783.23

819.41

855.94

894.92

914.24

953.23

986.94 1009.07 1036.82 1053.67

Sutter Health Plus

Full

HMO C

221.31

221.31

348.51

348.51

348.51

348.51

349.91

356.88

365.24

378.83

389.99

395.56

403.93

412.29

417.52

423.09

425.88

428.67

431.46

434.25

439.82

445.40

453.76

461.78

472.93

486.87

503.25

522.77

544.72

569.82

594.56

622.44

649.97

680.29

710.96

744.07

777.18

813.07

849.32

888.00

907.17

945.86

979.31 1001.27 1028.80 1045.52

UnitedHealthcare

SignatureValue

HMO A

368.99

368.99

581.08

581.08

581.08

581.08

583.40

595.03

608.97

631.63

650.23

659.53

673.47

687.42

696.13

705.43

710.08

714.73

719.38

724.03

733.32

742.62

756.57

769.93

788.53

811.77

839.08

871.62

908.23

950.07

991.32 1037.81 1083.71 1134.27 1185.40 1240.61 1295.81 1355.66 1416.09 1480.59 1512.55 1577.05 1632.83 1669.44 1715.35 1743.24

982.08 1028.13 1073.61 1123.69 1174.35 1229.04 1283.73 1343.02 1402.89 1466.79 1498.45 1562.35 1617.61 1653.88 1699.35 1726.98

974.87

990.72

UnitedHealthcare

Focus

HMO B

284.12

284.12

447.43

447.43

447.43

447.43

449.22

458.17

468.91

486.36

500.67

507.83

518.57

529.31

536.02

543.18

546.76

550.34

553.92

557.50

564.66

571.82

582.55

592.84

607.16

625.06

646.09

671.15

699.33

731.55

763.32

799.11

834.46

873.38

912.76

955.26

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

997.77 1043.85 1090.39 1140.05 1164.66 1214.33 1257.28 1285.47 1320.81 1342.29

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

25

AREA 11

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

854.50

PLAN

Aetna

HMO Deductible

HMO A

180.87

180.87

284.83

284.83

284.83

284.83

285.97

291.67

298.51

309.62

318.73

323.29

330.12

336.96

341.23

345.79

348.07

350.35

352.63

354.90

359.46

364.02

370.85

377.41

386.52

397.91

411.30

427.25

445.20

465.70

485.93

508.71

531.22

556.00

581.06

608.12

635.18

664.52

694.14

725.76

741.42

773.04

800.39

818.33

840.83

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

173.75

173.75

273.62

273.62

273.62

273.62

274.71

280.19

286.75

297.42

306.18

310.56

317.13

323.69

327.80

332.17

334.36

336.55

338.74

340.93

345.31

349.69

356.25

362.55

371.30

382.25

395.11

410.43

427.67

447.37

466.80

488.69

510.30

534.11

558.18

584.18

610.17

638.36

666.81

697.18

712.23

742.60

768.87

786.11

807.73

820.86

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

171.46

171.46

270.02

270.02

270.02

270.02

271.10

276.50

282.98

293.51

302.15

306.47

312.95

319.43

323.48

327.80

329.96

332.12

334.28

336.44

340.77

345.09

351.57

357.78

366.42

377.22

389.91

405.03

422.04

441.48

460.65

482.26

503.59

527.08

550.84

576.49

602.14

629.96

658.04

688.01

702.86

732.83

758.76

775.77

797.10

810.06 720.31

Health Net

PureCare

HSP A

157.61

157.61

244.45

244.45

244.45

244.45

245.40

250.16

255.87

265.15

272.76

276.57

282.28

287.99

291.56

295.37

297.27

299.17

301.08

302.98

306.79

310.59

316.30

321.78

329.39

338.91

350.09

363.42

378.40

395.54

412.43

431.46

450.26

470.96

491.90

514.50

537.10

561.61

586.36

612.77

625.85

652.26

675.10

690.09

708.89

Kaiser Permanente

Full

HMO B

136.29

120.30

189.44

189.44

189.44

189.44

190.20

193.99

198.54

205.92

211.99

215.02

219.56

224.11

226.95

229.98

231.50

233.01

234.53

236.05

239.08

242.11

246.65

251.01

257.07

264.65

273.56

284.16

296.10

309.74

323.19

338.35

353.31

369.79

386.46

404.46

422.46

441.97

461.67

482.70

493.12

514.15

532.33

544.27

559.24

568.32

Kaiser Permanente

Full

HMO C

130.98

114.99

181.09

181.09

181.09

181.09

181.82

185.44

189.78

196.85

202.64

205.54

209.88

214.23

216.95

219.84

221.29

222.74

224.19

225.64

228.54

231.43

235.78

239.95

245.74

252.98

261.49

271.64

283.04

296.08

308.94

323.43

337.73

353.49

369.43

386.63

403.83

422.48

441.32

461.42

471.38

491.48

508.86

520.27

534.58

543.27 613.83

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Alliance

HMO B

146.81

146.81

231.19

231.19

231.19

231.19

232.11

236.74

242.29

251.30

258.70

262.40

267.95

273.50

276.97

280.66

282.51

284.36

286.21

288.06

291.76

295.46

301.01

306.33

313.72

322.97

333.84

346.79

361.35

378.00

394.41

412.91

431.17

451.28

471.63

493.59

515.55

539.37

563.41

589.07

601.79

627.45

649.64

664.21

682.47

693.57

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58 555.00

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

HMO Deductible

HMO A

235.96

235.96

371.59

371.59

371.59

371.59

373.08

380.51

389.43

403.92

415.81

421.76

430.67

439.59

445.17

451.11

454.09

457.06

460.03

463.00

468.95

474.89

483.81

492.36

504.25

519.11

536.58

557.39

580.80

607.55

633.94

663.66

693.02

725.35

758.05

793.35

828.65

866.92

905.57

946.82

967.25 1008.50 1044.17 1067.58 1096.94 1114.78

Anthem Blue Cross

Select HMO

HMO A

201.12

201.12

316.72

316.72

316.72

316.72

317.99

324.32

331.92

344.27

354.41

359.48

367.08

374.68

379.43

384.50

387.03

389.57

392.10

394.63

399.70

404.77

412.37

419.65

429.79

442.46

457.34

475.08

495.03

517.84

540.32

565.66

590.68

618.24

646.11

676.20

706.29

738.91

771.85

807.00

824.42

859.58

889.98

909.94

934.96

950.16

Anthem Blue Cross

Advantage PPO

PPO A

204.29

204.29

321.72

321.72

321.72

321.72

323.01

329.44

337.16

349.71

360.00

365.15

372.87

380.59

385.42

390.57

393.14

395.72

398.29

400.86

406.01

411.16

418.88

426.28

436.57

449.44

464.56

482.58

502.85

526.01

548.85

574.59

600.01

628.00

656.31

686.87

717.44

750.57

784.03

819.74

837.44

873.15

904.03

924.30

949.72

965.16

Anthem Blue Cross

Select PPO

PPO B

202.89

202.89

319.51

319.51

319.51

319.51

320.79

327.18

334.85

347.31

357.53

362.64

370.31

377.98

382.77

387.89

390.44

393.00

395.55

398.11

403.22

408.33

416.00

423.35

433.58

446.36

461.37

479.27

499.39

522.40

545.08

570.64

595.89

623.68

651.80

682.15

712.51

745.42

778.65

814.11

831.68

867.15

897.82

917.95

943.19

958.53

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

207.23

207.23

326.35

326.35

326.35

326.35

327.66

334.18

342.01

354.74

365.19

370.41

378.24

386.07

390.97

396.19

398.80

401.41

404.02

406.63

411.85

417.08

424.91

432.41

442.86

455.91

471.25

489.53

510.09

533.58

556.75

582.86

608.64

637.04

665.75

696.76

727.76

761.37

795.31

831.54

849.49

885.71

917.04

937.60

963.39

979.05

Health Net

PureCare

HSP A

177.91

177.91

276.42

276.42

276.42

276.42

277.50

282.90

289.38

299.90

308.54

312.86

319.33

325.81

329.86

334.18

336.34

338.50

340.66

342.82

347.13

351.45

357.93

364.14

372.77

383.57

396.26

411.37

428.37

447.81

466.97

488.56

509.88

533.36

557.12

582.76

608.40

636.20

664.27

694.23

709.07

739.03

764.94

781.94

803.26

816.22

Kaiser Permanente

Full

HMO B

171.13

155.14

244.32

244.32

244.32

244.32

245.30

250.18

256.05

265.58

273.39

277.30

283.17

289.03

292.69

296.60

298.56

300.51

302.47

304.42

308.33

312.24

318.10

323.72

331.54

341.31

352.80

366.48

381.87

399.46

416.81

436.35

455.66

476.91

498.41

521.62

544.83

570.00

595.41

622.53

635.96

663.08

686.54

701.93

721.23

732.96 745.77

Silver

AGE -->

Kaiser Permanente

Full

HMO C

173.84

157.85

248.59

248.59

248.59

248.59

249.58

254.55

260.52

270.21

278.17

282.15

288.11

294.08

297.81

301.78

303.77

305.76

307.75

309.74

313.72

317.69

323.66

329.38

337.33

347.28

358.96

372.88

388.54

406.44

424.09

443.98

463.61

485.24

507.12

530.73

554.35

579.95

605.81

633.40

647.07

674.67

698.53

714.19

733.83

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

986.21 1013.33 1029.81

UnitedHealthcare

SignatureValue

HMO A

217.98

217.98

343.27

343.27

343.27

343.27

344.64

351.51

359.75

373.13

384.12

389.61

397.85

406.09

411.24

416.73

419.48

422.22

424.97

427.71

433.21

438.70

446.94

454.83

465.82

479.55

495.68

514.91

536.53

561.25

585.62

613.08

640.20

670.06

700.27

732.88

765.49

800.85

836.55

874.65

893.53

931.63

964.59

UnitedHealthcare

Alliance

HMO B

204.97

204.97

322.79

322.79

322.79

322.79

324.08

330.54

338.28

350.87

361.20

366.37

374.11

381.86

386.70

391.87

394.45

397.03

399.61

402.20

407.36

412.53

420.27

427.70

438.03

450.94

466.11

484.19

504.52

527.76

550.68

576.50

602.00

630.09

658.49

689.16

719.82

753.07

786.64

822.47

840.22

876.05

907.04

927.38

952.88

968.37

UnitedHealthcare

Alliance

HMO C

179.89

179.89

283.29

283.29

283.29

283.29

284.42

290.09

296.89

307.94

317.00

321.53

328.33

335.13

339.38

343.91

346.18

348.45

350.71

352.98

357.51

362.04

368.84

375.36

384.42

395.76

409.07

424.94

442.78

463.18

483.29

505.96

528.34

552.98

577.91

604.82

631.74

660.92

690.38

721.82

737.40

768.85

796.04

813.89

836.27

849.87 692.40

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Gold

AGE -->

CARRIER Anthem Blue Cross

Select HMO

HMO A

230.92

230.92

363.65

363.65

363.65

363.65

365.10

372.38

381.11

395.29

406.92

412.74

421.47

430.20

435.65

441.47

444.38

447.29

450.20

453.11

458.93

464.74

473.47

481.84

493.47

508.02

525.11

545.48

568.38

594.57

620.39

649.48

678.21

709.84

741.85

776.39

810.94

848.40

886.22

926.58

946.58

Anthem Blue Cross

Advantage PPO

PPO A

241.79

241.79

380.77

380.77

380.77

380.77

382.29

389.91

399.05

413.90

426.08

432.17

441.31

450.45

456.16

462.25

465.30

468.35

471.39

474.44

480.53

486.62

495.76

504.52

516.70

531.94

549.83

571.16

595.14

622.56

649.59

680.06

710.14

743.26

776.77

812.94

849.12

888.34

927.94

970.20

991.14 1033.41 1069.96 1093.95 1124.03 1142.31

Anthem Blue Cross

Select PPO

PPO B

225.97

225.97

355.86

355.86

355.86

355.86

357.28

364.40

372.94

386.82

398.21

403.90

412.44

420.98

426.32

432.01

434.86

437.71

440.55

443.40

449.10

454.79

463.33

471.51

482.90

497.14

513.86

533.79

556.21

581.83

607.10

635.57

663.68

694.64

725.95

759.76

793.57

830.22

867.23

906.73

926.30

Anthem Blue Cross

Select PPO

PPO C

234.67

234.67

369.56

369.56

369.56

369.56

371.04

378.43

387.30

401.71

413.54

419.45

428.32

437.19

442.73

448.65

451.60

454.56

457.52

460.47

466.38

472.30

481.17

489.67

501.49

516.28

533.64

554.34

577.62

604.23

630.47

660.03

689.23

721.38

753.90

789.01

824.12

862.18

900.62

941.64

961.96 1002.99 1038.46 1061.75 1090.94 1108.68

986.95 1021.86 1044.77 1073.49 1090.95

965.80

999.97 1022.39 1050.50 1067.58

Anthem Blue Cross

Select PPO

PPO D

221.93

221.93

349.50

349.50

349.50

349.50

350.90

357.89

366.28

379.91

391.09

396.68

405.07

413.46

418.70

424.29

427.09

429.89

432.68

435.48

441.07

446.66

455.05

463.09

474.27

488.25

504.68

524.25

546.27

571.43

596.25

624.21

651.82

682.22

712.98

746.18

779.39

815.38

851.73

890.53

909.75

948.54

982.10 1004.11 1031.72 1048.50

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

206.11

206.11

324.58

324.58

324.58

324.58

325.88

332.37

340.16

352.82

363.21

368.40

376.19

383.98

388.85

394.04

396.64

399.23

401.83

404.43

409.62

414.81

422.60

430.07

440.46

453.44

468.69

486.87

507.32

530.69

553.73

579.70

605.34

633.58

662.14

692.98

723.81

757.25

791.00

827.03

844.88

880.91

912.07

Health Net

Wholecare

HMO A

238.84

238.84

372.38

372.38

372.38

372.38

373.84

381.16

389.94

404.21

415.92

421.77

430.55

439.33

444.82

450.67

453.60

456.53

459.45

462.38

468.24

474.09

482.87

491.28

502.99

517.63

534.82

555.31

578.36

604.70

630.68

659.95

688.85

720.68

752.87

787.63

822.39

860.07

898.12

938.73

958.85

999.46 1034.59 1057.64 1086.54 1104.10

Health Net

Wholecare

HMO B

221.13

221.13

348.23

348.23

348.23

348.23

349.62

356.59

364.95

378.53

389.67

395.24

403.60

411.96

417.18

422.75

425.54

428.32

431.11

433.89

439.47

445.04

453.40

461.40

472.55

486.48

502.84

522.35

544.28

569.36

594.08

621.94

649.45

679.74

710.39

743.47

776.55

812.42

848.64

887.29

906.44

945.10

Health Net

PureCare

HSP A

224.23

224.23

349.37

349.37

349.37

349.37

350.74

357.60

365.83

379.20

390.17

395.65

403.88

412.11

417.25

422.74

425.48

428.23

430.97

433.71

439.20

444.68

452.91

460.80

471.77

485.48

501.60

520.80

542.39

567.08

591.42

618.85

645.94

675.76

705.93

738.50

771.08

806.39

842.05

880.10

898.96

937.01

969.93

991.53 1018.61 1035.07

Kaiser Permanente

Full

HMO A

197.58

181.59

285.97

285.97

285.97

285.97

287.11

292.83

299.70

310.85

320.00

324.58

331.44

338.30

342.59

347.17

349.46

351.74

354.03

356.32

360.89

365.47

372.33

378.91

388.06

399.50

412.94

428.96

446.97

467.56

487.87

510.74

533.33

558.21

583.38

610.55

637.71

667.17

696.91

728.65

744.38

776.12

803.58

821.59

844.18

Kaiser Permanente

Full

HMO B

200.95

184.96

291.28

291.28

291.28

291.28

292.44

298.27

305.26

316.62

325.94

330.60

337.59

344.58

348.95

353.61

355.94

358.27

360.60

362.93

367.59

372.25

379.24

385.94

395.26

406.92

420.61

436.92

455.27

476.24

496.92

520.22

543.23

568.58

594.21

621.88

649.55

679.55

709.85

742.18

758.20

790.53

818.49

836.84

859.85

873.84

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

932.52

958.16

973.74

978.53 1000.46 1027.97 1044.69

857.91

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

UnitedHealthcare

SignatureValue

HMO A

261.17

261.17

411.29

411.29

411.29

411.29

412.94

421.16

431.03

447.07

460.23

466.81

476.69

486.56

492.73

499.31

502.60

505.89

509.18

512.47

519.05

525.63

535.50

544.96

558.12

574.57

593.90

616.94

642.85

672.46

701.66

734.56

767.06

802.84

839.03

878.10

917.18

959.54 1002.31 1047.97 1070.59 1116.24 1155.72 1181.64 1214.13 1233.87

UnitedHealthcare

Alliance

HMO B

238.41

238.41

375.45

375.45

375.45

375.45

376.95

384.46

393.47

408.11

420.13

426.14

435.15

444.16

449.79

455.80

458.80

461.80

464.81

467.81

473.82

479.83

488.84

497.47

509.49

524.50

542.15

563.18

586.83

613.86

640.52

670.55

700.21

732.88

765.92

801.59

837.25

875.92

914.97

956.65

977.30 1018.97 1055.01 1078.67 1108.33 1126.35

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

834.57

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

26

AREA 11 (continued)

