Bridging the gap between healthcare and health policy - …stateofreform.com/wp-content/uploads/2015/05/Moda-2016... · 2016-12-18 · FILING DESCRIPTION Company Name: Moda Health

Supporting Document Schedules Satisfied - Item: HBP - Filing DescriptionComments:Attachment(s): Moda SMGR 2016 Filing Description.pdfItem Status:Status Date:

Satisfied - Item: HBP - Appendix II: Cost Containment and Quality Improvement EffortsComments:Attachment(s): Moda Health Small Group Appendix II.pdfItem Status:Status Date:

SERFF Tracking #: ODSV-130056446 State Tracking #: ODSV-130056446 Company Tracking #: 2015-21-01-OR

State: Oregon Filing Company: Moda Health Plan, Inc.

TOI/Sub-TOI: H16G Group Health - Major Medical/H16G.003A Small Group Only - PPO

Product Name: Oregon Small Group Rates 2016

Project Name/Number: Oregon Small Group 2016 Rates/2015-21-01-OR

PDF Pipeline for SERFF Tracking Number ODSV-130056446 Generated 05/01/2015 05:43 PM

FILING DESCRIPTION

Company Name: Moda Health Plan, Inc.

Market: Small Group

Effective Date: January 1, 2016

This filing contains details on the analysis used to determine requested individual rates for Medical/Rx

plans effective January 1, 2016 through December 31, 2016, available both on and off the Exchange.

Included in this filing are complete rate tables, all relevant rating factors, and a detailed discussion of the

assumptions and methods used to determine the rates.

Filing Information

The plans contained in this filing consist of:

• Platinum Tier: Two PPO plans

• Gold Tier: Oregon Standard Plan and six additional PPO plans

• Silver Tier: Oregon Standard Plan, three HSA plans, fourteen additional PPO plans,

• Bronze Tier: Oregon Standard Plan, one HSA plan, and nine additional PPO plans

Plans utilizing the Rose City network will only be available in Multnomah, Clackamas, Washington and

Yamhill counties. Plans utilizing the Synergy network will be available in at least one county in each

rating area. Plans utilizing the Summit network will be available in parts of Region 4 and 6. The

Connexus network will be available statewide. All plans except for the Value 2000 (Rose City) and Moda

Health Rose City Essence 5000 will be offered off the exchange. The PPO Platinum 250, PPO Platinum

500, PPO 500, PPO 1000A, PPO 1500, PPO 3000, Moda Health Connexus Aspire 2500, Moda Health

Connexus Fundamental 3500, Moda Health Connexus HSA 1500, Moda Health Connexus HSA 3250,

Moda Health Connexus Basic 6500, Moda Health Synergy/Summit Exclusive 2000, Moda Health

Synergy/Summit Exclusive 5000, PPO platinum Synergy/Summit Exclusive 250, PPO Synergy/Summit

Exclusive 1000A and all Moda Health Standard Plans will be offered on and off the exchange.

Following federal guidelines, most plans with the exception of the standard plans, PPO 500, PPO 1000A,

PPO 1000B, PPO 1500, PPO 2500, PPO 3000, Value 1500, Value 2000, Value 2500, Value 3000, and Value

3500 are being discontinued. However similar plan designs that falls within the same metallic tier will be

offered and members will be automatically moved to the applicable plan. The plans will be treated as

modifications in all documentation except the URRT to provide meaningful rate increase information.

Prior Filing Information

Rates for January 1, 2015 were filed with SERFF tracking number ODSV-129569436 and were approved

on August 12, 2014. The HIOS submission number for this filing is 39424-410713868361316400.

Comparing projected results for the experience to the actual results shows administrative costs slightly

higher than projected due to increases in taxes and assessments.

FILING DESCRIPTION


Market: Small Group


Projected Actual

Claims 76.1% 74.4%

Administrative Costs 22.4% 21.7%

Margin 1.5% 3.9%

Rate Change Summary

The requested rate change will be effective for 12 months, from January 1, 2016 to December 31, 2016

with quarterly rating trend. The weighted average rate change included in this filing is 4.22% with the

minimum change equal to 0.18% and the maximum rate change equal to 24.33%. This does not account

for any changes between age tiers.

Key changes in the filing include:

• Plan relativities and Region rating factors were modified.

• Plans in the platinum metallic tier will be offered.

• This filing includes new plans in all metallic tiers to replace the previous portfolio. Members

were mapped to the new plan designs in way to limit disruption if possible.

• No major benefit changes were made to existing plans. All modifications are detailed in Exhibit

2.

Filing Impact

As of March 31, 2015, there are 16,137 members impacted by the requested rate change. Membership

is projected to increase uniformly over the year to about 29,000.

COST CONTAINMENT AND QUALITY IMPROVEMENT EFFORTS Appendix II


Market: Small Group


1 | P a g e

Moda Health strives to manage costs while providing the highest quality service and care for our members. Our

programs help members meet their health care needs through prevention, wellness and condition specific

programs. We are continually looking for opportunities to help members maximize the effectiveness of their

health care dollars. Here are a few examples of ongoing cost containment and quality improvement efforts at

Moda Health.

Medical Quality Improvement Committee (MQIC) –Comprised of representatives from multiple departments that

oversees Moda Health quality improvement programs. This committee monitors and evaluates the health care

services provided to Moda Health members in Oregon, Washington, and Alaska to ensure that they meet current

medical practice and service standards. The MQIC meets at least six times per year and facilitates communication

among Moda Health departments, providers, employer groups and members to ensure the delivery of healthcare

services in an efficient management of resources.

Pharmacy and Therapeutics Committee – Chaired by a Moda Health medical director, this robust multi-

department committee oversees drug formulary decisions to ensure the availability of safe and effective drug

choices by: promoting evidence-based standards in the formulary decision-making process to ensure clinical

efficacy, patient safety, and cost-effective medication options; establishing policies and procedures to educate and

inform health care providers, members and clients about drug products and appropriate use; as well as developing

protocols and procedures for the ease of and access to non-formulary drugs.

Case Management and Care Coordination - Our programs use evidence-based medicine and best practice clinical

care guidelines. The guidelines are used when prior authorizing inpatient and surgical admissions, durable medical

equipment, outpatient therapies and chiropractic care, acupuncture and massage therapy. In addition, evidence

based-guidelines are used to assign initial length of stay, continued stay, and to confirm the appropriate level of

care for inpatient, acute rehabilitation and skilled nursing facility admissions.

Care coordination nurses follow members through preauthorization of an inpatient admission, inpatient

concurrent review, discharge planning, and the recovery phase of an acute condition, when coordination of

additional services is needed. The care management programs use nationally recognized clinical care guidelines

developed through evidence-based medicine and best practice. This approach supports our readmission

prevention program.

Moda Health has ongoing quality improvement projects for congestive heart failure (CHF), inpatient readmissions,

depression screening, and hospice utilization. These efforts also include communication among case managers,

health coaches, and behavioral healthcare coordinators to ensure the members receive the appropriate level of

care with the appropriate provider.

To ensure quality centers of excellence are available for transplant care, specialized cancer care that is not

available locally, kidney dialysis, and complex neonatal case management.

Utilization management delegation – In an effort to reduce costs and improve efficiencies and quality, Moda

Health delegates some utilization management activities to other entities who are experts in their fields. The

Medical Management Delegation Committee meets quarterly to review utilization and denial reports and other

information submitted by the delegated entity. For Oregon, Moda Health delegates utilization management

activities for advanced imaging and specialty oncology drugs. Using delegated utilization management programs

continues to reduce unwarranted variation and high utilization. This arrangement also provides peer-to-peer

communication with providers.

Advanced Imaging Review – Driven by high-tech services such as CT, MRI, Nuclear Medicine, and PET, outpatient

diagnostic imaging has become the fastest growing medical expenditure in the United States. Imaging services per



Market: Small Group


2 | P a g e

Medicare beneficiary increased by 62% between 1999 and 2004. The increase in imaging use has also caused an

equally dramatic increase in the amount of radiation exposure associated with these studies.

At Moda Health our focus is to improve patient safety, enhance quality of health care and facilitate cost effective

evidence-based care. Image management allows these goals to be achieved. The program promotes the

appropriate use of diagnostic imaging through the application of widely accepted clinical guidelines. This leads to

improved clinical quality and appropriate cost management in diagnostic imaging. Utilization of advanced imaging

has decreased ~4% since the implementation of this program without any evidence of compromising the quality of

patient care.

Length of stay review - assignment of initial length of stay days, and concurrent review of hospital, inpatient

rehabilitation and skilled nursing facility stays for extension of the length of stay days, based on evidence based,

best practice targets. This initiative has decreased the average length of stay ~.3%

Inpatient Care Coordination RNs are assigned to facilities, by regions in the states of Oregon, Washington and

Alaska, to review inpatient admission length of stay. The same nurse following hospital admissions in a particular

region of Oregon is also assigned network hospitals regionally that are contiguous to the areas assigned. The

regions are as follows:

• Portland Metro

• North Coast

• Valley

• South Coast/Southwest Oregon

• Central Oregon/ Gorge

• Eastern/South Central Oregon

• Clark County

Advantages to assigning by facility and region:

• Positive provider relationships: The facility nurse knows which nurse to call at Moda Health

• Reduced inpatient length of stay and correct level of care: The facility nurse calls the Moda Health nurse

directly to expedite authorization and transition to a skilled facility, rehabilitation facility, or to home

care, when assistance with discharge planning is needed

• Smooth transitions of care: The same Moda Health nurse follows the member when a transfer to a

neighboring facility in a border state is required for a specialized, or higher, level of care.

Health Promotion and Engagement - Health Promotion and Engagement designs a comprehensive and integrated

suite of programs and services for members at all stages of life and health aimed at improving population health,

as well as members’ experience of care, all while reducing costs. These programs and services assist members in

making informed decisions and promote a wide array of key health promotion and wellness activities including:

• Research/implementation of quality initiatives

• Wellness consulting

• Disease management and health coaching

• Community events

One-on-one disease management and health coaching - Our multidisciplinary team of clinicians, including

registered nurses, registered dieticians, social workers and dental hygienists, provides Moda Health members with

one-on-one support in the following nine health areas: Cardiac care, Dental Care, Depression Care, Respiratory

Care, Women’s Health and Maternity Care, Weight Care, Spine & Joint Care, and Lifestyle Coaching. The purpose

of one-on-one disease management and health coaching is to assist members with self-management of their

condition, prevent development and progression of complications, and improve adherence to their medical care

regime.



Market: Small Group


3 | P a g e

Moda Health Post-hospitalization care management - Care coordination nurses follow all members with post

hospital needs (home health, home infusion, palliative and hospice care) and refer to case management if

additional long term or complex needs are identified. Cases are referred to health coaching programs when post

hospital discharge needs are complete and member requires follow up for chronic illness, depression care, or

lifestyle coaching

• All Mental Health hospitalizations and chemical dependency facility discharges trigger both a seven and

thirty day follow up by Moda Health Behavioral Health to assure the member has an outpatient follow up

appointment, before leaving the facility. Behavioral health contacts the member to remind them of the

appointment and confirms with the provider that the member kept the appointment. This is augmented

by trigger diagnosis, internal case review hospital follow up, care coordination and case management

referral, Co-morbid diagnosis and medical management review committee.

• All congestive heart failure (CHF) hospitalizations trigger a follow-up within seven days by Medical

Management & Health Coaching. This is augmented by trigger Diagnosis, internal Case Review- hospital

follow up, Care coordination and Case Management referral, Co-morbid diagnosis and medical

management review committee.

Rate/Rule Schedule

Item

No.

Schedule

Item

Status

Document Name

Affected Form Numbers

(Separated with commas) Rate Action Rate Action Information Attachments

1 Rate Table ModaSG-OR 1-1-2016 Revised Previous State Filing Number:ODSV-129569436Percent Rate Change Request:4.2

Quarter 1 RateTable.pdf, Quarter 2Rate Table.pdf,Quarter 3 RateTable.pdf, Quarter 4Rate Table.pdf, GARArea 1.pdf, GAR Area2.pdf, GAR Area 3.pdf,GAR Area 4.pdf, GARArea 5.pdf, GAR Area6.pdf, GAR Area 7.pdf,







RATE TABLES AND FACTORS


Market: Small Group


Area 1 Area 1Moda Health Plan Inc

Plan

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500 PPO 2500 PPO 3000 Value 1500HIOS Plan

0-20 $230.25 $227.27 $214.88 $208.81 $208.42 $203.26 $182.67 $179.24 $182.5021 $362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.4022 $362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.4023 $362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.4024 $362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.4025 $364.04 $359.34 $339.75 $330.16 $329.54 $321.37 $288.83 $283.40 $288.5526 $371.30 $366.50 $346.52 $336.73 $336.10 $327.78 $294.58 $289.05 $294.2927 $380.00 $375.09 $354.64 $344.62 $343.98 $335.46 $301.49 $295.82 $301.1928 $394.14 $389.05 $367.84 $357.45 $356.78 $347.94 $312.70 $306.83 $312.4029 $405.74 $400.50 $378.66 $367.97 $367.28 $358.18 $321.91 $315.87 $321.6030 $411.54 $406.23 $384.08 $373.23 $372.54 $363.31 $326.51 $320.38 $326.2031 $420.25 $414.82 $392.20 $381.13 $380.41 $370.99 $333.42 $327.16 $333.0932 $428.95 $423.41 $400.32 $389.02 $388.29 $378.67 $340.32 $333.93 $339.9933 $434.39 $428.78 $405.40 $393.95 $393.21 $383.47 $344.64 $338.17 $344.3034 $440.19 $434.50 $410.81 $399.21 $398.47 $388.59 $349.24 $342.68 $348.9035 $443.09 $437.37 $413.52 $401.84 $401.09 $391.15 $351.54 $344.94 $351.2036 $445.99 $440.23 $416.23 $404.47 $403.72 $393.71 $353.84 $347.20 $353.5037 $448.89 $443.09 $418.93 $407.10 $406.34 $396.28 $356.14 $349.46 $355.8038 $451.79 $445.96 $421.64 $409.74 $408.97 $398.84 $358.45 $351.71 $358.1039 $457.59 $451.68 $427.05 $415.00 $414.22 $403.96 $363.05 $356.23 $362.7040 $463.40 $457.41 $432.47 $420.26 $419.47 $409.08 $367.65 $360.75 $367.2941 $472.10 $466.00 $440.59 $428.15 $427.35 $416.76 $374.56 $367.52 $374.1942 $480.44 $474.23 $448.37 $435.71 $434.90 $424.12 $381.17 $374.01 $380.8043 $492.04 $485.69 $459.20 $446.24 $445.40 $434.37 $390.38 $383.05 $390.0044 $506.54 $500.00 $472.74 $459.39 $458.53 $447.17 $401.88 $394.34 $401.4945 $523.59 $516.82 $488.64 $474.85 $473.96 $462.21 $415.41 $407.61 $415.0046 $543.89 $536.87 $507.59 $493.26 $492.34 $480.14 $431.52 $423.41 $431.1047 $566.73 $559.42 $528.91 $513.98 $513.02 $500.31 $449.64 $441.20 $449.2048 $592.84 $585.19 $553.28 $537.65 $536.65 $523.35 $470.35 $461.52 $469.8949 $618.59 $610.60 $577.30 $561.00 $559.95 $546.08 $490.78 $481.56 $490.3050 $647.59 $639.23 $604.37 $587.31 $586.21 $571.69 $513.79 $504.14 $513.2951 $676.24 $667.50 $631.11 $613.29 $612.14 $596.97 $536.52 $526.44 $536.0052 $707.78 $698.64 $660.55 $641.90 $640.70 $624.82 $561.55 $551.00 $561.0053 $739.69 $730.14 $690.33 $670.83 $669.58 $652.99 $586.86 $575.84 $586.2954 $774.14 $764.14 $722.47 $702.07 $700.76 $683.40 $614.19 $602.66 $613.5955 $808.58 $798.14 $754.62 $733.31 $731.94 $713.81 $641.52 $629.47 $640.9056 $845.93 $835.01 $789.48 $767.19 $765.75 $746.78 $671.15 $658.55 $670.5057 $883.64 $872.23 $824.67 $801.38 $799.88 $780.07 $701.07 $687.90 $700.3958 $923.89 $911.96 $862.23 $837.89 $836.32 $815.60 $733.00 $719.24 $732.2959 $943.83 $931.64 $880.84 $855.97 $854.37 $833.20 $748.82 $734.76 $748.1060 $984.08 $971.37 $918.40 $892.47 $890.80 $868.73 $780.76 $766.09 $780.0061 $1,018.89 $1,005.73 $950.89 $924.04 $922.31 $899.46 $808.37 $793.19 $807.5962 $1,041.73 $1,028.28 $972.21 $944.76 $942.99 $919.63 $826.50 $810.98 $825.6963 $1,070.38 $1,056.55 $998.94 $970.74 $968.92 $944.92 $849.22 $833.28 $848.40

64+ $1,087.77 $1,073.72 $1,015.18 $986.51 $984.67 $960.27 $863.02 $846.82 $862.18



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Moda Health Plan Inc

Value 2000

Value 2000

(Rose City) Value 2500 Value 3000 Value 3500 Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

$176.20 $162.75 $171.49 $167.31 $163.49 $154.58 $174.97 $169.90 $148.15$277.47 $256.29 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31$277.47 $256.29 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31$277.47 $256.29 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31$277.47 $256.29 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31$278.58 $257.32 $271.15 $264.53 $258.49 $244.40 $276.64 $268.63 $234.24$284.13 $262.44 $276.55 $269.80 $263.64 $249.27 $282.15 $273.98 $238.91$290.79 $268.59 $283.03 $276.12 $269.82 $255.11 $288.76 $280.40 $244.51$301.61 $278.59 $293.57 $286.40 $279.86 $264.61 $299.51 $290.83 $253.60$310.49 $286.79 $302.21 $294.83 $288.10 $272.40 $308.33 $299.39 $261.07$314.93 $290.89 $306.53 $299.04 $292.22 $276.29 $312.74 $303.68 $264.80$321.59 $297.04 $313.01 $305.37 $298.40 $282.13 $319.35 $310.10 $270.40$328.25 $303.19 $319.49 $311.69 $304.58 $287.98 $325.96 $316.52 $276.00$332.41 $307.04 $323.54 $315.64 $308.44 $291.63 $330.09 $320.53 $279.50$336.85 $311.14 $327.87 $319.86 $312.56 $295.52 $334.50 $324.81 $283.23$339.07 $313.19 $330.03 $321.96 $314.62 $297.47 $336.71 $326.95 $285.10$341.29 $315.24 $332.19 $324.07 $316.68 $299.42 $338.91 $329.09 $286.97$343.51 $317.29 $334.35 $326.18 $318.74 $301.37 $341.12 $331.23 $288.83$345.73 $319.34 $336.51 $328.29 $320.80 $303.31 $343.32 $333.37 $290.70$350.17 $323.44 $340.83 $332.50 $324.92 $307.21 $347.73 $337.66 $294.43$354.61 $327.54 $345.15 $336.72 $329.04 $311.10 $352.14 $341.94 $298.17$361.27 $333.69 $351.63 $343.04 $335.22 $316.94 $358.75 $348.36 $303.77$367.65 $339.59 $357.84 $349.10 $341.14 $322.54 $365.09 $354.51 $309.13$376.53 $347.79 $366.49 $357.53 $349.38 $330.33 $373.91 $363.07 $316.60$387.63 $358.04 $377.29 $368.07 $359.68 $340.07 $384.93 $373.78 $325.93$400.67 $370.09 $389.98 $380.46 $371.78 $351.51 $397.88 $386.35 $336.89$416.21 $384.44 $405.11 $395.21 $386.20 $365.14 $413.31 $401.33 $349.96$433.69 $400.58 $422.12 $411.81 $402.42 $380.48 $430.67 $418.19 $364.66$453.67 $419.04 $441.56 $430.78 $420.95 $398.01 $450.50 $437.45 $381.46$473.37 $437.23 $460.74 $449.49 $439.23 $415.29 $470.07 $456.45 $398.02$495.57 $457.74 $482.35 $470.56 $459.83 $434.76 $492.11 $477.85 $416.69$517.49 $477.99 $503.68 $491.38 $480.17 $454.00 $513.88 $498.99 $435.12$541.63 $500.28 $527.18 $514.30 $502.57 $475.17 $537.85 $522.27 $455.41$566.05 $522.84 $550.94 $537.49 $525.23 $496.60 $562.10 $545.81 $475.95$592.41 $547.18 $576.60 $562.52 $549.69 $519.72 $588.27 $571.23 $498.11$618.77 $571.53 $602.26 $587.55 $574.15 $542.85 $614.45 $596.65 $520.27$647.35 $597.93 $630.07 $614.68 $600.66 $567.92 $642.83 $624.21 $544.30$676.21 $624.58 $658.16 $642.09 $627.44 $593.24 $671.49 $652.03 $568.57$707.01 $653.03 $688.14 $671.33 $656.02 $620.26 $702.07 $681.73 $594.47$722.27 $667.13 $702.99 $685.82 $670.18 $633.65 $717.23 $696.45 $607.30$753.07 $695.58 $732.97 $715.07 $698.76 $660.67 $747.81 $726.15 $633.19$779.70 $720.18 $758.90 $740.36 $723.47 $684.04 $774.26 $751.83 $655.59$797.18 $736.33 $775.91 $756.96 $739.69 $699.37 $791.62 $768.69 $670.29$819.10 $756.58 $797.25 $777.77 $760.03 $718.60 $813.39 $789.82 $688.72$832.41 $768.87 $810.20 $790.41 $772.38 $730.28 $826.60 $802.66 $699.91



