GROUP HEALTH INSURANCE 2003 MONTHLY PREMIUM RATES BY COUNTY FOR GRADUATE ASSISTANTS EMPLOYEE SHARE
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1 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 01 ADAMS UNITY-COMMUNITY STANDARD PLAN , STANDARD PLAN ASHLAND HUMANA-WESTERN BARRON GHC-EAU CLAIRE VALLEY HEALTH PLAN BAYFIELD MAINTENANCE PLAN , , BROWN COMPCAREBLUE NORTHEAST PREVEA HEALTH PLAN TOUCHPOINT HEALTH PLAN STANDARD PLAN , STANDARD PLAN BUFFALO HUMANA-WESTERN VALLEY HEALTH PLAN MAINTENANCE PLAN , , BURNETT COMPCAREBLUE NORTH CALUMET HUMANA-EASTERN CHIPPEWA GHC-EAU CLAIRE VALLEY HEALTH PLAN Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
2 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 10 CLARK GHC-EAU CLAIRE COLUMBIA PHYSICIANS PLUS - SC UNITY-COMMUNITY CRAWFORD GUNDERSEN LUTHERAN HEALTH TRADITION MEDICAL ASSOCIATES HMO UNITY-COMMUNITY STANDARD PLAN , STANDARD PLAN DANE DEAN HEALTH PLAN GHC-SOUTH CENTRAL HUMANA-EASTERN MERCYCARE HEALTH PLAN PHYSICIANS PLUS - SC UNITY-UW HEALTH STANDARD PLAN , STANDARD PLAN DODGE COMPCAREBLUE NORTHEAST HUMANA-EASTERN UNITY-COMMUNITY DOOR PREVEA HEALTH PLAN TOUCHPOINT HEALTH PLAN STANDARD PLAN , STANDARD PLAN DOUGLAS COMPCAREBLUE NORTH DUNN GHC-EAU CLAIRE HUMANA-WESTERN VALLEY HEALTH PLAN STANDARD PLAN , STANDARD PLAN Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
3 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 18 EAU CLAIRE GHC-EAU CLAIRE VALLEY HEALTH PLAN FLORENCE HUMANA-WESTERN MAINTENANCE PLAN , , FOND DU LAC COMPCAREBLUE NORTHEAST DEAN HEALTH PLAN HUMANA-EASTERN FOREST MAINTENANCE PLAN , , GRANT DEAN HEALTH PLAN GUNDERSEN LUTHERAN MEDICAL ASSOCIATES HMO UNITY-COMMUNITY STANDARD PLAN , STANDARD PLAN GREEN MERCYCARE HEALTH PLAN UNITY-COMMUNITY GREEN LAKE DEAN HEALTH PLAN IOWA DEAN HEALTH PLAN MEDICAL ASSOCIATES HMO PHYSICIANS PLUS - SC UNITY-COMMUNITY STANDARD PLAN , STANDARD PLAN Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
4 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 26 IRON HUMANA-WESTERN MAINTENANCE PLAN , , JACKSON 28 JEFFERSON DEAN HEALTH PLAN HUMANA-EASTERN MERCYCARE HEALTH PLAN UNITY-COMMUNITY STANDARD PLAN , STANDARD PLAN JUNEAU GUNDERSEN LUTHERAN HEALTH TRADITION UNITY-COMMUNITY STANDARD PLAN , STANDARD PLAN KENOSHA 31 KEWAUNEE PREVEA HEALTH PLAN TOUCHPOINT HEALTH PLAN MAINTENANCE PLAN , , LA CROSSE 33 LAFAYETTE DEAN HEALTH PLAN MEDICAL ASSOCIATES HMO STANDARD PLAN , STANDARD PLAN LANGLADE 35 LINCOLN MAINTENANCE PLAN , , Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
5 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 36 MANITOWOC COMPCAREBLUE NORTHEAST PREVEA HEALTH PLAN STANDARD PLAN , STANDARD PLAN MARATHON 38 MARINETTE HUMANA-WESTERN PREVEA HEALTH PLAN TOUCHPOINT HEALTH PLAN MAINTENANCE PLAN , , MARQUETTE UNITY-COMMUNITY MAINTENANCE PLAN , , MENOMINEE MAINTENANCE PLAN , , MILWAUKEE COMPCAREBLUE - AURORA/ HUMANA-EASTERN STANDARD PLAN , STANDARD PLAN MONROE 42 OCONTO COMPCAREBLUE NORTHEAST PREVEA HEALTH PLAN TOUCHPOINT HEALTH PLAN STANDARD PLAN , STANDARD PLAN ONEIDA 44 OUTAGAMIE PREVEA HEALTH PLAN OZAUKEE Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
6 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 46 PEPIN HUMANA-WESTERN VALLEY HEALTH PLAN MAINTENANCE PLAN , , PIERCE HUMANA-WESTERN VALLEY HEALTH PLAN MAINTENANCE PLAN , , POLK COMPCAREBLUE NORTH VALLEY HEALTH PLAN PORTAGE 50 PRICE 51 RACINE 52 RICHLAND GUNDERSEN LUTHERAN PHYSICIANS PLUS - SC UNITY-COMMUNITY ROCK DEAN HEALTH PLAN HUMANA-EASTERN MERCYCARE HEALTH PLAN PHYSICIANS PLUS - SC STANDARD PLAN , STANDARD PLAN RUSK GHC-EAU CLAIRE VALLEY HEALTH PLAN MAINTENANCE PLAN , , Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
7 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 56 SAUK GUNDERSEN LUTHERAN PHYSICIANS PLUS - SC UNITY-COMMUNITY SAWYER COMPCAREBLUE NORTH GHC-EAU CLAIRE SHAWANO TOUCHPOINT HEALTH PLAN STANDARD PLAN , STANDARD PLAN SHEBOYGAN COMPCAREBLUE NORTHEAST HUMANA-EASTERN STANDARD PLAN , STANDARD PLAN ST CROIX COMPCAREBLUE NORTH VALLEY HEALTH PLAN TAYLOR 61 TREMPEALEAU GHC-EAU CLAIRE HUMANA-WESTERN VALLEY HEALTH PLAN VERNON UNITY-COMMUNITY VILAS Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
8 GROUP HEALTH INSURANCE 2003 MONTHLY RATES BY COUNTY FOR GRADUATE ASSISTANTS 64 WALWORTH DEAN HEALTH PLAN HUMANA-EASTERN MERCYCARE HEALTH PLAN STANDARD PLAN , STANDARD PLAN WASHBURN COMPCAREBLUE NORTH WASHINGTON 67 WAUKESHA COMPCAREBLUE - AURORA/ WAUPACA COMPCAREBLUE NORTH WAUSHARA 70 WINNEBAGO 71 WOOD 99 OUT OF GUNDERSEN LUTHERAN HUMANA-WESTERN MEDICAL ASSOCIATES HMO MERCYCARE HEALTH PLAN PREVEA HEALTH PLAN MAINTENANCE PLAN , , NOTE: Out of state rates apply for alternate health plans when your designated provider is located outside the state of Wisconsin. Out of state rates apply for State Maintenance Plan, Standard Plan and Standard Plan 2 when the subscriber resides outside the state of Wisconsin. Plan's premium not used to calculate the "State Pays" amount due to limited provider availability. Standard Plan 2 and SMP premiums are not used in any
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