USE EMPLOYER ZIP CODE FOR RATING Platinum

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Anthem Blue Cross

Select HMO

HMO A

251.05

251.05

395.36

395.36

395.36

395.36

396.94

404.85

414.34

429.76

442.41

448.73

458.22

467.71

473.64

479.97

483.13

486.29

489.46

492.62

498.94

505.27

514.76

523.85

536.50

552.32

570.90

593.04

617.95

646.41

674.48

706.11

737.35

771.74

806.53

844.09

881.65

922.37

Kaiser Permanente

Full

HMO A

219.40

203.41

320.33

320.33

320.33

320.33

321.61

328.02

335.71

348.20

358.45

363.58

371.26

378.95

383.76

388.88

391.45

394.01

396.57

399.13

404.26

409.38

417.07

424.44

434.69

447.50

462.56

480.50

500.68

523.74

546.49

572.11

597.42

625.29

653.48

683.91

714.34

747.33

780.65

816.21

833.82

869.38

900.13

920.31

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

963.49 1007.38 1029.12 1073.01 1110.96 1135.87 1167.10 1186.08 945.62

960.99

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

UnitedHealthcare

SignatureValue

HMO A

282.34

282.34

444.63

444.63

444.63

444.63

446.41

455.30

465.97

483.31

497.54

504.66

515.33

526.00

532.67

539.78

543.34

546.89

550.45

554.01

561.12

568.24

578.91

589.13

603.36

621.15

642.05

666.95

694.96

726.97

758.54

794.11

829.23

867.92

907.05

949.29

991.52 1037.32 1083.56 1132.92 1157.37 1206.73 1249.41 1277.42 1312.55 1333.89

UnitedHealthcare

Alliance

HMO C

257.76

257.76

405.92

405.92

405.92

405.92

407.54

415.66

425.40

441.24

454.22

460.72

470.46

480.20

486.29

492.79

496.03

499.28

502.53

505.78

512.27

518.77

528.51

537.84

550.83

567.07

586.15

608.88

634.45

663.68

692.50

724.97

757.04

792.36

828.08

866.64

905.20

947.01

989.23 1034.28 1056.61 1101.67 1140.64 1166.21 1198.28 1217.76

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

27

AREA 12

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

959.77

PLAN

Aetna

HMO Deductible

HMO A

203.15

203.15

319.92

319.92

319.92

319.92

321.20

327.60

335.28

347.76

357.99

363.11

370.79

378.47

383.27

388.39

390.94

393.50

396.06

398.62

403.74

408.86

416.54

423.90

434.13

446.93

461.97

479.88

500.04

523.07

545.79

571.38

596.65

624.49

652.64

683.03

713.43

746.38

779.65

815.16

832.76

868.27

898.98

919.14

944.41

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

201.14

201.14

316.76

316.76

316.76

316.76

318.03

324.36

331.96

344.32

354.45

359.52

367.12

374.73

379.48

384.55

387.08

389.61

392.15

394.68

399.75

404.82

412.42

419.71

429.84

442.51

457.40

475.14

495.10

517.90

540.39

565.73

590.76

618.32

646.19

676.28

706.37

739.00

771.94

807.10

824.53

859.69

890.10

910.05

935.08

950.28

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

198.50

198.50

312.60

312.60

312.60

312.60

313.85

320.10

327.60

339.80

349.80

354.80

362.30

369.81

374.49

379.50

382.00

384.50

387.00

389.50

394.50

399.50

407.01

414.20

424.20

436.70

451.39

468.90

488.59

511.10

533.30

558.30

583.00

610.20

637.70

667.40

697.10

729.30

761.81

796.50

813.70

848.40

878.41

898.10

922.80

937.80 765.19

Health Net

PureCare

HSP A

167.11

167.11

259.41

259.41

259.41

259.41

260.42

265.48

271.55

281.41

289.50

293.55

299.62

305.69

309.48

313.53

315.55

317.57

319.60

321.62

325.67

329.71

335.78

341.60

349.69

359.81

371.69

385.86

401.79

420.00

437.95

458.18

478.16

500.16

522.42

546.44

570.46

596.51

622.81

650.88

664.79

692.86

717.14

733.07

753.05

Kaiser Permanente

Full

HMO B

139.06

123.07

193.81

193.81

193.81

193.81

194.59

198.46

203.12

210.67

216.88

219.98

224.63

229.28

232.19

235.29

236.84

238.39

239.94

241.49

244.59

247.69

252.34

256.80

263.00

270.76

279.87

290.72

302.93

316.88

330.64

346.15

361.46

378.32

395.38

413.79

432.20

452.16

472.32

493.83

504.49

526.01

544.61

556.82

572.13

581.43

Kaiser Permanente

Full

HMO C

133.63

117.64

185.27

185.27

185.27

185.27

186.01

189.71

194.16

201.39

207.31

210.28

214.73

219.17

221.95

224.91

226.40

227.88

229.36

230.84

233.81

236.77

241.22

245.48

251.41

258.82

267.53

277.90

289.57

302.91

316.07

330.89

345.52

361.64

377.95

395.55

413.15

432.23

451.50

472.06

482.25

502.82

520.60

532.27

546.91

555.81 613.83

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Focus

HMO A

154.27

154.27

242.94

242.94

242.94

242.94

243.91

248.77

254.60

264.08

271.85

275.74

281.57

287.40

291.04

294.93

296.87

298.82

300.76

302.70

306.59

310.48

316.31

321.90

329.67

339.39

350.81

364.41

379.72

397.21

414.46

433.89

453.08

474.22

495.60

518.68

541.76

566.78

592.04

619.01

632.37

659.34

682.66

697.97

717.16

728.82

UnitedHealthcare

Alliance

HMO B

119.71

119.71

188.52

188.52

188.52

188.52

189.27

193.04

197.57

204.92

210.95

213.97

218.49

223.02

225.85

228.86

230.37

231.88

233.39

234.90

237.91

240.93

245.45

249.79

255.82

263.36

272.22

282.78

294.66

308.23

321.62

336.70

351.59

367.99

384.58

402.49

420.40

439.82

459.42

480.35

490.72

511.64

529.74

541.62

556.51

565.56 614.58

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

265.03

265.03

417.37

417.37

417.37

417.37

419.04

427.38

437.40

453.68

467.03

473.71

483.73

493.74

500.00

506.68

510.02

513.36

516.70

520.04

526.72

533.39

543.41

553.01

566.37

583.06

602.68

626.05

652.34

682.39

712.03

745.42

778.39

814.70

851.43

891.08

930.73

973.72 1017.12 1063.45 1086.40 1132.73 1172.80 1199.09 1232.07 1252.10

Anthem Blue Cross

Select HMO

HMO A

236.92

236.92

373.11

373.11

373.11

373.11

374.60

382.06

391.02

405.57

417.51

423.48

432.43

441.39

446.99

452.96

455.94

458.93

461.91

464.90

470.86

476.83

485.79

494.37

506.31

521.23

538.77

559.67

583.17

610.03

636.53

666.37

695.85

728.31

761.14

796.59

832.04

870.47

909.27

950.68

Anthem Blue Cross

Advantage PPO

PPO A

233.43

233.43

367.60

367.60

367.60

367.60

369.07

376.42

385.24

399.58

411.34

417.23

426.05

434.87

440.38

446.27

449.21

452.15

455.09

458.03

463.91

469.79

478.62

487.07

498.83

513.54

530.81

551.40

574.56

601.03

627.13

656.53

685.57

717.56

749.90

784.83

819.75

857.61

895.84

936.64

956.86

997.67 1032.96 1056.11 1085.16 1102.80

Anthem Blue Cross

Select PPO

PPO B

232.20

232.20

365.67

365.67

365.67

365.67

367.13

374.45

383.22

397.48

409.18

415.04

423.81

432.59

438.07

443.92

446.85

449.77

452.70

455.62

461.48

467.33

476.10

484.51

496.21

510.84

528.03

548.51

571.54

597.87

623.83

653.09

681.97

713.79

745.97

780.71

815.44

853.11

891.14

931.73

951.84

992.43 1027.53 1050.57 1079.46 1097.01

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

239.92

239.92

377.82

377.82

377.82

377.82

379.33

386.89

395.96

410.69

422.78

428.83

437.89

446.96

452.63

458.67

461.70

464.72

467.74

470.76

476.81

482.85

491.92

500.61

512.70

527.81

545.57

566.73

590.53

617.74

644.56

674.79

704.63

737.50

770.75

806.65

842.54

881.45

920.75

962.69

983.47 1025.40 1061.67 1085.48 1115.32 1133.46

Health Net

PureCare

HSP A

188.68

188.68

293.39

293.39

293.39

293.39

294.54

300.27

307.16

318.35

327.53

332.12

339.00

345.89

350.19

354.78

357.08

359.37

361.67

363.96

368.55

373.14

380.02

386.62

395.80

407.28

420.76

436.83

454.90

475.55

495.92

518.87

541.53

566.49

591.73

618.99

646.24

675.79

705.62

737.46

753.24

785.09

812.62

830.70

853.36

867.13

Kaiser Permanente

Full

HMO B

174.71

158.72

249.95

249.95

249.95

249.95

250.95

255.95

261.95

271.70

279.70

283.70

289.70

295.70

299.45

303.44

305.44

307.44

309.44

311.44

315.44

319.44

325.44

331.19

339.19

349.19

360.93

374.93

390.68

408.68

426.42

446.42

466.17

487.91

509.91

533.65

557.40

583.14

609.14

636.88

650.63

678.38

702.37

718.12

737.87

749.85

Kaiser Permanente

Full

HMO C

177.48

161.49

254.32

254.32

254.32

254.32

255.34

260.42

266.53

276.45

284.58

288.65

294.76

300.86

304.68

308.75

310.78

312.81

314.85

316.88

320.95

325.02

331.13

336.97

345.11

355.29

367.24

381.48

397.50

415.81

433.87

454.22

474.31

496.43

518.81

542.97

567.13

593.33

619.78

648.01

662.00

690.23

714.64

730.66

750.75

762.96

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84 770.64

971.21 1012.62 1048.44 1071.95 1101.42 1119.33

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

UnitedHealthcare

SignatureValue

HMO A

198.98

198.98

313.35

313.35

313.35

313.35

314.60

320.87

328.39

340.61

350.64

355.65

363.17

370.69

375.39

380.41

382.91

385.42

387.93

390.43

395.45

400.46

407.98

415.19

425.22

437.75

452.48

470.03

489.77

512.33

534.58

559.64

584.40

611.66

639.23

669.00

698.77

731.05

763.63

798.42

815.65

850.43

880.51

900.25

925.01

940.05

UnitedHealthcare

Alliance

HMO B

167.14

167.14

263.21

263.21

263.21

263.21

264.26

269.53

275.84

286.11

294.53

298.74

305.06

311.38

315.33

319.54

321.64

323.75

325.85

327.96

332.17

336.38

342.70

348.75

357.18

367.70

380.08

394.82

411.40

430.35

449.04

470.09

490.89

513.79

536.95

561.95

586.96

614.07

641.44

670.66

685.14

714.35

739.62

756.20

777.00

789.63 693.00

UnitedHealthcare

Alliance

HMO C

146.69

146.69

231.00

231.00

231.00

231.00

231.92

236.54

242.09

251.10

258.49

262.19

267.73

273.27

276.74

280.43

282.28

284.13

285.98

287.83

291.52

295.22

300.76

306.08

313.47

322.71

333.56

346.50

361.05

377.69

394.09

412.57

430.82

450.91

471.24

493.19

515.13

538.92

562.95

588.59

601.29

626.93

649.11

663.66

681.91

UnitedHealthcare

Focus

HMO D

168.74

168.74

265.73

265.73

265.73

265.73

266.79

272.11

278.49

288.85

297.35

301.60

307.98

314.36

318.34

322.60

324.72

326.85

328.97

331.10

335.35

339.60

345.98

352.09

360.60

371.22

383.71

398.60

415.34

434.47

453.34

474.59

495.59

518.70

542.09

567.33

592.58

619.95

647.58

677.08

691.70

721.19

746.70

763.44

784.43

797.19

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

28

AREA 12 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Anthem Blue Cross

Select HMO

HMO A

272.01

272.01

428.37

428.37

428.37

428.37

430.08

438.65

448.93

465.64

479.35

486.20

496.48

506.76

513.19

520.04

523.47

526.90

530.32

533.75

540.60

547.46

557.74

567.59

581.30

598.43

618.57

642.56

669.54

700.38

730.80

765.07

798.91

836.18

873.87

914.57

955.27

Anthem Blue Cross

Advantage PPO

PPO A

276.29

276.29

435.10

435.10

435.10

435.10

436.84

445.54

455.98

472.95

486.88

493.84

504.28

514.72

521.25

528.21

531.69

535.17

538.65

542.13

549.10

556.06

566.50

576.51

590.43

607.83

628.28

652.65

680.06

711.39

742.28

777.09

811.46

849.32

887.60

928.94

970.27 1015.09 1060.34 1108.63 1132.57 1180.86 1222.63 1250.04 1284.42 1305.30

999.39 1043.94 1091.49 1115.05 1162.60 1203.72 1230.71 1264.55 1285.11

Anthem Blue Cross

Select PPO

PPO B

258.61

258.61

407.26

407.26

407.26

407.26

408.89

417.03

426.81

442.69

455.72

462.24

472.01

481.79

487.90

494.41

497.67

500.93

504.19

507.45

513.96

520.48

530.25

539.62

552.65

568.94

588.08

610.89

636.55

665.87

694.79

727.37

759.54

794.97

830.81

869.50

908.19

950.14

Anthem Blue Cross

Select PPO

PPO C

268.57

268.57

422.95

422.95

422.95

422.95

424.64

433.10

443.25

459.75

473.28

480.05

490.20

500.35

506.69

513.46

516.84

520.23

523.61

527.00

533.76

540.53

550.68

560.41

573.94

590.86

610.74

634.43

661.07

691.52

721.55

755.39

788.80

825.60

862.82

903.00

943.18

986.74 1030.73 1077.68 1100.94 1147.89 1188.49 1215.14 1248.55 1268.85

Anthem Blue Cross

Select PPO

PPO D

253.99

253.99

399.99

399.99

399.99

399.99

401.59

409.59

419.19

434.79

447.59

453.99

463.59

473.19

479.19

485.59

488.79

491.99

495.19

498.39

504.79

511.19

520.79

529.99

542.79

558.79

577.59

599.99

625.18

653.98

682.38

714.38

745.98

780.78

815.98

853.98

891.98

933.18

974.78 1019.17 1041.17 1085.57 1123.97 1149.17 1180.77 1199.97

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

238.61

238.61

375.76

375.76

375.76

375.76

377.26

384.78

393.80

408.45

420.48

426.49

435.51

444.52

450.16

456.17

459.18

462.18

465.19

468.20

474.21

480.22

489.24

497.88

509.91

524.94

542.60

563.64

587.31

614.37

641.05

671.11

700.79

733.48

766.55

802.25

837.94

876.65

915.73

957.44

Health Net

Wholecare

HMO A

253.45

253.45

395.39

395.39

395.39

395.39

396.95

404.72

414.06

429.22

441.67

447.89

457.22

466.55

472.39

478.61

481.72

484.83

487.94

491.05

497.27

503.50

512.83

521.77

534.22

549.77

568.05

589.83

614.32

642.32

669.93

701.04

731.76

765.59

799.81

836.76

873.70

913.75

954.20

997.36 1018.75 1061.91 1099.24 1123.74 1154.46 1173.13

Health Net

Wholecare

HMO B

235.03

235.03

370.13

370.13

370.13

370.13

371.61

379.01

387.90

402.33

414.18

420.10

428.98

437.86

443.42

449.34

452.30

455.26

458.22

461.18

467.10

473.03

481.91

490.42

502.27

517.07

534.47

555.20

578.51

605.16

631.44

661.05

690.29

722.49

755.07

790.23

825.39

863.51

902.01

943.09

963.45 1004.53 1040.07 1063.38 1092.62 1110.39

Health Net

PureCare

HSP A

237.93

237.93

370.94

370.94

370.94

370.94

372.40

379.69

388.43

402.64

414.31

420.14

428.88

437.63

443.10

448.93

451.84

454.76

457.67

460.59

466.42

472.25

480.99

489.38

501.04

515.61

532.74

553.15

576.11

602.35

628.22

657.37

686.16

717.87

749.94

784.56

819.18

856.71

894.61

935.06

955.11

995.56 1030.54 1053.50 1082.29 1099.78

Kaiser Permanente

Full

HMO A

201.77

185.78

292.57

292.57

292.57

292.57

293.74

299.59

306.61

318.02

327.38

332.06

339.08

346.11

350.49

355.18

357.52

359.86

362.20

364.54

369.22

373.90

380.92

387.65

397.01

408.71

422.47

438.85

457.28

478.35

499.12

522.52

545.64

571.09

596.83

624.63

652.42

682.56

712.98

745.46

761.55

794.02

822.11

840.54

863.66

877.71

Kaiser Permanente

Full

HMO B

205.22

189.23

298.00

298.00

298.00

298.00

299.19

305.15

312.30

323.92

333.46

338.23

345.38

352.53

357.00

361.77

364.15

366.54

368.92

371.30

376.07

380.84

387.99

394.85

404.38

416.30

430.31

446.99

465.77

487.22

508.38

532.22

555.76

581.69

607.91

636.22

664.53

695.23

726.22

759.30

775.69

808.76

837.37

856.14

879.69

894.00

992.49 1037.70 1060.10 1105.30 1144.40 1170.06 1202.23 1221.78

978.10 1019.81 1055.89 1079.56 1109.24 1127.28

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

UnitedHealthcare

SignatureValue

HMO A

238.40

238.40

375.44

375.44

375.44

375.44

376.94

384.45

393.46

408.10

420.12

426.12

435.13

444.15

449.78

455.78

458.79

461.79

464.79

467.80

473.81

479.81

488.82

497.46

509.47

524.49

542.14

563.16

586.81

613.84

640.50

670.54

700.20

732.86

765.90

801.56

837.23

875.90

914.95

956.62

977.27 1018.94 1054.99 1078.64 1108.30 1126.32

UnitedHealthcare

Alliance

HMO B

194.41

194.41

306.15

306.15

306.15

306.15

307.37

313.50

320.85

332.79

342.58

347.48

354.83

362.18

366.77

371.67

374.12

376.56

379.01

381.46

386.36

391.26

398.61

405.65

415.45

427.69

442.08

459.23

478.51

500.56

522.29

546.78

570.97

597.60

624.55

653.63

682.71

714.25

746.09

780.07

796.91

830.89

860.28

879.57

903.75

UnitedHealthcare

Focus

HMO C

202.18

202.18

318.39

318.39

318.39

318.39

319.66

326.03

333.67

346.09

356.28

361.37

369.01

376.66

381.43

386.53

389.07

391.62

394.17

396.71

401.81

406.90

414.54

421.87

432.06

444.79

459.76

477.59

497.64

520.57

543.17

568.64

593.80

621.50

649.52

679.76

710.01

742.80

775.92

811.26

828.77

864.11

894.68

914.73

939.89

955.17

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57 871.38

918.45

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Anthem Blue Cross

Select HMO

HMO A

295.76

295.76

465.76

465.76

465.76

465.76

467.62

476.94

488.12

506.28

521.19

528.64

539.82

550.99

557.98

565.43

569.16

572.88

576.61

580.34

587.79

595.24

606.42

617.13

632.04

650.67

672.56

698.64

727.98

761.52

794.59

831.85

868.64

909.16

950.15

994.40 1038.64 1086.62 1135.06 1186.76 1212.37 1264.07 1308.79 1338.13 1374.92 1397.28

Kaiser Permanente

Full

HMO A

224.09

208.10

327.72

327.72

327.72

327.72

329.03

335.59

343.45

356.23

366.72

371.96

379.83

387.69

392.61

397.85

400.47

403.10

405.72

408.34

413.58

418.83

426.69

434.23

444.72

457.83

473.23

491.58

512.23

535.82

559.09

585.31

611.20

639.71

668.55

699.68

730.82

764.57

798.65

835.03

853.06

889.43

920.89

941.54

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

Platinum

AGE -->

967.43

983.16

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

UnitedHealthcare

SignatureValue

HMO A

257.73

257.73

405.88

405.88

405.88

405.88

407.50

415.62

425.36

441.19

454.18

460.67

470.41

480.16

486.24

492.74

495.99

499.23

502.48

505.73

512.22

518.71

528.46

537.79

550.78

567.01

586.09

608.82

634.39

663.61

692.43

724.90

756.97

792.28

828.00

866.55

905.11

946.92

989.13 1034.18 1056.51 1101.56 1140.52 1166.09 1198.16 1217.64

UnitedHealthcare

Focus

HMO B

218.57

218.57

344.20

344.20

344.20

344.20

345.58

352.46

360.72

374.15

385.16

390.67

398.93

407.19

412.35

417.86

420.61

423.37

426.12

428.87

434.38

439.89

448.15

456.07

467.08

480.85

497.02

516.30

537.98

562.77

587.21

614.74

641.93

671.88

702.17

734.87

767.57

803.02

838.82

877.02

895.95

934.16

967.20

988.89 1016.08 1032.60

UnitedHealthcare

Alliance

HMO C

210.19

210.19

331.00

331.00

331.00

331.00

332.32

338.94

346.89

359.80

370.39

375.69

383.63

391.57

396.54

401.83

404.48

407.13

409.78

412.43

417.72

423.02

430.96

438.58

449.17

462.41

477.96

496.50

517.35

541.19

564.69

591.17

617.32

646.11

675.24

706.69

738.13

772.22

806.65

843.39

861.59

898.33

930.11

950.96

977.11

993.00

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

29

AREA 13

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

978.96

PLAN

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

207.21

207.21

326.32

326.32

326.32

326.32

327.63

334.15

341.98

354.71

365.15

370.37

378.20

386.04

390.93

396.15

398.76

401.37

403.98

406.59

411.82

417.04

424.87

432.37

442.82

455.87

471.21

489.48

510.04

533.53

556.70

582.81

608.59

636.98

665.69

696.69

727.69

761.30

795.24

831.46

849.41

885.63

916.96

937.52

963.30

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

204.46

204.46

321.99

321.99

321.99

321.99

323.28

329.72

337.45

350.00

360.31

365.46

373.19

380.91

385.74

390.90

393.47

396.05

398.62

401.20

406.35

411.50

419.23

426.64

436.94

449.82

464.95

482.99

503.27

526.45

549.31

575.07

600.51

628.52

656.86

687.45

718.04

751.20

784.69

820.43

838.14

873.88

904.79

925.08

950.51

965.97

Kaiser Permanente

Full

HMO B

132.91

116.92

184.12

184.12

184.12

184.12

184.86

188.54

192.96

200.14

206.03

208.98

213.40

217.82

220.58

223.52

225.00

226.47

227.94

229.42

232.36

235.31

239.73

243.96

249.85

257.22

265.87

276.18

287.78

301.04

314.11

328.84

343.39

359.41

375.61

393.10

410.59

429.56

448.70

469.14

479.27

499.71

517.38

528.98

543.53

552.36 528.00

Kaiser Permanente

Full

HMO C

127.75

111.76

176.00

176.00

176.00

176.00

176.71

180.23

184.45

191.32

196.95

199.76

203.99

208.21

210.85

213.67

215.08

216.49

217.89

219.30

222.12

224.93

229.16

233.21

238.84

245.88

254.15

264.01

275.09

287.77

300.26

314.34

328.25

343.56

359.05

375.77

392.49

410.62

428.92

448.46

458.14

477.68

494.57

505.66

519.56

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53 576.06

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Anthem Blue Cross

Select HMO

HMO A

251.36

251.36

395.84

395.84

395.84

395.84

397.42

405.34

414.84

430.28

442.94

449.28

458.78

468.28

474.22

480.55

483.72

486.88

490.05

493.22

499.55

505.88

515.38

524.49

537.15

552.99

571.59

593.76

618.70

647.20

675.30

706.97

738.24

772.68

807.51

845.12

882.72

923.49

964.66 1008.60 1030.37 1074.31 1112.31 1137.25 1168.52 1187.52

Anthem Blue Cross

Advantage PPO

PPO A

243.64

243.64

383.69

383.69

383.69

383.69

385.22

392.90

402.11

417.07

429.35

435.49

444.70

453.91

459.66

465.80

468.87

471.94

475.01

478.08

484.22

490.36

499.56

508.39

520.67

536.01

554.05

575.54

599.71

627.33

654.58

685.27

715.58

748.96

782.73

819.18

855.63

895.15

935.05

977.64

998.75 1041.33 1078.17 1102.34 1132.65 1151.07

Anthem Blue Cross

Select PPO

PPO B

241.42

241.42

380.19

380.19

380.19

380.19

381.71

389.31

398.44

413.27

425.43

431.52

440.64

449.76

455.47

461.55

464.59

467.63

470.68

473.72

479.80

485.88

495.01

503.75

515.92

531.13

548.99

570.29

594.24

621.61

648.60

679.02

709.05

742.13

775.59

811.71

847.82

886.98

926.52

968.72

989.63 1031.84 1068.33 1092.29 1122.32 1140.57

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

247.14

247.14

389.20

389.20

389.20

389.20

390.76

398.54

407.88

423.06

435.51

441.74

451.08

460.42

466.26

472.49

475.60

478.72

481.83

484.94

491.17

497.40

506.74

515.69

528.14

543.71

562.00

583.80

608.32

636.34

663.98

695.11

725.86

759.72

793.97

830.94

867.92

908.00

948.48

991.68 1013.09 1056.29 1093.65 1118.17 1148.92 1167.60

Kaiser Permanente

Full

HMO B

166.78

150.79

237.46

237.46

237.46

237.46

238.41

243.16

248.85

258.12

265.71

269.51

275.21

280.91

284.47

288.27

290.17

292.07

293.97

295.87

299.67

303.47

309.17

314.63

322.23

331.73

342.89

356.19

371.14

388.24

405.10

424.10

442.86

463.52

484.41

506.97

529.53

553.99

578.68

605.04

618.10

644.46

667.25

682.21

700.97

712.38

Kaiser Permanente

Full

HMO C

169.41

153.42

241.60

241.60

241.60

241.60

242.57

247.40

253.20

262.62

270.36

274.22

280.02

285.82

289.44

293.31

295.24

297.17

299.11

301.04

304.90

308.77

314.57

320.13

327.86

337.52

348.88

362.41

377.63

395.02

412.18

431.51

450.59

471.61

492.87

515.83

538.78

563.66

588.79

615.61

628.90

655.71

678.91

694.13

713.22

724.80

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

UnitedHealthcare

SignatureValue

HMO A

222.29

222.29

350.06

350.06

350.06

350.06

351.46

358.46

366.86

380.52

391.72

397.32

405.72

414.12

419.37

424.97

427.77

430.57

433.37

436.17

441.78

447.38

455.78

463.83

475.03

489.03

505.49

525.09

547.14

572.35

597.20

625.21

652.86

683.32

714.12

747.38

780.63

816.69

853.10

891.95

911.21

950.06

983.67 1005.72 1033.38 1050.18

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

Gold

AGE -->

CARRIER Anthem Blue Cross

Select HMO

HMO A

288.59

288.59

454.48

454.48

454.48

454.48

456.30

465.39

476.30

494.02

508.56

515.83

526.74

537.65

544.47

551.74

555.37

559.01

562.65

566.28

573.55

580.83

591.73

602.19

616.73

634.91

656.27

681.72

710.35

743.07

775.34

811.70

847.61

887.14

927.14

Anthem Blue Cross

Advantage PPO

PPO A

288.37

288.37

454.13

454.13

454.13

454.13

455.95

465.03

475.93

493.64

508.17

515.44

526.34

537.24

544.05

551.31

554.95

558.58

562.21

565.85

573.11

580.38

591.28

601.72

616.25

634.42

655.76

681.20

709.81

742.50

774.75

811.08

846.95

886.46

926.43

969.57 1012.71 1059.49 1106.71 1157.12 1182.10 1232.51 1276.11 1304.72 1340.59 1362.39

Anthem Blue Cross

Select PPO

PPO B

268.88

268.88

423.43

423.43

423.43

423.43

425.12

433.59

443.75

460.27

473.82

480.59

490.76

500.92

507.27

514.04

517.43

520.82

524.21

527.59

534.37

541.14

551.31

561.04

574.59

591.53

611.43

635.15

661.82

692.31

722.37

756.25

789.70

826.54

863.80

904.02

944.25

Anthem Blue Cross

Select PPO

PPO C

279.23

279.23

439.74

439.74

439.74

439.74

441.50

450.29

460.85

478.00

492.07

499.10

509.66

520.21

526.81

533.84

537.36

540.88

544.40

547.92

554.95

561.99

572.54

582.66

596.73

614.32

634.98

659.61

687.31

718.97

750.20

785.38

820.12

858.37

897.07

938.84

980.62 1025.91 1071.65 1120.46 1144.64 1193.45 1235.67 1263.37 1298.11 1319.22

970.31 1013.49 1060.30 1107.57 1158.02 1183.01 1233.46 1277.09 1305.72 1341.62 1363.44

987.86 1031.90 1078.90 1102.19 1149.19 1189.84 1216.51 1249.97 1270.29

Anthem Blue Cross

Select PPO

PPO D

264.08

264.08

415.87

415.87

415.87

415.87

417.53

425.85

435.83

452.05

465.36

472.01

481.99

491.97

498.21

504.87

508.19

511.52

514.85

518.17

524.83

531.48

541.46

551.03

564.34

580.97

600.52

623.81

650.00

679.95

709.47

742.74

775.60

811.78

848.37

887.88

927.39

970.22 1013.48 1059.64 1082.51 1128.67 1168.59 1194.79 1227.65 1247.61

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

245.81

245.81

387.10

387.10

387.10

387.10

388.65

396.39

405.68

420.78

433.16

439.36

448.65

457.94

463.75

469.94

473.04

476.13

479.23

482.33

488.52

494.71

504.00

512.91

525.29

540.78

558.97

580.65

605.04

632.91

660.39

691.36

721.94

755.62

789.68

826.46

863.23

903.10

943.36

Kaiser Permanente

Full

HMO A

192.48

176.49

277.94

277.94

277.94

277.94

279.05

284.61

291.28

302.12

311.01

315.46

322.13

328.80

332.97

337.42

339.64

341.86

344.09

346.31

350.76

355.20

361.87

368.27

377.16

388.28

401.34

416.91

434.42

454.43

474.16

496.40

518.35

542.53

566.99

593.40

619.80

648.43

677.33

708.19

723.47

754.32

781.01

798.52

820.47

833.82

Kaiser Permanente

Full

HMO B

195.76

179.77

283.10

283.10

283.10

283.10

284.23

289.89

296.69

307.73

316.79

321.31

328.11

334.90

339.15

343.68

345.94

348.21

350.47

352.74

357.27

361.80

368.59

375.10

384.16

395.49

408.79

424.65

442.48

462.86

482.96

505.61

527.98

552.60

577.52

604.41

631.31

660.46

689.91

721.33

736.90

768.32

795.50

813.34

835.70

849.30

986.33 1007.62 1050.59 1087.75 1112.14 1142.72 1161.30

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

UnitedHealthcare

SignatureValue

HMO A

266.33

266.33

419.42

419.42

419.42

419.42

421.10

429.49

439.55

455.91

469.33

476.04

486.11

496.17

502.47

509.18

512.53

515.89

519.24

522.60

529.31

536.02

546.08

555.73

569.15

585.93

605.64

629.13

655.55

685.75

715.53

749.08

782.22

818.71

855.62

895.46

935.31

978.51 1022.13 1068.68 1091.75 1138.31 1178.57 1204.99 1238.13 1258.26

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Platinum

AGE -->

CARRIER

834.57

Anthem Blue Cross

Select HMO

HMO A

313.78

313.78

494.14

494.14

494.14

494.14

496.12

506.00

517.86

537.13

552.94

560.85

572.71

584.57

591.98

599.89

603.84

607.79

611.75

615.70

623.60

631.51

643.37

654.74

670.55

690.31

713.54

741.21

772.34

807.92

843.00

882.53

921.57

Kaiser Permanente

Full

HMO A

213.69

197.70

311.33

311.33

311.33

311.33

312.58

318.81

326.28

338.42

348.38

353.36

360.84

368.31

372.98

377.96

380.45

382.94

385.43

387.92

392.90

397.89

405.36

412.52

422.48

434.93

449.57

467.00

486.62

509.03

531.14

556.04

580.64

607.72

635.12

664.70

694.28

726.34

758.72

793.28

810.40

844.96

874.85

894.46

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

964.56 1008.05 1054.99 1101.93 1152.83 1204.22 1259.07 1286.25 1341.10 1388.53 1419.66 1458.70 1482.42 919.06