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 1

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Rose City

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

$137.11 $185.66 $177.42 $170.76 $150.32 $137.43 $126.26 $136.60 $136.91$215.93 $292.38 $279.40 $268.91 $236.72 $216.42 $198.84 $215.11 $215.61$215.93 $292.38 $279.40 $268.91 $236.72 $216.42 $198.84 $215.11 $215.61$215.93 $292.38 $279.40 $268.91 $236.72 $216.42 $198.84 $215.11 $215.61$215.93 $292.38 $279.40 $268.91 $236.72 $216.42 $198.84 $215.11 $215.61$216.79 $293.55 $280.51 $269.98 $237.66 $217.29 $199.64 $215.97 $216.47$221.11 $299.40 $286.10 $275.36 $242.40 $221.62 $203.61 $220.28 $220.78$226.29 $306.41 $292.81 $281.81 $248.08 $226.81 $208.38 $225.44 $225.96$234.71 $317.82 $303.70 $292.30 $257.31 $235.25 $216.14 $233.83 $234.36$241.62 $327.17 $312.64 $300.91 $264.89 $242.18 $222.50 $240.71 $241.26$245.08 $331.85 $317.12 $305.21 $268.67 $245.64 $225.68 $244.15 $244.71$250.26 $338.87 $323.82 $311.66 $274.36 $250.84 $230.46 $249.32 $249.89$255.44 $345.88 $330.53 $318.12 $280.04 $256.03 $235.23 $254.48 $255.06$258.68 $350.27 $334.72 $322.15 $283.59 $259.28 $238.21 $257.71 $258.30$262.13 $354.95 $339.19 $326.45 $287.38 $262.74 $241.39 $261.15 $261.75$263.86 $357.29 $341.42 $328.60 $289.27 $264.47 $242.98 $262.87 $263.47$265.59 $359.63 $343.66 $330.76 $291.16 $266.20 $244.57 $264.59 $265.20$267.32 $361.96 $345.89 $332.91 $293.06 $267.93 $246.16 $266.31 $266.92$269.04 $364.30 $348.13 $335.06 $294.95 $269.66 $247.75 $268.03 $268.65$272.50 $368.98 $352.60 $339.36 $298.74 $273.13 $250.94 $271.47 $272.10$275.95 $373.66 $357.07 $343.66 $302.53 $276.59 $254.12 $274.91 $275.55$281.14 $380.68 $363.77 $350.12 $308.21 $281.78 $258.89 $280.08 $280.72$286.10 $387.40 $370.20 $356.30 $313.65 $286.76 $263.46 $285.02 $285.68$293.01 $396.76 $379.14 $364.91 $321.23 $293.69 $269.83 $291.91 $292.58$301.65 $408.45 $390.32 $375.66 $330.69 $302.35 $277.78 $300.51 $301.20$311.80 $422.19 $403.45 $388.30 $341.82 $312.52 $287.13 $310.62 $311.34$323.89 $438.57 $419.09 $403.36 $355.08 $324.64 $298.26 $322.67 $323.41$337.49 $456.99 $436.70 $420.30 $369.99 $338.27 $310.79 $336.22 $336.99$353.04 $478.04 $456.81 $439.66 $387.03 $353.85 $325.10 $351.71 $352.52$368.37 $498.80 $476.65 $458.75 $403.84 $369.22 $339.22 $366.98 $367.82$385.64 $522.19 $499.00 $480.27 $422.78 $386.53 $355.13 $384.19 $385.07$402.70 $545.29 $521.07 $501.51 $441.48 $403.63 $370.84 $401.19 $402.11$421.49 $570.72 $545.38 $524.91 $462.07 $422.46 $388.14 $419.90 $420.86$440.49 $596.45 $569.97 $548.57 $482.90 $441.51 $405.63 $438.83 $439.84$461.00 $624.23 $596.51 $574.12 $505.39 $462.07 $424.52 $459.27 $460.32$481.52 $652.00 $623.05 $599.66 $527.88 $482.63 $443.41 $479.70 $480.80$503.76 $682.12 $651.83 $627.36 $552.26 $504.92 $463.89 $501.86 $503.01$526.21 $712.53 $680.89 $655.33 $576.88 $527.43 $484.57 $524.23 $525.43$550.18 $744.98 $711.90 $685.17 $603.16 $551.45 $506.64 $548.11 $549.37$562.06 $761.06 $727.27 $699.96 $616.18 $563.35 $517.58 $559.94 $561.22$586.02 $793.51 $758.28 $729.81 $642.45 $587.38 $539.65 $583.82 $585.16$606.75 $821.58 $785.10 $755.63 $665.18 $608.15 $558.74 $604.47 $605.85$620.36 $840.00 $802.71 $772.57 $680.09 $621.79 $571.27 $618.02 $619.44$637.41 $863.10 $824.78 $793.81 $698.79 $638.89 $586.98 $635.01 $636.47$647.77 $877.12 $838.18 $806.71 $710.14 $649.26 $596.51 $645.33 $646.81



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500

$156.17 $122.26 $208.87 $188.97 $204.60 $171.64 $139.39 $222.19 $219.32$245.94 $192.53 $328.93 $297.60 $322.21 $270.30 $219.51 $349.90 $345.38$245.94 $192.53 $328.93 $297.60 $322.21 $270.30 $219.51 $349.90 $345.38$245.94 $192.53 $328.93 $297.60 $322.21 $270.30 $219.51 $349.90 $345.38$245.94 $192.53 $328.93 $297.60 $322.21 $270.30 $219.51 $349.90 $345.38$246.92 $193.30 $330.25 $298.79 $323.49 $271.38 $220.39 $351.30 $346.77$251.84 $197.15 $336.82 $304.74 $329.94 $276.79 $224.78 $358.30 $353.67$257.74 $201.77 $344.72 $311.88 $337.67 $283.28 $230.05 $366.70 $361.96$267.34 $209.28 $357.55 $323.49 $350.24 $293.82 $238.61 $380.34 $375.43$275.21 $215.44 $368.07 $333.01 $360.55 $302.47 $245.64 $391.54 $386.49$279.14 $218.52 $373.34 $337.77 $365.70 $306.79 $249.15 $397.14 $392.01$285.04 $223.14 $381.23 $344.91 $373.44 $313.28 $254.42 $405.54 $400.30$290.95 $227.76 $389.12 $352.06 $381.17 $319.77 $259.68 $413.94 $408.59$294.64 $230.65 $394.06 $356.52 $386.00 $323.82 $262.98 $419.18 $413.77$298.57 $233.73 $399.32 $361.28 $391.16 $328.15 $266.49 $424.78 $419.30$300.54 $235.27 $401.95 $363.66 $393.74 $330.31 $268.24 $427.58 $422.06$302.51 $236.81 $404.58 $366.04 $396.31 $332.47 $270.00 $430.38 $424.82$304.47 $238.35 $407.21 $368.42 $398.89 $334.63 $271.76 $433.18 $427.59$306.44 $239.89 $409.85 $370.80 $401.47 $336.80 $273.51 $435.98 $430.35$310.38 $242.97 $415.11 $375.57 $406.62 $341.12 $277.03 $441.58 $435.88$314.31 $246.05 $420.37 $380.33 $411.78 $345.44 $280.54 $447.18 $441.40$320.21 $250.67 $428.27 $387.47 $419.51 $351.93 $285.81 $455.57 $449.69$325.87 $255.10 $435.83 $394.31 $426.92 $358.15 $290.85 $463.62 $457.63$333.74 $261.26 $446.36 $403.84 $437.23 $366.80 $297.88 $474.82 $468.69$343.58 $268.96 $459.51 $415.74 $450.12 $377.61 $306.66 $488.81 $482.50$355.14 $278.01 $474.97 $429.73 $465.27 $390.31 $316.98 $505.26 $498.74$368.91 $288.79 $493.39 $446.39 $483.31 $405.45 $329.27 $524.86 $518.08$384.40 $300.92 $514.12 $465.14 $503.61 $422.48 $343.10 $546.90 $539.84$402.11 $314.78 $537.80 $486.57 $526.81 $441.94 $358.90 $572.09 $564.70$419.57 $328.45 $561.15 $507.70 $549.68 $461.13 $374.49 $596.94 $589.23$439.25 $343.86 $587.47 $531.51 $575.46 $482.76 $392.05 $624.93 $616.86$458.68 $359.06 $613.45 $555.02 $600.91 $504.11 $409.39 $652.57 $644.14$480.07 $375.81 $642.07 $580.91 $628.95 $527.63 $428.49 $683.01 $674.19$501.72 $392.76 $671.02 $607.10 $657.30 $551.41 $447.81 $713.80 $704.58$525.08 $411.05 $702.26 $635.37 $687.91 $577.09 $468.66 $747.04 $737.40$548.45 $429.34 $733.51 $663.64 $718.52 $602.77 $489.51 $780.28 $770.21$573.78 $449.17 $767.39 $694.29 $751.71 $630.61 $512.12 $816.32 $805.78$599.36 $469.19 $801.60 $725.24 $785.22 $658.72 $534.95 $852.71 $841.70$626.65 $490.56 $838.11 $758.28 $820.98 $688.73 $559.32 $891.55 $880.04$640.18 $501.15 $856.20 $774.64 $838.70 $703.59 $571.39 $910.80 $899.04$667.48 $522.52 $892.71 $807.68 $874.47 $733.60 $595.76 $949.64 $937.37$691.09 $541.00 $924.29 $836.25 $905.40 $759.55 $616.83 $983.23 $970.53$706.59 $553.13 $945.01 $854.99 $925.70 $776.57 $630.66 $1,005.27 $992.29$726.01 $568.34 $971.00 $878.50 $951.15 $797.93 $648.00 $1,032.91 $1,019.58$737.81 $577.57 $986.78 $892.78 $966.61 $810.89 $658.53 $1,049.70 $1,036.14



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2

PPO 500 PPO 1000A PPO 1000B PPO 1500 PPO 2500 PPO 3000 Value 1500 Value 2000 Value 2500

$207.36 $201.51 $201.13 $196.15 $176.28 $172.97 $176.11 $170.03 $165.49$326.55 $317.33 $316.74 $308.89 $277.61 $272.40 $277.34 $267.76 $260.62$326.55 $317.33 $316.74 $308.89 $277.61 $272.40 $277.34 $267.76 $260.62$326.55 $317.33 $316.74 $308.89 $277.61 $272.40 $277.34 $267.76 $260.62$326.55 $317.33 $316.74 $308.89 $277.61 $272.40 $277.34 $267.76 $260.62$327.86 $318.60 $318.00 $310.13 $278.72 $273.49 $278.45 $268.83 $261.66$334.39 $324.95 $324.34 $316.30 $284.27 $278.93 $283.99 $274.19 $266.87$342.23 $332.56 $331.94 $323.72 $290.93 $285.47 $290.65 $280.62 $273.13$354.96 $344.94 $344.29 $335.76 $301.76 $296.09 $301.47 $291.06 $283.29$365.41 $355.09 $354.43 $345.65 $310.64 $304.81 $310.34 $299.63 $291.63$370.64 $360.17 $359.50 $350.59 $315.09 $309.17 $314.78 $303.91 $295.80$378.47 $367.79 $367.10 $358.00 $321.75 $315.71 $321.44 $310.34 $302.06$386.31 $375.40 $374.70 $365.42 $328.41 $322.24 $328.09 $316.76 $308.31$391.21 $380.16 $379.45 $370.05 $332.57 $326.33 $332.25 $320.78 $312.22$396.43 $385.24 $384.52 $374.99 $337.02 $330.69 $336.69 $325.06 $316.39$399.05 $387.78 $387.05 $377.46 $339.24 $332.87 $338.91 $327.21 $318.47$401.66 $390.32 $389.59 $379.93 $341.46 $335.05 $341.13 $329.35 $320.56$404.27 $392.86 $392.12 $382.41 $343.68 $337.23 $343.34 $331.49 $322.64$406.88 $395.39 $394.65 $384.88 $345.90 $339.40 $345.56 $333.63 $324.73$412.11 $400.47 $399.72 $389.82 $350.34 $343.76 $350.00 $337.92 $328.90$417.33 $405.55 $404.79 $394.76 $354.78 $348.12 $354.44 $342.20 $333.07$425.17 $413.17 $412.39 $402.17 $361.45 $354.66 $361.09 $348.63 $339.32$432.68 $420.46 $419.68 $409.28 $367.83 $360.92 $367.47 $354.79 $345.32$443.13 $430.62 $429.81 $419.16 $376.71 $369.64 $376.35 $363.35 $353.66$456.19 $443.31 $442.48 $431.52 $387.82 $380.54 $387.44 $374.06 $364.08$471.54 $458.23 $457.37 $446.04 $400.87 $393.34 $400.48 $386.65 $376.33$489.83 $476.00 $475.11 $463.34 $416.41 $408.59 $416.01 $401.64 $390.93$510.40 $495.99 $495.06 $482.80 $433.90 $425.75 $433.48 $418.51 $407.35$533.91 $518.84 $517.87 $505.04 $453.89 $445.37 $453.45 $437.79 $426.11$557.10 $541.37 $540.35 $526.97 $473.60 $464.71 $473.14 $456.80 $444.61$583.22 $566.75 $565.69 $551.68 $495.81 $486.50 $495.33 $478.22 $465.46$609.02 $591.82 $590.71 $576.08 $517.74 $508.02 $517.24 $499.38 $486.05$637.43 $619.43 $618.27 $602.95 $541.89 $531.72 $541.36 $522.67 $508.73$666.16 $647.36 $646.14 $630.14 $566.32 $555.69 $565.77 $546.24 $531.66$697.19 $677.50 $676.23 $659.48 $592.69 $581.56 $592.12 $571.67 $556.42$728.21 $707.65 $706.32 $688.83 $619.07 $607.44 $618.46 $597.11 $581.18$761.84 $740.33 $738.95 $720.64 $647.66 $635.50 $647.03 $624.69 $608.02$795.81 $773.34 $771.89 $752.77 $676.53 $663.83 $675.87 $652.54 $635.13$832.05 $808.56 $807.05 $787.05 $707.35 $694.06 $706.66 $682.26 $664.05$850.01 $826.01 $824.47 $804.04 $722.61 $709.05 $721.91 $696.99 $678.39$886.26 $861.24 $859.62 $838.33 $753.43 $739.28 $752.70 $726.71 $707.32$917.61 $891.70 $890.03 $867.98 $780.08 $765.43 $779.32 $752.41 $732.34$938.18 $911.69 $909.99 $887.44 $797.57 $782.59 $796.79 $769.28 $748.75$963.98 $936.76 $935.01 $911.84 $819.50 $804.11 $818.70 $790.44 $769.34$979.64 $951.98 $950.20 $926.66 $832.81 $817.18 $832.01 $803.28 $781.84



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2

Value 3000 Value 3500 Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

$161.45 $157.77 $149.17 $168.84 $163.95 $142.96 $132.31 $179.16 $171.21$254.25 $248.45 $234.91 $265.89 $258.19 $225.14 $208.37 $282.15 $269.62$254.25 $248.45 $234.91 $265.89 $258.19 $225.14 $208.37 $282.15 $269.62$254.25 $248.45 $234.91 $265.89 $258.19 $225.14 $208.37 $282.15 $269.62$254.25 $248.45 $234.91 $265.89 $258.19 $225.14 $208.37 $282.15 $269.62$255.27 $249.45 $235.85 $266.96 $259.22 $226.04 $209.20 $283.27 $270.70$260.35 $254.42 $240.55 $272.28 $264.39 $230.54 $213.37 $288.92 $276.09$266.46 $260.38 $246.18 $278.66 $270.58 $235.95 $218.37 $295.69 $282.56$276.37 $270.07 $255.35 $289.03 $280.65 $244.73 $226.50 $306.69 $293.07$284.51 $278.02 $262.86 $297.54 $288.92 $251.93 $233.16 $315.72 $301.70$288.58 $281.99 $266.62 $301.79 $293.05 $255.53 $236.50 $320.23 $306.02$294.68 $287.96 $272.26 $308.17 $299.24 $260.94 $241.50 $327.01 $312.49$300.78 $293.92 $277.90 $314.55 $305.44 $266.34 $246.50 $333.78 $318.96$304.59 $297.65 $281.42 $318.54 $309.31 $269.72 $249.63 $338.01 $323.00$308.66 $301.62 $285.18 $322.80 $313.44 $273.32 $252.96 $342.52 $327.32$310.70 $303.61 $287.06 $324.92 $315.51 $275.12 $254.63 $344.78 $329.47$312.73 $305.60 $288.94 $327.05 $317.58 $276.92 $256.29 $347.04 $331.63$314.76 $307.58 $290.82 $329.18 $319.64 $278.72 $257.96 $349.30 $333.79$316.80 $309.57 $292.70 $331.30 $321.71 $280.53 $259.63 $351.55 $335.94$320.87 $313.55 $296.46 $335.56 $325.84 $284.13 $262.96 $356.07 $340.26$324.93 $317.52 $300.21 $339.81 $329.97 $287.73 $266.30 $360.58 $344.57$331.04 $323.49 $305.85 $346.19 $336.17 $293.13 $271.30 $367.35 $351.04$336.88 $329.20 $311.25 $352.31 $342.10 $298.31 $276.09 $373.84 $357.24$345.02 $337.15 $318.77 $360.82 $350.37 $305.52 $282.76 $382.87 $365.87$355.19 $347.09 $328.17 $371.45 $360.69 $314.52 $291.09 $394.16 $376.66$367.14 $358.77 $339.21 $383.95 $372.83 $325.10 $300.88 $407.42 $389.33$381.38 $372.68 $352.36 $398.84 $387.29 $337.71 $312.55 $423.22 $404.43$397.40 $388.33 $367.16 $415.59 $403.55 $351.90 $325.68 $440.99 $421.41$415.70 $406.22 $384.08 $434.74 $422.14 $368.11 $340.68 $461.31 $440.82$433.75 $423.86 $400.76 $453.62 $440.47 $384.09 $355.48 $481.34 $459.97$454.09 $443.74 $419.55 $474.89 $461.13 $402.10 $372.15 $503.91 $481.54$474.18 $463.36 $438.11 $495.89 $481.53 $419.89 $388.61 $526.20 $502.84$496.30 $484.98 $458.54 $519.03 $503.99 $439.47 $406.74 $550.75 $526.29$518.67 $506.84 $479.21 $542.42 $526.71 $459.29 $425.07 $575.58 $550.02$542.83 $530.45 $501.53 $567.68 $551.24 $480.68 $444.87 $602.38 $575.63$566.98 $554.05 $523.85 $592.94 $575.77 $502.06 $464.66 $629.18 $601.25$593.17 $579.64 $548.04 $620.33 $602.36 $525.25 $486.12 $658.24 $629.02$619.61 $605.48 $572.47 $647.98 $629.21 $548.67 $507.80 $687.59 $657.06$647.83 $633.06 $598.55 $677.50 $657.87 $573.66 $530.92 $718.91 $686.99$661.82 $646.72 $611.47 $692.12 $672.07 $586.04 $542.38 $734.42 $701.81$690.04 $674.30 $637.54 $721.64 $700.73 $611.03 $565.51 $765.74 $731.74$714.45 $698.15 $660.10 $747.16 $725.52 $632.65 $585.52 $792.83 $757.63$730.47 $713.81 $674.89 $763.91 $741.78 $646.83 $598.64 $810.60 $774.61$750.55 $733.43 $693.45 $784.92 $762.18 $664.62 $615.11 $832.89 $795.91$762.75 $745.35 $704.72 $797.67 $774.56 $675.41 $625.10 $846.43 $808.84



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

$164.78 $145.05 $132.62 $131.82 $132.12 $150.71 $117.98 $201.56 $182.36$259.49 $228.43 $208.85 $207.58 $208.06 $237.33 $185.79 $317.42 $287.18$259.49 $228.43 $208.85 $207.58 $208.06 $237.33 $185.79 $317.42 $287.18$259.49 $228.43 $208.85 $207.58 $208.06 $237.33 $185.79 $317.42 $287.18$259.49 $228.43 $208.85 $207.58 $208.06 $237.33 $185.79 $317.42 $287.18$260.53 $229.35 $209.69 $208.41 $208.89 $238.28 $186.53 $318.69 $288.33$265.72 $233.91 $213.86 $212.57 $213.05 $243.03 $190.25 $325.04 $294.07$271.95 $239.40 $218.87 $217.55 $218.05 $248.72 $194.71 $332.65 $300.96$282.07 $248.31 $227.02 $225.64 $226.16 $257.98 $201.95 $345.03 $312.17$290.37 $255.62 $233.70 $232.29 $232.82 $265.57 $207.90 $355.19 $321.35$294.53 $259.27 $237.04 $235.61 $236.15 $269.37 $210.87 $360.27 $325.95$300.75 $264.75 $242.06 $240.59 $241.14 $275.07 $215.33 $367.89 $332.84$306.98 $270.24 $247.07 $245.57 $246.14 $280.76 $219.79 $375.50 $339.73$310.87 $273.66 $250.20 $248.69 $249.26 $284.32 $222.58 $380.27 $344.04$315.03 $277.32 $253.54 $252.01 $252.59 $288.12 $225.55 $385.34 $348.64$317.10 $279.14 $255.21 $253.67 $254.25 $290.02 $227.03 $387.88 $350.93$319.18 $280.97 $256.89 $255.33 $255.91 $291.92 $228.52 $390.42 $353.23$321.25 $282.80 $258.56 $256.99 $257.58 $293.82 $230.01 $392.96 $355.53$323.33 $284.63 $260.23 $258.65 $259.24 $295.72 $231.49 $395.50 $357.83$327.48 $288.28 $263.57 $261.97 $262.57 $299.51 $234.47 $400.58 $362.42$331.63 $291.94 $266.91 $265.29 $265.90 $303.31 $237.44 $405.66 $367.02$337.86 $297.42 $271.92 $270.27 $270.89 $309.01 $241.90 $413.28 $373.91$343.83 $302.67 $276.73 $275.05 $275.68 $314.46 $246.17 $420.58 $380.51$352.13 $309.98 $283.41 $281.69 $282.34 $322.06 $252.12 $430.73 $389.70$362.51 $319.12 $291.76 $289.99 $290.66 $331.55 $259.55 $443.43 $401.19$374.71 $329.86 $301.58 $299.75 $300.44 $342.71 $268.28 $458.35 $414.69$389.24 $342.65 $313.27 $311.38 $312.09 $356.00 $278.68 $476.13 $430.77$405.59 $357.04 $326.43 $324.45 $325.20 $370.95 $290.39 $496.12 $448.86$424.27 $373.49 $341.47 $339.40 $340.18 $388.04 $303.77 $518.98 $469.54$442.70 $389.71 $356.30 $354.14 $354.95 $404.89 $316.96 $541.51 $489.93$463.46 $407.98 $373.01 $370.75 $371.60 $423.87 $331.82 $566.91 $512.90$483.96 $426.03 $389.50 $387.14 $388.03 $442.62 $346.50 $591.98 $535.59$506.53 $445.90 $407.67 $405.20 $406.13 $463.27 $362.66 $619.60 $560.58$529.37 $466.00 $426.05 $423.47 $424.44 $484.16 $379.01 $647.53 $585.85$554.02 $487.70 $445.89 $443.19 $444.21 $506.70 $396.66 $677.69 $613.13$578.67 $509.40 $465.73 $462.91 $463.97 $529.25 $414.31 $707.84 $640.41$605.40 $532.93 $487.25 $484.29 $485.40 $553.70 $433.45 $740.53 $669.99$632.39 $556.69 $508.97 $505.88 $507.04 $578.38 $452.77 $773.55 $699.86$661.19 $582.05 $532.15 $528.92 $530.14 $604.72 $473.39 $808.78 $731.74$675.47 $594.61 $543.64 $540.34 $541.58 $617.77 $483.61 $826.24 $747.53$704.27 $619.97 $566.82 $563.38 $564.68 $644.12 $504.23 $861.47 $779.41$729.18 $641.90 $586.87 $583.31 $584.65 $666.90 $522.07 $891.94 $806.98$745.53 $656.29 $600.03 $596.39 $597.76 $681.85 $533.77 $911.94 $825.07$766.03 $674.33 $616.52 $612.79 $614.19 $700.60 $548.45 $937.02 $847.76$778.47 $685.29 $626.54 $622.74 $624.17 $711.99 $557.36 $952.24 $861.53



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3Moda Health Plan Inc

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500

$197.44 $165.63 $134.51 $222.19 $219.32 $207.36 $201.51 $201.13 $196.15$310.93 $260.84 $211.83 $349.90 $345.38 $326.55 $317.33 $316.74 $308.89$310.93 $260.84 $211.83 $349.90 $345.38 $326.55 $317.33 $316.74 $308.89$310.93 $260.84 $211.83 $349.90 $345.38 $326.55 $317.33 $316.74 $308.89$310.93 $260.84 $211.83 $349.90 $345.38 $326.55 $317.33 $316.74 $308.89$312.17 $261.88 $212.68 $351.30 $346.77 $327.86 $318.60 $318.00 $310.13$318.39 $267.10 $216.91 $358.30 $353.67 $334.39 $324.95 $324.34 $316.30$325.85 $273.36 $222.00 $366.70 $361.96 $342.23 $332.56 $331.94 $323.72$337.98 $283.53 $230.26 $380.34 $375.43 $354.96 $344.94 $344.29 $335.76$347.93 $291.88 $237.04 $391.54 $386.49 $365.41 $355.09 $354.43 $345.65$352.90 $296.05 $240.43 $397.14 $392.01 $370.64 $360.17 $359.50 $350.59$360.37 $302.31 $245.51 $405.54 $400.30 $378.47 $367.79 $367.10 $358.00$367.83 $308.57 $250.59 $413.94 $408.59 $386.31 $375.40 $374.70 $365.42$372.49 $312.49 $253.77 $419.18 $413.77 $391.21 $380.16 $379.45 $370.05$377.47 $316.66 $257.16 $424.78 $419.30 $396.43 $385.24 $384.52 $374.99$379.96 $318.75 $258.86 $427.58 $422.06 $399.05 $387.78 $387.05 $377.46$382.44 $320.83 $260.55 $430.38 $424.82 $401.66 $390.32 $389.59 $379.93$384.93 $322.92 $262.25 $433.18 $427.59 $404.27 $392.86 $392.12 $382.41$387.42 $325.01 $263.94 $435.98 $430.35 $406.88 $395.39 $394.65 $384.88$392.39 $329.18 $267.33 $441.58 $435.88 $412.11 $400.47 $399.72 $389.82$397.37 $333.35 $270.72 $447.18 $441.40 $417.33 $405.55 $404.79 $394.76$404.83 $339.61 $275.80 $455.57 $449.69 $425.17 $413.17 $412.39 $402.17$411.98 $345.61 $280.67 $463.62 $457.63 $432.68 $420.46 $419.68 $409.28$421.93 $353.96 $287.45 $474.82 $468.69 $443.13 $430.62 $429.81 $419.16$434.37 $364.39 $295.93 $488.81 $482.50 $456.19 $443.31 $442.48 $431.52$448.98 $376.65 $305.88 $505.26 $498.74 $471.54 $458.23 $457.37 $446.04$466.39 $391.26 $317.75 $524.86 $518.08 $489.83 $476.00 $475.11 $463.34$485.98 $407.69 $331.09 $546.90 $539.84 $510.40 $495.99 $495.06 $482.80$508.37 $426.47 $346.34 $572.09 $564.70 $533.91 $518.84 $517.87 $505.04$530.44 $444.99 $361.38 $596.94 $589.23 $557.10 $541.37 $540.35 $526.97$555.32 $465.86 $378.33 $624.93 $616.86 $583.22 $566.75 $565.69 $551.68$579.88 $486.47 $395.06 $652.57 $644.14 $609.02 $591.82 $590.71 $576.08$606.93 $509.16 $413.49 $683.01 $674.19 $637.43 $619.43 $618.27 $602.95$634.29 $532.11 $432.13 $713.80 $704.58 $666.16 $647.36 $646.14 $630.14$663.83 $556.89 $452.26 $747.04 $737.40 $697.19 $677.50 $676.23 $659.48$693.37 $581.67 $472.38 $780.28 $770.21 $728.21 $707.65 $706.32 $688.83$725.40 $608.54 $494.20 $816.32 $805.78 $761.84 $740.33 $738.95 $720.64$757.73 $635.67 $516.23 $852.71 $841.70 $795.81 $773.34 $771.89 $752.77$792.25 $664.62 $539.74 $891.55 $880.04 $832.05 $808.56 $807.05 $787.05$809.35 $678.97 $551.39 $910.80 $899.04 $850.01 $826.01 $824.47 $804.04$843.86 $707.92 $574.91 $949.64 $937.37 $886.26 $861.24 $859.62 $838.33$873.71 $732.96 $595.24 $983.23 $970.53 $917.61 $891.70 $890.03 $867.98$893.30 $749.39 $608.59 $1,005.27 $992.29 $938.18 $911.69 $909.99 $887.44$917.86 $770.00 $625.32 $1,032.91 $1,019.58 $963.98 $936.76 $935.01 $911.84$932.78 $782.51 $635.48 $1,049.71 $1,036.15 $979.65 $951.99 $950.21 $926.67



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3

PPO 2500 PPO 3000 Value 1500 Value 2000 Value 2500 Value 3000 Value 3500 Value 5000

Moda Health

Connexus

Aspire 2000

$176.28 $172.97 $176.11 $170.03 $165.49 $161.45 $157.77 $149.17 $168.84$277.61 $272.40 $277.34 $267.76 $260.62 $254.25 $248.45 $234.91 $265.89$277.61 $272.40 $277.34 $267.76 $260.62 $254.25 $248.45 $234.91 $265.89$277.61 $272.40 $277.34 $267.76 $260.62 $254.25 $248.45 $234.91 $265.89$277.61 $272.40 $277.34 $267.76 $260.62 $254.25 $248.45 $234.91 $265.89$278.72 $273.49 $278.45 $268.83 $261.66 $255.27 $249.45 $235.85 $266.96$284.27 $278.93 $283.99 $274.19 $266.87 $260.35 $254.42 $240.55 $272.28$290.93 $285.47 $290.65 $280.62 $273.13 $266.46 $260.38 $246.18 $278.66$301.76 $296.09 $301.47 $291.06 $283.29 $276.37 $270.07 $255.35 $289.03$310.64 $304.81 $310.34 $299.63 $291.63 $284.51 $278.02 $262.86 $297.54$315.09 $309.17 $314.78 $303.91 $295.80 $288.58 $281.99 $266.62 $301.79$321.75 $315.71 $321.44 $310.34 $302.06 $294.68 $287.96 $272.26 $308.17$328.41 $322.24 $328.09 $316.76 $308.31 $300.78 $293.92 $277.90 $314.55$332.57 $326.33 $332.25 $320.78 $312.22 $304.59 $297.65 $281.42 $318.54$337.02 $330.69 $336.69 $325.06 $316.39 $308.66 $301.62 $285.18 $322.80$339.24 $332.87 $338.91 $327.21 $318.47 $310.70 $303.61 $287.06 $324.92$341.46 $335.05 $341.13 $329.35 $320.56 $312.73 $305.60 $288.94 $327.05$343.68 $337.23 $343.34 $331.49 $322.64 $314.76 $307.58 $290.82 $329.18$345.90 $339.40 $345.56 $333.63 $324.73 $316.80 $309.57 $292.70 $331.30$350.34 $343.76 $350.00 $337.92 $328.90 $320.87 $313.55 $296.46 $335.56$354.78 $348.12 $354.44 $342.20 $333.07 $324.93 $317.52 $300.21 $339.81$361.45 $354.66 $361.09 $348.63 $339.32 $331.04 $323.49 $305.85 $346.19$367.83 $360.92 $367.47 $354.79 $345.32 $336.88 $329.20 $311.25 $352.31$376.71 $369.64 $376.35 $363.35 $353.66 $345.02 $337.15 $318.77 $360.82$387.82 $380.54 $387.44 $374.06 $364.08 $355.19 $347.09 $328.17 $371.45$400.87 $393.34 $400.48 $386.65 $376.33 $367.14 $358.77 $339.21 $383.95$416.41 $408.59 $416.01 $401.64 $390.93 $381.38 $372.68 $352.36 $398.84$433.90 $425.75 $433.48 $418.51 $407.35 $397.40 $388.33 $367.16 $415.59$453.89 $445.37 $453.45 $437.79 $426.11 $415.70 $406.22 $384.08 $434.74$473.60 $464.71 $473.14 $456.80 $444.61 $433.75 $423.86 $400.76 $453.62$495.81 $486.50 $495.33 $478.22 $465.46 $454.09 $443.74 $419.55 $474.89$517.74 $508.02 $517.24 $499.38 $486.05 $474.18 $463.36 $438.11 $495.89$541.89 $531.72 $541.36 $522.67 $508.73 $496.30 $484.98 $458.54 $519.03$566.32 $555.69 $565.77 $546.24 $531.66 $518.67 $506.84 $479.21 $542.42$592.69 $581.56 $592.12 $571.67 $556.42 $542.83 $530.45 $501.53 $567.68$619.07 $607.44 $618.46 $597.11 $581.18 $566.98 $554.05 $523.85 $592.94$647.66 $635.50 $647.03 $624.69 $608.02 $593.17 $579.64 $548.04 $620.33$676.53 $663.83 $675.87 $652.54 $635.13 $619.61 $605.48 $572.47 $647.98$707.35 $694.06 $706.66 $682.26 $664.05 $647.83 $633.06 $598.55 $677.50$722.61 $709.05 $721.91 $696.99 $678.39 $661.82 $646.72 $611.47 $692.12$753.43 $739.28 $752.70 $726.71 $707.32 $690.04 $674.30 $637.54 $721.64$780.08 $765.43 $779.32 $752.41 $732.34 $714.45 $698.15 $660.10 $747.16$797.57 $782.59 $796.79 $769.28 $748.75 $730.47 $713.81 $674.89 $763.91$819.50 $804.11 $818.70 $790.44 $769.34 $750.55 $733.43 $693.45 $784.92$832.82 $817.19 $832.02 $803.29 $781.85 $762.76 $745.36 $704.73 $797.68