933.99

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

UnitedHealthcare

SignatureValue

HMO A

287.93

287.93

453.43

453.43

453.43

453.43

455.24

464.31

475.19

492.88

507.39

514.64

525.53

536.41

543.21

550.46

554.09

557.72

561.35

564.97

572.23

579.48

590.37

600.79

615.30

633.44

654.75

680.15

708.71

741.36

773.55

809.83

845.65

885.10

925.00

968.07 1011.15 1057.85 1105.01 1155.34 1180.28 1230.61 1274.14 1302.70 1338.53 1360.29

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

30

AREA 14

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

HMO Deductible

HMO A

242.31

242.31

381.59

381.59

381.59

381.59

383.11

390.74

399.90

414.78

427.00

433.10

442.26

451.42

457.14

463.25

466.30

469.35

472.40

475.46

481.56

487.67

496.83

505.60

517.81

533.08

551.01

572.38

596.42

623.89

650.99

681.51

711.66

744.86

778.44

814.69

850.94

890.24

929.93

972.28

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

172.35

172.35

271.41

271.41

271.41

271.41

272.50

277.92

284.44

295.02

303.71

308.05

314.56

321.08

325.15

329.49

331.66

333.83

336.01

338.18

342.52

346.86

353.38

359.62

368.30

379.16

391.92

407.12

424.21

443.76

463.03

484.74

506.18

529.79

553.68

579.46

605.24

633.20

661.43

691.55

706.48

736.61

762.66

779.76

801.20

814.23

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

170.07

170.07

267.82

267.82

267.82

267.82

268.89

274.25

280.68

291.12

299.69

303.98

310.40

316.83

320.85

325.13

327.28

329.42

331.56

333.70

337.99

342.27

348.70

354.86

363.43

374.14

386.73

401.73

418.60

437.89

456.90

478.33

499.48

522.78

546.35

571.80

597.24

624.82

652.68

682.41

697.14

726.86

752.57

769.45

790.60

803.46 632.20

993.27 1035.63 1072.26 1096.30 1126.44 1144.76

Health Net

PureCare

HSP A

138.96

138.96

215.08

215.08

215.08

215.08

215.91

220.09

225.09

233.22

239.90

243.24

248.24

253.25

256.37

259.71

261.38

263.05

264.72

266.39

269.72

273.06

278.07

282.86

289.54

297.88

307.68

319.36

332.50

347.52

362.32

379.01

395.48

413.63

431.98

451.80

471.61

493.09

514.78

537.93

549.40

572.55

592.57

605.71

622.19

Kaiser Permanente

Full

HMO B

131.91

116.92

184.12

184.12

184.12

184.12

184.86

188.54

192.96

200.14

206.03

208.98

213.40

217.82

220.58

223.52

225.00

226.47

227.94

229.42

232.36

235.31

239.73

243.96

249.85

257.22

265.87

276.18

287.78

301.04

314.11

328.84

343.39

359.41

375.61

393.10

410.59

429.56

448.70

469.14

479.27

499.71

517.38

528.98

543.53

552.36

Kaiser Permanente

Full

HMO C

126.75

111.76

176.00

176.00

176.00

176.00

176.71

180.23

184.45

191.32

196.95

199.76

203.99

208.21

210.85

213.67

215.08

216.49

217.89

219.30

222.12

224.93

229.16

233.21

238.84

245.88

254.15

264.01

275.09

287.77

300.26

314.34

328.25

343.56

359.05

375.77

392.49

410.62

428.92

448.46

458.14

477.68

494.57

505.66

519.56

528.00 613.83

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Alliance

HMO B

138.33

138.33

217.85

217.85

217.85

217.85

218.72

223.08

228.31

236.80

243.77

247.26

252.49

257.72

260.98

264.47

266.21

267.96

269.70

271.44

274.93

278.41

283.64

288.65

295.62

304.34

314.58

326.78

340.50

356.18

371.65

389.08

406.29

425.24

444.41

465.11

485.81

508.24

530.90

555.08

567.06

591.24

612.16

625.88

643.09

653.55

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58 555.00

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

HMO Deductible

HMO A

316.11

316.11

497.81

497.81

497.81

497.81

499.80

509.76

521.71

541.12

557.05

565.02

576.97

588.91

596.38

604.35

608.33

612.31

616.29

620.28

628.24

636.21

648.15

659.60

675.53

695.45

718.84

746.72

778.08

813.92

849.27

889.09

928.42

971.73 1015.54 1062.83 1110.12 1161.40 1213.17 1268.43 1295.81 1351.07 1398.86 1430.22 1469.54 1493.44

Anthem Blue Cross

Select HMO

HMO A

223.12

223.12

351.37

351.37

351.37

351.37

352.78

359.80

368.24

381.94

393.18

398.80

407.24

415.67

420.94

426.56

429.37

432.19

435.00

437.81

443.43

449.05

457.48

465.57

476.81

490.86

507.38

527.06

549.19

574.49

599.44

627.55

655.31

685.87

716.79

750.17

783.56

819.75

856.29

895.29

914.62

953.62

987.35 1009.49 1037.24 1054.11

Anthem Blue Cross

Advantage PPO

PPO A

193.36

193.36

304.50

304.50

304.50

304.50

305.72

311.81

319.12

330.99

340.74

345.61

352.92

360.22

364.79

369.66

372.10

374.54

376.97

379.41

384.28

389.15

396.46

403.46

413.21

425.39

439.70

456.75

475.93

497.86

519.48

543.84

567.89

594.38

621.18

650.11

679.04

710.40

742.07

775.87

792.61

826.41

855.65

874.83

898.88

Anthem Blue Cross

Select PPO

PPO B

200.13

200.13

315.16

315.16

315.16

315.16

316.42

322.72

330.29

342.58

352.66

357.71

365.27

372.83

377.56

382.60

385.13

387.65

390.17

392.69

397.73

402.77

410.34

417.59

427.67

440.28

455.09

472.74

492.60

515.29

537.66

562.88

587.77

615.19

642.93

672.87

702.81

735.27

768.04

803.03

820.36

855.34

885.60

905.45

930.35

945.48

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

205.58

205.58

323.75

323.75

323.75

323.75

325.05

331.52

339.29

351.92

362.28

367.46

375.23

383.00

387.85

393.03

395.62

398.21

400.80

403.39

408.57

413.75

421.52

428.97

439.33

452.28

467.50

485.63

506.02

529.33

552.32

578.22

603.79

631.96

660.45

691.21

721.96

755.31

788.98

824.92

842.72

878.66

909.74

930.13

955.71

971.25

Health Net

PureCare

HSP A

156.75

156.75

243.11

243.11

243.11

243.11

244.06

248.79

254.47

263.69

271.26

275.05

280.73

286.41

289.95

293.74

295.63

297.53

299.42

301.31

305.10

308.88

314.56

320.00

327.57

337.04

348.16

361.41

376.31

393.34

410.14

429.07

447.76

468.34

489.16

511.64

534.12

558.48

583.09

609.35

622.36

648.63

671.34

686.24

704.93

716.29

Kaiser Permanente

Full

HMO B

165.78

150.79

237.46

237.46

237.46

237.46

238.41

243.16

248.85

258.12

265.71

269.51

275.21

280.91

284.47

288.27

290.17

292.07

293.97

295.87

299.67

303.47

309.17

314.63

322.23

331.73

342.89

356.19

371.14

388.24

405.10

424.10

442.86

463.52

484.41

506.97

529.53

553.99

578.68

605.04

618.10

644.46

667.25

682.21

700.97

712.38 724.80

AGE -->

Silver

913.50

Kaiser Permanente

Full

HMO C

168.41

153.42

241.60

241.60

241.60

241.60

242.57

247.40

253.20

262.62

270.36

274.22

280.02

285.82

289.44

293.31

295.24

297.17

299.11

301.04

304.90

308.77

314.57

320.13

327.86

337.52

348.88

362.41

377.63

395.02

412.18

431.51

450.59

471.61

492.87

515.83

538.78

563.66

588.79

615.61

628.90

655.71

678.91

694.13

713.22

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

986.21 1013.33 1029.81

UnitedHealthcare

SignatureValue

HMO A

217.98

217.98

343.27

343.27

343.27

343.27

344.64

351.51

359.75

373.13

384.12

389.61

397.85

406.09

411.24

416.73

419.48

422.22

424.97

427.71

433.21

438.70

446.94

454.83

465.82

479.55

495.68

514.91

536.53

561.25

585.62

613.08

640.20

670.06

700.27

732.88

765.49

800.85

836.55

874.65

893.53

931.63

964.59

UnitedHealthcare

Alliance

HMO B

193.14

193.14

304.15

304.15

304.15

304.15

305.37

311.45

318.75

330.61

340.34

345.21

352.51

359.81

364.37

369.24

371.67

374.10

376.54

378.97

383.84

388.70

396.00

403.00

412.73

424.90

439.19

456.23

475.39

497.29

518.88

543.21

567.24

593.70

620.47

649.36

678.25

709.58

741.21

774.97

791.70

825.46

854.66

873.82

897.85

912.45

UnitedHealthcare

Alliance

HMO C

169.51

169.51

266.94

266.94

266.94

266.94

268.01

273.35

279.75

290.16

298.71

302.98

309.38

315.79

319.79

324.07

326.20

328.34

330.47

332.61

336.88

341.15

347.56

353.70

362.24

372.92

385.46

400.41

417.23

436.45

455.40

476.75

497.84

521.07

544.56

569.92

595.28

622.77

650.53

680.16

694.84

724.48

750.10

766.92

788.01

800.82 692.40

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

31

AREA 14 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

338.05

338.05

532.37

532.37

532.37

532.37

534.50

545.15

557.92

578.69

595.72

604.24

617.02

629.79

637.78

646.30

650.56

654.82

659.07

663.33

671.85

680.37

693.15

705.39

722.43

743.72

768.74

798.55

832.09

870.42

908.22

950.81

Aetna

Aetna Value Network

HMO B

331.53

331.53

522.09

522.09

522.09

522.09

524.18

534.62

547.15

567.51

584.22

592.57

605.10

617.63

625.46

633.82

637.99

642.17

646.35

650.52

658.88

667.23

679.76

691.77

708.48

729.36

753.90

783.14

816.03

853.62

890.69

932.45

973.70 1019.12 1065.06 1114.66 1164.26 1218.04 1272.33 1330.29 1359.00 1416.95 1467.07 1499.97 1541.21 1566.27

Anthem Blue Cross

Select HMO

HMO A

256.17

256.17

403.42

403.42

403.42

403.42

405.03

413.10

422.78

438.52

451.43

457.88

467.56

477.25

483.30

489.75

492.98

496.21

499.43

502.66

509.12

515.57

525.25

534.53

547.44

563.58

582.54

605.13

630.55

659.59

688.23

720.51

752.38

787.48

822.98

861.30

899.63

941.18

983.13 1027.91 1050.10 1094.88 1133.61 1159.03 1190.90 1210.26

Anthem Blue Cross

Advantage PPO

PPO A

228.85

228.85

360.40

360.40

360.40

360.40

361.84

369.05

377.70

391.75

403.29

409.05

417.70

426.35

431.76

437.53

440.41

443.29

446.18

449.06

454.82

460.59

469.24

477.53

489.06

503.48

520.42

540.60

563.31

589.25

614.84

643.67

672.15

703.50

735.22

769.45

803.69

840.81

878.29

918.30

938.12

Anthem Blue Cross

Select PPO

PPO B

222.89

222.89

351.01

351.01

351.01

351.01

352.41

359.43

367.86

381.55

392.78

398.40

406.82

415.24

420.51

426.13

428.93

431.74

434.55

437.36

442.97

448.59

457.02

465.09

476.32

490.36

506.86

526.52

548.63

573.90

598.82

626.90

654.63

685.17

716.06

749.41

782.75

818.91

855.41

894.37

913.68

952.64

Anthem Blue Cross

Select PPO

PPO C

231.48

231.48

364.53

364.53

364.53

364.53

365.99

373.28

382.03

396.24

407.91

413.74

422.49

431.24

436.71

442.54

445.46

448.37

451.29

454.20

460.04

465.87

474.62

483.00

494.67

509.25

526.38

546.80

569.76

596.01

621.89

651.05

679.85

711.56

743.64

778.27

812.90

850.45

888.36

928.82

948.87

989.33 1024.33 1047.29 1076.09 1093.59

992.87 1039.19 1086.03 1136.61 1187.18 1242.02 1297.39 1356.48 1385.76 1444.85 1495.96 1529.50 1571.56 1597.11

978.13 1012.72 1035.43 1063.90 1081.20 986.34 1008.45 1036.18 1053.03

Anthem Blue Cross

Select PPO

PPO D

218.91

218.91

344.74

344.74

344.74

344.74

346.12

353.01

361.29

374.73

385.76

391.28

399.55

407.83

413.00

418.51

421.27

424.03

426.79

429.55

435.06

440.58

448.85

456.78

467.81

481.60

497.80

517.11

538.83

563.65

588.13

615.71

642.94

672.93

703.27

736.02

768.77

804.28

840.13

878.40

897.36

935.62

968.72

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

204.45

204.45

321.97

321.97

321.97

321.97

323.26

329.70

337.42

349.98

360.28

365.44

373.16

380.89

385.72

390.87

393.45

396.02

398.60

401.17

406.33

411.48

419.20

426.61

436.91

449.79

464.92

482.96

503.24

526.42

549.28

575.04

600.47

628.49

656.82

687.41

717.99

751.16

784.64

820.38

838.09

873.83

904.74

925.02

950.46

965.91

Health Net

Wholecare

HMO A

210.17

210.17

327.23

327.23

327.23

327.23

328.51

334.93

342.62

355.13

365.39

370.53

378.22

385.92

390.73

395.86

398.43

400.99

403.56

406.12

411.26

416.39

424.08

431.46

441.72

454.55

469.63

487.59

507.79

530.88

553.65

579.31

604.64

632.55

660.77

691.24

721.70

754.74

788.09

823.69

841.33

876.93

907.72

927.92

953.26

968.65

Health Net

Wholecare

HMO B

193.83

193.83

305.25

305.25

305.25

305.25

306.47

312.58

319.90

331.81

341.57

346.46

353.78

361.11

365.69

370.57

373.02

375.46

377.90

380.34

385.23

390.11

397.44

404.46

414.22

426.43

440.78

457.88

477.11

499.08

520.76

545.18

569.29

595.85

622.71

651.71

680.71

712.15

743.89

777.78

794.57

828.45

857.75

876.98

901.10

915.75

Health Net

PureCare

HSP A

197.36

197.36

307.06

307.06

307.06

307.06

308.26

314.27

321.49

333.21

342.82

347.63

354.85

362.06

366.57

371.38

373.78

376.18

378.59

380.99

385.80

390.61

397.82

404.74

414.35

426.37

440.50

457.33

476.26

497.90

519.24

543.28

567.03

593.17

619.62

648.17

676.72

707.68

738.94

772.30

788.83

822.19

851.04

869.97

893.71

908.14 833.82

990.44 1017.67 1034.22

Kaiser Permanente

Full

HMO A

191.48

176.49

277.94

277.94

277.94

277.94

279.05

284.61

291.28

302.12

311.01

315.46

322.13

328.80

332.97

337.42

339.64

341.86

344.09

346.31

350.76

355.20

361.87

368.27

377.16

388.28

401.34

416.91

434.42

454.43

474.16

496.40

518.35

542.53

566.99

593.40

619.80

648.43

677.33

708.19

723.47

754.32

781.01

798.52

820.47

Kaiser Permanente

Full

HMO B

194.76

179.77

283.10

283.10

283.10

283.10

284.23

289.89

296.69

307.73

316.79

321.31

328.11

334.90

339.15

343.68

345.94

348.21

350.47

352.74

357.27

361.80

368.59

375.10

384.16

395.49

408.79

424.65

442.48

462.86

482.96

505.61

527.98

552.60

577.52

604.41

631.31

660.46

689.91

721.33

736.90

768.32

795.50

813.34

835.70

849.30

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

691.62

723.12

738.73

770.23

797.48

815.36

837.78

851.40

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

UnitedHealthcare

SignatureValue

HMO A

261.17

261.17

411.29

411.29

411.29

411.29

412.94

421.16

431.03

447.07

460.23

466.81

476.69

486.56

492.73

499.31

502.60

505.89

509.18

512.47

519.05

525.63

535.50

544.96

558.12

574.57

593.90

616.94

642.85

672.46

701.66

734.56

767.06

802.84

839.03

878.10

917.18

959.54 1002.31 1047.97 1070.59 1116.24 1155.72 1181.64 1214.13 1233.87

UnitedHealthcare

Alliance

HMO B

224.65

224.65

353.78

353.78

353.78

353.78

355.20

362.27

370.76

384.56

395.88

401.54

410.03

418.52

423.83

429.49

432.32

435.15

437.98

440.81

446.47

452.13

460.62

468.76

480.08

494.23

510.86

530.67

552.96

578.43

603.55

631.85

659.80

690.58

721.71

755.32

788.93

825.37

862.16

901.43

920.89

960.16

994.12 1016.41 1044.36 1061.34

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Platinum

AGE -->

CARRIER

834.57

Aetna

Aetna Value Network

HMO A

390.04

390.04

614.24

614.24

614.24

614.24

616.70

628.99

643.73

667.68

687.34

697.17

711.91

726.65

735.86

745.69

750.61

755.52

760.43

765.35

775.18

785.00

799.75

813.87

833.53

858.10

886.97

921.37

Anthem Blue Cross

Select HMO

HMO A

278.52

278.52

438.62

438.62

438.62

438.62

440.37

449.15

459.67

476.78

490.82

497.83

508.36

518.89

525.47

532.48

535.99

539.50

543.01

546.52

553.54

560.56

571.08

581.17

595.21

612.75

633.37

657.93

685.56

717.14

748.29

783.38

818.03

856.19

894.78

936.45

978.12 1023.30 1068.92 1117.60 1141.73 1190.41 1232.52 1260.16 1294.81 1315.86

Health Net

Salud HMO y Mas

HMO A

228.53

228.53

356.14

356.14

356.14

356.14

357.54

364.53

372.92

386.56

397.74

403.34

411.73

420.12

425.36

430.96

433.76

436.55

439.35

442.15

447.74

453.33

461.73

469.77

480.95

494.94

511.37

530.95

552.98

578.15

602.97

630.94

658.56

688.98

719.74

752.96

786.17

822.18

858.54

897.35

916.58

955.39

988.95 1010.98 1038.60 1055.38

Kaiser Permanente

Full

HMO A

212.69

197.70

311.33

311.33

311.33

311.33

312.58

318.81

326.28

338.42

348.38

353.36

360.84

368.31

372.98

377.96

380.45

382.94

385.43

387.92

392.90

397.89

405.36

412.52

422.48

434.93

449.57

467.00

486.62

509.03

531.14

556.04

580.64

607.72

635.12

664.70

694.28

726.34

758.72

793.28

810.40

844.96

874.85

894.46

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

960.06 1004.29 1047.90 1097.04 1145.56 1199.00 1253.06 1311.41 1369.76 1433.03 1496.91 1565.09 1598.88 1667.06 1726.03 1764.72 1813.25 1842.73