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

$163.95 $142.96 $132.31 $179.16 $171.21 $164.78 $145.05 $132.62 $131.82$258.19 $225.14 $208.37 $282.15 $269.62 $259.49 $228.43 $208.85 $207.58$258.19 $225.14 $208.37 $282.15 $269.62 $259.49 $228.43 $208.85 $207.58$258.19 $225.14 $208.37 $282.15 $269.62 $259.49 $228.43 $208.85 $207.58$258.19 $225.14 $208.37 $282.15 $269.62 $259.49 $228.43 $208.85 $207.58$259.22 $226.04 $209.20 $283.27 $270.70 $260.53 $229.35 $209.69 $208.41$264.39 $230.54 $213.37 $288.92 $276.09 $265.72 $233.91 $213.86 $212.57$270.58 $235.95 $218.37 $295.69 $282.56 $271.95 $239.40 $218.87 $217.55$280.65 $244.73 $226.50 $306.69 $293.07 $282.07 $248.31 $227.02 $225.64$288.92 $251.93 $233.16 $315.72 $301.70 $290.37 $255.62 $233.70 $232.29$293.05 $255.53 $236.50 $320.23 $306.02 $294.53 $259.27 $237.04 $235.61$299.24 $260.94 $241.50 $327.01 $312.49 $300.75 $264.75 $242.06 $240.59$305.44 $266.34 $246.50 $333.78 $318.96 $306.98 $270.24 $247.07 $245.57$309.31 $269.72 $249.63 $338.01 $323.00 $310.87 $273.66 $250.20 $248.69$313.44 $273.32 $252.96 $342.52 $327.32 $315.03 $277.32 $253.54 $252.01$315.51 $275.12 $254.63 $344.78 $329.47 $317.10 $279.14 $255.21 $253.67$317.58 $276.92 $256.29 $347.04 $331.63 $319.18 $280.97 $256.89 $255.33$319.64 $278.72 $257.96 $349.30 $333.79 $321.25 $282.80 $258.56 $256.99$321.71 $280.53 $259.63 $351.55 $335.94 $323.33 $284.63 $260.23 $258.65$325.84 $284.13 $262.96 $356.07 $340.26 $327.48 $288.28 $263.57 $261.97$329.97 $287.73 $266.30 $360.58 $344.57 $331.63 $291.94 $266.91 $265.29$336.17 $293.13 $271.30 $367.35 $351.04 $337.86 $297.42 $271.92 $270.27$342.10 $298.31 $276.09 $373.84 $357.24 $343.83 $302.67 $276.73 $275.05$350.37 $305.52 $282.76 $382.87 $365.87 $352.13 $309.98 $283.41 $281.69$360.69 $314.52 $291.09 $394.16 $376.66 $362.51 $319.12 $291.76 $289.99$372.83 $325.10 $300.88 $407.42 $389.33 $374.71 $329.86 $301.58 $299.75$387.29 $337.71 $312.55 $423.22 $404.43 $389.24 $342.65 $313.27 $311.38$403.55 $351.90 $325.68 $440.99 $421.41 $405.59 $357.04 $326.43 $324.45$422.14 $368.11 $340.68 $461.31 $440.82 $424.27 $373.49 $341.47 $339.40$440.47 $384.09 $355.48 $481.34 $459.97 $442.70 $389.71 $356.30 $354.14$461.13 $402.10 $372.15 $503.91 $481.54 $463.46 $407.98 $373.01 $370.75$481.53 $419.89 $388.61 $526.20 $502.84 $483.96 $426.03 $389.50 $387.14$503.99 $439.47 $406.74 $550.75 $526.29 $506.53 $445.90 $407.67 $405.20$526.71 $459.29 $425.07 $575.58 $550.02 $529.37 $466.00 $426.05 $423.47$551.24 $480.68 $444.87 $602.38 $575.63 $554.02 $487.70 $445.89 $443.19$575.77 $502.06 $464.66 $629.18 $601.25 $578.67 $509.40 $465.73 $462.91$602.36 $525.25 $486.12 $658.24 $629.02 $605.40 $532.93 $487.25 $484.29$629.21 $548.67 $507.80 $687.59 $657.06 $632.39 $556.69 $508.97 $505.88$657.87 $573.66 $530.92 $718.91 $686.99 $661.19 $582.05 $532.15 $528.92$672.07 $586.04 $542.38 $734.42 $701.81 $675.47 $594.61 $543.64 $540.34$700.73 $611.03 $565.51 $765.74 $731.74 $704.27 $619.97 $566.82 $563.38$725.52 $632.65 $585.52 $792.83 $757.63 $729.18 $641.90 $586.87 $583.31$741.78 $646.83 $598.64 $810.60 $774.61 $745.53 $656.29 $600.03 $596.39$762.18 $664.62 $615.11 $832.89 $795.91 $766.03 $674.33 $616.52 $612.79$774.57 $675.42 $625.11 $846.44 $808.85 $778.48 $685.30 $626.55 $622.75



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

$132.12 $150.71 $117.98 $201.56 $182.36 $197.44 $165.63 $134.51 $239.46$208.06 $237.33 $185.79 $317.42 $287.18 $310.93 $260.84 $211.83 $377.10$208.06 $237.33 $185.79 $317.42 $287.18 $310.93 $260.84 $211.83 $377.10$208.06 $237.33 $185.79 $317.42 $287.18 $310.93 $260.84 $211.83 $377.10$208.06 $237.33 $185.79 $317.42 $287.18 $310.93 $260.84 $211.83 $377.10$208.89 $238.28 $186.53 $318.69 $288.33 $312.17 $261.88 $212.68 $378.61$213.05 $243.03 $190.25 $325.04 $294.07 $318.39 $267.10 $216.91 $386.15$218.05 $248.72 $194.71 $332.65 $300.96 $325.85 $273.36 $222.00 $395.20$226.16 $257.98 $201.95 $345.03 $312.17 $337.98 $283.53 $230.26 $409.91$232.82 $265.57 $207.90 $355.19 $321.35 $347.93 $291.88 $237.04 $421.97$236.15 $269.37 $210.87 $360.27 $325.95 $352.90 $296.05 $240.43 $428.01$241.14 $275.07 $215.33 $367.89 $332.84 $360.37 $302.31 $245.51 $437.06$246.14 $280.76 $219.79 $375.50 $339.73 $367.83 $308.57 $250.59 $446.11$249.26 $284.32 $222.58 $380.27 $344.04 $372.49 $312.49 $253.77 $451.76$252.59 $288.12 $225.55 $385.34 $348.64 $377.47 $316.66 $257.16 $457.80$254.25 $290.02 $227.03 $387.88 $350.93 $379.96 $318.75 $258.86 $460.81$255.91 $291.92 $228.52 $390.42 $353.23 $382.44 $320.83 $260.55 $463.83$257.58 $293.82 $230.01 $392.96 $355.53 $384.93 $322.92 $262.25 $466.85$259.24 $295.72 $231.49 $395.50 $357.83 $387.42 $325.01 $263.94 $469.86$262.57 $299.51 $234.47 $400.58 $362.42 $392.39 $329.18 $267.33 $475.90$265.90 $303.31 $237.44 $405.66 $367.02 $397.37 $333.35 $270.72 $481.93$270.89 $309.01 $241.90 $413.28 $373.91 $404.83 $339.61 $275.80 $490.98$275.68 $314.46 $246.17 $420.58 $380.51 $411.98 $345.61 $280.67 $499.65$282.34 $322.06 $252.12 $430.73 $389.70 $421.93 $353.96 $287.45 $511.72$290.66 $331.55 $259.55 $443.43 $401.19 $434.37 $364.39 $295.93 $526.81$300.44 $342.71 $268.28 $458.35 $414.69 $448.98 $376.65 $305.88 $544.53$312.09 $356.00 $278.68 $476.13 $430.77 $466.39 $391.26 $317.75 $565.65$325.20 $370.95 $290.39 $496.12 $448.86 $485.98 $407.69 $331.09 $589.40$340.18 $388.04 $303.77 $518.98 $469.54 $508.37 $426.47 $346.34 $616.56$354.95 $404.89 $316.96 $541.51 $489.93 $530.44 $444.99 $361.38 $643.33$371.60 $423.87 $331.82 $566.91 $512.90 $555.32 $465.86 $378.33 $673.50$388.03 $442.62 $346.50 $591.98 $535.59 $579.88 $486.47 $395.06 $703.29$406.13 $463.27 $362.66 $619.60 $560.58 $606.93 $509.16 $413.49 $736.10$424.44 $484.16 $379.01 $647.53 $585.85 $634.29 $532.11 $432.13 $769.28$444.21 $506.70 $396.66 $677.69 $613.13 $663.83 $556.89 $452.26 $805.10$463.97 $529.25 $414.31 $707.84 $640.41 $693.37 $581.67 $472.38 $840.93$485.40 $553.70 $433.45 $740.53 $669.99 $725.40 $608.54 $494.20 $879.77$507.04 $578.38 $452.77 $773.55 $699.86 $757.73 $635.67 $516.23 $918.99$530.14 $604.72 $473.39 $808.78 $731.74 $792.25 $664.62 $539.74 $960.85$541.58 $617.77 $483.61 $826.24 $747.53 $809.35 $678.97 $551.39 $981.59$564.68 $644.12 $504.23 $861.47 $779.41 $843.86 $707.92 $574.91 $1,023.44$584.65 $666.90 $522.07 $891.94 $806.98 $873.71 $732.96 $595.24 $1,059.65$597.76 $681.85 $533.77 $911.94 $825.07 $893.30 $749.39 $608.59 $1,083.40$614.19 $700.60 $548.45 $937.02 $847.76 $917.86 $770.00 $625.32 $1,113.19$624.18 $712.00 $557.37 $952.25 $861.54 $932.79 $782.52 $635.49 $1,131.29



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500 PPO 2500 PPO 3000 Value 1500 Value 2000

$236.36 $223.48 $217.17 $216.76 $211.39 $189.98 $186.41 $189.80 $183.24$372.23 $351.93 $341.99 $341.35 $332.90 $299.18 $293.57 $298.89 $288.57$372.23 $351.93 $341.99 $341.35 $332.90 $299.18 $293.57 $298.89 $288.57$372.23 $351.93 $341.99 $341.35 $332.90 $299.18 $293.57 $298.89 $288.57$372.23 $351.93 $341.99 $341.35 $332.90 $299.18 $293.57 $298.89 $288.57$373.72 $353.34 $343.36 $342.72 $334.23 $300.38 $294.74 $300.09 $289.73$381.16 $360.38 $350.20 $349.55 $340.89 $306.36 $300.61 $306.07 $295.50$390.09 $368.82 $358.41 $357.74 $348.88 $313.54 $307.66 $313.24 $302.43$404.61 $382.55 $371.75 $371.05 $361.86 $325.21 $319.11 $324.90 $313.68$416.52 $393.81 $382.69 $381.98 $372.51 $334.79 $328.50 $334.46 $322.91$422.48 $399.44 $388.16 $387.44 $377.84 $339.57 $333.20 $339.24 $327.53$431.41 $407.89 $396.37 $395.63 $385.83 $346.75 $340.24 $346.42 $334.46$440.35 $416.33 $404.58 $403.82 $393.82 $353.93 $347.29 $353.59 $341.38$445.93 $421.61 $409.71 $408.94 $398.81 $358.42 $351.69 $358.07 $345.71$451.88 $427.24 $415.18 $414.40 $404.14 $363.21 $356.39 $362.86 $350.33$454.86 $430.06 $417.92 $417.13 $406.80 $365.60 $358.74 $365.25 $352.64$457.84 $432.87 $420.65 $419.87 $409.46 $368.00 $361.09 $367.64 $354.95$460.82 $435.69 $423.39 $422.60 $412.13 $370.39 $363.43 $370.03 $357.25$463.80 $438.51 $426.12 $425.33 $414.79 $372.78 $365.78 $372.42 $359.56$469.75 $444.14 $431.60 $430.79 $420.12 $377.57 $370.48 $377.20 $364.18$475.71 $449.77 $437.07 $436.25 $425.44 $382.36 $375.18 $381.99 $368.80$484.64 $458.21 $445.28 $444.44 $433.43 $389.54 $382.22 $389.16 $375.72$493.20 $466.31 $453.14 $452.29 $441.09 $396.42 $388.98 $396.03 $382.36$505.11 $477.57 $464.09 $463.22 $451.74 $405.99 $398.37 $405.60 $391.59$520.00 $491.65 $477.77 $476.87 $465.06 $417.96 $410.11 $417.55 $403.14$537.50 $508.19 $493.84 $492.92 $480.70 $432.02 $423.91 $431.60 $416.70$558.34 $527.90 $512.99 $512.03 $499.35 $448.78 $440.35 $448.34 $432.86$581.79 $550.07 $534.54 $533.54 $520.32 $467.62 $458.84 $467.17 $451.04$608.59 $575.41 $559.16 $558.11 $544.29 $489.17 $479.98 $488.69 $471.82$635.02 $600.39 $583.44 $582.35 $567.92 $510.41 $500.82 $509.91 $492.31$664.80 $628.55 $610.80 $609.66 $594.55 $534.34 $524.31 $533.82 $515.39$694.21 $656.35 $637.82 $636.63 $620.85 $557.98 $547.50 $557.44 $538.19$726.59 $686.97 $667.57 $666.32 $649.82 $584.01 $573.04 $583.44 $563.30$759.35 $717.94 $697.67 $696.36 $679.11 $610.34 $598.87 $609.74 $588.69$794.71 $751.37 $730.16 $728.79 $710.74 $638.76 $626.76 $638.14 $616.10$830.07 $784.81 $762.65 $761.22 $742.36 $667.18 $654.65 $666.53 $643.52$868.41 $821.05 $797.87 $796.38 $776.65 $698.00 $684.89 $697.32 $673.24$907.12 $857.66 $833.44 $831.88 $811.27 $729.11 $715.42 $728.40 $703.25$948.44 $896.72 $871.40 $869.77 $848.22 $762.32 $748.01 $761.58 $735.29$968.91 $916.08 $890.21 $888.54 $866.53 $778.78 $764.15 $778.02 $751.16

$1,010.23 $955.14 $928.17 $926.43 $903.48 $811.99 $796.74 $811.20 $783.19$1,045.96 $988.93 $961.00 $959.20 $935.44 $840.71 $824.92 $839.89 $810.89$1,069.41 $1,011.10 $982.55 $980.71 $956.41 $859.56 $843.42 $858.72 $829.07$1,098.82 $1,038.90 $1,009.57 $1,007.68 $982.71 $883.19 $866.61 $882.33 $851.87$1,116.68 $1,055.79 $1,025.98 $1,024.06 $998.69 $897.55 $880.70 $896.68 $865.72



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Value 2500 Value 3000 Value 3500 Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

$178.35 $174.00 $170.03 $160.76 $181.97 $176.69 $154.08 $142.60 $193.09$280.87 $274.01 $267.76 $253.17 $286.56 $278.26 $242.64 $224.56 $304.07$280.87 $274.01 $267.76 $253.17 $286.56 $278.26 $242.64 $224.56 $304.07$280.87 $274.01 $267.76 $253.17 $286.56 $278.26 $242.64 $224.56 $304.07$280.87 $274.01 $267.76 $253.17 $286.56 $278.26 $242.64 $224.56 $304.07$282.00 $275.11 $268.83 $254.18 $287.71 $279.37 $243.61 $225.46 $305.29$287.61 $280.59 $274.19 $259.24 $293.44 $284.94 $248.46 $229.95 $311.37$294.35 $287.17 $280.62 $265.32 $300.31 $291.61 $254.29 $235.34 $318.67$305.31 $297.85 $291.06 $275.19 $311.49 $302.47 $263.75 $244.10 $330.53$314.30 $306.62 $299.63 $283.29 $320.66 $311.37 $271.51 $251.29 $340.26$318.79 $311.00 $303.91 $287.34 $325.25 $315.82 $275.40 $254.88 $345.12$325.53 $317.58 $310.34 $293.42 $332.12 $322.50 $281.22 $260.27 $352.42$332.27 $324.16 $316.76 $299.50 $339.00 $329.18 $287.04 $265.66 $359.72$336.49 $328.27 $320.78 $303.29 $343.30 $333.35 $290.68 $269.03 $364.28$340.98 $332.65 $325.06 $307.34 $347.88 $337.81 $294.56 $272.62 $369.15$343.23 $334.84 $327.21 $309.37 $350.18 $340.03 $296.50 $274.42 $371.58$345.47 $337.04 $329.35 $311.39 $352.47 $342.26 $298.45 $276.21 $374.01$347.72 $339.23 $331.49 $313.42 $354.76 $344.48 $300.39 $278.01 $376.44$349.97 $341.42 $333.63 $315.45 $357.05 $346.71 $302.33 $279.81 $378.88$354.46 $345.80 $337.92 $319.50 $361.64 $351.16 $306.21 $283.40 $383.74$358.96 $350.19 $342.20 $323.55 $366.22 $355.61 $310.09 $286.99 $388.61$365.70 $356.76 $348.63 $329.62 $373.10 $362.29 $315.92 $292.38 $395.90$372.16 $363.07 $354.79 $335.45 $379.69 $368.69 $321.50 $297.55 $402.90$381.14 $371.84 $363.35 $343.55 $388.86 $377.60 $329.26 $304.73 $412.63$392.38 $382.80 $374.06 $353.67 $400.32 $388.73 $338.97 $313.72 $424.79$405.58 $395.67 $386.65 $365.57 $413.79 $401.80 $350.37 $324.27 $439.08$421.31 $411.02 $401.64 $379.75 $429.84 $417.39 $363.96 $336.85 $456.11$439.00 $428.28 $418.51 $395.70 $447.89 $434.92 $379.24 $350.99 $475.27$459.23 $448.01 $437.79 $413.93 $468.53 $454.95 $396.71 $367.16 $497.16$479.17 $467.47 $456.80 $431.90 $488.87 $474.71 $413.94 $383.11 $518.75$501.64 $489.39 $478.22 $452.16 $511.80 $496.97 $433.35 $401.07 $543.08$523.83 $511.03 $499.38 $472.16 $534.43 $518.95 $452.52 $418.81 $567.10$548.26 $534.87 $522.67 $494.18 $559.36 $543.16 $473.63 $438.35 $593.55$572.98 $558.99 $546.24 $516.46 $584.58 $567.65 $494.98 $458.11 $620.31$599.66 $585.02 $571.67 $540.51 $611.81 $594.08 $518.03 $479.44 $649.20$626.35 $611.05 $597.11 $564.56 $639.03 $620.52 $541.08 $500.78 $678.08$655.28 $639.27 $624.69 $590.64 $668.54 $649.18 $566.08 $523.91 $709.40$684.49 $667.77 $652.54 $616.97 $698.35 $678.11 $591.31 $547.26 $741.03$715.66 $698.18 $682.26 $645.07 $730.15 $709.00 $618.24 $572.19 $774.78$731.11 $713.26 $696.99 $658.99 $745.92 $724.31 $631.59 $584.54 $791.50$762.29 $743.67 $726.71 $687.09 $777.72 $755.19 $658.52 $609.47 $825.26$789.25 $769.98 $752.41 $711.40 $805.23 $781.91 $681.82 $631.02 $854.45$806.95 $787.24 $769.28 $727.35 $823.29 $799.44 $697.10 $645.17 $873.60$829.14 $808.89 $790.44 $747.35 $845.92 $821.42 $716.27 $662.91 $897.62$842.62 $822.04 $803.29 $759.50 $859.68 $834.77 $727.92 $673.69 $912.22



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

$184.51 $177.59 $156.33 $142.93 $142.06 $142.39 $162.42 $167.96$290.57 $279.66 $246.19 $225.08 $223.72 $224.23 $255.78 $264.50$290.57 $279.66 $246.19 $225.08 $223.72 $224.23 $255.78 $264.50$290.57 $279.66 $246.19 $225.08 $223.72 $224.23 $255.78 $264.50$290.57 $279.66 $246.19 $225.08 $223.72 $224.23 $255.78 $264.50$291.73 $280.78 $247.17 $225.98 $224.61 $225.13 $256.80 $265.56$297.55 $286.37 $252.09 $230.48 $229.09 $229.61 $261.92 $270.85$304.52 $293.09 $258.00 $235.89 $234.46 $234.99 $268.05 $277.20$315.85 $303.99 $267.60 $244.66 $243.18 $243.74 $278.03 $287.52$325.15 $312.94 $275.48 $251.87 $250.34 $250.91 $286.21 $295.98$329.80 $317.42 $279.42 $255.47 $253.92 $254.50 $290.31 $300.21$336.77 $324.13 $285.33 $260.87 $259.29 $259.88 $296.45 $306.56$343.75 $330.84 $291.24 $266.27 $264.66 $265.26 $302.58 $312.91$348.11 $335.04 $294.93 $269.65 $268.01 $268.63 $306.42 $316.88$352.75 $339.51 $298.87 $273.25 $271.59 $272.22 $310.51 $321.11$355.08 $341.75 $300.84 $275.05 $273.38 $274.01 $312.56 $323.22$357.40 $343.99 $302.81 $276.85 $275.17 $275.80 $314.61 $325.34$359.73 $346.22 $304.78 $278.65 $276.96 $277.60 $316.65 $327.46$362.05 $348.46 $306.75 $280.45 $278.75 $279.39 $318.70 $329.57$366.70 $352.93 $310.69 $284.05 $282.33 $282.98 $322.79 $333.80$371.35 $357.41 $314.63 $287.65 $285.91 $286.57 $326.88 $338.04$378.33 $364.12 $320.53 $293.06 $291.28 $291.95 $333.02 $344.38$385.01 $370.55 $326.20 $298.23 $296.43 $297.11 $338.91 $350.47$394.31 $379.50 $334.07 $305.44 $303.58 $304.28 $347.09 $358.93$405.93 $390.69 $343.92 $314.44 $312.53 $313.25 $357.32 $369.51$419.59 $403.83 $355.49 $325.02 $323.05 $323.79 $369.34 $381.94$435.86 $419.49 $369.28 $337.62 $335.58 $336.35 $383.67 $396.76$454.16 $437.11 $384.79 $351.80 $349.67 $350.47 $399.78 $413.42$475.09 $457.25 $402.51 $368.01 $365.78 $366.62 $418.20 $432.46$495.72 $477.11 $419.99 $383.99 $381.66 $382.54 $436.36 $451.24$518.96 $499.48 $439.69 $402.00 $399.56 $400.48 $456.82 $472.40$541.92 $521.57 $459.14 $419.78 $417.23 $418.19 $477.02 $493.30$567.20 $545.90 $480.56 $439.36 $436.70 $437.70 $499.28 $516.31$592.77 $570.51 $502.22 $459.17 $456.38 $457.43 $521.79 $539.59$620.37 $597.08 $525.61 $480.55 $477.64 $478.73 $546.08 $564.72$647.98 $623.65 $549.00 $501.93 $498.89 $500.03 $570.38 $589.84$677.91 $652.45 $574.35 $525.12 $521.93 $523.13 $596.73 $617.09$708.13 $681.54 $599.96 $548.52 $545.20 $546.45 $623.33 $644.60$740.38 $712.58 $627.28 $573.51 $570.03 $571.34 $651.72 $673.96$756.36 $727.96 $640.82 $585.89 $582.34 $583.67 $665.79 $688.50$788.61 $759.01 $668.15 $610.87 $607.17 $608.56 $694.18 $717.86$816.51 $785.85 $691.78 $632.48 $628.65 $630.09 $718.73 $743.26$834.81 $803.47 $707.29 $646.66 $642.74 $644.21 $734.85 $759.92$857.77 $825.57 $726.74 $664.44 $660.41 $661.93 $755.05 $780.82$871.72 $838.99 $738.56 $675.24 $671.15 $672.69 $767.33 $793.51



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

$127.15 $131.19 $217.23 $225.09 $196.53 $203.57 $212.78 $178.51 $144.97$200.23 $206.60 $342.09 $354.48 $309.50 $320.59 $335.09 $281.11 $228.29$200.23 $206.60 $342.09 $354.48 $309.50 $320.59 $335.09 $281.11 $228.29$200.23 $206.60 $342.09 $354.48 $309.50 $320.59 $335.09 $281.11 $228.29$200.23 $206.60 $342.09 $354.48 $309.50 $320.59 $335.09 $281.11 $228.29$201.03 $207.43 $343.46 $355.90 $310.74 $321.87 $336.43 $282.24 $229.21$205.03 $211.56 $350.30 $362.98 $316.93 $328.28 $343.14 $287.86 $233.77$209.84 $216.52 $358.51 $371.49 $324.36 $335.97 $351.18 $294.61 $239.25$217.65 $224.57 $371.85 $385.32 $336.43 $348.48 $364.25 $305.57 $248.16$224.06 $231.18 $382.80 $396.66 $346.33 $358.74 $374.97 $314.57 $255.46$227.26 $234.49 $388.27 $402.33 $351.28 $363.87 $380.33 $319.06 $259.11$232.07 $239.45 $396.48 $410.84 $358.71 $371.56 $388.37 $325.81 $264.59$236.87 $244.41 $404.69 $419.35 $366.14 $379.25 $396.42 $332.56 $270.07$239.87 $247.51 $409.82 $424.66 $370.78 $384.06 $401.44 $336.77 $273.50$243.08 $250.81 $415.29 $430.34 $375.73 $389.19 $406.80 $341.27 $277.15$244.68 $252.46 $418.03 $433.17 $378.21 $391.76 $409.49 $343.52 $278.97$246.28 $254.12 $420.77 $436.01 $380.69 $394.32 $412.17 $345.77 $280.80$247.88 $255.77 $423.50 $438.84 $383.16 $396.89 $414.85 $348.02 $282.63$249.49 $257.42 $426.24 $441.68 $385.64 $399.45 $417.53 $350.27 $284.45$252.69 $260.73 $431.71 $447.35 $390.59 $404.58 $422.89 $354.76 $288.11$255.89 $264.03 $437.19 $453.02 $395.54 $409.71 $428.25 $359.26 $291.76$260.70 $268.99 $445.40 $461.53 $402.97 $417.40 $436.29 $366.01 $297.24$265.30 $273.74 $453.27 $469.68 $410.09 $424.78 $444.00 $372.47 $302.49$271.71 $280.35 $464.21 $481.03 $419.99 $435.04 $454.72 $381.47 $309.79$279.72 $288.62 $477.90 $495.20 $432.37 $447.86 $468.13 $392.71 $318.93$289.13 $298.33 $493.97 $511.87 $446.92 $462.93 $483.88 $405.93 $329.66$300.34 $309.90 $513.13 $531.72 $464.25 $480.88 $502.64 $421.67 $342.44$312.96 $322.91 $534.68 $554.05 $483.75 $501.08 $523.75 $439.38 $356.82$327.37 $337.79 $559.31 $579.57 $506.03 $524.16 $547.88 $459.62 $373.26$341.59 $352.46 $583.60 $604.74 $528.01 $546.92 $571.67 $479.58 $389.47$357.61 $368.99 $610.97 $633.10 $552.77 $572.57 $598.48 $502.07 $407.73$373.43 $385.31 $637.99 $661.10 $577.22 $597.89 $624.95 $524.28 $425.77$390.85 $403.28 $667.75 $691.94 $604.14 $625.79 $654.10 $548.73 $445.63$408.47 $421.46 $697.86 $723.13 $631.38 $654.00 $683.59 $573.47 $465.72$427.49 $441.09 $730.36 $756.81 $660.78 $684.45 $715.43 $600.18 $487.41$446.51 $460.72 $762.85 $790.48 $690.19 $714.91 $747.26 $626.88 $509.09$467.13 $481.99 $798.09 $827.00 $722.06 $747.93 $781.77 $655.84 $532.61$487.96 $503.48 $833.67 $863.86 $754.25 $781.27 $816.62 $685.07 $556.35$510.18 $526.41 $871.64 $903.21 $788.61 $816.86 $853.82 $716.28 $581.69$521.20 $537.78 $890.45 $922.70 $805.63 $834.49 $872.25 $731.74 $594.25$543.42 $560.71 $928.42 $962.05 $839.98 $870.07 $909.45 $762.94 $619.59$562.64 $580.54 $961.26 $996.08 $869.70 $900.85 $941.61 $789.93 $641.50$575.26 $593.56 $982.82 $1,018.41 $889.19 $921.05 $962.73 $807.64 $655.89$591.08 $609.88 $1,009.84 $1,046.42 $913.64 $946.37 $989.20 $829.85 $673.92$600.69 $619.80 $1,026.26 $1,063.43 $928.50 $961.76 $1,005.28 $843.34 $684.88



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500 PPO 2500 PPO 3000 Value 1500

$230.25 $227.27 $214.88 $208.81 $208.42 $203.26 $182.67 $179.24 $182.50$362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.40$362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.40$362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.40$362.59 $357.91 $338.40 $328.84 $328.23 $320.09 $287.68 $282.28 $287.40$364.04 $359.34 $339.75 $330.16 $329.54 $321.37 $288.83 $283.40 $288.55$371.30 $366.50 $346.52 $336.73 $336.10 $327.78 $294.58 $289.05 $294.29$380.00 $375.09 $354.64 $344.62 $343.98 $335.46 $301.49 $295.82 $301.19$394.14 $389.05 $367.84 $357.45 $356.78 $347.94 $312.70 $306.83 $312.40$405.74 $400.50 $378.66 $367.97 $367.28 $358.18 $321.91 $315.87 $321.60$411.54 $406.23 $384.08 $373.23 $372.54 $363.31 $326.51 $320.38 $326.20$420.25 $414.82 $392.20 $381.13 $380.41 $370.99 $333.42 $327.16 $333.09$428.95 $423.41 $400.32 $389.02 $388.29 $378.67 $340.32 $333.93 $339.99$434.39 $428.78 $405.40 $393.95 $393.21 $383.47 $344.64 $338.17 $344.30$440.19 $434.50 $410.81 $399.21 $398.47 $388.59 $349.24 $342.68 $348.90$443.09 $437.37 $413.52 $401.84 $401.09 $391.15 $351.54 $344.94 $351.20$445.99 $440.23 $416.23 $404.47 $403.72 $393.71 $353.84 $347.20 $353.50$448.89 $443.09 $418.93 $407.10 $406.34 $396.28 $356.14 $349.46 $355.80$451.79 $445.96 $421.64 $409.74 $408.97 $398.84 $358.45 $351.71 $358.10$457.59 $451.68 $427.05 $415.00 $414.22 $403.96 $363.05 $356.23 $362.70$463.40 $457.41 $432.47 $420.26 $419.47 $409.08 $367.65 $360.75 $367.29$472.10 $466.00 $440.59 $428.15 $427.35 $416.76 $374.56 $367.52 $374.19$480.44 $474.23 $448.37 $435.71 $434.90 $424.12 $381.17 $374.01 $380.80$492.04 $485.69 $459.20 $446.24 $445.40 $434.37 $390.38 $383.05 $390.00$506.54 $500.00 $472.74 $459.39 $458.53 $447.17 $401.88 $394.34 $401.49$523.59 $516.82 $488.64 $474.85 $473.96 $462.21 $415.41 $407.61 $415.00$543.89 $536.87 $507.59 $493.26 $492.34 $480.14 $431.52 $423.41 $431.10$566.73 $559.42 $528.91 $513.98 $513.02 $500.31 $449.64 $441.20 $449.20$592.84 $585.19 $553.28 $537.65 $536.65 $523.35 $470.35 $461.52 $469.89$618.59 $610.60 $577.30 $561.00 $559.95 $546.08 $490.78 $481.56 $490.30$647.59 $639.23 $604.37 $587.31 $586.21 $571.69 $513.79 $504.14 $513.29$676.24 $667.50 $631.11 $613.29 $612.14 $596.97 $536.52 $526.44 $536.00$707.78 $698.64 $660.55 $641.90 $640.70 $624.82 $561.55 $551.00 $561.00$739.69 $730.14 $690.33 $670.83 $669.58 $652.99 $586.86 $575.84 $586.29$774.14 $764.14 $722.47 $702.07 $700.76 $683.40 $614.19 $602.66 $613.59$808.58 $798.14 $754.62 $733.31 $731.94 $713.81 $641.52 $629.47 $640.90$845.93 $835.01 $789.48 $767.19 $765.75 $746.78 $671.15 $658.55 $670.50$883.64 $872.23 $824.67 $801.38 $799.88 $780.07 $701.07 $687.90 $700.39$923.89 $911.96 $862.23 $837.89 $836.32 $815.60 $733.00 $719.24 $732.29$943.83 $931.64 $880.84 $855.97 $854.37 $833.20 $748.82 $734.76 $748.10$984.08 $971.37 $918.40 $892.47 $890.80 $868.73 $780.76 $766.09 $780.00

$1,018.89 $1,005.73 $950.89 $924.04 $922.31 $899.46 $808.37 $793.19 $807.59$1,041.73 $1,028.28 $972.21 $944.76 $942.99 $919.63 $826.50 $810.98 $825.69$1,070.38 $1,056.55 $998.94 $970.74 $968.92 $944.92 $849.22 $833.28 $848.40$1,087.78 $1,073.73 $1,015.19 $986.52 $984.68 $960.28 $863.03 $846.83 $862.19



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5

Value 2000 Value 2500 Value 3000 Value 3500 Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

$176.20 $171.49 $167.31 $163.49 $154.58 $174.97 $169.90 $148.15 $137.11$277.47 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31 $215.93$277.47 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31 $215.93$277.47 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31 $215.93$277.47 $270.07 $263.47 $257.46 $243.43 $275.54 $267.56 $233.31 $215.93$278.58 $271.15 $264.53 $258.49 $244.40 $276.64 $268.63 $234.24 $216.79$284.13 $276.55 $269.80 $263.64 $249.27 $282.15 $273.98 $238.91 $221.11$290.79 $283.03 $276.12 $269.82 $255.11 $288.76 $280.40 $244.51 $226.29$301.61 $293.57 $286.40 $279.86 $264.61 $299.51 $290.83 $253.60 $234.71$310.49 $302.21 $294.83 $288.10 $272.40 $308.33 $299.39 $261.07 $241.62$314.93 $306.53 $299.04 $292.22 $276.29 $312.74 $303.68 $264.80 $245.08$321.59 $313.01 $305.37 $298.40 $282.13 $319.35 $310.10 $270.40 $250.26$328.25 $319.49 $311.69 $304.58 $287.98 $325.96 $316.52 $276.00 $255.44$332.41 $323.54 $315.64 $308.44 $291.63 $330.09 $320.53 $279.50 $258.68$336.85 $327.87 $319.86 $312.56 $295.52 $334.50 $324.81 $283.23 $262.13$339.07 $330.03 $321.96 $314.62 $297.47 $336.71 $326.95 $285.10 $263.86$341.29 $332.19 $324.07 $316.68 $299.42 $338.91 $329.09 $286.97 $265.59$343.51 $334.35 $326.18 $318.74 $301.37 $341.12 $331.23 $288.83 $267.32$345.73 $336.51 $328.29 $320.80 $303.31 $343.32 $333.37 $290.70 $269.04$350.17 $340.83 $332.50 $324.92 $307.21 $347.73 $337.66 $294.43 $272.50$354.61 $345.15 $336.72 $329.04 $311.10 $352.14 $341.94 $298.17 $275.95$361.27 $351.63 $343.04 $335.22 $316.94 $358.75 $348.36 $303.77 $281.14$367.65 $357.84 $349.10 $341.14 $322.54 $365.09 $354.51 $309.13 $286.10$376.53 $366.49 $357.53 $349.38 $330.33 $373.91 $363.07 $316.60 $293.01$387.63 $377.29 $368.07 $359.68 $340.07 $384.93 $373.78 $325.93 $301.65$400.67 $389.98 $380.46 $371.78 $351.51 $397.88 $386.35 $336.89 $311.80$416.21 $405.11 $395.21 $386.20 $365.14 $413.31 $401.33 $349.96 $323.89$433.69 $422.12 $411.81 $402.42 $380.48 $430.67 $418.19 $364.66 $337.49$453.67 $441.56 $430.78 $420.95 $398.01 $450.50 $437.45 $381.46 $353.04$473.37 $460.74 $449.49 $439.23 $415.29 $470.07 $456.45 $398.02 $368.37$495.57 $482.35 $470.56 $459.83 $434.76 $492.11 $477.85 $416.69 $385.64$517.49 $503.68 $491.38 $480.17 $454.00 $513.88 $498.99 $435.12 $402.70$541.63 $527.18 $514.30 $502.57 $475.17 $537.85 $522.27 $455.41 $421.49$566.05 $550.94 $537.49 $525.23 $496.60 $562.10 $545.81 $475.95 $440.49$592.41 $576.60 $562.52 $549.69 $519.72 $588.27 $571.23 $498.11 $461.00$618.77 $602.26 $587.55 $574.15 $542.85 $614.45 $596.65 $520.27 $481.52$647.35 $630.07 $614.68 $600.66 $567.92 $642.83 $624.21 $544.30 $503.76$676.21 $658.16 $642.09 $627.44 $593.24 $671.49 $652.03 $568.57 $526.21$707.01 $688.14 $671.33 $656.02 $620.26 $702.07 $681.73 $594.47 $550.18$722.27 $702.99 $685.82 $670.18 $633.65 $717.23 $696.45 $607.30 $562.06$753.07 $732.97 $715.07 $698.76 $660.67 $747.81 $726.15 $633.19 $586.02$779.70 $758.90 $740.36 $723.47 $684.04 $774.26 $751.83 $655.59 $606.75$797.18 $775.91 $756.96 $739.69 $699.37 $791.62 $768.69 $670.29 $620.36$819.10 $797.25 $777.77 $760.03 $718.60 $813.39 $789.82 $688.72 $637.41$832.42 $810.21 $790.42 $772.39 $730.29 $826.61 $802.67 $699.92 $647.78



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

$185.66 $177.42 $170.76 $150.32 $137.43 $136.60 $136.91 $156.17 $122.26$292.38 $279.40 $268.91 $236.72 $216.42 $215.11 $215.61 $245.94 $192.53$292.38 $279.40 $268.91 $236.72 $216.42 $215.11 $215.61 $245.94 $192.53$292.38 $279.40 $268.91 $236.72 $216.42 $215.11 $215.61 $245.94 $192.53$292.38 $279.40 $268.91 $236.72 $216.42 $215.11 $215.61 $245.94 $192.53$293.55 $280.51 $269.98 $237.66 $217.29 $215.97 $216.47 $246.92 $193.30$299.40 $286.10 $275.36 $242.40 $221.62 $220.28 $220.78 $251.84 $197.15$306.41 $292.81 $281.81 $248.08 $226.81 $225.44 $225.96 $257.74 $201.77$317.82 $303.70 $292.30 $257.31 $235.25 $233.83 $234.36 $267.34 $209.28$327.17 $312.64 $300.91 $264.89 $242.18 $240.71 $241.26 $275.21 $215.44$331.85 $317.12 $305.21 $268.67 $245.64 $244.15 $244.71 $279.14 $218.52$338.87 $323.82 $311.66 $274.36 $250.84 $249.32 $249.89 $285.04 $223.14$345.88 $330.53 $318.12 $280.04 $256.03 $254.48 $255.06 $290.95 $227.76$350.27 $334.72 $322.15 $283.59 $259.28 $257.71 $258.30 $294.64 $230.65$354.95 $339.19 $326.45 $287.38 $262.74 $261.15 $261.75 $298.57 $233.73$357.29 $341.42 $328.60 $289.27 $264.47 $262.87 $263.47 $300.54 $235.27$359.63 $343.66 $330.76 $291.16 $266.20 $264.59 $265.20 $302.51 $236.81$361.96 $345.89 $332.91 $293.06 $267.93 $266.31 $266.92 $304.47 $238.35$364.30 $348.13 $335.06 $294.95 $269.66 $268.03 $268.65 $306.44 $239.89$368.98 $352.60 $339.36 $298.74 $273.13 $271.47 $272.10 $310.38 $242.97$373.66 $357.07 $343.66 $302.53 $276.59 $274.91 $275.55 $314.31 $246.05$380.68 $363.77 $350.12 $308.21 $281.78 $280.08 $280.72 $320.21 $250.67$387.40 $370.20 $356.30 $313.65 $286.76 $285.02 $285.68 $325.87 $255.10$396.76 $379.14 $364.91 $321.23 $293.69 $291.91 $292.58 $333.74 $261.26$408.45 $390.32 $375.66 $330.69 $302.35 $300.51 $301.20 $343.58 $268.96$422.19 $403.45 $388.30 $341.82 $312.52 $310.62 $311.34 $355.14 $278.01$438.57 $419.09 $403.36 $355.08 $324.64 $322.67 $323.41 $368.91 $288.79$456.99 $436.70 $420.30 $369.99 $338.27 $336.22 $336.99 $384.40 $300.92$478.04 $456.81 $439.66 $387.03 $353.85 $351.71 $352.52 $402.11 $314.78$498.80 $476.65 $458.75 $403.84 $369.22 $366.98 $367.82 $419.57 $328.45$522.19 $499.00 $480.27 $422.78 $386.53 $384.19 $385.07 $439.25 $343.86$545.29 $521.07 $501.51 $441.48 $403.63 $401.19 $402.11 $458.68 $359.06$570.72 $545.38 $524.91 $462.07 $422.46 $419.90 $420.86 $480.07 $375.81$596.45 $569.97 $548.57 $482.90 $441.51 $438.83 $439.84 $501.72 $392.76$624.23 $596.51 $574.12 $505.39 $462.07 $459.27 $460.32 $525.08 $411.05$652.00 $623.05 $599.66 $527.88 $482.63 $479.70 $480.80 $548.45 $429.34$682.12 $651.83 $627.36 $552.26 $504.92 $501.86 $503.01 $573.78 $449.17$712.53 $680.89 $655.33 $576.88 $527.43 $524.23 $525.43 $599.36 $469.19$744.98 $711.90 $685.17 $603.16 $551.45 $548.11 $549.37 $626.65 $490.56$761.06 $727.27 $699.96 $616.18 $563.35 $559.94 $561.22 $640.18 $501.15$793.51 $758.28 $729.81 $642.45 $587.38 $583.82 $585.16 $667.48 $522.52$821.58 $785.10 $755.63 $665.18 $608.15 $604.47 $605.85 $691.09 $541.00$840.00 $802.71 $772.57 $680.09 $621.79 $618.02 $619.44 $706.59 $553.13$863.10 $824.78 $793.81 $698.79 $638.89 $635.01 $636.47 $726.01 $568.34$877.13 $838.19 $806.72 $710.15 $649.27 $645.34 $646.82 $737.82 $577.58