919.06

933.99

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

UnitedHealthcare

SignatureValue

HMO A

282.34

282.34

444.63

444.63

444.63

444.63

446.41

455.30

465.97

483.31

497.54

504.66

515.33

526.00

532.67

539.78

543.34

546.89

550.45

554.01

561.12

568.24

578.91

589.13

603.36

621.15

642.05

666.95

694.96

726.97

758.54

794.11

829.23

867.92

907.05

949.29

991.52 1037.32 1083.56 1132.92 1157.37 1206.73 1249.41 1277.42 1312.55 1333.89

UnitedHealthcare

Alliance

HMO C

242.88

242.88

382.49

382.49

382.49

382.49

384.02

391.67

400.85

415.77

428.01

434.13

443.31

452.49

458.22

464.34

467.40

470.46

473.52

476.58

482.70

488.82

498.00

506.80

519.04

534.34

552.32

573.74

597.83

625.37

652.53

683.13

713.34

746.62

780.28

816.62

852.95

892.35

932.13

974.58

995.62 1038.08 1074.80 1098.89 1129.11 1147.47

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

32

AREA 15

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

717.84

PLAN

Aetna

HMO Deductible

HMO A

151.94

151.94

239.28

239.28

239.28

239.28

240.24

245.02

250.77

260.10

267.76

271.58

277.33

283.07

286.66

290.49

292.40

294.32

296.23

298.14

301.97

305.80

311.54

317.05

324.70

334.28

345.52

358.92

374.00

391.22

408.21

427.36

446.26

467.08

488.13

510.86

533.60

558.24

583.13

609.69

622.85

649.41

672.38

687.45

706.36

Aetna

Basic HMO

HMO B

123.11

123.11

193.87

193.87

193.87

193.87

194.64

198.52

203.17

210.73

216.94

220.04

224.69

229.35

232.25

235.36

236.91

238.46

240.01

241.56

244.66

247.76

252.42

256.88

263.08

270.83

279.95

290.80

303.02

316.97

330.74

346.25

361.56

378.43

395.49

413.91

432.33

452.29

472.46

493.98

504.64

526.16

544.77

556.98

572.30

581.60

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

167.91

167.91

264.42

264.42

264.42

264.42

265.48

270.77

277.11

287.42

295.89

300.12

306.46

312.81

316.78

321.01

323.12

325.24

327.35

329.47

333.70

337.93

344.27

350.36

358.82

369.39

381.82

396.63

413.29

432.33

451.10

472.25

493.14

516.15

539.42

564.54

589.66

616.89

644.39

673.74

688.29

717.64

743.02

759.68

780.57

793.26 782.82

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

165.70

165.70

260.94

260.94

260.94

260.94

261.98

267.20

273.47

283.64

291.99

296.17

302.43

308.69

312.61

316.78

318.87

320.96

323.04

325.13

329.31

333.48

339.74

345.75

354.10

364.53

376.80

391.41

407.85

426.64

445.16

466.04

486.65

509.35

532.32

557.11

581.90

608.77

635.91

664.88

679.23

708.19

733.24

749.68

770.29

Health Net

PureCare

HSP A

134.17

134.17

207.55

207.55

207.55

207.55

208.35

212.37

217.20

225.04

231.47

234.69

239.51

244.34

247.35

250.57

252.18

253.79

255.40

257.00

260.22

263.44

268.26

272.88

279.32

287.36

296.81

308.07

320.73

335.20

349.48

365.56

381.44

398.93

416.62

435.72

454.82

475.52

496.43

518.74

529.80

552.12

571.41

584.08

599.96

609.61

Kaiser Permanente

Full

HMO B

128.50

113.51

178.76

178.76

178.76

178.76

179.47

183.05

187.34

194.31

200.03

202.89

207.18

211.47

214.15

217.01

218.44

219.87

221.30

222.73

225.59

228.45

232.74

236.86

242.58

249.73

258.13

268.14

279.40

292.27

304.96

319.26

333.39

348.94

364.67

381.65

398.63

417.04

435.64

455.48

465.31

485.15

502.31

513.57

527.70

536.28 512.64

Kaiser Permanente

Full

HMO C

123.50

108.51

170.88

170.88

170.88

170.88

171.56

174.98

179.08

185.74

191.21

193.95

198.05

202.15

204.71

207.45

208.81

210.18

211.55

212.91

215.65

218.38

222.48

226.41

231.88

238.72

246.75

256.32

267.08

279.39

291.52

305.19

318.69

333.55

348.59

364.82

381.06

398.66

416.43

435.40

444.79

463.76

480.17

490.93

504.43

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Focus

HMO A

123.09

123.09

193.84

193.84

193.84

193.84

194.62

198.49

203.14

210.70

216.91

220.01

224.66

229.31

232.22

235.32

236.87

238.42

239.97

241.52

244.63

247.73

252.38

256.84

263.04

270.79

279.90

290.76

302.97

316.93

330.69

346.20

361.51

378.38

395.43

413.85

432.26

452.23

472.39

493.90

504.57

526.08

544.69

556.90

572.22

581.52 545.52

UnitedHealthcare

Alliance

HMO B

115.47

115.47

181.84

181.84

181.84

181.84

182.57

186.20

190.57

197.66

203.48

206.39

210.75

215.12

217.84

220.75

222.21

223.66

225.12

226.57

229.48

232.39

236.76

240.94

246.76

254.03

262.58

272.76

284.22

297.31

310.22

324.77

339.13

354.95

370.95

388.23

405.50

424.23

443.14

463.33

473.33

493.51

510.97

522.43

536.79

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN 936.49

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

198.22

198.22

312.16

312.16

312.16

312.16

313.41

319.65

327.15

339.32

349.31

354.30

361.80

369.29

373.97

378.97

381.46

383.96

386.46

388.96

393.95

398.94

406.44

413.62

423.61

436.09

450.76

468.24

487.91

510.39

532.55

557.52

582.18

609.34

636.81

666.47

696.12

728.28

760.74

795.39

812.56

847.21

877.18

896.84

921.51

Aetna

Basic HMO

HMO B

160.60

160.60

252.92

252.92

252.92

252.92

253.93

258.99

265.06

274.92

283.02

287.06

293.13

299.20

303.00

307.04

309.07

311.09

313.11

315.14

319.18

323.23

329.30

335.12

343.21

353.33

365.21

379.38

395.31

413.52

431.48

451.71

471.69

493.70

515.95

539.98

564.01

590.06

616.36

644.43

658.35

686.42

710.70

726.63

746.61

758.75

Anthem Blue Cross

Select HMO

HMO A

182.87

182.87

287.99

287.99

287.99

287.99

289.14

294.90

301.81

313.05

322.26

326.87

333.78

340.69

345.01

349.62

351.92

354.23

356.53

358.84

363.44

368.05

374.96

381.59

390.80

402.32

415.86

431.99

450.13

470.86

491.31

514.35

537.10

562.16

587.50

614.86

642.22

671.88

701.83

733.80

749.64

781.60

809.25

827.40

850.15

863.97

Anthem Blue Cross

Advantage PPO

PPO A

189.16

189.16

297.89

297.89

297.89

297.89

299.08

305.04

312.19

323.81

333.34

338.11

345.25

352.40

356.87

361.64

364.02

366.40

368.79

371.17

375.94

380.70

387.85

394.70

404.24

416.15

430.15

446.84

465.60

487.05

508.20

532.03

555.56

581.48

607.70

636.00

664.29

694.98

725.96

759.02

775.41

808.47

837.07

855.84

879.37

893.67

Anthem Blue Cross

Select PPO

PPO B

194.51

194.51

306.31

306.31

306.31

306.31

307.54

313.66

321.01

332.96

342.76

347.66

355.01

362.36

366.96

371.86

374.31

376.76

379.21

381.66

386.56

391.46

398.82

405.86

415.66

427.92

442.31

459.47

478.76

500.82

522.56

547.07

571.27

597.92

624.87

653.97

683.07

714.62

746.48

780.48

797.32

831.33

860.73

880.03

904.23

918.93 946.20

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

200.28

200.28

315.40

315.40

315.40

315.40

316.66

322.97

330.54

342.84

352.93

357.98

365.55

373.12

377.85

382.90

385.42

387.94

390.47

392.99

398.03

403.08

410.65

417.91

428.00

440.61

455.44

473.10

492.97

515.68

538.07

563.30

588.22

615.66

643.42

673.38

703.34

735.83

768.63

803.64

820.99

856.00

886.27

906.14

931.06

Health Net

PureCare

HSP A

151.33

151.33

234.56

234.56

234.56

234.56

235.47

240.03

245.51

254.40

261.70

265.35

270.82

276.29

279.71

283.36

285.18

287.01

288.83

290.66

294.31

297.96

303.43

308.67

315.97

325.09

335.81

348.58

362.95

379.37

395.56

413.80

431.81

451.65

471.72

493.39

515.05

538.54

562.25

587.57

600.11

625.42

647.31

661.68

679.69

690.64

Kaiser Permanente

Full

HMO B

161.38

146.39

230.54

230.54

230.54

230.54

231.46

236.07

241.61

250.60

257.97

261.66

267.20

272.73

276.19

279.88

281.72

283.56

285.41

287.25

290.94

294.63

300.16

305.47

312.84

322.07

332.90

345.81

360.33

376.93

393.30

411.75

429.96

450.02

470.30

492.20

514.11

537.85

561.83

587.42

600.10

625.69

647.82

662.34

680.56

691.62 703.71

Kaiser Permanente

Full

HMO C

163.94

148.95

234.57

234.57

234.57

234.57

235.51

240.20

245.83

254.97

262.48

266.23

271.86

277.49

281.01

284.77

286.64

288.52

290.39

292.27

296.02

299.78

305.41

310.80

318.31

327.69

338.72

351.85

366.63

383.52

400.17

418.94

437.47

457.88

478.52

500.80

523.09

547.25

571.64

597.68

610.58

636.62

659.13

673.91

692.44

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64 859.62

UnitedHealthcare

SignatureValue

HMO A

181.95

181.95

286.54

286.54

286.54

286.54

287.69

293.42

300.29

311.47

320.64

325.22

332.10

338.98

343.27

347.86

350.15

352.44

354.74

357.03

361.61

366.20

373.08

379.67

388.83

400.30

413.76

429.81

447.86

468.49

488.84

511.76

534.40

559.33

584.54

611.76

638.98

668.50

698.30

730.10

745.86

777.67

805.18

823.23

845.87

UnitedHealthcare

Alliance

HMO B

161.21

161.21

253.88

253.88

253.88

253.88

254.90

259.97

266.07

275.97

284.09

288.15

294.25

300.34

304.15

308.21

310.24

312.27

314.30

316.33

320.40

324.46

330.55

336.39

344.52

354.67

366.60

380.82

396.81

415.09

433.12

453.43

473.49

495.57

517.92

542.03

566.15

592.30

618.71

646.89

660.85

689.03

713.40

729.40

749.45

761.64

UnitedHealthcare

Alliance

HMO C

141.49

141.49

222.82

222.82

222.82

222.82

223.71

228.17

233.52

242.21

249.34

252.90

258.25

263.60

266.94

270.50

272.29

274.07

275.85

277.63

281.20

284.76

290.11

295.24

302.37

311.28

321.75

334.23

348.27

364.31

380.13

397.96

415.56

434.94

454.55

475.72

496.89

519.84

543.01

567.75

580.00

604.73

626.12

640.16

657.76

668.46

UnitedHealthcare

Focus

HMO D

134.64

134.64

212.03

212.03

212.03

212.03

212.88

217.12

222.21

230.48

237.26

240.65

245.74

250.83

254.01

257.40

259.10

260.80

262.49

264.19

267.58

270.97

276.06

280.94

287.72

296.21

306.17

318.05

331.40

346.67

361.72

378.69

395.44

413.88

432.54

452.68

472.83

494.67

516.72

540.25

551.91

575.45

595.80

609.16

625.91

636.09

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

33

AREA 15 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

957.93

PLAN

Aetna

Aetna Value Network

HMO A

202.76

202.76

319.31

319.31

319.31

319.31

320.59

326.97

334.64

347.09

357.31

362.42

370.08

377.74

382.53

387.64

390.20

392.75

395.30

397.86

402.97

408.08

415.74

423.08

433.30

446.07

461.08

478.96

499.08

522.07

544.74

570.29

595.51

623.29

651.39

681.72

712.06

744.95

778.16

813.60

831.16

866.60

897.26

917.37

942.60

Aetna

Aetna Value Network

HMO B

198.85

198.85

313.14

313.14

313.14

313.14

314.40

320.66

328.17

340.39

350.41

355.42

362.93

370.45

375.15

380.16

382.66

385.17

387.67

390.18

395.19

400.20

407.71

414.92

424.94

437.46

452.18

469.72

489.44

511.99

534.22

559.28

584.01

611.26

638.81

668.56

698.31

730.56

763.13

797.89

815.11

849.87

879.93

899.66

924.40

939.43

Anthem Blue Cross

Select HMO

HMO A

209.96

209.96

330.65

330.65

330.65

330.65

331.97

338.59

346.52

359.42

370.00

375.29

383.22

391.16

396.12

401.41

404.05

406.70

409.34

411.99

417.28

422.57

430.51

438.11

448.69

461.92

477.46

495.98

516.81

540.61

564.09

590.54

616.66

645.43

674.53

705.94

737.35

771.41

805.79

842.50

860.68

897.38

929.13

949.96

976.08

991.95

990.69 1012.90 1040.76 1057.68

Anthem Blue Cross

Advantage PPO

PPO A

223.88

223.88

352.56

352.56

352.56

352.56

353.97

361.02

369.48

383.23

394.51

400.16

408.62

417.08

422.37

428.01

430.83

433.65

436.47

439.29

444.93

450.57

459.03

467.14

478.42

492.53

509.10

528.84

551.05

576.44

601.47

629.67

657.52

688.20

719.22

752.72

786.21

822.52

859.19

898.32

917.71

956.85

Anthem Blue Cross

Select PPO

PPO B

216.63

216.63

341.15

341.15

341.15

341.15

342.51

349.34

357.53

370.83

381.75

387.21

395.39

403.58

408.70

414.16

416.89

419.61

422.34

425.07

430.53

435.99

444.18

452.02

462.94

476.59

492.62

511.73

533.22

557.78

582.00

609.29

636.24

665.92

695.95

728.36

760.76

795.90

831.38

869.25

888.01

925.88

958.63

Anthem Blue Cross

Select PPO

PPO C

224.97

224.97

354.29

354.29

354.29

354.29

355.71

362.79

371.30

385.11

396.45

402.12

410.62

419.13

424.44

430.11

432.94

435.78

438.61

441.45

447.11

452.78

461.29

469.43

480.77

494.94

511.59

531.44

553.76

579.26

604.42

632.76

660.75

691.57

722.75

756.41

790.07

826.56

863.40

902.73

922.22

961.54

995.55 1017.88 1045.86 1062.87

980.12 1007.07 1023.45

Anthem Blue Cross

Select PPO

PPO D

212.76

212.76

335.06

335.06

335.06

335.06

336.40

343.10

351.14

364.21

374.93

380.29

388.33

396.38

401.40

406.76

409.44

412.12

414.80

417.48

422.85

428.21

436.25

443.95

454.68

468.08

483.83

502.59

523.70

547.82

571.61

598.42

624.89

654.04

683.52

715.35

747.18

781.69

816.54

853.73

872.16

909.35

941.52

962.63

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

199.21

199.21

313.71

313.71

313.71

313.71

314.96

321.24

328.77

341.00

351.04

356.06

363.59

371.12

375.82

380.84

383.35

385.86

388.37

390.88

395.90

400.92

408.45

415.67

425.70

438.25

453.00

470.57

490.33

512.92

535.19

560.29

585.07

612.36

639.97

669.77

699.57

731.89

764.51

799.33

816.59

851.41

881.53

901.29

926.07

941.13

Health Net

Wholecare

HMO A

195.46

195.46

304.06

304.06

304.06

304.06

305.25

311.20

318.34

329.95

339.47

344.23

351.37

358.51

362.97

367.73

370.11

372.49

374.87

377.25

382.02

386.78

393.92

400.76

410.28

422.18

436.17

452.83

471.58

493.00

514.12

537.93

561.43

587.32

613.50

641.77

670.03

700.68

731.62

764.65

781.02

814.04

842.61

861.35

884.86

899.14

Health Net

Wholecare

HMO B

179.83

179.83

283.20

283.20

283.20

283.20

284.33

290.00

296.79

307.84

316.90

321.43

328.23

335.03

339.27

343.80

346.07

348.34

350.60

352.87

357.40

361.93

368.73

375.24

384.30

395.63

408.94

424.80

442.64

463.03

483.14

505.80

528.17

552.81

577.73

604.63

631.54

660.71

690.16

721.59

737.17

768.60

795.79

813.63

836.01

849.60

Health Net

PureCare

HSP A

190.47

190.47

296.20

296.20

296.20

296.20

297.36

303.15

310.10

321.40

330.67

335.31

342.26

349.21

353.56

358.19

360.51

362.83

365.14

367.46

372.10

376.73

383.68

390.35

399.62

411.20

424.82

441.04

459.29

480.15

500.71

523.89

546.77

571.98

597.47

624.99

652.51

682.34

712.47

744.62

760.56

792.71

820.52

838.77

861.66

875.56 809.52

989.10 1005.18

Kaiser Permanente

Full

HMO A

186.34

171.35

269.84

269.84

269.84

269.84

270.92

276.32

282.79

293.32

301.95

306.27

312.75

319.22

323.27

327.59

329.75

331.91

334.07

336.22

340.54

344.86

351.33

357.54

366.18

376.97

389.65

404.76

421.76

441.19

460.35

481.94

503.26

526.73

550.48

576.11

601.75

629.54

657.61

687.56

702.40

732.35

758.26

775.26

796.58

Kaiser Permanente

Full

HMO B

189.52

174.53

274.85

274.85

274.85

274.85

275.95

281.45

288.04

298.76

307.56

311.96

318.55

325.15

329.27

333.67

335.87

338.07

340.27

342.46

346.86

351.26

357.86

364.18

372.97

383.97

396.89

412.28

429.59

449.38

468.90

490.88

512.60

536.51

560.70

586.81

612.92

641.23

669.81

700.32

715.44

745.95

772.33

789.65

811.36

824.55

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

837.78

851.40

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

UnitedHealthcare

SignatureValue

HMO A

218.01

218.01

343.32

343.32

343.32

343.32

344.69

351.56

359.80

373.19

384.18

389.67

397.91

406.15

411.30

416.79

419.54

422.28

425.03

427.78

433.27

438.76

447.00

454.90

465.89

479.62

495.75

514.98

536.61

561.33

585.70

613.17

640.29

670.16

700.37

732.99

765.60

800.97

836.67

874.78

893.66

931.77

964.73

986.36 1013.48 1029.96

UnitedHealthcare

Alliance

HMO B

187.52

187.52

295.30

295.30

295.30

295.30

296.48

302.39

309.47

320.99

330.44

335.17

342.25

349.34

353.77

358.49

360.86

363.22

365.58

367.94

372.67

377.39

384.48

391.27

400.72

412.53

426.41

442.95

461.55

482.82

503.78

527.41

550.73

576.43

602.41

630.47

658.52

688.93

719.65

752.42

768.67

801.44

829.79

848.40

871.73

885.90

UnitedHealthcare

Focus

HMO C

161.32

161.32

254.05

254.05

254.05

254.05

255.07

260.15

266.24

276.15

284.28

288.35

294.44

300.54

304.35

308.42

310.45

312.48

314.51

316.55

320.61

324.68

330.77

336.62

344.75

354.91

366.85

381.08

397.08

415.37

433.41

453.73

473.80

495.91

518.26

542.40

566.53

592.70

619.12

647.32

661.29

689.49

713.88

729.89

749.96

762.15

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

233.94

233.94

368.42

368.42

368.42

368.42

369.89

377.26

386.10

400.47

412.26

418.15

426.99

435.84

441.36

447.26

450.20

453.15

456.10

459.05

464.94

470.84

479.68

488.15

499.94

514.68

531.99

552.62

575.83

602.36

628.52

657.99

687.10

719.15

751.57

786.57

821.57

859.52

897.83

938.72

958.99

999.88 1035.25 1058.46 1087.57 1105.25

Anthem Blue Cross

Select HMO

HMO A

228.28

228.28

359.50

359.50

359.50

359.50

360.94

368.13

376.76

390.78

402.28

408.03

416.66

425.29

430.68

436.43

439.31

442.19

445.06

447.94

453.69

459.44

468.07

476.34

487.84

502.22

519.12

539.25

561.90

587.78

613.31

642.07

670.47

701.74

733.38

767.53

801.69

838.71

876.10

916.01

935.78

975.68 1010.20 1032.84 1061.24 1078.50

Platinum

AGE -->

Health Net

Salud HMO y Mas

HMO A

199.31

199.31

310.12

310.12

310.12

310.12

311.33

317.41

324.69

336.53

346.25

351.11

358.39

365.68

370.23

375.09

377.52

379.95

382.38

384.81

389.66

394.52

401.81

408.79

418.51

430.65

444.92

461.92

481.05

502.91

524.46

548.75

572.73

599.15

625.86

654.71

683.55

714.82

746.39

780.09

796.79

830.49

859.64

878.76

902.75

917.32

Kaiser Permanente

Full

HMO A

206.93

191.94

302.27

302.27

302.27

302.27

303.48

309.52

316.78

328.56

338.24

343.07

350.33

357.58

362.12

366.95

369.37

371.79

374.21

376.62

381.46

386.30

393.55

400.50

410.18

422.27

436.47

453.40

472.44

494.21

515.67

539.85

563.73

590.02

616.62

645.34

674.05

705.19

736.62

770.17

786.80

820.35

849.37

868.41

892.29

906.81

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

UnitedHealthcare

SignatureValue

HMO A

235.69

235.69

371.16

371.16

371.16

371.16

372.64

380.07

388.98

403.45

415.33

421.27

430.17

439.08

444.65

450.59

453.56

456.53

459.50

462.47

468.40

474.34

483.25

491.79

503.66

518.51

535.96

556.74

580.12

606.85

633.20

662.89

692.21

724.50

757.17

792.43

827.69

865.92

904.52

945.72

966.13 1007.33 1042.96 1066.34 1095.66 1113.48

UnitedHealthcare

Focus

HMO B

174.40

174.40

274.64

274.64

274.64

274.64

275.74

281.23

287.82

298.53

307.32

311.72

318.31

324.90

329.02

333.41

335.61

337.81

340.00

342.20

346.60

350.99

357.58

363.90

372.69

383.67

396.58

411.96

429.26

449.04

468.54

490.51

512.20

536.10

560.27

586.36

612.45

640.74

669.30

699.78

714.89

745.37

771.74

789.04

810.74

UnitedHealthcare

Alliance

HMO C

202.74

202.74

319.27

319.27

319.27

319.27

320.55

326.93

334.59

347.05

357.26

362.37

370.03

377.70

382.49

387.59

390.15

392.70

395.26

397.81

402.92

408.03

415.69

423.03

433.25

446.02

461.03

478.91

499.02

522.01

544.67

570.22

595.44

623.22

651.31

681.64

711.97

744.86

778.06

813.50

831.06

866.50

897.15

917.26

942.49

957.81

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

34

823.92

AREA 16

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

731.01

PLAN

Aetna

HMO Deductible

HMO A

154.73

154.73

243.67

243.67

243.67

243.67

244.65

249.52

255.37

264.87

272.67

276.57

282.42

288.26

291.92

295.82

297.77

299.72

301.67

303.61

307.51

311.41

317.26

322.86

330.66

340.41

351.86

365.51

380.86

398.40

415.70

435.20

454.45

475.65

497.09

520.24

543.39

568.49

593.83

620.88

634.28

661.32

684.72

700.07

719.32

Aetna

Basic HMO

HMO B

115.77

115.77

182.32

182.32

182.32

182.32

183.05

186.70

191.07

198.18

204.02

206.93

211.31

215.68

218.42

221.34

222.79

224.25

225.71

227.17

230.09

233.00

237.38

241.57

247.41

254.70

263.27

273.48

284.97

298.09

311.04

325.62

340.03

355.89

371.93

389.25

406.57

425.35

444.31

464.55

474.58

494.82

512.32

523.80

538.21

546.96

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

205.31

205.31

323.32

323.32

323.32

323.32

324.61

331.08

338.84

351.45

361.80

366.97

374.73

382.49

387.34

392.51

395.10

397.68

400.27

402.86

408.03

413.20

420.96

428.40

438.75

451.68

466.87

484.98

505.35

528.63

551.58

577.45

602.99

631.12

659.57

690.29

721.00

754.31

787.93

823.82

841.60

877.49

908.53

928.90

954.44

969.96 957.06

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

202.58

202.58

319.02

319.02

319.02

319.02

320.30

326.68

334.33

346.77

356.98

362.09

369.74

377.40

382.19

387.29

389.84

392.39

394.95

397.50

402.60

407.71

415.36

422.70

432.91

445.67

460.66

478.53

498.63

521.60

544.25

569.77

594.97

622.73

650.80

681.11

711.41

744.27

777.45

812.86

830.41

865.82

896.45

916.54

941.75

Health Net

PureCare

HSP A

162.62

162.62

252.34

252.34

252.34

252.34

253.32

258.24

264.14

273.73

281.59

285.53

291.43

297.33

301.01

304.95

306.91

308.88

310.85

312.81

316.74

320.68

326.58

332.23

340.10

349.93

361.48

375.25

390.74

408.44

425.89

445.55

464.97

486.36

507.99

531.35

554.70

580.02

605.58

632.87

646.39

673.68

697.27

712.76

732.18

743.98

Kaiser Permanente

Full

HMO B

134.18

119.19

187.70

187.70

187.70

187.70

188.45

192.20

196.71

204.03

210.03

213.04

217.54

222.05

224.86

227.86

229.37

230.87

232.37

233.87

236.87

239.88

244.38

248.70

254.70

262.21

271.03

281.55

293.37

306.88

320.21

335.23

350.05

366.38

382.90

400.73

418.56

437.90

457.42

478.25

488.58

509.41

527.43

539.25

554.08