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$208.87 $188.97 $204.60 $171.64 $139.39 $237.15 $234.09 $221.33 $215.08$328.93 $297.60 $322.21 $270.30 $219.51 $373.47 $368.65 $348.55 $338.71$328.93 $297.60 $322.21 $270.30 $219.51 $373.47 $368.65 $348.55 $338.71$328.93 $297.60 $322.21 $270.30 $219.51 $373.47 $368.65 $348.55 $338.71$328.93 $297.60 $322.21 $270.30 $219.51 $373.47 $368.65 $348.55 $338.71$330.25 $298.79 $323.49 $271.38 $220.39 $374.97 $370.12 $349.94 $340.06$336.82 $304.74 $329.94 $276.79 $224.78 $382.44 $377.50 $356.91 $346.83$344.72 $311.88 $337.67 $283.28 $230.05 $391.40 $386.34 $365.28 $354.96$357.55 $323.49 $350.24 $293.82 $238.61 $405.96 $400.72 $378.87 $368.17$368.07 $333.01 $360.55 $302.47 $245.64 $417.92 $412.52 $390.02 $379.01$373.34 $337.77 $365.70 $306.79 $249.15 $423.89 $418.42 $395.60 $384.43$381.23 $344.91 $373.44 $313.28 $254.42 $432.85 $427.26 $403.97 $392.56$389.12 $352.06 $381.17 $319.77 $259.68 $441.82 $436.11 $412.33 $400.69$394.06 $356.52 $386.00 $323.82 $262.98 $447.42 $441.64 $417.56 $405.77$399.32 $361.28 $391.16 $328.15 $266.49 $453.39 $447.54 $423.14 $411.19$401.95 $363.66 $393.74 $330.31 $268.24 $456.38 $450.49 $425.92 $413.90$404.58 $366.04 $396.31 $332.47 $270.00 $459.37 $453.44 $428.71 $416.61$407.21 $368.42 $398.89 $334.63 $271.76 $462.36 $456.39 $431.50 $419.32$409.85 $370.80 $401.47 $336.80 $273.51 $465.35 $459.34 $434.29 $422.03$415.11 $375.57 $406.62 $341.12 $277.03 $471.32 $465.23 $439.87 $427.45$420.37 $380.33 $411.78 $345.44 $280.54 $477.30 $471.13 $445.44 $432.87$428.27 $387.47 $419.51 $351.93 $285.81 $486.26 $479.98 $453.81 $440.99$435.83 $394.31 $426.92 $358.15 $290.85 $494.85 $488.46 $461.82 $448.79$446.36 $403.84 $437.23 $366.80 $297.88 $506.80 $500.26 $472.98 $459.62$459.51 $415.74 $450.12 $377.61 $306.66 $521.74 $515.00 $486.92 $473.17$474.97 $429.73 $465.27 $390.31 $316.98 $539.29 $532.33 $503.30 $489.09$493.39 $446.39 $483.31 $405.45 $329.27 $560.21 $552.97 $522.82 $508.06$514.12 $465.14 $503.61 $422.48 $343.10 $583.74 $576.20 $544.78 $529.40$537.80 $486.57 $526.81 $441.94 $358.90 $610.63 $602.74 $569.87 $553.78$561.15 $507.70 $549.68 $461.13 $374.49 $637.14 $628.91 $594.62 $577.83$587.47 $531.51 $575.46 $482.76 $392.05 $667.02 $658.41 $622.50 $604.93$613.45 $555.02 $600.91 $504.11 $409.39 $696.53 $687.53 $650.04 $631.69$642.07 $580.91 $628.95 $527.63 $428.49 $729.02 $719.60 $680.36 $661.15$671.02 $607.10 $657.30 $551.41 $447.81 $761.88 $752.04 $711.04 $690.96$702.26 $635.37 $687.91 $577.09 $468.66 $797.36 $787.07 $744.15 $723.14$733.51 $663.64 $718.52 $602.77 $489.51 $832.84 $822.09 $777.26 $755.31$767.39 $694.29 $751.71 $630.61 $512.12 $871.31 $860.06 $813.16 $790.20$801.60 $725.24 $785.22 $658.72 $534.95 $910.15 $898.40 $849.41 $825.43$838.11 $758.28 $820.98 $688.73 $559.32 $951.61 $939.32 $888.10 $863.02$856.20 $774.64 $838.70 $703.59 $571.39 $972.15 $959.59 $907.27 $881.65$892.71 $807.68 $874.47 $733.60 $595.76 $1,013.60 $1,000.51 $945.96 $919.25$924.29 $836.25 $905.40 $759.55 $616.83 $1,049.46 $1,035.90 $979.42 $951.76$945.01 $854.99 $925.70 $776.57 $630.66 $1,072.99 $1,059.13 $1,001.38 $973.10$971.00 $878.50 $951.15 $797.93 $648.00 $1,102.49 $1,088.25 $1,028.91 $999.86$986.79 $892.79 $966.62 $810.90 $658.54 $1,120.42 $1,105.95 $1,045.64 $1,016.12



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

PPO 1000B PPO 1500 PPO 2500 PPO 3000 Value 1500 Value 2000 Value 2500 Value 3000 Value 3500

$214.68 $209.36 $188.16 $184.62 $187.97 $181.48 $176.64 $172.33 $168.39$338.07 $329.70 $296.31 $290.74 $296.02 $285.80 $278.17 $271.38 $265.19$338.07 $329.70 $296.31 $290.74 $296.02 $285.80 $278.17 $271.38 $265.19$338.07 $329.70 $296.31 $290.74 $296.02 $285.80 $278.17 $271.38 $265.19$338.07 $329.70 $296.31 $290.74 $296.02 $285.80 $278.17 $271.38 $265.19$339.42 $331.01 $297.49 $291.91 $297.20 $286.94 $279.28 $272.46 $266.25$346.19 $337.61 $303.42 $297.72 $303.12 $292.66 $284.85 $277.89 $271.55$354.30 $345.52 $310.53 $304.70 $310.23 $299.52 $291.52 $284.40 $277.92$367.48 $358.38 $322.09 $316.04 $321.77 $310.66 $302.37 $294.99 $288.26$378.30 $368.93 $331.57 $325.34 $331.25 $319.81 $311.27 $303.67 $296.75$383.71 $374.21 $336.31 $329.99 $335.98 $324.38 $315.73 $308.01 $300.99$391.83 $382.12 $343.42 $336.97 $343.09 $331.24 $322.40 $314.53 $307.35$399.94 $390.03 $350.53 $343.95 $350.19 $338.10 $329.08 $321.04 $313.72$405.01 $394.98 $354.98 $348.31 $354.63 $342.39 $333.25 $325.11 $317.70$410.42 $400.25 $359.72 $352.96 $359.37 $346.96 $337.70 $329.45 $321.94$413.12 $402.89 $362.09 $355.29 $361.74 $349.25 $339.93 $331.62 $324.06$415.83 $405.53 $364.46 $357.61 $364.10 $351.53 $342.15 $333.79 $326.18$418.53 $408.16 $366.83 $359.94 $366.47 $353.82 $344.38 $335.97 $328.30$421.24 $410.80 $369.20 $362.27 $368.84 $356.11 $346.60 $338.14 $330.42$426.65 $416.08 $373.94 $366.92 $373.58 $360.68 $351.05 $342.48 $334.67$432.06 $421.35 $378.68 $371.57 $378.31 $365.25 $355.50 $346.82 $338.91$440.17 $429.26 $385.79 $378.55 $385.42 $372.11 $362.18 $353.33 $345.27$447.95 $436.85 $392.61 $385.23 $392.23 $378.68 $368.58 $359.58 $351.37$458.76 $447.40 $402.09 $394.54 $401.70 $387.83 $377.48 $368.26 $359.86$472.29 $460.59 $413.94 $406.17 $413.54 $399.26 $388.61 $379.12 $370.47$488.18 $476.08 $427.87 $419.83 $427.45 $412.69 $401.68 $391.87 $382.93$507.11 $494.54 $444.46 $436.12 $444.03 $428.70 $417.26 $407.07 $397.78$528.41 $515.32 $463.13 $454.43 $462.68 $446.70 $434.78 $424.16 $414.49$552.75 $539.05 $484.46 $475.37 $483.99 $467.28 $454.81 $443.70 $433.58$576.75 $562.46 $505.50 $496.01 $505.01 $487.57 $474.56 $462.97 $452.41$603.80 $588.84 $529.20 $519.27 $528.69 $510.44 $496.82 $484.68 $473.63$630.50 $614.88 $552.61 $542.24 $552.08 $533.01 $518.79 $506.12 $494.58$659.92 $643.57 $578.39 $567.53 $577.83 $557.88 $542.99 $529.73 $517.65$689.67 $672.58 $604.47 $593.12 $603.88 $583.03 $567.47 $553.61 $540.98$721.78 $703.90 $632.62 $620.74 $632.00 $610.18 $593.90 $579.39 $566.18$753.90 $735.22 $660.77 $648.36 $660.12 $637.33 $620.32 $605.17 $591.37$788.72 $769.18 $691.28 $678.30 $690.61 $666.77 $648.98 $633.12 $618.68$823.88 $803.47 $722.10 $708.54 $721.40 $696.49 $677.91 $661.35 $646.26$861.41 $840.07 $754.99 $740.81 $754.26 $728.22 $708.78 $691.47 $675.70$880.00 $858.20 $771.29 $756.80 $770.54 $743.93 $724.08 $706.40 $690.28$917.53 $894.80 $804.18 $789.08 $803.40 $775.66 $754.96 $736.52 $719.72$949.98 $926.45 $832.62 $816.99 $831.81 $803.09 $781.66 $762.57 $745.18$971.28 $947.22 $851.29 $835.31 $850.46 $821.10 $799.19 $779.67 $761.89$997.99 $973.26 $874.70 $858.27 $873.85 $843.68 $821.16 $801.11 $782.84

$1,014.22 $989.09 $888.92 $872.23 $888.06 $857.40 $834.52 $814.13 $795.56



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$159.21 $180.22 $174.99 $152.59 $141.23 $191.23 $182.74 $175.88 $154.83$250.73 $283.80 $275.58 $240.31 $222.40 $301.15 $287.78 $276.97 $243.82$250.73 $283.80 $275.58 $240.31 $222.40 $301.15 $287.78 $276.97 $243.82$250.73 $283.80 $275.58 $240.31 $222.40 $301.15 $287.78 $276.97 $243.82$250.73 $283.80 $275.58 $240.31 $222.40 $301.15 $287.78 $276.97 $243.82$251.74 $284.94 $276.68 $241.27 $223.29 $302.35 $288.93 $278.08 $244.79$256.75 $290.62 $282.20 $246.07 $227.74 $308.38 $294.69 $283.62 $249.67$262.77 $297.43 $288.81 $251.84 $233.08 $315.60 $301.59 $290.27 $255.52$272.55 $308.50 $299.56 $261.21 $241.75 $327.35 $312.82 $301.07 $265.03$280.57 $317.58 $308.38 $268.90 $248.87 $336.99 $322.02 $309.93 $272.83$284.58 $322.12 $312.79 $272.75 $252.43 $341.80 $326.63 $314.37 $276.73$290.60 $328.93 $319.40 $278.51 $257.77 $349.03 $333.54 $321.01 $282.59$296.62 $335.74 $326.01 $284.28 $263.10 $356.26 $340.44 $327.66 $288.44$300.38 $340.00 $330.15 $287.89 $266.44 $360.78 $344.76 $331.81 $292.10$304.39 $344.54 $334.56 $291.73 $270.00 $365.60 $349.36 $336.25 $296.00$306.39 $346.81 $336.76 $293.65 $271.78 $368.00 $351.67 $338.46 $297.95$308.40 $349.08 $338.97 $295.58 $273.56 $370.41 $353.97 $340.68 $299.90$310.41 $351.35 $341.17 $297.50 $275.34 $372.82 $356.27 $342.89 $301.85$312.41 $353.62 $343.38 $299.42 $277.12 $375.23 $358.57 $345.11 $303.80$316.42 $358.16 $347.79 $303.27 $280.67 $380.05 $363.18 $349.54 $307.70$320.44 $362.70 $352.19 $307.11 $284.23 $384.87 $367.78 $353.97 $311.60$326.45 $369.51 $358.81 $312.88 $289.57 $392.10 $374.69 $360.62 $317.45$332.22 $376.04 $365.15 $318.41 $294.69 $399.02 $381.31 $366.99 $323.06$340.24 $385.12 $373.97 $326.09 $301.80 $408.66 $390.52 $375.85 $330.86$350.27 $396.47 $384.99 $335.71 $310.70 $420.71 $402.03 $386.93 $340.62$362.06 $409.81 $397.94 $347.00 $321.15 $434.86 $415.55 $399.95 $352.07$376.10 $425.71 $413.37 $360.46 $333.61 $451.72 $431.67 $415.46 $365.73$391.89 $443.59 $430.74 $375.60 $347.62 $470.70 $449.80 $432.91 $381.09$409.95 $464.02 $450.58 $392.90 $363.63 $492.38 $470.52 $452.85 $398.64$427.75 $484.17 $470.14 $409.96 $379.42 $513.76 $490.95 $472.52 $415.96$447.81 $506.87 $492.19 $429.19 $397.21 $537.85 $513.97 $494.68 $435.46$467.62 $529.30 $513.96 $448.17 $414.78 $561.64 $536.71 $516.56 $454.72$489.43 $553.99 $537.94 $469.08 $434.13 $587.84 $561.74 $540.65 $475.94$511.49 $578.96 $562.19 $490.22 $453.70 $614.35 $587.07 $565.03 $497.39$535.31 $605.92 $588.37 $513.05 $474.83 $642.95 $614.41 $591.34 $520.55$559.13 $632.88 $614.55 $535.88 $495.96 $671.56 $641.75 $617.65 $543.72$584.96 $662.12 $642.93 $560.63 $518.87 $702.58 $671.39 $646.18 $568.83$611.03 $691.63 $671.59 $585.63 $542.00 $733.90 $701.32 $674.99 $594.19$638.87 $723.13 $702.18 $612.30 $566.69 $767.33 $733.26 $705.73 $621.25$652.66 $738.74 $717.34 $625.52 $578.92 $783.89 $749.09 $720.96 $634.66$680.49 $770.25 $747.93 $652.19 $603.61 $817.32 $781.03 $751.71 $661.73$704.56 $797.49 $774.39 $675.26 $624.96 $846.23 $808.66 $778.30 $685.13$720.35 $815.37 $791.75 $690.40 $638.97 $865.20 $826.79 $795.75 $700.49$740.16 $837.79 $813.52 $709.38 $656.54 $888.99 $849.52 $817.63 $719.75$752.20 $851.41 $826.75 $720.92 $667.21 $903.45 $863.34 $830.92 $731.46



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

$141.55 $140.69 $141.02 $160.86 $166.34 $125.92 $129.93 $215.14 $222.93$222.92 $221.57 $222.07 $253.32 $261.96 $198.30 $204.61 $338.80 $351.07$222.92 $221.57 $222.07 $253.32 $261.96 $198.30 $204.61 $338.80 $351.07$222.92 $221.57 $222.07 $253.32 $261.96 $198.30 $204.61 $338.80 $351.07$222.92 $221.57 $222.07 $253.32 $261.96 $198.30 $204.61 $338.80 $351.07$223.81 $222.45 $222.96 $254.33 $263.01 $199.10 $205.43 $340.15 $352.47$228.27 $226.88 $227.40 $259.40 $268.25 $203.06 $209.52 $346.93 $359.49$233.62 $232.20 $232.73 $265.48 $274.53 $207.82 $214.43 $355.06 $367.92$242.31 $240.84 $241.40 $275.36 $284.75 $215.56 $222.41 $368.27 $381.61$249.44 $247.93 $248.50 $283.46 $293.13 $221.90 $228.96 $379.11 $392.85$253.01 $251.48 $252.05 $287.52 $297.33 $225.07 $232.23 $384.54 $398.46$258.36 $256.80 $257.38 $293.60 $303.61 $229.83 $237.15 $392.67 $406.89$263.71 $262.11 $262.71 $299.68 $309.90 $234.59 $242.06 $400.80 $415.31$267.05 $265.44 $266.05 $303.47 $313.83 $237.57 $245.13 $405.88 $420.58$270.62 $268.98 $269.60 $307.53 $318.02 $240.74 $248.40 $411.30 $426.20$272.40 $270.75 $271.38 $309.55 $320.12 $242.33 $250.04 $414.01 $429.01$274.19 $272.53 $273.15 $311.58 $322.21 $243.91 $251.67 $416.72 $431.81$275.97 $274.30 $274.93 $313.61 $324.31 $245.50 $253.31 $419.43 $434.62$277.75 $276.07 $276.71 $315.63 $326.40 $247.09 $254.95 $422.14 $437.43$281.32 $279.62 $280.26 $319.69 $330.59 $250.26 $258.22 $427.56 $443.05$284.89 $283.16 $283.81 $323.74 $334.79 $253.43 $261.49 $432.98 $448.67$290.24 $288.48 $289.14 $329.82 $341.07 $258.19 $266.41 $441.11 $457.09$295.37 $293.58 $294.25 $335.65 $347.10 $262.75 $271.11 $448.91 $465.17$302.50 $300.67 $301.36 $343.75 $355.48 $269.10 $277.66 $459.75 $476.40$311.42 $309.53 $310.24 $353.89 $365.96 $277.03 $285.84 $473.30 $490.44$321.89 $319.94 $320.68 $365.79 $378.27 $286.35 $295.46 $489.22 $506.94$334.38 $332.35 $333.11 $379.98 $392.94 $297.46 $306.92 $508.20 $526.60$348.42 $346.31 $347.10 $395.94 $409.44 $309.95 $319.81 $529.54 $548.72$364.47 $362.26 $363.09 $414.17 $428.31 $324.23 $334.54 $553.93 $574.00$380.30 $377.99 $378.86 $432.16 $446.90 $338.31 $349.07 $577.99 $598.92$398.13 $395.72 $396.63 $452.43 $467.86 $354.17 $365.44 $605.09 $627.01$415.74 $413.22 $414.17 $472.44 $488.56 $369.84 $381.60 $631.86 $654.74$435.13 $432.50 $433.49 $494.48 $511.35 $387.09 $399.40 $661.33 $685.29$454.75 $452.00 $453.03 $516.77 $534.40 $404.54 $417.41 $691.15 $716.18$475.93 $473.04 $474.13 $540.83 $559.29 $423.38 $436.85 $723.33 $749.53$497.11 $494.09 $495.23 $564.90 $584.17 $442.22 $456.29 $755.52 $782.88$520.07 $516.91 $518.10 $590.99 $611.15 $462.64 $477.36 $790.41 $819.04$543.25 $539.96 $541.20 $617.34 $638.40 $483.27 $498.64 $825.65 $855.56$567.99 $564.55 $565.85 $645.45 $667.48 $505.28 $521.35 $863.26 $894.52$580.25 $576.74 $578.06 $659.39 $681.88 $516.18 $532.61 $881.89 $913.83$605.00 $601.33 $602.71 $687.51 $710.96 $538.20 $555.32 $919.50 $952.80$626.40 $622.60 $624.03 $711.82 $736.11 $557.23 $574.96 $952.02 $986.50$640.44 $636.56 $638.02 $727.78 $752.61 $569.73 $587.85 $973.37 $1,008.62$658.05 $654.06 $655.56 $747.79 $773.31 $585.39 $604.02 $1,000.13 $1,036.36$668.75 $664.70 $666.22 $759.95 $785.88 $594.91 $613.84 $1,016.39 $1,053.21