563.10 538.26

Kaiser Permanente

Full

HMO C

128.92

113.93

179.42

179.42

179.42

179.42

180.14

183.73

188.03

195.03

200.77

203.64

207.95

212.26

214.95

217.82

219.25

220.69

222.12

223.56

226.43

229.30

233.61

237.73

243.48

250.65

259.08

269.13

280.44

293.35

306.09

320.45

334.62

350.23

366.02

383.07

400.11

418.59

437.25

457.17

467.03

486.95

504.17

515.48

529.65

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Focus

HMO A

123.09

123.09

193.84

193.84

193.84

193.84

194.62

198.49

203.14

210.70

216.91

220.01

224.66

229.31

232.22

235.32

236.87

238.42

239.97

241.52

244.63

247.73

252.38

256.84

263.04

270.79

279.90

290.76

302.97

316.93

330.69

346.20

361.51

378.38

395.43

413.85

432.26

452.23

472.39

493.90

504.57

526.08

544.69

556.90

572.22

581.52 545.52

UnitedHealthcare

Alliance

HMO B

115.47

115.47

181.84

181.84

181.84

181.84

182.57

186.20

190.57

197.66

203.48

206.39

210.75

215.12

217.84

220.75

222.21

223.66

225.12

226.57

229.48

232.39

236.76

240.94

246.76

254.03

262.58

272.76

284.22

297.31

310.22

324.77

339.13

354.95

370.95

388.23

405.50

424.23

443.14

463.33

473.33

493.51

510.97

522.43

536.79

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN 953.67

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

201.86

201.86

317.89

317.89

317.89

317.89

319.16

325.52

333.15

345.55

355.72

360.81

368.44

376.07

380.83

385.92

388.46

391.01

393.55

396.09

401.18

406.26

413.89

421.21

431.38

444.09

459.03

476.84

496.86

519.75

542.32

567.75

592.87

620.52

648.50

678.70

708.90

741.64

774.70

809.99

827.47

862.76

893.27

913.30

938.41

Aetna

Basic HMO

HMO B

151.04

151.04

237.85

237.85

237.85

237.85

238.80

243.56

249.27

258.55

266.16

269.96

275.67

281.38

284.95

288.75

290.66

292.56

294.46

296.36

300.17

303.97

309.68

315.15

322.77

332.28

343.46

356.78

371.76

388.89

405.78

424.80

443.59

464.29

485.22

507.81

530.41

554.91

579.65

606.05

619.13

645.53

668.36

683.35

702.14

713.56

Anthem Blue Cross

Select HMO

HMO A

192.01

192.01

302.38

302.38

302.38

302.38

303.59

309.64

316.89

328.69

338.36

343.20

350.46

357.72

362.25

367.09

369.51

371.93

374.35

376.77

381.60

386.44

393.70

400.65

410.33

422.42

436.64

453.57

472.62

494.39

515.86

540.05

563.94

590.25

616.86

645.58

674.31

705.45

736.90

770.46

787.10

820.66

849.69

868.74

892.63

907.14

Anthem Blue Cross

Advantage PPO

PPO A

231.27

231.27

364.21

364.21

364.21

364.21

365.67

372.95

381.69

395.90

407.55

413.38

422.12

430.86

436.32

442.15

445.06

447.98

450.89

453.81

459.63

465.46

474.20

482.58

494.23

508.80

525.92

546.32

569.26

595.48

621.34

650.48

679.25

710.94

742.99

777.59

812.19

849.70

887.58

928.01

948.04

988.47 1023.43 1046.38 1075.15 1092.63

Anthem Blue Cross

Select PPO

PPO B

239.91

239.91

377.81

377.81

377.81

377.81

379.32

386.88

395.94

410.68

422.77

428.81

437.88

446.95

452.62

458.66

461.68

464.71

467.73

470.75

476.80

482.84

491.91

500.60

512.69

527.80

545.56

566.72

590.52

617.72

644.54

674.77

704.62

737.49

770.73

806.62

842.52

881.43

920.72

962.66

983.44 1025.38 1061.65 1085.45 1115.30 1133.43

982.59 1003.79 1046.60 1083.62 1107.91 1138.38 1156.89

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

244.88

244.88

385.63

385.63

385.63

385.63

387.17

394.89

404.14

419.18

431.52

437.69

446.95

456.20

461.98

468.15

471.24

474.32

477.41

480.49

486.67

492.84

502.09

510.96

523.30

538.73

556.85

578.45

602.74

630.51

657.88

688.74

719.20

752.75

786.69

823.32

859.95

899.67

939.78

Health Net

PureCare

HSP A

183.59

183.59

285.37

285.37

285.37

285.37

286.49

292.06

298.75

309.63

318.55

323.01

329.71

336.40

340.58

345.04

347.27

349.51

351.74

353.97

358.43

362.89

369.58

376.00

384.92

396.07

409.18

424.80

442.36

462.44

482.24

504.55

526.58

550.84

575.37

601.86

628.36

657.08

686.08

717.03

732.37

763.32

790.09

807.66

829.69

843.07

Kaiser Permanente

Full

HMO B

168.70

153.71

242.07

242.07

242.07

242.07

243.04

247.88

253.69

263.13

270.87

274.75

280.56

286.37

290.00

293.87

295.81

297.74

299.68

301.62

305.49

309.36

315.17

320.74

328.49

338.17

349.55

363.10

378.35

395.78

412.97

432.33

451.46

472.52

493.82

516.81

539.81

564.74

589.92

616.79

630.10

656.97

680.21

695.46

714.58

726.21 738.90

Kaiser Permanente

Full

HMO C

171.39

156.40

246.30

246.30

246.30

246.30

247.28

252.21

258.12

267.72

275.61

279.55

285.46

291.37

295.06

299.00

300.97

302.94

304.91

306.88

310.83

314.77

320.68

326.34

334.22

344.08

355.65

369.44

384.96

402.69

420.18

439.88

459.34

480.77

502.44

525.84

549.24

574.61

600.22

627.56

641.11

668.45

692.09

707.61

727.07

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64 859.62

UnitedHealthcare

SignatureValue

HMO A

181.95

181.95

286.54

286.54

286.54

286.54

287.69

293.42

300.29

311.47

320.64

325.22

332.10

338.98

343.27

347.86

350.15

352.44

354.74

357.03

361.61

366.20

373.08

379.67

388.83

400.30

413.76

429.81

447.86

468.49

488.84

511.76

534.40

559.33

584.54

611.76

638.98

668.50

698.30

730.10

745.86

777.67

805.18

823.23

845.87

UnitedHealthcare

Alliance

HMO B

161.21

161.21

253.88

253.88

253.88

253.88

254.90

259.97

266.07

275.97

284.09

288.15

294.25

300.34

304.15

308.21

310.24

312.27

314.30

316.33

320.40

324.46

330.55

336.39

344.52

354.67

366.60

380.82

396.81

415.09

433.12

453.43

473.49

495.57

517.92

542.03

566.15

592.30

618.71

646.89

660.85

689.03

713.40

729.40

749.45

761.64

UnitedHealthcare

Alliance

HMO C

141.49

141.49

222.82

222.82

222.82

222.82

223.71

228.17

233.52

242.21

249.34

252.90

258.25

263.60

266.94

270.50

272.29

274.07

275.85

277.63

281.20

284.76

290.11

295.24

302.37

311.28

321.75

334.23

348.27

364.31

380.13

397.96

415.56

434.94

454.55

475.72

496.89

519.84

543.01

567.75

580.00

604.73

626.12

640.16

657.76

668.46

UnitedHealthcare

Focus

HMO D

134.64

134.64

212.03

212.03

212.03

212.03

212.88

217.12

222.21

230.48

237.26

240.65

245.74

250.83

254.01

257.40

259.10

260.80

262.49

264.19

267.58

270.97

276.06

280.94

287.72

296.21

306.17

318.05

331.40

346.67

361.72

378.69

395.44

413.88

432.54

452.68

472.83

494.67

516.72

540.25

551.91

575.45

595.80

609.16

625.91

636.09

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

35

AREA 16 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

201.86

201.86

317.88

317.88

317.88

317.88

319.15

325.51

333.14

345.54

355.71

360.80

368.43

376.06

380.82

385.91

388.45

391.00

393.54

396.08

401.17

406.25

413.88

421.20

431.37

444.08

459.02

476.82

496.85

519.74

542.31

567.74

592.85

620.51

648.48

678.68

708.88

741.62

774.68

809.97

827.45

862.74

893.25

913.28

938.39

953.65

Aetna

Aetna Value Network

HMO B

197.96

197.96

311.75

311.75

311.75

311.75

312.99

319.23

326.71

338.87

348.84

353.83

361.31

368.79

373.47

378.46

380.95

383.45

385.94

388.43

393.42

398.41

405.89

413.06

423.04

435.51

450.16

467.62

487.26

509.70

531.84

556.78

581.41

608.53

635.96

665.58

695.19

727.30

759.72

794.33

811.47

846.08

876.00

895.64

920.27

935.24

Anthem Blue Cross

Select HMO

HMO A

220.46

220.46

347.18

347.18

347.18

347.18

348.57

355.51

363.84

377.38

388.49

394.05

402.38

410.71

415.92

421.48

424.25

427.03

429.81

432.59

438.14

443.70

452.03

460.01

471.12

485.01

501.33

520.77

542.64

567.64

592.29

620.06

647.49

677.70

708.25

741.23

774.21

809.97

846.08

884.61

903.71

942.25

975.58

997.45 1024.88 1041.54

961.31 1005.71 1050.54 1098.39 1122.10 1169.95 1211.33 1238.49 1272.55 1293.24

Anthem Blue Cross

Advantage PPO

PPO A

273.74

273.74

431.08

431.08

431.08

431.08

432.80

441.43

451.77

468.58

482.38

489.28

499.62

509.97

516.43

523.33

526.78

530.23

533.68

537.13

544.02

550.92

561.27

571.18

584.98

602.22

622.48

646.62

673.78

704.82

735.42

769.91

803.96

841.47

879.40

920.36

Anthem Blue Cross

Select PPO

PPO B

267.20

267.20

420.79

420.79

420.79

420.79

422.47

430.89

440.99

457.40

470.86

477.60

487.70

497.79

504.11

510.84

514.21

517.57

520.94

524.30

531.04

537.77

547.87

557.55

571.01

587.84

607.62

631.19

657.69

687.99

717.87

751.53

784.77

821.38

858.41

898.39

938.36

Anthem Blue Cross

Select PPO

PPO C

277.49

277.49

436.99

436.99

436.99

436.99

438.74

447.48

457.97

475.01

488.99

495.98

506.47

516.96

523.51

530.51

534.00

537.50

540.99

544.49

551.48

558.47

568.96

579.01

593.00

610.48

631.01

655.49

683.02

714.48

745.50

780.46

814.99

853.00

891.46

932.97

974.49 1019.50 1064.94 1113.45 1137.48 1185.99 1227.94 1255.47 1289.99 1310.97

981.70 1025.47 1072.17 1095.32 1142.02 1182.42 1208.93 1242.17 1262.37

Anthem Blue Cross

Select PPO

PPO D

262.43

262.43

413.27

413.27

413.27

413.27

414.92

423.19

433.11

449.22

462.45

469.06

478.98

488.90

495.10

501.71

505.02

508.32

511.63

514.93

521.55

528.16

538.08

547.58

560.81

577.34

596.76

619.91

645.94

675.70

705.04

738.10

770.75

806.70

843.07

882.33

921.59

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

243.55

243.55

383.55

383.55

383.55

383.55

385.08

392.76

401.96

416.92

429.19

435.33

444.53

453.74

459.49

465.63

468.70

471.77

474.83

477.90

484.04

490.18

499.38

508.20

520.48

535.82

553.85

575.33

599.49

627.10

654.34

685.02

715.32

748.69

782.44

818.88

855.32

894.82

934.71

977.29

998.38 1040.95 1077.78 1101.94 1132.24 1150.65

Health Net

Wholecare

HMO A

221.81

221.81

345.56

345.56

345.56

345.56

346.92

353.70

361.83

375.06

385.91

391.33

399.47

407.60

412.69

418.11

420.83

423.54

426.25

428.96

434.39

439.81

447.95

455.75

466.60

480.16

496.09

515.08

536.44

560.85

584.92

612.05

638.83

668.33

698.16

730.37

762.58

797.50

832.76

870.39

889.04

926.67

959.22

980.58 1007.37 1023.64

Health Net

Wholecare

HMO B

204.91

204.91

322.70

322.70

322.70

322.70

323.99

330.44

338.19

350.77

361.10

366.26

374.01

381.75

386.59

391.76

394.34

396.92

399.50

402.08

407.25

412.41

420.16

427.58

437.90

450.81

465.98

484.05

504.38

527.61

550.53

576.34

601.84

629.91

658.31

688.96

719.62

752.86

786.42

822.24

839.99

875.81

906.79

927.12

Health Net

PureCare

HSP A

231.46

231.46

360.75

360.75

360.75

360.75

362.17

369.25

377.75

391.57

402.90

408.57

417.07

425.57

430.89

436.56

439.39

442.22

445.06

447.89

453.56

459.23

467.73

475.87

487.21

501.38

518.03

537.87

560.18

585.69

610.84

639.17

667.16

697.98

729.15

762.80

796.45

832.94

869.78

909.10

928.58

967.90 1001.91 1024.22 1052.21 1069.21

964.16 1007.14 1053.01 1075.74 1121.61 1161.29 1187.32 1219.97 1239.81

952.61

968.10

Kaiser Permanente

Full

HMO A

194.91

179.92

283.33

283.33

283.33

283.33

284.47

290.13

296.93

307.98

317.05

321.58

328.38

335.18

339.43

343.97

346.23

348.50

350.77

353.03

357.57

362.10

368.90

375.42

384.49

395.82

409.14

425.00

442.85

463.25

483.37

506.04

528.42

553.07

578.00

604.92

631.84

661.02

690.49

721.94

737.52

768.97

796.17

814.02

836.40

Kaiser Permanente

Full

HMO B

198.25

183.26

288.59

288.59

288.59

288.59

289.75

295.52

302.45

313.70

322.94

327.55

334.48

341.41

345.74

350.35

352.66

354.97

357.28

359.59

364.21

368.82

375.75

382.39

391.62

403.17

416.73

432.89

451.07

471.85

492.34

515.43

538.23

563.34

588.73

616.15

643.56

673.29

703.30

735.34

751.21

783.24

810.95

829.13

851.93

865.77

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

837.78

851.40

849.99

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

UnitedHealthcare

SignatureValue

HMO A

218.01

218.01

343.32

343.32

343.32

343.32

344.69

351.56

359.80

373.19

384.18

389.67

397.91

406.15

411.30

416.79

419.54

422.28

425.03

427.78

433.27

438.76

447.00

454.90

465.89

479.62

495.75

514.98

536.61

561.33

585.70

613.17

640.29

670.16

700.37

732.99

765.60

800.97

836.67

874.78

893.66

931.77

964.73

986.36 1013.48 1029.96

UnitedHealthcare

Alliance

HMO B

187.52

187.52

295.30

295.30

295.30

295.30

296.48

302.39

309.47

320.99

330.44

335.17

342.25

349.34

353.77

358.49

360.86

363.22

365.58

367.94

372.67

377.39

384.48

391.27

400.72

412.53

426.41

442.95

461.55

482.82

503.78

527.41

550.73

576.43

602.41

630.47

658.52

688.93

719.65

752.42

768.67

801.44

829.79

848.40

871.73

885.90

UnitedHealthcare

Focus

HMO C

161.32

161.32

254.05

254.05

254.05

254.05

255.07

260.15

266.24

276.15

284.28

288.35

294.44

300.54

304.35

308.42

310.45

312.48

314.51

316.55

320.61

324.68

330.77

336.62

344.75

354.91

366.85

381.08

397.08

415.37

433.41

453.73

473.80

495.91

518.26

542.40

566.53

592.70

619.12

647.32

661.29

689.49

713.88

729.89

749.96

762.15

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

232.90

232.90

366.77

366.77

366.77

366.77

368.24

375.57

384.38

398.68

410.42

416.29

425.09

433.89

439.39

445.26

448.19

451.13

454.06

457.00

462.87

468.73

477.54

485.97

497.71

512.38

529.62

550.16

573.26

599.67

625.71

655.05

684.03

715.94

748.21

783.06

817.90

855.68

893.82

934.53

954.71

Anthem Blue Cross

Select HMO

HMO A

239.69

239.69

377.46

377.46

377.46

377.46

378.97

386.52

395.58

410.30

422.38

428.42

437.48

446.54

452.20

458.24

461.26

464.28

467.30

470.32

476.35

482.39

491.45

500.13

512.21

527.31

545.05

566.19

589.97

617.15

643.95

674.14

703.96

736.80

770.02

805.88

841.74

880.61

919.87

961.77

982.53 1024.43 1060.66 1084.44 1114.26 1132.38

Platinum

AGE -->

995.42 1030.63 1053.73 1082.71 1100.31

Health Net

Salud HMO y Mas

HMO A

221.28

221.28

344.72

344.72

344.72

344.72

346.07

352.84

360.95

374.14

384.97

390.38

398.49

406.61

411.68

417.09

419.80

422.51

425.21

427.92

433.33

438.74

446.86

454.64

465.46

478.99

494.88

513.82

535.13

559.48

583.49

610.55

637.26

666.69

696.45

728.58

760.71

795.54

830.71

868.25

886.85

924.39

956.86

Kaiser Permanente

Full

HMO A

216.53

201.54

317.38

317.38

317.38

317.38

318.65

325.00

332.61

344.99

355.15

360.23

367.84

375.46

380.22

385.30

387.84

390.38

392.92

395.46

400.53

405.61

413.23

420.53

430.68

443.38

458.30

476.07

496.06

518.92

541.45

566.84

591.91

619.53

647.45

677.61

707.76

740.45

773.45

808.68

826.14

861.37

891.84

911.83

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

UnitedHealthcare

SignatureValue

HMO A

235.69

235.69

371.16

371.16

371.16

371.16

372.64

380.07

388.98

403.45

415.33

421.27

430.17

439.08

444.65

450.59

453.56

456.53

459.50

462.47

468.40

474.34

483.25

491.79

503.66

518.51

535.96

556.74

580.12

606.85

633.20

662.89

692.21

724.50

757.17

792.43

827.69

865.92

904.52

945.72

966.13 1007.33 1042.96 1066.34 1095.66 1113.48

978.17 1004.89 1021.12 936.91

952.14

UnitedHealthcare

Focus

HMO B

174.40

174.40

274.64

274.64

274.64

274.64

275.74

281.23

287.82

298.53

307.32

311.72

318.31

324.90

329.02

333.41

335.61

337.81

340.00

342.20

346.60

350.99

357.58

363.90

372.69

383.67

396.58

411.96

429.26

449.04

468.54

490.51

512.20

536.10

560.27

586.36

612.45

640.74

669.30

699.78

714.89

745.37

771.74

789.04

810.74

UnitedHealthcare

Alliance

HMO C

202.74

202.74

319.27

319.27

319.27

319.27

320.55

326.93

334.59

347.05

357.26

362.37

370.03

377.70

382.49

387.59

390.15

392.70

395.26

397.81

402.92

408.03

415.69

423.03

433.25

446.02

461.03

478.91

499.02

522.01

544.67

570.22

595.44

623.22

651.31

681.64

711.97

744.86

778.06

813.50

831.06

866.50

897.15

917.26

942.49

957.81

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

36

823.92

AREA 17

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

723.13

PLAN

Aetna

HMO Deductible

HMO A

153.06

153.06

241.04

241.04

241.04

241.04

242.01

246.83

252.61

262.01

269.73

273.58

279.37

285.15

288.77

292.63

294.56

296.48

298.41

300.34

304.20

308.05

313.84

319.38

327.10

336.74

348.07

361.57

376.75

394.11

411.22

430.50

449.55

470.52

491.73

514.63

537.53

562.36

587.42

614.18

627.44

654.19

677.33

692.52

711.56

Aetna

Basic HMO

HMO B

131.20

131.20

206.61

206.61

206.61

206.61

207.44

211.57

216.53

224.58

231.20

234.50

239.46

244.42

247.52

250.82

252.48

254.13

255.78

257.44

260.74

264.05

269.01

273.76

280.37

288.63

298.34

309.91

322.93

337.81

352.48

369.00

385.33

403.30

421.48

441.11

460.74

482.02

503.51

526.44

537.80

560.74

580.57

593.59

609.91

619.83

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

193.44

193.44

304.63

304.63

304.63

304.63

305.85

311.94

319.25

331.13

340.88

345.76

353.07

360.38

364.95

369.82

372.26

374.69

377.13

379.57

384.44

389.32

396.63

403.63

413.38

425.57

439.89

456.95

476.14

498.07

519.70

544.07

568.13

594.64

621.45

650.39

679.32

710.70

742.38

776.20

792.95

826.77

856.01

875.20

899.27

913.89 901.83

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

190.89

190.89

300.61

300.61

300.61

300.61

301.81

307.82

315.04

326.76

336.38

341.19

348.41

355.62

360.13

364.94

367.35

369.75

372.16

374.56

379.37

384.18

391.39

398.31

407.93

419.95

434.08

450.92

469.85

491.50

512.84

536.89

560.64

586.79

613.24

641.80

670.36

701.32

732.59

765.95

782.49

815.86

844.71

863.65

887.40

Health Net

PureCare

HSP A

134.38

134.38

207.87

207.87

207.87

207.87

208.68

212.70

217.53

225.39

231.83

235.05

239.88

244.72

247.74

250.96

252.57

254.18

255.79

257.40

260.62

263.85

268.68

273.31

279.75

287.81

297.27

308.55

321.23

335.73

350.02

366.13

382.04

399.56

417.27

436.40

455.53

476.27

497.21

519.56

530.63

552.98

572.31

585.00

600.91

610.57

Kaiser Permanente

Full

HMO B

131.91

116.92

184.12

184.12

184.12

184.12

184.86

188.54

192.96

200.14

206.03

208.98

213.40

217.82

220.58

223.52

225.00

226.47

227.94

229.42

232.36

235.31

239.73

243.96

249.85

257.22

265.87

276.18

287.78

301.04

314.11

328.84

343.39

359.41

375.61

393.10

410.59

429.56

448.70

469.14

479.27

499.71

517.38

528.98

543.53

552.36 528.00

Kaiser Permanente

Full

HMO C

126.75

111.76

176.00

176.00

176.00

176.00

176.71

180.23

184.45

191.32

196.95

199.76

203.99

208.21

210.85

213.67

215.08

216.49

217.89

219.30

222.12

224.93

229.16

233.21

238.84

245.88

254.15

264.01

275.09

287.77

300.26

314.34

328.25

343.56

359.05

375.77

392.49

410.62

428.92

448.46

458.14

477.68

494.57

505.66

519.56

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Focus

HMO A

139.38

139.38

219.49

219.49

219.49

219.49

220.37

224.76

230.03

238.59

245.61

249.12

254.39

259.66

262.95

266.46

268.22

269.97

271.73

273.48

277.00

280.51

285.78

290.82

297.85

306.63

316.94

329.24

343.06

358.87

374.45

392.01

409.35

428.44

447.76

468.61

489.46

512.07

534.90

559.26

571.33

595.70

616.77

630.59

647.93

658.47 572.07

UnitedHealthcare

Alliance

HMO B

121.09

121.09

190.69

190.69

190.69

190.69

191.45

195.27

199.84

207.28

213.38

216.43

221.01

225.59

228.45

231.50

233.02

234.55

236.07

237.60

240.65

243.70

248.28

252.66

258.77

266.39

275.36

286.04

298.05

311.78

325.32

340.57

355.64

372.23

389.01

407.12

425.24

444.88

464.71

485.88

496.37

517.53

535.84

547.85

562.92

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN 943.39

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

199.68

199.68

314.46

314.46

314.46

314.46

315.72

322.01

329.56

341.82

351.88

356.92

364.46

372.01

376.73

381.76

384.27

386.79

389.31

391.82

396.85

401.88

409.43

416.66

426.73

439.30

454.08

471.69

491.51

514.15

536.47

561.63

586.47

613.83

641.50

671.38

701.25

733.64

766.35

801.25

818.55

853.45

883.64

903.45

928.30

Aetna

Basic HMO

HMO B

171.16

171.16

269.54

269.54

269.54

269.54

270.62

276.01

282.48

292.99

301.61

305.93

312.40

318.87

322.91

327.22

329.38

331.53

333.69

335.85

340.16

344.47

350.94

357.14

365.77

376.55

389.22

404.31

421.29

440.70

459.83

481.40

502.69

526.14

549.86

575.47

601.07

628.84

656.87

686.79

701.61

731.53

757.41

774.39

795.68

808.62

Anthem Blue Cross

Select HMO

HMO A

198.63

198.63

312.80

312.80

312.80

312.80

314.05

320.31

327.81

340.01

350.02

355.03

362.54

370.04

374.73

379.74

382.24

384.74

387.25

389.75

394.75

399.76

407.27

414.46

424.47

436.98

451.68

469.20

488.91

511.43

533.64

558.66

583.37

610.59

638.11

667.83

697.54

729.76

762.29

797.01

814.22

848.94

878.97

898.67

923.39

938.40

Anthem Blue Cross

Advantage PPO

PPO A

223.60

223.60

352.13

352.13

352.13

352.13

353.54

360.58

369.03

382.77

394.03

399.67

408.12

416.57

421.85

427.49

430.30

433.12

435.94

438.75

444.39

450.02

458.47

466.57

477.84

491.93

508.48

528.20

550.38

575.73

600.73

628.90

656.72

687.36

718.35

751.80

785.25

821.52

858.14

897.23

916.59

955.68

989.49 1011.67 1039.49 1056.39

Anthem Blue Cross

Select PPO

PPO B

224.35

224.35

353.31

353.31

353.31

353.31

354.72

361.79

370.27

384.05

395.35

401.01

409.49

417.97

423.27

428.92

431.74

434.57

437.40

440.22

445.88

451.53

460.01

468.14

479.44

493.57

510.18

529.97

552.22

577.66

602.75

631.01

658.92

689.66

720.75

754.32

787.88

824.27

861.02

900.23

919.67

958.88

992.80 1015.06 1042.97 1059.93

986.10 1020.99 1043.88 1072.58 1090.02

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

230.72

230.72

363.34

363.34

363.34

363.34