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$194.64 $201.62 $210.74 $176.79 $143.57 $239.46 $236.36 $223.48 $217.17$306.52 $317.50 $331.87 $278.41 $226.10 $377.10 $372.23 $351.93 $341.99$306.52 $317.50 $331.87 $278.41 $226.10 $377.10 $372.23 $351.93 $341.99$306.52 $317.50 $331.87 $278.41 $226.10 $377.10 $372.23 $351.93 $341.99$306.52 $317.50 $331.87 $278.41 $226.10 $377.10 $372.23 $351.93 $341.99$307.75 $318.77 $333.20 $279.52 $227.00 $378.61 $373.72 $353.34 $343.36$313.88 $325.12 $339.84 $285.09 $231.52 $386.15 $381.16 $360.38 $350.20$321.24 $332.74 $347.80 $291.77 $236.95 $395.20 $390.09 $368.82 $358.41$333.19 $345.13 $360.75 $302.63 $245.77 $409.91 $404.61 $382.55 $371.75$343.00 $355.29 $371.36 $311.54 $253.00 $421.97 $416.52 $393.81 $382.69$347.90 $360.37 $376.67 $316.00 $256.62 $428.01 $422.48 $399.44 $388.16$355.26 $367.99 $384.64 $322.68 $262.05 $437.06 $431.41 $407.89 $396.37$362.62 $375.61 $392.60 $329.36 $267.47 $446.11 $440.35 $416.33 $404.58$367.22 $380.37 $397.58 $333.54 $270.87 $451.76 $445.93 $421.61 $409.71$372.12 $385.45 $402.89 $337.99 $274.48 $457.80 $451.88 $427.24 $415.18$374.57 $387.99 $405.55 $340.22 $276.29 $460.81 $454.86 $430.06 $417.92$377.02 $390.53 $408.20 $342.44 $278.10 $463.83 $457.84 $432.87 $420.65$379.48 $393.07 $410.86 $344.67 $279.91 $466.85 $460.82 $435.69 $423.39$381.93 $395.61 $413.51 $346.90 $281.72 $469.86 $463.80 $438.51 $426.12$386.83 $400.69 $418.82 $351.35 $285.34 $475.90 $469.75 $444.14 $431.60$391.74 $405.77 $424.13 $355.81 $288.95 $481.93 $475.71 $449.77 $437.07$399.09 $413.39 $432.10 $362.49 $294.38 $490.98 $484.64 $458.21 $445.28$406.14 $420.69 $439.73 $368.89 $299.58 $499.65 $493.20 $466.31 $453.14$415.95 $430.85 $450.35 $377.80 $306.82 $511.72 $505.11 $477.57 $464.09$428.21 $443.55 $463.63 $388.94 $315.86 $526.81 $520.00 $491.65 $477.77$442.62 $458.48 $479.22 $402.02 $326.49 $544.53 $537.50 $508.19 $493.84$459.79 $476.26 $497.81 $417.62 $339.15 $565.65 $558.34 $527.90 $512.99$479.10 $496.26 $518.72 $435.15 $353.39 $589.40 $581.79 $550.07 $534.54$501.17 $519.12 $542.61 $455.20 $369.67 $616.56 $608.59 $575.41 $559.16$522.93 $541.66 $566.17 $474.97 $385.72 $643.33 $635.02 $600.39 $583.44$547.45 $567.06 $592.72 $497.24 $403.81 $673.50 $664.80 $628.55 $610.80$571.67 $592.15 $618.94 $519.23 $421.67 $703.29 $694.21 $656.35 $637.82$598.34 $619.77 $647.81 $543.46 $441.34 $736.10 $726.59 $686.97 $667.57$625.31 $647.71 $677.02 $567.96 $461.24 $769.28 $759.35 $717.94 $697.67$654.43 $677.87 $708.55 $594.41 $482.72 $805.10 $794.71 $751.37 $730.16$683.55 $708.03 $740.08 $620.85 $504.20 $840.93 $830.07 $784.81 $762.65$715.12 $740.74 $774.26 $649.53 $527.49 $879.77 $868.41 $821.05 $797.87$747.00 $773.76 $808.77 $678.49 $551.00 $918.99 $907.12 $857.66 $833.44$781.02 $809.00 $845.61 $709.39 $576.10 $960.85 $948.44 $896.72 $871.40$797.88 $826.46 $863.86 $724.70 $588.53 $981.59 $968.91 $916.08 $890.21$831.91 $861.71 $900.70 $755.60 $613.63 $1,023.44 $1,010.23 $955.14 $928.17$861.33 $892.19 $932.56 $782.33 $635.34 $1,059.65 $1,045.96 $988.93 $961.00$880.64 $912.19 $953.47 $799.87 $649.58 $1,083.40 $1,069.41 $1,011.10 $982.55$904.86 $937.27 $979.69 $821.87 $667.44 $1,113.19 $1,098.82 $1,038.90 $1,009.57$919.57 $952.51 $995.62 $835.23 $678.30 $1,131.29 $1,116.68 $1,055.79 $1,025.98



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7


$216.76 $211.39 $189.98 $186.41 $189.80 $183.24 $178.35 $174.00 $170.03$341.35 $332.90 $299.18 $293.57 $298.89 $288.57 $280.87 $274.01 $267.76$341.35 $332.90 $299.18 $293.57 $298.89 $288.57 $280.87 $274.01 $267.76$341.35 $332.90 $299.18 $293.57 $298.89 $288.57 $280.87 $274.01 $267.76$341.35 $332.90 $299.18 $293.57 $298.89 $288.57 $280.87 $274.01 $267.76$342.72 $334.23 $300.38 $294.74 $300.09 $289.73 $282.00 $275.11 $268.83$349.55 $340.89 $306.36 $300.61 $306.07 $295.50 $287.61 $280.59 $274.19$357.74 $348.88 $313.54 $307.66 $313.24 $302.43 $294.35 $287.17 $280.62$371.05 $361.86 $325.21 $319.11 $324.90 $313.68 $305.31 $297.85 $291.06$381.98 $372.51 $334.79 $328.50 $334.46 $322.91 $314.30 $306.62 $299.63$387.44 $377.84 $339.57 $333.20 $339.24 $327.53 $318.79 $311.00 $303.91$395.63 $385.83 $346.75 $340.24 $346.42 $334.46 $325.53 $317.58 $310.34$403.82 $393.82 $353.93 $347.29 $353.59 $341.38 $332.27 $324.16 $316.76$408.94 $398.81 $358.42 $351.69 $358.07 $345.71 $336.49 $328.27 $320.78$414.40 $404.14 $363.21 $356.39 $362.86 $350.33 $340.98 $332.65 $325.06$417.13 $406.80 $365.60 $358.74 $365.25 $352.64 $343.23 $334.84 $327.21$419.87 $409.46 $368.00 $361.09 $367.64 $354.95 $345.47 $337.04 $329.35$422.60 $412.13 $370.39 $363.43 $370.03 $357.25 $347.72 $339.23 $331.49$425.33 $414.79 $372.78 $365.78 $372.42 $359.56 $349.97 $341.42 $333.63$430.79 $420.12 $377.57 $370.48 $377.20 $364.18 $354.46 $345.80 $337.92$436.25 $425.44 $382.36 $375.18 $381.99 $368.80 $358.96 $350.19 $342.20$444.44 $433.43 $389.54 $382.22 $389.16 $375.72 $365.70 $356.76 $348.63$452.29 $441.09 $396.42 $388.98 $396.03 $382.36 $372.16 $363.07 $354.79$463.22 $451.74 $405.99 $398.37 $405.60 $391.59 $381.14 $371.84 $363.35$476.87 $465.06 $417.96 $410.11 $417.55 $403.14 $392.38 $382.80 $374.06$492.92 $480.70 $432.02 $423.91 $431.60 $416.70 $405.58 $395.67 $386.65$512.03 $499.35 $448.78 $440.35 $448.34 $432.86 $421.31 $411.02 $401.64$533.54 $520.32 $467.62 $458.84 $467.17 $451.04 $439.00 $428.28 $418.51$558.11 $544.29 $489.17 $479.98 $488.69 $471.82 $459.23 $448.01 $437.79$582.35 $567.92 $510.41 $500.82 $509.91 $492.31 $479.17 $467.47 $456.80$609.66 $594.55 $534.34 $524.31 $533.82 $515.39 $501.64 $489.39 $478.22$636.63 $620.85 $557.98 $547.50 $557.44 $538.19 $523.83 $511.03 $499.38$666.32 $649.82 $584.01 $573.04 $583.44 $563.30 $548.26 $534.87 $522.67$696.36 $679.11 $610.34 $598.87 $609.74 $588.69 $572.98 $558.99 $546.24$728.79 $710.74 $638.76 $626.76 $638.14 $616.10 $599.66 $585.02 $571.67$761.22 $742.36 $667.18 $654.65 $666.53 $643.52 $626.35 $611.05 $597.11$796.38 $776.65 $698.00 $684.89 $697.32 $673.24 $655.28 $639.27 $624.69$831.88 $811.27 $729.11 $715.42 $728.40 $703.25 $684.49 $667.77 $652.54$869.77 $848.22 $762.32 $748.01 $761.58 $735.29 $715.66 $698.18 $682.26$888.54 $866.53 $778.78 $764.15 $778.02 $751.16 $731.11 $713.26 $696.99$926.43 $903.48 $811.99 $796.74 $811.20 $783.19 $762.29 $743.67 $726.71$959.20 $935.44 $840.71 $824.92 $839.89 $810.89 $789.25 $769.98 $752.41$980.71 $956.41 $859.56 $843.42 $858.72 $829.07 $806.95 $787.24 $769.28

$1,007.68 $982.71 $883.19 $866.61 $882.33 $851.87 $829.14 $808.89 $790.44$1,024.06 $998.69 $897.55 $880.70 $896.68 $865.72 $842.62 $822.04 $803.29



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$160.76 $181.97 $176.69 $154.08 $142.60 $193.09 $184.51 $177.59 $156.33$253.17 $286.56 $278.26 $242.64 $224.56 $304.07 $290.57 $279.66 $246.19$253.17 $286.56 $278.26 $242.64 $224.56 $304.07 $290.57 $279.66 $246.19$253.17 $286.56 $278.26 $242.64 $224.56 $304.07 $290.57 $279.66 $246.19$253.17 $286.56 $278.26 $242.64 $224.56 $304.07 $290.57 $279.66 $246.19$254.18 $287.71 $279.37 $243.61 $225.46 $305.29 $291.73 $280.78 $247.17$259.24 $293.44 $284.94 $248.46 $229.95 $311.37 $297.55 $286.37 $252.09$265.32 $300.31 $291.61 $254.29 $235.34 $318.67 $304.52 $293.09 $258.00$275.19 $311.49 $302.47 $263.75 $244.10 $330.53 $315.85 $303.99 $267.60$283.29 $320.66 $311.37 $271.51 $251.29 $340.26 $325.15 $312.94 $275.48$287.34 $325.25 $315.82 $275.40 $254.88 $345.12 $329.80 $317.42 $279.42$293.42 $332.12 $322.50 $281.22 $260.27 $352.42 $336.77 $324.13 $285.33$299.50 $339.00 $329.18 $287.04 $265.66 $359.72 $343.75 $330.84 $291.24$303.29 $343.30 $333.35 $290.68 $269.03 $364.28 $348.11 $335.04 $294.93$307.34 $347.88 $337.81 $294.56 $272.62 $369.15 $352.75 $339.51 $298.87$309.37 $350.18 $340.03 $296.50 $274.42 $371.58 $355.08 $341.75 $300.84$311.39 $352.47 $342.26 $298.45 $276.21 $374.01 $357.40 $343.99 $302.81$313.42 $354.76 $344.48 $300.39 $278.01 $376.44 $359.73 $346.22 $304.78$315.45 $357.05 $346.71 $302.33 $279.81 $378.88 $362.05 $348.46 $306.75$319.50 $361.64 $351.16 $306.21 $283.40 $383.74 $366.70 $352.93 $310.69$323.55 $366.22 $355.61 $310.09 $286.99 $388.61 $371.35 $357.41 $314.63$329.62 $373.10 $362.29 $315.92 $292.38 $395.90 $378.33 $364.12 $320.53$335.45 $379.69 $368.69 $321.50 $297.55 $402.90 $385.01 $370.55 $326.20$343.55 $388.86 $377.60 $329.26 $304.73 $412.63 $394.31 $379.50 $334.07$353.67 $400.32 $388.73 $338.97 $313.72 $424.79 $405.93 $390.69 $343.92$365.57 $413.79 $401.80 $350.37 $324.27 $439.08 $419.59 $403.83 $355.49$379.75 $429.84 $417.39 $363.96 $336.85 $456.11 $435.86 $419.49 $369.28$395.70 $447.89 $434.92 $379.24 $350.99 $475.27 $454.16 $437.11 $384.79$413.93 $468.53 $454.95 $396.71 $367.16 $497.16 $475.09 $457.25 $402.51$431.90 $488.87 $474.71 $413.94 $383.11 $518.75 $495.72 $477.11 $419.99$452.16 $511.80 $496.97 $433.35 $401.07 $543.08 $518.96 $499.48 $439.69$472.16 $534.43 $518.95 $452.52 $418.81 $567.10 $541.92 $521.57 $459.14$494.18 $559.36 $543.16 $473.63 $438.35 $593.55 $567.20 $545.90 $480.56$516.46 $584.58 $567.65 $494.98 $458.11 $620.31 $592.77 $570.51 $502.22$540.51 $611.81 $594.08 $518.03 $479.44 $649.20 $620.37 $597.08 $525.61$564.56 $639.03 $620.52 $541.08 $500.78 $678.08 $647.98 $623.65 $549.00$590.64 $668.54 $649.18 $566.08 $523.91 $709.40 $677.91 $652.45 $574.35$616.97 $698.35 $678.11 $591.31 $547.26 $741.03 $708.13 $681.54 $599.96$645.07 $730.15 $709.00 $618.24 $572.19 $774.78 $740.38 $712.58 $627.28$658.99 $745.92 $724.31 $631.59 $584.54 $791.50 $756.36 $727.96 $640.82$687.09 $777.72 $755.19 $658.52 $609.47 $825.26 $788.61 $759.01 $668.15$711.40 $805.23 $781.91 $681.82 $631.02 $854.45 $816.51 $785.85 $691.78$727.35 $823.29 $799.44 $697.10 $645.17 $873.60 $834.81 $803.47 $707.29$747.35 $845.92 $821.42 $716.27 $662.91 $897.62 $857.77 $825.57 $726.74$759.50 $859.68 $834.77 $727.92 $673.69 $912.22 $871.72 $838.99 $738.56



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

$142.93 $142.06 $142.39 $162.42 $127.15 $217.23 $196.53 $212.78 $178.51$225.08 $223.72 $224.23 $255.78 $200.23 $342.09 $309.50 $335.09 $281.11$225.08 $223.72 $224.23 $255.78 $200.23 $342.09 $309.50 $335.09 $281.11$225.08 $223.72 $224.23 $255.78 $200.23 $342.09 $309.50 $335.09 $281.11$225.08 $223.72 $224.23 $255.78 $200.23 $342.09 $309.50 $335.09 $281.11$225.98 $224.61 $225.13 $256.80 $201.03 $343.46 $310.74 $336.43 $282.24$230.48 $229.09 $229.61 $261.92 $205.03 $350.30 $316.93 $343.14 $287.86$235.89 $234.46 $234.99 $268.05 $209.84 $358.51 $324.36 $351.18 $294.61$244.66 $243.18 $243.74 $278.03 $217.65 $371.85 $336.43 $364.25 $305.57$251.87 $250.34 $250.91 $286.21 $224.06 $382.80 $346.33 $374.97 $314.57$255.47 $253.92 $254.50 $290.31 $227.26 $388.27 $351.28 $380.33 $319.06$260.87 $259.29 $259.88 $296.45 $232.07 $396.48 $358.71 $388.37 $325.81$266.27 $264.66 $265.26 $302.58 $236.87 $404.69 $366.14 $396.42 $332.56$269.65 $268.01 $268.63 $306.42 $239.87 $409.82 $370.78 $401.44 $336.77$273.25 $271.59 $272.22 $310.51 $243.08 $415.29 $375.73 $406.80 $341.27$275.05 $273.38 $274.01 $312.56 $244.68 $418.03 $378.21 $409.49 $343.52$276.85 $275.17 $275.80 $314.61 $246.28 $420.77 $380.69 $412.17 $345.77$278.65 $276.96 $277.60 $316.65 $247.88 $423.50 $383.16 $414.85 $348.02$280.45 $278.75 $279.39 $318.70 $249.49 $426.24 $385.64 $417.53 $350.27$284.05 $282.33 $282.98 $322.79 $252.69 $431.71 $390.59 $422.89 $354.76$287.65 $285.91 $286.57 $326.88 $255.89 $437.19 $395.54 $428.25 $359.26$293.06 $291.28 $291.95 $333.02 $260.70 $445.40 $402.97 $436.29 $366.01$298.23 $296.43 $297.11 $338.91 $265.30 $453.27 $410.09 $444.00 $372.47$305.44 $303.58 $304.28 $347.09 $271.71 $464.21 $419.99 $454.72 $381.47$314.44 $312.53 $313.25 $357.32 $279.72 $477.90 $432.37 $468.13 $392.71$325.02 $323.05 $323.79 $369.34 $289.13 $493.97 $446.92 $483.88 $405.93$337.62 $335.58 $336.35 $383.67 $300.34 $513.13 $464.25 $502.64 $421.67$351.80 $349.67 $350.47 $399.78 $312.96 $534.68 $483.75 $523.75 $439.38$368.01 $365.78 $366.62 $418.20 $327.37 $559.31 $506.03 $547.88 $459.62$383.99 $381.66 $382.54 $436.36 $341.59 $583.60 $528.01 $571.67 $479.58$402.00 $399.56 $400.48 $456.82 $357.61 $610.97 $552.77 $598.48 $502.07$419.78 $417.23 $418.19 $477.02 $373.43 $637.99 $577.22 $624.95 $524.28$439.36 $436.70 $437.70 $499.28 $390.85 $667.75 $604.14 $654.10 $548.73$459.17 $456.38 $457.43 $521.79 $408.47 $697.86 $631.38 $683.59 $573.47$480.55 $477.64 $478.73 $546.08 $427.49 $730.36 $660.78 $715.43 $600.18$501.93 $498.89 $500.03 $570.38 $446.51 $762.85 $690.19 $747.26 $626.88$525.12 $521.93 $523.13 $596.73 $467.13 $798.09 $722.06 $781.77 $655.84$548.52 $545.20 $546.45 $623.33 $487.96 $833.67 $754.25 $816.62 $685.07$573.51 $570.03 $571.34 $651.72 $510.18 $871.64 $788.61 $853.82 $716.28$585.89 $582.34 $583.67 $665.79 $521.20 $890.45 $805.63 $872.25 $731.74$610.87 $607.17 $608.56 $694.18 $543.42 $928.42 $839.98 $909.45 $762.94$632.48 $628.65 $630.09 $718.73 $562.64 $961.26 $869.70 $941.61 $789.93$646.66 $642.74 $644.21 $734.85 $575.26 $982.82 $889.19 $962.73 $807.64$664.44 $660.41 $661.93 $755.05 $591.08 $1,009.84 $913.64 $989.20 $829.85$675.24 $671.15 $672.69 $767.33 $600.69 $1,026.26 $928.50 $1,005.28 $843.34