364.79

372.06

380.78

394.95

406.58

412.39

421.11

429.83

435.28

441.09

444.00

446.91

449.81

452.72

458.54

464.35

473.07

481.43

493.05

507.59

524.66

545.01

567.90

594.06

619.86

648.93

677.63

709.24

741.21

775.73

810.25

847.67

885.46

925.79

945.77

Health Net

PureCare

HSP A

151.56

151.56

234.93

234.93

234.93

234.93

235.84

240.41

245.89

254.80

262.11

265.77

271.25

276.73

280.16

283.81

285.64

287.46

289.29

291.12

294.77

298.43

303.91

309.16

316.47

325.61

336.34

349.14

363.52

379.97

396.19

414.46

432.50

452.38

472.48

494.18

515.87

539.40

563.16

588.51

601.07

626.42

648.35

662.74

680.79

691.75

Kaiser Permanente

Full

HMO B

165.78

150.79

237.46

237.46

237.46

237.46

238.41

243.16

248.85

258.12

265.71

269.51

275.21

280.91

284.47

288.27

290.17

292.07

293.97

295.87

299.67

303.47

309.17

314.63

322.23

331.73

342.89

356.19

371.14

388.24

405.10

424.10

442.86

463.52

484.41

506.97

529.53

553.99

578.68

605.04

618.10

644.46

667.25

682.21

700.97

712.38 724.80

Kaiser Permanente

Full

HMO C

168.41

153.42

241.60

241.60

241.60

241.60

242.57

247.40

253.20

262.62

270.36

274.22

280.02

285.82

289.44

293.31

295.24

297.17

299.11

301.04

304.90

308.77

314.57

320.13

327.86

337.52

348.88

362.41

377.63

395.02

412.18

431.51

450.59

471.61

492.87

515.83

538.78

563.66

588.79

615.61

628.90

655.71

678.91

694.13

713.22

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64 849.39

UnitedHealthcare

SignatureValue

HMO A

179.79

179.79

283.13

283.13

283.13

283.13

284.26

289.93

296.72

307.76

316.82

321.35

328.15

334.94

339.19

343.72

345.98

348.25

350.51

352.78

357.31

361.84

368.64

375.15

384.21

395.53

408.84

424.70

442.53

462.92

483.02

505.67

528.04

552.67

577.59

604.48

631.38

660.54

689.99

721.42

736.99

768.41

795.60

813.43

835.80

UnitedHealthcare

Alliance

HMO B

169.06

169.06

266.24

266.24

266.24

266.24

267.30

272.63

279.02

289.40

297.92

302.18

308.57

314.96

318.96

323.22

325.35

327.48

329.61

331.74

335.99

340.25

346.64

352.77

361.29

371.94

384.45

399.36

416.13

435.30

454.21

475.50

496.54

519.70

543.13

568.42

593.72

621.14

648.83

678.38

693.02

722.58

748.13

764.91

785.94

798.72

UnitedHealthcare

Alliance

HMO C

148.37

148.37

233.66

233.66

233.66

233.66

234.59

239.27

244.88

253.99

261.47

265.20

270.81

276.42

279.92

283.66

285.53

287.40

289.27

291.14

294.88

298.62

304.23

309.60

317.08

326.42

337.41

350.49

365.21

382.03

398.62

417.32

435.78

456.10

476.67

498.86

521.06

545.13

569.43

595.37

608.22

634.15

656.58

671.31

689.76

700.98

UnitedHealthcare

Focus

HMO D

152.46

152.46

240.09

240.09

240.09

240.09

241.05

245.85

251.61

260.98

268.66

272.50

278.26

284.03

287.63

291.47

293.39

295.31

297.23

299.15

302.99

306.84

312.60

318.12

325.80

335.41

346.69

360.14

375.26

392.55

409.59

428.80

447.77

468.66

489.78

512.59

535.40

560.13

585.10

611.75

624.95

651.60

674.65

689.78

708.75

720.27

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

37

AREA 17 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

201.51

201.51

317.33

317.33

317.33

317.33

318.60

324.95

332.57

344.94

355.10

360.17

367.79

375.41

380.17

385.24

387.78

390.32

392.86

395.40

400.48

405.55

413.17

420.47

430.62

443.32

458.23

476.00

495.99

518.84

541.37

566.76

591.83

619.44

647.36

677.51

707.65

740.34

773.34

808.57

826.02

861.24

891.71

911.70

936.77

952.00

Aetna

Aetna Value Network

HMO B

197.62

197.62

311.21

311.21

311.21

311.21

312.45

318.68

326.14

338.28

348.24

353.22

360.69

368.16

372.83

377.81

380.29

382.78

385.27

387.76

392.74

397.72

405.19

412.35

422.31

434.76

449.38

466.81

486.42

508.82

530.92

555.82

580.40

607.48

634.86

664.43

693.99

726.05

758.41

792.96

810.07

844.62

874.49

894.10

918.68

933.62

Anthem Blue Cross

Select HMO

HMO A

228.04

228.04

359.12

359.12

359.12

359.12

360.56

367.74

376.36

390.36

401.86

407.60

416.22

424.84

430.23

435.97

438.84

441.72

444.59

447.46

453.21

458.96

467.57

475.83

487.33

501.69

518.57

538.68

561.30

587.16

612.66

641.39

669.76

701.00

732.60

766.72

800.84

837.83

875.18

915.04

934.79

974.65 1009.13 1031.75 1060.12 1077.36

972.25 1015.60 1061.85 1084.77 1131.03 1171.04 1197.29 1230.22 1250.22

Anthem Blue Cross

Advantage PPO

PPO A

264.63

264.63

416.74

416.74

416.74

416.74

418.41

426.74

436.74

453.00

466.33

473.00

483.00

493.00

499.25

505.92

509.26

512.59

515.92

519.26

525.93

532.59

542.60

552.18

565.52

582.19

601.77

625.11

651.36

681.37

710.96

744.30

777.22

813.48

850.15

889.74

929.33

Anthem Blue Cross

Select PPO

PPO B

249.87

249.87

393.49

393.49

393.49

393.49

395.06

402.93

412.38

427.72

440.32

446.61

456.05

465.50

471.40

477.70

480.84

483.99

487.14

490.29

496.58

502.88

512.32

521.37

533.97

549.71

568.20

590.24

615.02

643.36

671.29

702.77

733.86

768.09

802.72

840.10

877.48

918.01

958.94 1002.61 1024.25 1067.93 1105.71 1130.50 1161.58 1180.47

Anthem Blue Cross

Select PPO

PPO C

259.49

259.49

408.65

408.65

408.65

408.65

410.28

418.46

428.27

444.20

457.28

463.82

473.63

483.43

489.56

496.10

499.37

502.64

505.91

509.18

515.72

522.25

532.06

541.46

554.54

570.88

590.09

612.98

638.72

668.14

697.16

729.85

762.13

797.68

833.65

872.47

911.29

953.38

995.88 1041.24 1063.72 1109.08 1148.31 1174.05 1206.33 1225.95

Anthem Blue Cross

Select PPO

PPO D

245.40

245.40

386.46

386.46

386.46

386.46

388.01

395.74

405.01

420.08

432.45

438.63

447.91

457.18

462.98

469.16

472.25

475.35

478.44

481.53

487.71

493.90

503.17

512.06

524.43

539.88

558.05

579.69

604.04

631.86

659.30

690.22

720.75

754.37

788.38

825.09

861.81

901.61

941.80

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

229.48

229.48

361.39

361.39

361.39

361.39

362.84

370.06

378.74

392.83

404.40

410.18

418.85

427.52

432.95

438.73

441.62

444.51

447.40

450.29

456.07

461.86

470.53

478.84

490.41

504.86

521.85

542.09

564.85

590.87

616.53

645.44

673.99

705.43

737.24

771.57

805.90

843.12

880.71

920.82

940.70

980.81 1015.51 1038.27 1066.82 1084.17

Health Net

Wholecare

HMO A

203.13

203.13

316.14

316.14

316.14

316.14

317.38

323.57

331.00

343.08

352.98

357.94

365.37

372.80

377.44

382.40

384.88

387.35

389.83

392.31

397.26

402.21

409.65

416.77

426.67

439.06

453.61

470.95

490.46

512.75

534.73

559.50

583.96

610.90

638.14

667.56

696.97

728.86

761.06

795.43

812.46

846.83

876.55

896.06

920.52

Health Net

Wholecare

HMO B

187.13

187.13

294.70

294.70

294.70

294.70

295.88

301.77

308.85

320.34

329.77

334.48

341.56

348.63

353.05

357.77

360.12

362.48

364.84

367.20

371.91

376.63

383.70

390.48

399.91

411.70

425.55

442.05

460.62

481.83

502.76

526.33

549.62

575.25

601.19

629.18

657.18

687.54

718.18

750.90

767.10

799.82

828.11

846.67

869.95

884.10

Health Net

PureCare

HSP A

190.77

190.77

296.67

296.67

296.67

296.67

297.83

303.63

310.60

321.91

331.20

335.84

342.80

349.77

354.12

358.76

361.08

363.40

365.73

368.05

372.69

377.33

384.30

390.97

400.25

411.86

425.50

441.75

460.02

480.92

501.52

524.73

547.65

572.89

598.43

625.99

653.55

683.44

713.62

745.82

761.78

793.99

821.84

840.12

863.04

876.97 833.82

984.70 1005.96 1048.85 1085.95 1110.30 1140.83 1159.38

935.38

Kaiser Permanente

Full

HMO A

191.48

176.49

277.94

277.94

277.94

277.94

279.05

284.61

291.28

302.12

311.01

315.46

322.13

328.80

332.97

337.42

339.64

341.86

344.09

346.31

350.76

355.20

361.87

368.27

377.16

388.28

401.34

416.91

434.42

454.43

474.16

496.40

518.35

542.53

566.99

593.40

619.80

648.43

677.33

708.19

723.47

754.32

781.01

798.52

820.47

Kaiser Permanente

Full

HMO B

194.76

179.77

283.10

283.10

283.10

283.10

284.23

289.89

296.69

307.73

316.79

321.31

328.11

334.90

339.15

343.68

345.94

348.21

350.47

352.74

357.27

361.80

368.59

375.10

384.16

395.49

408.79

424.65

442.48

462.86

482.96

505.61

527.98

552.60

577.52

604.41

631.31

660.46

689.91

721.33

736.90

768.32

795.50

813.34

835.70

849.30

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

837.78

851.40

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

797.48

815.36

UnitedHealthcare

SignatureValue

HMO A

215.42

215.42

339.24

339.24

339.24

339.24

340.60

347.38

355.52

368.75

379.61

385.04

393.18

401.32

406.41

411.84

414.55

417.27

419.98

422.69

428.12

433.55

441.69

449.49

460.35

473.92

489.86

508.86

530.23

554.66

578.74

605.88

632.68

662.20

692.05

724.28

756.51

791.45

826.73

864.38

883.04

920.70

953.26

974.64 1001.44 1017.72

UnitedHealthcare

Alliance

HMO B

196.64

196.64

309.67

309.67

309.67

309.67

310.91

317.10

324.53

336.61

346.52

351.48

358.91

366.34

370.98

375.94

378.42

380.89

383.37

385.85

390.80

395.76

403.19

410.31

420.22

432.61

447.16

464.51

484.01

506.31

528.30

553.07

577.53

604.48

631.73

661.15

690.56

722.46

754.67

789.04

806.07

840.44

870.17

889.68

914.15

929.01

UnitedHealthcare

Focus

HMO C

182.66

182.66

287.66

287.66

287.66

287.66

288.81

294.56

301.47

312.69

321.89

326.49

333.40

340.30

344.62

349.22

351.52

353.82

356.12

358.42

363.03

367.63

374.53

381.15

390.35

401.86

415.38

431.49

449.61

470.32

490.75

513.76

536.49

561.51

586.83

614.15

641.48

671.11

701.03

732.96

748.78

780.71

808.32

826.45

849.17

862.98

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

232.50

232.50

366.14

366.14

366.14

366.14

367.60

374.92

383.71

397.99

409.71

415.57

424.35

433.14

438.63

444.49

447.42

450.35

453.28

456.21

462.07

467.92

476.71

485.13

496.85

511.49

528.70

549.21

572.27

598.63

624.63

653.92

682.85

714.70

746.92

781.70

816.49

854.20

892.28

932.92

953.06

Anthem Blue Cross

Select HMO

HMO A

247.94

247.94

390.45

390.45

390.45

390.45

392.01

399.82

409.19

424.42

436.91

443.16

452.53

461.90

467.76

474.01

477.13

480.25

483.38

486.50

492.75

499.00

508.37

517.35

529.84

545.46

563.81

585.68

610.27

638.39

666.11

697.34

728.19

762.16

796.52

833.61

870.70

910.92

951.53

994.87 1016.34 1059.68 1097.16 1121.76 1152.61 1171.35

Platinum

AGE -->

993.70 1028.85 1051.91 1080.84 1098.41

Health Net

Salud HMO y Mas

HMO A

199.43

199.43

310.31

310.31

310.31

310.31

311.53

317.60

324.89

336.74

346.46

351.32

358.61

365.90

370.46

375.32

377.75

380.18

382.61

385.04

389.90

394.76

402.05

409.04

418.76

430.91

445.19

462.21

481.34

503.22

524.79

549.09

573.09

599.52

626.25

655.11

683.97

715.26

746.86

780.58

797.29

831.01

860.17

879.31

903.31

917.89

Kaiser Permanente

Full

HMO A

212.69

197.70

311.33

311.33

311.33

311.33

312.58

318.81

326.28

338.42

348.38

353.36

360.84

368.31

372.98

377.96

380.45

382.94

385.43

387.92

392.90

397.89

405.36

412.52

422.48

434.93

449.57

467.00

486.62

509.03

531.14

556.04

580.64

607.72

635.12

664.70

694.28

726.34

758.72

793.28

810.40

844.96

874.85

894.46

919.06

933.99

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

UnitedHealthcare

SignatureValue

HMO A

232.88

232.88

366.74

366.74

366.74

366.74

368.21

375.54

384.34

398.65

410.38

416.25

425.05

433.85

439.35

445.22

448.16

451.09

454.02

456.96

462.83

468.69

477.50

485.93

497.67

512.34

529.57

550.11

573.21

599.62

625.66

655.00

683.97

715.88

748.15

782.99

817.83

855.60

893.75

934.45

954.62

995.33 1030.54 1053.64 1082.62 1100.22

UnitedHealthcare

Focus

HMO B

197.47

197.47

310.98

310.98

310.98

310.98

312.22

318.44

325.91

338.04

347.99

352.96

360.43

367.89

372.55

377.53

380.02

382.51

384.99

387.48

392.46

397.43

404.90

412.05

422.00

434.44

449.06

466.47

486.06

508.45

530.53

555.41

579.98

607.03

634.40

663.94

693.49

725.52

757.86

792.38

809.48

844.00

873.85

893.45

918.01

UnitedHealthcare

Alliance

HMO C

212.60

212.60

334.81

334.81

334.81

334.81

336.15

342.85

350.88

363.94

374.65

380.01

388.04

396.08

401.10

406.46

409.14

411.82

414.49

417.17

422.53

427.89

435.92

443.62

454.34

467.73

483.47

502.22

523.31

547.41

571.19

597.97

624.42

653.55

683.01

714.82

746.63

781.11

815.93

853.10

871.51

908.67

940.82

961.91

988.36 1004.43

932.94

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

38

AREA 18

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Rates effective 12/1/16-12/1/16v2 35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

810.10

PLAN

Aetna

HMO Deductible

HMO A

171.47

171.47

270.03

270.03

270.03

270.03

271.11

276.51

283.00

293.53

302.17

306.49

312.97

319.45

323.50

327.82

329.98

332.14

334.30

336.46

340.78

345.10

351.58

357.80

366.44

377.24

389.93

405.05

422.06

441.51

460.68

482.28

503.61

527.11

550.87

576.52

602.18

629.99

658.07

688.05

702.90

732.87

758.80

775.81

797.14

Aetna

Basic HMO

HMO B

155.50

155.50

244.88

244.88

244.88

244.88

245.86

250.75

256.63

266.18

274.02

277.93

283.81

289.69

293.36

297.28

299.24

301.20

303.16

305.12

309.03

312.95

318.83

324.46

332.30

342.09

353.60

367.31

382.74

400.37

417.76

437.35

456.69

478.00

499.55

522.81

546.07

571.30

596.76

623.94

637.41

664.59

688.10

703.53

722.87

734.63

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

188.51

188.51

296.87

296.87

296.87

296.87

298.06

303.99

311.12

322.70

332.20

336.95

344.07

351.20

355.65

360.40

362.78

365.15

367.53

369.90

374.65

379.40

386.52

393.35

402.85

414.73

428.68

445.31

464.01

485.38

506.46

530.21

553.66

579.49

605.61

633.82

662.02

692.60

723.47

756.42

772.75

805.71

834.20

852.91

876.36

890.61 878.88

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

186.03

186.03

292.96

292.96

292.96

292.96

294.13

299.99

307.02

318.45

327.82

332.51

339.54

346.57

350.97

355.65

358.00

360.34

362.68

365.03

369.72

374.40

381.43

388.17

397.55

409.27

423.03

439.44

457.90

478.99

499.79

523.23

546.37

571.86

597.64

625.47

653.30

683.48

713.94

746.46

762.57

795.09

823.22

841.67

864.82

Health Net

PureCare

HSP A

152.31

152.31

236.11

236.11

236.11

236.11

237.03

241.62

247.13

256.08

263.43

267.10

272.61

278.12

281.57

285.24

287.08

288.92

290.75

292.59

296.26

299.94

305.45

310.73

318.07

327.26

338.05

350.91

365.37

381.90

398.20

416.57

434.71

454.68

474.88

496.69

518.51

542.15

566.03

591.52

604.14

629.63

651.67

666.13

684.27

695.29

Kaiser Permanente

Full

HMO B

140.45

125.46

197.58

197.58

197.58

197.58

198.37

202.32

207.06

214.76

221.09

224.25

228.99

233.73

236.70

239.86

241.44

243.02

244.60

246.18

249.34

252.50

257.24

261.79

268.11

276.01

285.30

296.36

308.81

323.04

337.06

352.87

368.48

385.67

403.05

421.82

440.59

460.94

481.49

503.42

514.29

536.22

555.19

567.64

583.24

592.74 566.58

Kaiser Permanente

Full

HMO C

134.92

119.93

188.86

188.86

188.86

188.86

189.62

193.40

197.93

205.30

211.34

214.36

218.89

223.43

226.26

229.28

230.79

232.30

233.81

235.33

238.35

241.37

245.90

250.25

256.29

263.84

272.72

283.30

295.20

308.79

322.20

337.31

352.23

368.66

385.28

403.23

421.17

440.62

460.26

481.23

491.62

512.58

530.71

542.61

557.53

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Focus

HMO A

133.89

133.89

210.85

210.85

210.85

210.85

211.69

215.91

220.97

229.19

235.94

239.31

244.38

249.44

252.60

255.97

257.66

259.35

261.03

262.72

266.09

269.47

274.53

279.38

286.12

294.56

304.47

316.28

329.56

344.74

359.71

376.58

393.24

411.58

430.13

450.16

470.20

491.91

513.84

537.25

548.84

572.25

592.49

605.77

622.43

632.55 570.33

UnitedHealthcare

Alliance

HMO B

120.72

120.72

190.11

190.11

190.11

190.11

190.87

194.67

199.24

206.65

212.73

215.77

220.34

224.90

227.75

230.79

232.31

233.84

235.36

236.88

239.92

242.96

247.52

251.90

257.98

265.58

274.52

285.17

297.14

310.83

324.33

339.54

354.56

371.09

387.82

405.88

423.95

443.53

463.30

484.40

494.86

515.96

534.21

546.19

561.20

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

223.70

223.70

352.28

352.28

352.28

352.28

353.69

360.74

369.19

382.93

394.20

399.84

408.30

416.75

422.04

427.67

430.49

433.31

436.13

438.94

444.58

450.22

458.67

466.78

478.05

492.14

508.70

528.42

550.62

575.98

601.00

629.18

657.01

687.66

718.66

752.12

785.59

821.88

858.51

897.62

916.99

956.10

Aetna

Basic HMO

HMO B

202.86

202.86

319.46

319.46

319.46

319.46

320.74

327.13

334.80

347.26

357.48

362.59

370.26

377.92

382.72

387.83

390.38

392.94

395.49

398.05

403.16

408.27

415.94

423.29

433.51

446.29

461.30

479.19

499.32

522.32

545.00

570.56

595.80

623.59

651.70

682.05

712.40

745.31

778.53

813.99

831.56

867.02

897.69

917.81

943.05

958.39

Anthem Blue Cross

Select HMO

HMO A

179.71

179.71

283.00

283.00

283.00

283.00

284.13

289.79

296.58

307.62

316.68

321.21

328.00

334.79

339.03

343.56

345.83

348.09

350.35

352.62

357.15

361.67

368.47

374.98

384.03

395.35

408.65

424.50

442.33

462.71

482.80

505.44

527.80

552.42

577.32

604.21

631.09

660.24

689.67

721.08

736.65

768.06

795.23

813.06

835.42

849.00

Anthem Blue Cross

Advantage PPO

PPO A

211.91

211.91

333.72

333.72

333.72

333.72

335.05

341.73

349.74

362.75

373.43

378.77

386.78

394.79

399.80

405.14

407.81

410.48

413.15

415.82

421.15

426.49

434.50

442.18

452.86

466.21

481.89

500.58

521.60

545.63

569.33

596.02

622.39

651.42

680.79

712.49

744.20

778.57

813.28

850.32

868.67

905.72

937.75

958.78

985.14 1001.16

Anthem Blue Cross

Select PPO

PPO B

215.76

215.76

339.78

339.78

339.78

339.78

341.14

347.93

356.09

369.34

380.21

385.65

393.81

401.96

407.06

412.49

415.21

417.93

420.65

423.37

428.80

434.24

442.39

450.21

461.08

474.67

490.64

509.67

531.08

555.54

579.66

606.85

633.69

663.25

693.15

725.43

757.71

792.71

828.04

865.76

884.45

922.16

954.78

976.19 1003.03 1019.34

994.96 1017.27 1045.24 1062.24

989.92 1012.11 1039.94 1056.85

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

224.84

224.84

354.08

354.08

354.08

354.08

355.50

362.58

371.08

384.88

396.22

401.88

410.38

418.88

424.19

429.85

432.69

435.52

438.35

441.18

446.85

452.51

461.01

469.16

480.49

494.65

511.29

531.12

553.43

578.92

604.06

632.39

660.36

691.16

722.32

755.96

789.60

826.07

862.89

902.20

921.67

960.97

Health Net

PureCare

HSP A

171.89

171.89

266.95

266.95

266.95

266.95

267.99

273.20

279.45

289.61

297.94

302.11

308.36

314.61

318.52

322.68

324.77

326.85

328.93

331.02

335.18

339.35

345.60

351.59

359.92

370.34

382.58

397.17

413.57

432.32

450.81

471.65

492.22

514.88

537.80

562.54

587.28

614.10

641.19

670.10

684.42

713.33

738.33

754.74

775.31

787.81

Kaiser Permanente

Full

HMO B

176.79

161.80

254.81

254.81

254.81

254.81

255.83

260.92

267.04

276.98

285.13

289.21

295.32

301.44

305.26

309.34

311.38

313.41

315.45

317.49

321.57

325.64

331.76

337.62

345.77

355.97

367.94

382.21

398.26

416.61

434.70

455.09

475.22

497.39

519.81

544.01

568.22

594.47

620.97

649.25

663.27

691.55

716.01

732.06

752.19

764.43 777.78

Kaiser Permanente

Full

HMO C

179.62

164.63

259.26

259.26

259.26

259.26

260.30

265.48

271.70

281.81

290.11

294.26

300.48

306.70

310.59

314.74

316.81

318.89

320.96

323.04

327.18

331.33

337.56

343.52

351.81

362.18

374.37

388.89

405.22

423.89

442.30

463.04

483.52

506.07

528.89

553.52

578.15

604.85

631.81

660.59

674.85

703.63

728.52

744.85

765.33

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64 898.65

UnitedHealthcare

SignatureValue

HMO A

190.21

190.21

299.55

299.55

299.55

299.55

300.75

306.74

313.93

325.61

335.20

339.99

347.18

354.37

358.86

363.65

366.05

368.45

370.84

373.24

378.03

382.82

390.01

396.90

406.49

418.47

432.55

449.33

468.20

489.76

511.03

535.00

558.66

584.72

611.08

639.54

668.00

698.85

730.00

763.25

779.73

812.98

841.74

860.61

884.27

UnitedHealthcare

Alliance

HMO B

168.55

168.55

265.43

265.43

265.43

265.43

266.49

271.80

278.17

288.52

297.02

301.26

307.63

314.00

317.99

322.23

324.36

326.48

328.60

330.73

334.97

339.22

345.59

351.69

360.19

370.81

383.28

398.15

414.87

433.98

452.82

474.06

495.03

518.12

541.48

566.69

591.91

619.25

646.85

676.32

690.91

720.38

745.86

762.58

783.55

796.29

UnitedHealthcare

Alliance

HMO C

147.92

147.92

232.95

232.95

232.95

232.95

233.88

238.54

244.13

253.22

260.67

264.40

269.99

275.58

279.07

282.80

284.66

286.53

288.39

290.26

293.98

297.71

303.30

308.66

316.11

325.43

336.38

349.43

364.10

380.87

397.41

416.05

434.45

454.72

475.22

497.35

519.48

543.47

567.70

593.56

606.37

632.23

654.59

669.27

687.67

698.85

UnitedHealthcare

Focus

HMO D

146.46

146.46

230.64

230.64

230.64

230.64

231.56

236.18

241.71

250.71

258.09

261.78

267.31

272.85

276.31

280.00

281.84

283.69

285.53

287.38

291.07

294.76

300.29

305.60

312.98

322.20

333.04

345.96

360.49

377.10

393.47

411.92

430.14

450.21

470.51

492.42

514.33

538.08

562.07

587.67

600.36

625.96

648.10

662.63

680.85

691.92

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

39

AREA 18 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

CARRIER

NETWORK

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

Rates effective 12/1/16-12/1/16v2 36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

PLAN

Aetna

Aetna Value Network

HMO A

237.14

237.14

373.45

373.45

373.45

373.45

374.94

382.41

391.37

405.94

417.89

423.86

432.82

441.79

447.39

453.36

456.35

459.34

462.33

465.31

471.29

477.26

486.23

494.82

506.77

521.70

539.26

560.17

583.70

610.58

637.10

666.97

696.48

728.97

761.83

797.31

832.78

871.25

910.09

951.54

Aetna

Aetna Value Network

HMO B

232.56

232.56

366.23

366.23

366.23

366.23

367.70

375.02

383.81

398.10

409.82

415.68

424.47

433.26

438.75

444.61

447.54

450.47

453.40

456.33

462.19

468.05

476.84

485.26

496.98

511.63

528.84

549.35

572.43

598.79

624.80

654.10

683.03

714.89

747.12

781.91

816.70

854.43

892.51

933.17

953.31

993.96 1029.12 1052.19 1081.13 1098.70

Anthem Blue Cross

Select HMO

HMO A

206.31

206.31

324.89

324.89

324.89

324.89

326.19

332.69

340.48

353.16

363.55

368.75

376.55

384.34

389.22

394.42

397.02

399.61

402.21

404.81

410.01

415.21

423.01

430.48

440.88

453.87

469.14

487.34

507.80

531.20

554.26

580.25

605.92

634.19

662.78

693.64

724.50

757.97

791.76

827.82

845.69

881.75

Anthem Blue Cross

Advantage PPO

PPO A

250.82

250.82

394.99

394.99

394.99

394.99

396.57

404.47

413.95

429.35

441.99

448.31

457.79

467.27

473.20

479.52

482.68

485.84

489.00

492.16

498.48

504.80

514.28

523.36

536.00

551.80

570.37

592.49

617.37

645.81

673.85

705.45

736.66

771.02

805.78

843.30

880.83

921.51

962.59 1006.43 1028.16 1072.00 1109.92 1134.81 1166.01 1184.97

Anthem Blue Cross

Select PPO

PPO B

240.30

240.30

378.42

378.42

378.42

378.42

379.93

387.50

396.58

411.34

423.45

429.51

438.59

447.67

453.35

459.40

462.43

465.46

468.48

471.51

477.57

483.62

492.70

501.41

513.52

528.65

546.44

567.63

591.47

618.72

645.58

675.86

705.75

738.68

771.98

807.93

843.88

882.85

922.21

Anthem Blue Cross

Select PPO

PPO C

249.56

249.56

393.00

393.00

393.00

393.00

394.57

402.43

411.86

427.19

439.77

446.06

455.49

464.92

470.81

477.10

480.25

483.39

486.53

489.68

495.97

502.25

511.69

520.73

533.30

549.02

567.49

589.50

614.26

642.56

670.46

701.90

732.95

767.14

801.72

839.06

876.39

916.87

957.74 1001.36 1022.98 1066.60 1104.33 1129.09 1160.14 1179.00

964.21

972.08 1013.53 1049.38 1072.91 1102.41 1120.34

912.94

933.41

959.08

974.67

985.03 1027.03 1063.36 1087.20 1117.10 1135.26

Anthem Blue Cross

Select PPO

PPO D

236.00

236.00

371.66

371.66

371.66

371.66

373.15

380.58

389.50

403.99

415.89

421.83

430.75

439.67

445.25

451.20

454.17

457.14

460.12

463.09

469.03

474.98

483.90

492.45

504.34

519.21

536.68

557.49

580.90

607.66

634.05

663.78

693.15

725.48

758.19

793.49

828.80

867.08

905.74

946.99

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

223.62

223.62

352.16

352.16

352.16

352.16

353.57

360.61

369.06

382.80

394.07

399.70

408.15

416.61

421.89

427.52

430.34

433.16

435.97

438.79

444.43

450.06

458.51

466.61

477.88

491.97

508.52

528.24

550.43

575.78

600.78

628.96

656.78

687.42

718.41

751.86

785.32

821.59

858.21

897.30

916.67

955.76

989.57 1011.76 1039.58 1056.48

Health Net

Wholecare

HMO A

230.69

230.69

359.55

359.55

359.55

359.55

360.96

368.02

376.50

390.26

401.56

407.21

415.68

424.15

429.45

435.10

437.92

440.75

443.57

446.40

452.04

457.69

466.17

474.28

485.58

499.70

516.30

536.07

558.31

583.72

608.79

637.03

664.92

695.63

726.70

760.24

793.78

830.14

866.85

906.04

925.46

964.64

998.53 1020.78 1048.66 1065.61

Health Net

Wholecare

HMO B

213.37

213.37

336.02

336.02

336.02

336.02

337.36

344.08

352.15

365.25

376.01

381.38

389.45

397.51

402.55

407.93

410.62

413.30

415.99

418.68

424.06

429.43

437.50

445.23

455.98

469.42

485.21

504.03

525.20

549.39

573.25

600.13

626.68

655.91

685.48

717.40

749.32

783.93

818.88

856.18

874.66

911.96

944.22

965.39

991.93 1008.06

Health Net

PureCare

HSP A

216.60

216.60

337.35

337.35

337.35

337.35

338.67

345.29

353.23

366.13

376.72

382.01

389.95

397.89

402.85

408.15

410.79

413.44

416.09

418.73

424.03

429.32

437.26

444.87

455.46

468.69

484.24

502.77

523.61

547.43

570.92

597.38

623.52

652.30

681.41

712.84

744.27

778.35

812.75

849.47

867.67

904.39

936.15

956.99

983.13

999.01

Kaiser Permanente

Full

HMO A

204.38

189.39

298.25

298.25

298.25

298.25

299.44

305.40

312.56

324.19

333.74

338.51

345.67

352.83

357.30

362.07

364.46

366.84

369.23

371.62

376.39

381.16

388.32

395.18

404.72

416.65

430.67

447.37

466.16

487.63

508.81

532.67

556.23

582.18

608.42

636.76

665.09

695.81

726.83

759.93

776.34

809.44

838.07

856.86

880.43

894.75

Kaiser Permanente

Full

HMO B

207.89

192.90

303.78

303.78

303.78

303.78

305.00

311.07

318.36

330.21

339.93

344.79

352.08

359.38

363.93

368.79

371.22

373.65

376.08

378.51

383.37

388.23

395.53

402.51

412.23

424.38

438.66

455.67

474.81

496.69

518.25

542.56

566.56

592.98

619.72

648.58

677.44

708.73

740.32

774.04

790.75

824.47

853.63

872.77

896.77

911.34

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

797.48

815.36

837.78

851.40

967.43 1008.69 1044.36 1067.78 1097.14 1114.98

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

723.12

738.73

770.23

UnitedHealthcare

SignatureValue

HMO A

227.91

227.91

358.91

358.91

358.91

358.91

360.35

367.52

376.14

390.14

401.62

407.36

415.98

424.59

429.97

435.72

438.59

441.46

444.33

447.20

452.94

458.69

467.30

475.56

487.04

501.40

518.27

538.37

560.98

586.82

612.30

641.01

669.37

700.59

732.18

766.27

800.37

837.34

874.66

914.50

934.24

974.08 1008.54 1031.15 1059.50 1076.73

UnitedHealthcare

Alliance

HMO B

196.04

196.04

308.73

308.73

308.73

308.73

309.96

316.14

323.55

335.59

345.47

350.41

357.82

365.23

369.86

374.80

377.27

379.74

382.21

384.68

389.62

394.56

401.97

409.07

418.95

431.30

445.81

463.10

482.54

504.77

526.69

551.39

575.78

602.64

629.81

659.14

688.47

720.27

752.38

786.64

803.62

837.89

867.53

886.98

911.37

926.19

UnitedHealthcare

Focus

HMO C

175.48

175.48

276.34

276.34

276.34

276.34

277.45

282.97

289.60

300.38

309.22

313.65

320.28

326.91

331.06

335.48

337.69

339.90

342.11

344.32

348.74

353.16

359.79

366.15

374.99

386.05

399.03

414.51

431.92

451.82

471.44

493.54

515.37

539.42

563.73

589.99

616.24

644.70

673.44

704.11

719.31

749.99

776.52

793.92

815.76

829.02

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

273.61

273.61

430.88

430.88

430.88

430.88

432.60

441.22

451.56

468.37

482.15

489.05

499.39

509.73

516.19

523.09

526.53

529.98

533.43

536.87

543.77

550.66

561.00

570.91

584.70

601.94

622.19

646.32

673.46

704.49

735.08

769.55

803.59

841.08

878.99

919.93

960.86 1005.24 1050.05 1097.88 1121.58 1169.40 1210.77 1237.91 1271.95 1292.64

Anthem Blue Cross

Select HMO

HMO A

224.29

224.29

353.22

353.22

353.22

353.22

354.63

361.70

370.17

383.95

395.25

400.90

409.38

417.86

423.16

428.81

431.63

434.46

437.29

440.11

445.76

451.42

459.89

468.02

479.32

493.45

510.05

529.83

552.08

577.51

602.59

630.85

658.76

689.49

720.57

754.12

787.68

824.06

860.80

900.00

919.43

958.64

992.55 1014.80 1042.71 1059.66

Health Net

Salud HMO y Mas

HMO A

220.25

220.25

343.10

343.10

343.10

343.10

344.45

351.18

359.26

372.38

383.15

388.54

396.62

404.69

409.74

415.13

417.82

420.51

423.21

425.90

431.28

436.67

444.75

452.49

463.26

476.72

492.54

511.39

532.59

556.83

580.73

607.65

634.24

663.52

693.14

725.12

757.09

791.76

826.77

864.13

882.64

920.00

952.31

Kaiser Permanente

Full

HMO A

227.13

212.14

334.08

334.08

334.08

334.08

335.42

342.10

350.12

363.15

373.84

379.19

387.20

395.22

400.23

405.58

408.25

410.92

413.60

416.27

421.61

426.96

434.98

442.66

453.35

466.72

482.42

501.13

522.17

546.23

569.95

596.67

623.07

652.13

681.53

713.27

745.01

779.42

814.16

851.25

869.62

906.70

938.78

959.82

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

UnitedHealthcare

SignatureValue

HMO A

246.39

246.39

388.01

388.01

388.01

388.01

389.56

397.32

406.63

421.77

434.18

440.39

449.70

459.02

464.84

471.04

474.15

477.25

480.36

483.46

489.67

495.88

505.19

514.11

526.53

542.05

560.29

582.02

606.46

634.40

661.95

692.99

723.64

757.40

791.54

828.40

865.26

905.23

945.58

988.65 1009.99 1053.06 1090.31 1114.75 1145.41 1164.03

Platinum

AGE -->

973.51 1000.10 1016.26 986.22 1002.24

UnitedHealthcare

Focus

HMO B

189.71

189.71

298.75

298.75

298.75

298.75

299.95

305.92

313.09

324.74

334.30

339.08

346.25

353.42

357.90

362.68

365.07

367.46

369.85

372.24

377.02

381.80

388.97

395.84

405.40

417.35

431.40

448.13

466.95

488.46

509.67

533.57

557.17

583.16

609.45

637.83

666.21

696.98

728.05

761.22

777.65

810.81

839.49

858.31

881.91

UnitedHealthcare

Alliance

HMO C

211.96

211.96

333.79

333.79

333.79

333.79

335.13

341.80

349.81

362.83

373.51

378.85

386.86

394.87

399.88

405.22

407.89

410.56

413.23

415.90

421.24

426.58

434.59

442.27

452.95

466.30

481.99

500.69

521.71

545.75

569.45

596.15

622.52

651.56

680.93

712.64

744.35

778.73

813.45

850.50

868.86

905.91

937.95

958.98

985.35 1001.37

896.25

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

40

AREA 19

USE EMPLOYER ZIP CODE FOR RATING Bronze

AGE -->

Rates effective 12/1/16-12/1/16v2

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

575.24

602.08

629.22

658.52

687.82

719.59

751.67

785.91

802.87

837.11

866.72

886.15

910.52

925.32

848.75

862.55

CARRIER

NETWORK

PLAN

Aetna

HMO Deductible

HMO A

195.86

195.86

308.44

308.44

308.44

308.44

309.68

315.84

323.25

335.28

345.15

350.08

357.48

364.89

369.51

374.45

376.92

379.38

381.85

384.32

389.25

394.19

401.59

408.68

418.56

430.89

445.39

462.66

482.09

504.30

526.20

550.88

Aetna

Basic HMO

HMO B

182.57

182.57

287.52

287.52

287.52

287.52

288.67

294.42

301.32

312.53

321.73

326.33

333.23

340.13

344.45

349.05

351.35

353.65

355.95

358.25

362.85

367.45

374.35

380.96

390.16

401.66

415.17

431.28

449.39

470.09

490.50

513.51

536.22

561.23

586.53

613.85

641.16

670.78

700.68

732.59

748.41

780.32

807.92

826.04

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

215.59

215.59

339.51

339.51

339.51

339.51

340.87

347.66

355.81

369.05

379.91

385.34

393.49

401.64

406.73

412.17

414.88

417.60

420.31

423.03

428.46

433.89

442.04

449.85

460.72

474.30

490.25

509.27

530.65

555.10

579.20

606.36

633.19

662.72

692.60

724.85

757.11

792.08

827.39

865.07

883.74

921.43

954.02

975.41 1002.23 1018.53

Anthem Blue Cross

Prudent Buyer - Small Group

EPO B

212.74

212.74

335.03

335.03

335.03

335.03

336.37

343.07

351.11

364.18

374.90

380.26

388.30

396.34

401.37

406.73

409.41

412.09

414.77

417.45

422.81

428.17

436.21

443.91

454.64

468.04

483.78

502.55

523.65

547.77

571.56

598.36

624.83

653.98

683.46

715.29

747.12

781.62

816.47

853.66

872.08

909.27

941.43

962.54

Health Net

PureCare

HSP A

138.05

138.05

213.65

213.65

213.65

213.65

214.48

218.62

223.59

231.67

238.30

241.61

246.58

251.55

254.66

257.98

259.63

261.29

262.95

264.60

267.92

271.23

276.20

280.97

287.60

295.88

305.62

317.22

330.26

345.18

359.88

376.45

392.82

410.84

429.07

448.74

468.42

489.75

511.30

534.29

545.68

568.67

588.56

601.60

617.97

627.91

Kaiser Permanente

Full

HMO B

131.91

116.92

184.12

184.12

184.12

184.12

184.86

188.54

192.96

200.14

206.03

208.98

213.40

217.82

220.58

223.52

225.00

226.47

227.94

229.42

232.36

235.31

239.73

243.96

249.85

257.22

265.87

276.18

287.78

301.04

314.11

328.84

343.39

359.41

375.61

393.10

410.59

429.56

448.70

469.14

479.27

499.71

517.38

528.98

543.53

552.36 528.00

989.01 1005.09

Kaiser Permanente

Full

HMO C

126.75

111.76

176.00

176.00

176.00

176.00

176.71

180.23

184.45

191.32

196.95

199.76

203.99

208.21

210.85

213.67

215.08

216.49

217.89

219.30

222.12

224.93

229.16

233.21

238.84

245.88

254.15

264.01

275.09

287.77

300.26

314.34

328.25

343.56

359.05

375.77

392.49

410.62

428.92

448.46

458.14

477.68

494.57

505.66

519.56

Sharp Health Plan

Premier

HMO A

129.93

129.93

204.61

204.61

204.61

204.61

205.43

209.52

214.43

222.41

228.96

232.23

237.14

242.05

245.12

248.40

250.03

251.67

253.31

254.94

258.22

261.49

266.40

271.11

277.66

285.84

295.46

306.92

319.81

334.54

349.06

365.43

381.60

399.40

417.40

436.84

456.28

477.36

498.63

521.35

532.60

555.31

574.95

587.84

604.01

613.83

Sharp Health Plan

Performance

HMO B

124.15

124.15

195.51

195.51

195.51

195.51

196.29

200.20

204.89

212.52

218.78

221.90

226.60

231.29

234.22

237.35

238.91

240.48

242.04

243.61

246.73

249.86

254.55

259.05

265.31

273.13

282.32

293.27

305.58

319.66

333.54

349.18

364.63

381.64

398.84

417.41

435.99

456.12

476.46

498.16

508.91

530.61

549.38

561.70

577.15

586.53

Sharp Health Plan

Premier

HMO C

121.93

121.93

192.02

192.02

192.02

192.02

192.79

196.63

201.24

208.73

214.87

217.94

222.55

227.16

230.04

233.11

234.65

236.18

237.72

239.26

242.33

245.40

250.01

254.43

260.57

268.25

277.28

288.03

300.13

313.95

327.59

342.95

358.12

374.82

391.72

409.96

428.20

447.98

467.95

489.27

499.83

521.14

539.58

551.67

566.84

576.06

UnitedHealthcare

Focus

HMO A

165.71

165.71

260.96

260.96

260.96

260.96

262.00

267.22

273.49

283.66

292.01

296.19

302.45

308.72

312.63

316.81

318.89

320.98

323.07

325.16

329.33

333.51

339.77

345.77

354.12

364.56

376.83

391.44

407.88

426.67

445.20

466.07

486.69

509.39

532.36

557.15

581.94

608.82

635.96

664.93

679.28

708.25

733.30

749.74

770.35

782.88 607.56

UnitedHealthcare

Alliance

HMO B

128.60

128.60

202.52

202.52

202.52

202.52

203.33

207.38

212.24

220.14

226.62

229.86

234.72

239.58

242.62

245.86

247.48

249.10

250.72

252.34

255.58

258.82

263.68

268.34

274.82

282.92

292.44

303.78

316.54

331.12

345.50

361.70

377.70

395.32

413.14

432.38

451.62

472.48

493.54

516.02

527.16

549.64

569.08

581.84

597.84

Western Health

Full

HMO A

130.08

130.08

204.86

204.86

204.86

204.86

205.67

209.77

214.69

222.68

229.23

232.51

237.43

242.34

245.42

248.70

250.33

251.97

253.61

255.25

258.53

261.81

266.72

271.43

277.99

286.18

295.81

307.29

320.19

334.94

349.49

365.87

382.06

399.88

417.91

437.37

456.83

477.93

499.24

521.98

533.25

555.99

575.65

588.56

604.74

614.58

Western Health

Full

HMO B

117.47

117.47

185.00

185.00

185.00

185.00

185.74

189.44

193.88

201.09

207.01

209.97

214.41

218.85

221.63

224.59

226.07

227.55

229.03

230.51

233.47

236.43

240.87

245.12

251.04

258.44

267.14

277.50

289.15

302.47

315.61

330.41

345.02

361.12

377.40

394.97

412.55

431.60

450.84

471.38

481.55

502.09

519.85

531.50

546.12

555.00

Western Health

Full

HMO C

128.20

128.20

201.90

201.90

201.90

201.90

202.70

206.74

211.59

219.46

225.92

229.15

234.00

238.84

241.87

245.10

246.72

248.33

249.95

251.56

254.79

258.02

262.87

267.51

273.97

282.05

291.54

302.85

315.56

330.10

344.44

360.59

376.54

394.10

411.87

431.05

450.23

471.03

492.03

514.44

525.54

547.95

567.33

580.05

596.00

605.70

Western Health

Full

HMO D

122.27

122.27

192.56

192.56

192.56

192.56

193.33

197.18

201.80

209.31

215.47

218.55

223.17

227.79

230.68

233.76

235.30

236.84

238.38

239.92

243.01

246.09

250.71

255.14

261.30

269.00

278.05

288.84

300.97

314.83

328.50

343.91

359.12

375.87

392.82

411.11

429.40

449.24

469.26

490.64

501.23

522.60

541.09

553.22

568.43

577.68

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

NETWORK

PLAN

Silver

AGE -->

CARRIER Aetna

HMO Deductible

HMO A

255.52

255.52

402.39

402.39

402.39

402.39

404.00

412.05

421.70

437.40

450.27

456.71

466.37

476.03

482.06

488.50

491.72

494.94

498.16

501.38

507.82

514.25

523.91

533.17

546.04

562.14

581.05

603.58

628.93

657.91

686.48

718.67

750.46

785.46

820.87

859.10

897.33

938.77

Aetna

Basic HMO

HMO B

238.18

238.18

375.09

375.09

375.09

375.09

376.59

384.09

393.10

407.72

419.73

425.73

434.73

443.73

449.36

455.36

458.36

461.36

464.36

467.36

473.37

479.37

488.37

497.00

509.00

524.00

541.63

562.64

586.27

613.27

639.91

669.91

699.55

732.18

765.19

800.82

836.45

875.09

914.10

955.73

976.36 1018.00 1054.01 1077.64 1107.27 1125.27

Anthem Blue Cross

Select HMO

HMO A

234.96

234.96

370.01

370.01

370.01

370.01

371.49

378.89

387.77

402.20

414.04

419.96

428.84

437.72

443.27

449.19

452.15

455.11

458.07

461.03

466.95

472.87

481.75

490.26

502.10

516.90

534.29

555.02

578.33

604.97

631.24

660.84

690.07

722.26

754.82

789.97

825.12

863.23

901.71

942.79

963.14 1004.21 1039.73 1063.04 1092.27 1110.03

Anthem Blue Cross

Advantage PPO

PPO A

248.42

248.42

391.22

391.22

391.22

391.22

392.78

400.61

410.00

425.26

437.78

444.03

453.42

462.81

468.68

474.94

478.07

481.20

484.33

487.46

493.72

499.98

509.37

518.37

530.89

546.53

564.92

586.83

611.48

639.64

667.42

698.72

729.63

763.66

798.09

835.25

872.42

912.72

953.40

996.83 1018.35 1061.77 1099.33 1123.98 1154.88 1173.66

Anthem Blue Cross

Select PPO

PPO B

230.97

230.97

363.73

363.73

363.73

363.73

365.18

372.46

381.19

395.37

407.01

412.83

421.56

430.29

435.75

441.57

444.48

447.39

450.30

453.21

459.03

464.85

473.58

481.94

493.58

508.13

525.23

545.60

568.51

594.70

620.52

649.62

678.36

710.00

742.01

776.56

811.12

848.58

886.41

926.78

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

257.16

257.16

404.98

404.98

404.98

404.98

406.60

414.70

424.42

440.21

453.17

459.65

469.37

479.09

485.17

491.65

494.89

498.13

501.37

504.61

511.08

517.56

527.28

536.60

549.56

565.76

584.79

607.47

632.98

662.14

690.90

723.29

755.29

790.52

826.16

864.63

903.11

944.82

986.94 1031.89 1054.16 1099.12 1137.99 1163.51 1195.50 1214.94

Health Net

PureCare

HSP A

155.72

155.72

241.48

241.48

241.48

241.48

242.42

247.12

252.76

261.92

269.44

273.20

278.84

284.48

288.00

291.76

293.64

295.52

297.40

299.28

303.04

306.80

312.44

317.84

325.36

334.76

345.80

358.96

373.76

390.68

407.36

426.16

444.72

465.16

485.84

508.16

530.48

554.68

579.12

605.20

618.12

644.20

666.76

681.56

700.12

711.40

Kaiser Permanente

Full

HMO B

165.78

150.79

237.46

237.46

237.46

237.46

238.41

243.16

248.85

258.12

265.71

269.51

275.21

280.91

284.47

288.27

290.17

292.07

293.97

295.87

299.67

303.47

309.17

314.63

322.23

331.73

342.89

356.19

371.14

388.24

405.10

424.10

442.86

463.52

484.41

506.97

529.53

553.99

578.68

605.04

618.10

644.46

667.25

682.21

700.97

712.38 724.80

980.62 1025.29 1047.42 1092.08 1130.71 1156.06 1187.85 1207.17

946.79

987.16 1022.08 1045.00 1073.73 1091.19

Kaiser Permanente

Full

HMO C

168.41

153.42

241.60

241.60

241.60

241.60

242.57

247.40

253.20

262.62

270.36

274.22

280.02

285.82

289.44

293.31

295.24

297.17

299.11

301.04

304.90

308.77

314.57

320.13

327.86

337.52

348.88

362.41

377.63

395.02

412.18

431.51

450.59

471.61

492.87

515.83

538.78

563.66

588.79

615.61

628.90

655.71

678.91

694.13

713.22

Sharp Health Plan

Premier

HMO A

157.02

157.02

247.28

247.28

247.28

247.28

248.27

253.21

259.15

268.79

276.71

280.66

286.60

292.53

296.24

300.20

302.18

304.15

306.13

308.11

312.07

316.02

321.96

327.65

335.56

345.45

357.07

370.92

386.50

404.30

421.86

441.64

461.18

482.69

504.45

527.94

551.43

576.90

602.62

630.07

643.67

671.12

694.86

710.44

729.97

741.84

Sharp Health Plan

Performance

HMO B

163.12

163.12

256.88

256.88

256.88

256.88

257.91

263.05

269.21

279.23

287.45

291.56

297.72

303.89

307.74

311.85

313.91

315.96

318.02

320.07

324.18

328.29

334.46

340.37

348.59

358.86

370.93

385.32

401.50

420.00

438.24

458.79

479.08

501.43

524.04

548.44

572.84

599.30

626.02

654.53

668.66

697.17

721.83

738.02

758.31

770.64

993.73 1009.89

UnitedHealthcare

SignatureValue

HMO A

213.76

213.76

336.63

336.63

336.63

336.63

337.98

344.71

352.79

365.92

376.69

382.08

390.15

398.23

403.28

408.67

411.36

414.05

416.75

419.44

424.83

430.21

438.29

446.03

456.81

470.27

486.09

504.95

526.15

550.39

574.29

601.22

627.81

657.10

686.73

718.71

750.68

785.36

820.37

857.73

876.25

913.61

945.93

967.14

UnitedHealthcare

Alliance

HMO B

179.55

179.55

282.75

282.75

282.75

282.75

283.88

289.54

296.32

307.35

316.40

320.92

327.71

334.49

338.73

343.26

345.52

347.78

350.04

352.31

356.83

361.35

368.14

374.64

383.69

395.00

408.29

424.13

441.94

462.30

482.37

504.99

527.33

551.93

576.81

603.67

630.53

659.66

689.06

720.45

736.00

767.38

794.53

812.34

834.68

848.25

UnitedHealthcare

Alliance

HMO C

157.58

157.58

248.15

248.15

248.15

248.15

249.14

254.11

260.06

269.74

277.68

281.65

287.61

293.56

297.28

301.25

303.24

305.22

307.21

309.19

313.17

317.14

323.09

328.80

336.74

346.67

358.33

372.23

387.86

405.73

423.34

443.20

462.80

484.39

506.23

529.80

553.37

578.93

604.74

632.29

645.93

673.48

697.30

712.93

732.54

744.45

UnitedHealthcare

Focus

HMO D

181.25

181.25

285.44

285.44

285.44

285.44

286.58

292.29

299.14

310.27

319.41

323.97

330.82

337.68

341.96

346.52

348.81

351.09

353.37

355.66

360.23

364.79

371.64

378.21

387.34

398.76

412.18

428.16

446.14

466.69

486.96

509.80

532.35

557.18

582.30

609.41

636.53

665.93

695.62

727.30

743.00

774.68

802.09

820.07

842.62

856.32

Western Health

Full

HMO A

146.55

146.55

230.80

230.80

230.80

230.80

231.72

236.33

241.87

250.87

258.26

261.95

267.49

273.03

276.49

280.19

282.03

283.88

285.73

287.57

291.26

294.96

300.50

305.81

313.19

322.42

333.27

346.20

360.74

377.35

393.74

412.20

430.44

450.52

470.83

492.75

514.68

538.45

562.45

588.07

600.77

626.39

648.54

663.08

681.32

692.40

Western Health

Full

HMO B

153.93

153.93

242.41

242.41

242.41

242.41

243.37

248.22

254.04

263.49

271.25

275.13

280.95

286.77

290.40

294.28

296.22

298.16

300.10

302.04

305.92

309.79

315.61

321.19

328.95

338.64

350.04

363.61

378.88

396.34

413.55

432.94

452.09

473.18

494.51

517.54

540.57

565.54

590.75

617.66

630.99

657.90

681.17

696.44

715.59

727.23

Western Health

Full

HMO C

143.71

143.71

226.33

226.33

226.33

226.33

227.23

231.76

237.19

246.02

253.26

256.88

262.31

267.74

271.14

274.76

276.57

278.38

280.19

282.00

285.62

289.24

294.68

299.88

307.12

316.18

326.82

339.49

353.75

370.04

386.11

404.22

422.10

441.79

461.71

483.21

504.71

528.02

551.56

576.68

589.13

614.25

635.98

650.24

668.12

678.99

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

(continued)

41

AREA 19 (continued)

USE EMPLOYER ZIP CODE FOR RATING Gold

AGE -->

Rates effective 12/1/16-12/1/16v2

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

830.28

869.01

908.19

950.48

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

282.69

282.69

445.19

445.19

445.19

445.19

446.97

455.87

466.56

483.92

498.17

505.29

515.97

526.66

533.34

540.46

544.02

547.58

551.14

554.71

561.83

568.95

579.64

589.88

604.12

621.93

642.85

667.78

695.83

727.88

759.49

795.11

Aetna

Aetna Value Network

HMO B

277.24

277.24

436.59

436.59

436.59

436.59

438.34

447.07

457.55

474.58

488.55

495.53

506.01

516.49

523.04

530.02

533.52

537.01

540.50

543.99

550.98

557.97

568.44

578.49

592.46

609.92

630.44

654.89

682.39

713.83

744.83

779.75

814.25

852.23

890.65

932.13

973.60 1018.57 1063.98 1112.44 1136.45 1184.91 1226.83 1254.33 1288.82 1309.78

Anthem Blue Cross

Select HMO

HMO A

269.75

269.75

424.81

424.81

424.81

424.81

426.51

435.01

445.20

461.77

475.36

482.16

492.35

502.55

508.92

515.72

519.12

522.52

525.91

529.31

536.11

542.91

553.10

562.87

576.47

593.46

613.43

637.22

663.98

694.56

724.73

758.71

792.27

829.23

866.61

906.97

947.33

Anthem Blue Cross

Advantage PPO

PPO A

294.03

294.03

463.04

463.04

463.04

463.04

464.89

474.15

485.27

503.32

518.14

525.55

536.66

547.78

554.72

562.13

565.83

569.54

573.24

576.95

584.36

591.77

602.88

613.53

628.35

646.87

668.63

694.56

723.73

757.07

789.95

826.99

863.57

903.85

944.60

988.59 1032.58 1080.27 1128.43 1179.83 1205.29 1256.69 1301.14 1330.31 1366.89 1389.12

Anthem Blue Cross

Select PPO

PPO B

257.24

257.24

405.10

405.10

405.10

405.10

406.72

414.82

424.54

440.34

453.31

459.79

469.51

479.23

485.31

491.79

495.03

498.27

501.51

504.75

511.24

517.72

527.44

536.76

549.72

565.92

584.96

607.65

633.17

662.34

691.10

723.51

755.51

790.76

826.40

864.89

903.37

945.10

Anthem Blue Cross

Select PPO

PPO C

267.15

267.15

420.71

420.71

420.71

420.71

422.39

430.81

440.90

457.31

470.77

477.51

487.60

497.70

504.01

510.74

514.11

517.47

520.84

524.20

530.94

537.67

547.76

557.44

570.90

587.73

607.51

631.07

657.57

687.86

717.73

751.39

784.62

821.23

858.25

898.22

938.18

981.52 1025.27 1071.97 1095.11 1141.81 1182.20 1208.70 1241.94 1262.13

992.77 1038.63 1084.92 1134.34 1158.83 1208.24 1250.98 1279.03 1314.20 1335.57

991.08 1035.26 1082.42 1105.78 1152.93 1193.72 1220.48 1254.04 1274.43

987.23 1032.19 1054.48 1099.44 1138.33 1163.85 1195.86 1215.30

Anthem Blue Cross

Select PPO

PPO D

252.65

252.65

397.87

397.87

397.87

397.87

399.46

407.42

416.97

432.48

445.22

451.58

461.13

470.68

476.65

483.01

486.20

489.38

492.56

495.75

502.11

508.48

518.03

527.18

539.91

555.82

574.52

596.81

621.87

650.52

678.77

710.60

742.03

776.64

811.65

849.45

887.25

928.23

Anthem Blue Cross

Prudent Buyer - Small Group

EPO A

255.75

255.75

402.76

402.76

402.76

402.76

404.37

412.43

422.09

437.80

450.69

457.13

466.80

476.47

482.51

488.95

492.17

495.39

498.62

501.84

508.28

514.73

524.39

533.66

546.55

562.66

581.59

604.14

629.51

658.51

687.11

719.33

751.15

786.19

821.63

859.89

898.15

939.64

981.53 1026.23 1048.38 1093.09 1131.76 1157.13 1188.95 1208.28

Health Net

Wholecare

HMO A

244.75

244.75

381.68

381.68

381.68

381.68

383.18

390.68

399.69

414.32

426.32

432.33

441.33

450.33

455.96

461.96

464.97

467.97

470.97

473.97

479.97

485.97

494.98

503.61

515.61

530.62

548.25

569.26

592.90

619.91

646.54

676.56

706.19

738.83

771.85

807.49

843.13

881.77

920.78

962.43

983.06 1024.70 1060.72 1084.35 1113.99 1132.00

Health Net

Wholecare

HMO B

226.75

226.75

357.08

357.08

357.08

357.08

358.51

365.65

374.22

388.15

399.57

405.29

413.86

422.43

427.78

433.50

436.35

439.21

442.07

444.92

450.63

456.35

464.92

473.13

484.56

498.84

515.62

535.62

558.12

583.83

609.18

637.74

665.95

697.02

728.44

762.37

796.29

833.07

870.20

909.84

929.48

Health Net

PureCare

HSP A

196.05

196.05

305.00

305.00

305.00

305.00

306.19

312.16

319.33

330.97

340.52

345.29

352.46

359.62

364.10

368.87

371.26

373.65

376.04

378.43

383.20

387.98

395.14

402.01

411.56

423.50

437.53

454.24

473.04

494.53

515.73

539.61

563.19

589.15

615.42

643.77

672.13

702.87

733.92

767.05

783.46

816.59

845.25

864.05

887.63

901.96

Kaiser Permanente

Full

HMO A

191.48

176.49

277.94

277.94

277.94

277.94

279.05

284.61

291.28

302.12

311.01

315.46

322.13

328.80

332.97

337.42

339.64

341.86

344.09

346.31

350.76

355.20

361.87

368.27

377.16

388.28

401.34

416.91

434.42

454.43

474.16

496.40

518.35

542.53

566.99

593.40

619.80

648.43

677.33

708.19

723.47

754.32

781.01

798.52

820.47

833.82

Kaiser Permanente

Full

HMO B

194.76

179.77

283.10

283.10

283.10

283.10

284.23

289.89

296.69

307.73

316.79

321.31

328.11

334.90

339.15

343.68

345.94

348.21

350.47

352.74

357.27

361.80

368.59

375.10

384.16

395.49

408.79

424.65

442.48

462.86

482.96

505.61

527.98

552.60

577.52

604.41

631.31

660.46

689.91

721.33

736.90

768.32

795.50

813.34

835.70

849.30

Sharp Health Plan

Performance

HMO A

190.56

190.56

300.09

300.09

300.09

300.09

301.29

307.29

314.49

326.20

335.80

340.60

347.80

355.01

359.51

364.31

366.71

369.11

371.51

373.91

378.71

383.52

390.72

397.62

407.22

419.23

433.33

450.14

469.04

490.65

511.95

535.96

559.67

585.78

612.18

640.69

669.20

700.11

731.32

764.63

781.13

814.44

843.25

862.16

885.87

900.27

723.12

738.73

770.23

797.48

815.36

837.78

851.40

969.61 1013.77 1035.66 1079.82 1118.01 1143.08 1174.51 1193.61

969.12 1003.39 1025.89 1054.10 1071.24

Sharp Health Plan

Premier

HMO B

180.21

180.21

283.80

283.80

283.80

283.80

284.94

290.61

297.42

308.49

317.57

322.11

328.92

335.74

339.99

344.53

346.80

349.07

351.34

353.61

358.16

362.70

369.51

376.04

385.12

396.47

409.81

425.70

443.58

464.01

484.16

506.87

529.29

553.98

578.95

605.91

632.87

662.11

691.62

UnitedHealthcare

SignatureValue

HMO A

256.11

256.11

403.33

403.33

403.33

403.33

404.94

413.01

422.69

438.42

451.33

457.78

467.46

477.14

483.19

489.64

492.87

496.10

499.32

502.55

509.00

515.46

525.14

534.41

547.32

563.45

582.41

605.00

630.40

659.44

688.08

720.35

752.21

787.30

822.79

861.11

899.43

940.97

982.92 1027.68 1049.87 1094.64 1133.36 1158.77 1190.63 1209.99

UnitedHealthcare

Alliance

HMO B

208.84

208.84

328.88

328.88

328.88

328.88

330.20

336.77

344.67

357.49

368.02

373.28

381.17

389.07

394.00

399.26

401.89

404.52

407.15

409.78

415.05

420.31

428.20

435.77

446.29

459.45

474.90

493.32

514.04

537.72

561.07

587.38

613.36

641.97

670.92

702.16

733.40

767.28

801.48

837.99

856.07

892.58

924.15

944.87

UnitedHealthcare

Focus

HMO C

217.18

217.18

342.01

342.01

342.01

342.01

343.38

350.22

358.43

371.76

382.71

388.18

396.39

404.60

409.73

415.20

417.94

420.67

423.41

426.14

431.62

437.09

445.30

453.16

464.11

477.79

493.86

513.02

534.56

559.19

583.47

610.83

637.85

667.60

697.70

730.19

762.68

797.91

833.48

871.44

890.25

928.22

961.05

982.59 1009.61 1026.03

Western Health

Full

HMO A

176.65

176.65

278.19

278.19

278.19

278.19

279.30

284.86

291.54

302.39

311.29

315.74

322.42

329.09

333.27

337.72

339.94

342.17

344.39

346.62

351.07

355.52

362.20

368.60

377.50

388.63

401.70

417.28

434.81

454.84

474.59

496.84

518.82

543.02

567.50

593.93

620.36

649.01

677.94

708.82

724.12

755.00

781.71

799.23

821.21

834.57

Western Health

Full

HMO B

184.44

184.44

290.46

290.46

290.46

290.46

291.62

297.43

304.40

315.73

325.02

329.67

336.64

343.61

347.97

352.61

354.94

357.26

359.58

361.91

366.56

371.20

378.17

384.85

394.15

405.77

419.42

435.69

453.98

474.90

495.52

518.76

541.70

566.97

592.53

620.13

647.72

677.64

707.85

740.09

756.06

788.30

816.19

834.49

857.43

871.38

Western Health

Full

HMO C

167.18

167.18

263.28

263.28

263.28

263.28

264.33

269.59

275.91

286.18

294.61

298.82

305.14

311.46

315.40

319.62

321.72

323.83

325.94

328.04

332.25

336.47

342.79

348.84

357.27

367.80

380.17

394.92

411.50

430.46

449.15

470.21

491.01

513.92

537.09

562.10

587.11

614.23

641.61

670.83

685.31

714.54

739.81

756.40

777.20

789.84

Western Health

Full

HMO D

160.54

160.54

252.82

252.82

252.82

252.82

253.83

258.88

264.95

274.81

282.90

286.95

293.01

299.08

302.87

306.92

308.94

310.96

312.99

315.01

319.05

323.10

329.17

334.98

343.07

353.18

365.07

379.23

395.15

413.36

431.31

451.53

471.50

493.50

515.75

539.77

563.78

589.82

616.12

644.18

658.09

686.15

710.42

726.35

746.32

758.46

0-18

19-20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64+

CARRIER

NETWORK

PLAN

Aetna

Aetna Value Network

HMO A

326.17

326.17

513.66

513.66

513.66

513.66

515.71

525.98

538.31

558.34

574.78

583.00

595.33

607.65

615.36

623.58

627.69

631.80

635.91

640.01

648.23

656.45

668.78

680.59

697.03

717.58

741.72

770.48

802.84

839.83

876.30

917.39

957.97 1002.66 1047.86 1096.65 1145.45 1198.36 1251.78 1308.79 1337.04 1394.06 1443.37 1475.73 1516.31 1540.97

Anthem Blue Cross

Select HMO

HMO A

293.29

293.29

461.87

461.87

461.87

461.87

463.72

472.95

484.04

502.05

516.83

524.22

535.31

546.39

553.32

560.71

564.41

568.10

571.80

575.49

582.88

590.27

601.35

611.98

626.76

645.23

666.94

692.81

721.90

755.16

787.95

824.90

861.39

901.57

942.21

986.09 1029.97 1077.54 1125.58 1176.84 1202.25 1253.52 1297.85 1326.95 1363.44 1385.61

Health Net

Salud HMO y Mas

HMO A

254.65

254.65

397.27

397.27

397.27

397.27

398.83

406.65

416.03

431.27

443.77

450.02

459.40

468.78

474.64

480.89

484.02

487.14

490.27

493.39

499.65

505.90

515.28

524.26

536.77

552.40

570.76

592.65

617.26

645.40

673.14

704.40

735.27

769.26

803.65

840.77

877.89

918.14

Kaiser Permanente

Full

HMO A

212.69

197.70

311.33

311.33

311.33

311.33

312.58

318.81

326.28

338.42

348.38

353.36

360.84

368.31

372.98

377.96

380.45

382.94

385.43

387.92

392.90

397.89

405.36

412.52

422.48

434.93

449.57

467.00

486.62

509.03

531.14

556.04

580.64

607.72

635.12

664.70

694.28

726.34

758.72

793.28

810.40

844.96

874.85

894.46

Sharp Health Plan

Premier

HMO A

215.70

215.70

339.68

339.68

339.68

339.68

341.04

347.83

355.98

369.23

380.10

385.54

393.69

401.84

406.94

412.37

415.09

417.81

420.52

423.24

428.68

434.11

442.26

450.08

460.95

474.53

490.50

509.52

530.92

555.38

579.49

606.67

633.50

663.06

692.95

725.22

757.49

792.47

827.80

865.50

884.19

921.89

954.50

975.90 1002.74 1019.04

Sharp Health Plan

Performance

HMO B

221.37

221.37

348.62

348.62

348.62

348.62

350.01

356.99

365.35

378.95

390.11

395.68

404.05

412.42

417.65

423.22

426.01

428.80

431.59

434.38

439.96

445.54

453.90

461.92

473.08

487.02

503.41

522.93

544.89

569.99

594.75

622.64

650.18

680.51

711.18

744.30

777.42

813.33

849.59

888.28

907.46

946.15

979.62 1001.59 1029.13 1045.86

UnitedHealthcare

SignatureValue

HMO A

276.88

276.88

436.03

436.03

436.03

436.03

437.77

446.49

456.96

473.96

487.92

494.89

505.36

515.82

522.36

529.34

532.83

536.32

539.81

543.29

550.27

557.25

567.71

577.74

591.69

609.13

629.63

654.05

681.51

712.91

743.87

778.75

813.20

851.13

889.50

930.92

972.35 1017.26 1062.61 1111.00 1134.99 1183.39 1225.24 1252.71 1287.16 1308.09

Platinum

AGE -->

970.85

986.64

958.78 1002.15 1023.64 1067.02 1104.53 1129.14 1160.01 1178.77 919.06

933.99

UnitedHealthcare

Focus

HMO B

234.78

234.78

369.73

369.73

369.73

369.73

371.21

378.60

387.48

401.90

413.73

419.64

428.52

437.39

442.94

448.85

451.81

454.77

457.73

460.68

466.60

472.51

481.39

489.89

501.72

516.51

533.89

554.60

577.89

604.51

630.76

660.34

689.55

721.71

754.25

789.37

824.50

862.58

901.03

942.07

UnitedHealthcare

Alliance

HMO C

225.79

225.79

355.57

355.57

355.57

355.57

356.99

364.10

372.64

386.50

397.88

403.57

412.11

420.64

425.97

431.66

434.51

437.35

440.20

443.04

448.73

454.42

462.95

471.13

482.51

496.73

513.44

533.36

555.76

581.36

606.60

635.05

663.14

694.07

725.36

759.14

792.92

829.54

866.52

905.99

925.55

965.02

999.15 1021.55 1049.64 1066.71

Western Health

Full

HMO A

204.61

204.61

322.23

322.23

322.23

322.23

323.51

329.96

337.69

350.26

360.57

365.73

373.46

381.19

386.03

391.18

393.76

396.34

398.92

401.49

406.65

411.80

419.54

426.95

437.26

450.15

465.30

483.34

503.64

526.84

549.72

575.50

600.95

628.99

657.34

687.96

718.57

751.76

785.27

821.04

838.76

874.53

905.46

925.76

951.22

966.69

Western Health

Full

HMO B

209.58

209.58

330.05

330.05

330.05

330.05

331.37

337.97

345.89

358.76

369.32

374.60

382.52

390.44

395.39

400.68

403.32

405.96

408.60

411.24

416.52

421.80

429.72

437.31

447.87

461.07

476.59

495.07

515.86

539.63

563.06

589.46

615.54

644.25

673.30

704.65

736.01

770.00

804.33

840.96

859.12

895.75

927.44

948.23

974.30

990.15

962.41 1003.45 1038.94 1062.23 1091.44 1109.19

Health Care Service Plan rates will vary by county THE INFORMATION PROVIDED HEREIN, INCLUDING THE RATING INFORMATION IS PROVIDED ON TO YOU ON AN “AS IS” “AS AVAILABLE” BASIS WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED. WE FURTHER DISCLAIM ALL LIABILITY RELATED TO THE INFORMATION, INCLUDING THOSE CAUSED BY RATING DISCREPANCIES. FINAL RATES AND RATING AREAS ARE BASED UPON ACTUAL ENROLLMENT AND UNDERWRITING AND MUST BE APPROVED BY THE APPLICABLE INSURANCE CARRIER.

42