Market: Small Group


PlanHIOS Plan

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Moda Health

Oregon

Standard

Bronze

$144.97$228.29$228.29$228.29$228.29$229.21$233.77$239.25$248.16$255.46$259.11$264.59$270.07$273.50$277.15$278.97$280.80$282.63$284.45$288.11$291.76$297.24$302.49$309.79$318.93$329.66$342.44$356.82$373.26$389.47$407.73$425.77$445.63$465.72$487.41$509.09$532.61$556.35$581.69$594.25$619.59$641.50$655.89$673.92$684.88



Market: Small Group



Plan

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500 PPO 2500 PPO 3000 Value 1500HIOS Plan Id

0-20 $233.15 $230.14 $217.59 $211.45 $211.05 $205.82 $184.98 $181.51 $184.8021 $367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.0222 $367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.0223 $367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.0224 $367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.0225 $368.64 $363.88 $344.03 $334.32 $333.69 $325.43 $292.47 $286.98 $292.1926 $375.98 $371.12 $350.89 $340.98 $340.34 $331.91 $298.30 $292.70 $298.0127 $384.79 $379.82 $359.11 $348.97 $348.32 $339.69 $305.29 $299.56 $304.9928 $399.11 $393.96 $372.48 $361.96 $361.28 $352.33 $316.65 $310.70 $316.3429 $410.86 $405.55 $383.44 $372.61 $371.92 $362.70 $325.97 $319.85 $325.6530 $416.74 $411.35 $388.92 $377.94 $377.23 $367.89 $330.63 $324.42 $330.3131 $425.55 $420.05 $397.15 $385.93 $385.21 $375.67 $337.62 $331.28 $337.2932 $434.36 $428.75 $405.37 $393.93 $393.19 $383.45 $344.61 $338.14 $344.2833 $439.87 $434.19 $410.51 $398.92 $398.17 $388.31 $348.98 $342.43 $348.6434 $445.74 $439.99 $415.99 $404.25 $403.49 $393.49 $353.64 $347.00 $353.3035 $448.68 $442.88 $418.73 $406.91 $406.15 $396.09 $355.98 $349.29 $355.6336 $451.62 $445.78 $421.48 $409.58 $408.81 $398.68 $358.31 $351.58 $357.9637 $454.55 $448.68 $424.22 $412.24 $411.47 $401.27 $360.64 $353.86 $360.2938 $457.49 $451.58 $426.96 $414.90 $414.13 $403.87 $362.97 $356.15 $362.6139 $463.37 $457.38 $432.44 $420.23 $419.44 $409.05 $367.63 $360.72 $367.2740 $469.24 $463.18 $437.92 $425.56 $424.76 $414.24 $372.29 $365.30 $371.9341 $478.05 $471.88 $446.15 $433.55 $432.74 $422.02 $379.28 $372.16 $378.9142 $486.50 $480.21 $454.03 $441.21 $440.38 $429.47 $385.98 $378.73 $385.6043 $498.25 $491.81 $464.99 $451.87 $451.02 $439.85 $395.30 $387.88 $394.9244 $512.93 $506.31 $478.70 $465.18 $464.31 $452.81 $406.95 $399.31 $406.5645 $530.19 $523.34 $494.81 $480.84 $479.94 $468.04 $420.65 $412.75 $420.2446 $550.75 $543.64 $513.99 $499.48 $498.55 $486.20 $436.96 $428.75 $436.5347 $573.88 $566.47 $535.58 $520.46 $519.49 $506.62 $455.31 $446.76 $454.8748 $600.32 $592.57 $560.25 $544.44 $543.42 $529.95 $476.28 $467.34 $475.8249 $626.39 $618.30 $584.58 $568.08 $567.01 $552.97 $496.97 $487.64 $496.4850 $655.76 $647.29 $612.00 $594.72 $593.60 $578.90 $520.27 $510.50 $519.7751 $684.77 $675.92 $639.07 $621.02 $619.86 $604.50 $543.28 $533.08 $542.7652 $716.71 $707.46 $668.88 $649.99 $648.78 $632.70 $568.63 $557.95 $568.0853 $749.02 $739.35 $699.03 $679.30 $678.02 $661.23 $594.26 $583.10 $593.6954 $783.90 $773.78 $731.59 $710.93 $709.60 $692.02 $621.94 $610.26 $621.3355 $818.78 $808.21 $764.14 $742.56 $741.17 $722.81 $649.61 $637.41 $648.9856 $856.60 $845.54 $799.43 $776.86 $775.41 $756.20 $679.62 $666.85 $678.9657 $894.79 $883.23 $835.07 $811.49 $809.97 $789.91 $709.91 $696.58 $709.2258 $935.54 $923.46 $873.11 $848.45 $846.87 $825.89 $742.25 $728.31 $741.5259 $955.74 $943.39 $891.95 $866.77 $865.15 $843.71 $758.27 $744.03 $757.5360 $996.49 $983.62 $929.99 $903.73 $902.04 $879.69 $790.60 $775.76 $789.8361 $1,031.74 $1,018.42 $962.88 $935.70 $933.95 $910.81 $818.57 $803.20 $817.7762 $1,054.87 $1,041.25 $984.47 $956.68 $954.88 $931.23 $836.92 $821.21 $836.1163 $1,083.88 $1,069.88 $1,011.54 $982.98 $981.14 $956.83 $859.93 $843.79 $859.10

64+ $1,101.49 $1,087.27 $1,027.98 $998.95 $997.09 $972.38 $873.91 $857.50 $873.06



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Value 2000

Value 2000


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

$178.42 $164.80 $173.66 $169.42 $165.55 $156.53 $177.17 $172.04 $150.02$280.97 $259.53 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25$280.97 $259.53 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25$280.97 $259.53 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25$280.97 $259.53 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25$282.10 $260.56 $274.57 $267.86 $261.75 $247.49 $280.13 $272.01 $237.19$287.72 $265.75 $280.04 $273.20 $266.97 $252.42 $285.71 $277.43 $241.92$294.46 $271.98 $286.60 $279.60 $273.23 $258.33 $292.41 $283.94 $247.59$305.42 $282.10 $297.27 $290.01 $283.39 $267.95 $303.29 $294.50 $256.80$314.41 $290.41 $306.02 $298.55 $291.74 $275.83 $312.22 $303.17 $264.36$318.91 $294.56 $310.40 $302.81 $295.91 $279.78 $316.68 $307.51 $268.14$325.65 $300.79 $316.96 $309.22 $302.16 $285.69 $323.38 $314.01 $273.81$332.39 $307.02 $323.52 $315.62 $308.42 $291.61 $330.07 $320.51 $279.48$336.61 $310.91 $327.62 $319.62 $312.33 $295.31 $334.26 $324.57 $283.03$341.10 $315.06 $332.00 $323.89 $316.50 $299.25 $338.72 $328.91 $286.81$343.35 $317.14 $334.19 $326.03 $318.59 $301.22 $340.95 $331.08 $288.70$345.60 $319.22 $336.38 $328.16 $320.68 $303.19 $343.19 $333.24 $290.59$347.85 $321.29 $338.56 $330.29 $322.76 $305.17 $345.42 $335.41 $292.48$350.09 $323.37 $340.75 $332.43 $324.85 $307.14 $347.65 $337.58 $294.37$354.59 $327.52 $345.13 $336.70 $329.02 $311.08 $352.12 $341.91 $298.15$359.09 $331.67 $349.50 $340.97 $333.19 $315.03 $356.58 $346.25 $301.93$365.83 $337.90 $356.07 $347.37 $339.45 $320.94 $363.28 $352.75 $307.60$372.29 $343.87 $362.36 $353.51 $345.44 $326.61 $369.69 $358.98 $313.03$381.28 $352.18 $371.11 $362.04 $353.79 $334.50 $378.62 $367.65 $320.59$392.52 $362.56 $382.05 $372.72 $364.21 $344.36 $389.78 $378.49 $330.04$405.73 $374.75 $394.90 $385.25 $376.47 $355.95 $402.90 $391.22 $341.14$421.46 $389.29 $410.21 $400.20 $391.07 $369.75 $418.52 $406.40 $354.37$439.16 $405.64 $427.44 $417.00 $407.49 $385.28 $436.10 $423.46 $369.26$459.39 $424.32 $447.13 $436.21 $426.26 $403.03 $456.19 $442.97 $386.27$479.34 $442.75 $466.55 $455.16 $444.77 $420.53 $476.00 $462.21 $403.04$501.82 $463.51 $488.43 $476.50 $465.63 $440.25 $498.32 $483.88 $421.94$524.02 $484.01 $510.03 $497.58 $486.23 $459.72 $520.36 $505.29 $440.61$548.46 $506.59 $533.83 $520.79 $508.91 $481.17 $544.63 $528.86 $461.16$573.19 $529.43 $557.89 $544.27 $531.85 $502.86 $569.19 $552.70 $481.95$599.88 $554.09 $583.87 $569.61 $556.62 $526.28 $595.69 $578.44 $504.39$626.57 $578.74 $609.85 $594.96 $581.39 $549.69 $622.20 $604.18 $526.84$655.51 $605.47 $638.02 $622.44 $608.24 $575.08 $650.94 $632.08 $551.17$684.73 $632.46 $666.46 $650.18 $635.35 $600.72 $679.96 $660.26 $575.74$715.92 $661.27 $696.82 $679.80 $664.29 $628.08 $710.93 $690.33 $601.96$731.38 $675.54 $711.86 $694.47 $678.63 $641.64 $726.27 $705.23 $614.96$762.56 $704.35 $742.22 $724.09 $707.57 $669.00 $757.24 $735.31 $641.18$789.54 $729.27 $768.47 $749.70 $732.60 $692.66 $784.03 $761.31 $663.86$807.24 $745.62 $785.70 $766.51 $749.02 $708.19 $801.61 $778.38 $678.74$829.44 $766.12 $807.30 $787.58 $769.62 $727.67 $823.65 $799.79 $697.41$842.91 $778.57 $820.42 $800.38 $782.12 $739.49 $837.03 $812.78 $708.74



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 1

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Rose City

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

$138.84 $188.00 $179.65 $172.91 $152.21 $139.16 $127.86 $138.32 $138.64$218.65 $296.07 $282.92 $272.30 $239.70 $219.15 $201.35 $217.83 $218.33$218.65 $296.07 $282.92 $272.30 $239.70 $219.15 $201.35 $217.83 $218.33$218.65 $296.07 $282.92 $272.30 $239.70 $219.15 $201.35 $217.83 $218.33$218.65 $296.07 $282.92 $272.30 $239.70 $219.15 $201.35 $217.83 $218.33$219.52 $297.25 $284.05 $273.39 $240.66 $220.03 $202.15 $218.70 $219.20$223.90 $303.17 $289.71 $278.83 $245.46 $224.41 $206.18 $223.05 $223.57$229.15 $310.28 $296.50 $285.37 $251.21 $229.67 $211.01 $228.28 $228.81$237.67 $321.82 $307.53 $295.99 $260.56 $238.22 $218.87 $236.78 $237.32$244.67 $331.30 $316.59 $304.70 $268.23 $245.23 $225.31 $243.75 $244.31$248.17 $336.04 $321.11 $309.06 $272.06 $248.74 $228.53 $247.23 $247.80$253.42 $343.14 $327.91 $315.59 $277.82 $254.00 $233.36 $252.46 $253.04$258.66 $350.25 $334.70 $322.13 $283.57 $259.26 $238.19 $257.69 $258.28$261.94 $354.69 $338.94 $326.21 $287.16 $262.55 $241.22 $260.96 $261.55$265.44 $359.42 $343.47 $330.57 $291.00 $266.05 $244.44 $264.44 $265.05$267.19 $361.79 $345.73 $332.75 $292.92 $267.81 $246.05 $266.18 $266.79$268.94 $364.16 $347.99 $334.93 $294.84 $269.56 $247.66 $267.93 $268.54$270.69 $366.53 $350.26 $337.11 $296.75 $271.31 $249.27 $269.67 $270.29$272.44 $368.90 $352.52 $339.28 $298.67 $273.07 $250.88 $271.41 $272.03$275.94 $373.64 $357.05 $343.64 $302.51 $276.57 $254.10 $274.90 $275.53$279.43 $378.37 $361.57 $348.00 $306.34 $280.08 $257.32 $278.38 $279.02$284.68 $385.48 $368.36 $354.53 $312.09 $285.34 $262.16 $283.61 $284.26$289.71 $392.29 $374.87 $360.80 $317.61 $290.38 $266.79 $288.62 $289.28$296.71 $401.76 $383.92 $369.51 $325.28 $297.39 $273.23 $295.59 $296.27$305.45 $413.60 $395.24 $380.40 $334.87 $306.16 $281.28 $304.30 $305.00$315.73 $427.52 $408.54 $393.20 $346.13 $316.46 $290.75 $314.54 $315.26$327.97 $444.10 $424.38 $408.45 $359.56 $328.73 $302.02 $326.74 $327.49$341.75 $462.75 $442.21 $425.60 $374.66 $342.54 $314.71 $340.46 $341.24$357.49 $484.07 $462.58 $445.21 $391.92 $358.32 $329.20 $356.15 $356.96$373.02 $505.09 $482.66 $464.54 $408.93 $373.88 $343.50 $371.61 $372.46$390.51 $528.77 $505.30 $486.33 $428.11 $391.41 $359.61 $389.04 $389.93$407.78 $552.16 $527.65 $507.84 $447.05 $408.72 $375.51 $406.25 $407.18$426.80 $577.92 $552.26 $531.53 $467.90 $427.79 $393.03 $425.20 $426.17$446.05 $603.97 $577.16 $555.49 $489.00 $447.07 $410.75 $444.37 $445.38$466.82 $632.10 $604.04 $581.36 $511.77 $467.89 $429.88 $465.06 $466.13$487.59 $660.23 $630.91 $607.23 $534.54 $488.71 $449.01 $485.75 $486.87$510.11 $690.72 $660.05 $635.27 $559.23 $511.29 $469.75 $508.19 $509.35$532.85 $721.51 $689.48 $663.59 $584.16 $534.08 $490.69 $530.84 $532.06$557.12 $754.38 $720.88 $693.82 $610.76 $558.41 $513.04 $555.02 $556.29$569.15 $770.66 $736.44 $708.79 $623.95 $570.46 $524.11 $567.00 $568.30$593.42 $803.52 $767.85 $739.02 $650.56 $594.78 $546.46 $591.18 $592.54$614.41 $831.95 $795.01 $765.16 $673.57 $615.82 $565.79 $612.09 $613.50$628.18 $850.60 $812.83 $782.31 $688.67 $629.63 $578.47 $625.81 $627.25$645.45 $873.99 $835.18 $803.83 $707.60 $646.94 $594.38 $643.02 $644.50$655.94 $888.19 $848.75 $816.89 $719.10 $657.45 $604.03 $653.47 $654.97



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500

$158.14 $123.80 $211.50 $191.36 $207.18 $173.81 $141.15 $224.99 $222.09$249.04 $194.96 $333.08 $301.35 $326.27 $273.71 $222.28 $354.32 $349.74$249.04 $194.96 $333.08 $301.35 $326.27 $273.71 $222.28 $354.32 $349.74$249.04 $194.96 $333.08 $301.35 $326.27 $273.71 $222.28 $354.32 $349.74$249.04 $194.96 $333.08 $301.35 $326.27 $273.71 $222.28 $354.32 $349.74$250.04 $195.74 $334.41 $302.56 $327.58 $274.81 $223.17 $355.73 $351.14$255.02 $199.64 $341.07 $308.58 $334.10 $280.28 $227.62 $362.82 $358.13$261.00 $204.31 $349.07 $315.81 $341.93 $286.85 $232.95 $371.32 $366.53$270.71 $211.92 $362.06 $327.57 $354.66 $297.52 $241.62 $385.14 $380.17$278.68 $218.16 $372.71 $337.21 $365.10 $306.28 $248.73 $396.48 $391.36$282.66 $221.28 $378.04 $342.03 $370.32 $310.66 $252.29 $402.15 $396.96$288.64 $225.95 $386.04 $349.26 $378.15 $317.23 $257.62 $410.65 $405.35$294.62 $230.63 $394.03 $356.50 $385.98 $323.80 $262.96 $419.16 $413.74$298.35 $233.56 $399.03 $361.02 $390.87 $327.90 $266.29 $424.47 $418.99$302.34 $236.68 $404.36 $365.84 $396.09 $332.28 $269.85 $430.14 $424.59$304.33 $238.24 $407.02 $368.25 $398.70 $334.47 $271.63 $432.98 $427.38$306.32 $239.80 $409.69 $370.66 $401.31 $336.66 $273.41 $435.81 $430.18$308.31 $241.36 $412.35 $373.07 $403.92 $338.85 $275.18 $438.64 $432.98$310.31 $242.92 $415.02 $375.48 $406.53 $341.04 $276.96 $441.48 $435.78$314.29 $246.04 $420.35 $380.30 $411.75 $345.42 $280.52 $447.15 $441.37$318.28 $249.15 $425.67 $385.13 $416.97 $349.80 $284.08 $452.82 $446.97$324.25 $253.83 $433.67 $392.36 $424.80 $356.37 $289.41 $461.32 $455.36$329.98 $258.32 $441.33 $399.29 $432.31 $362.67 $294.52 $469.47 $463.41$337.95 $264.56 $451.99 $408.93 $442.75 $371.42 $301.64 $480.81 $474.60$347.91 $272.35 $465.31 $420.99 $455.80 $382.37 $310.53 $494.98 $488.59$359.62 $281.52 $480.97 $435.15 $471.13 $395.24 $320.97 $511.63 $505.03$373.56 $292.43 $499.62 $452.02 $489.41 $410.57 $333.42 $531.48 $524.61$389.25 $304.72 $520.60 $471.01 $509.96 $427.81 $347.43 $553.80 $546.65$407.18 $318.75 $544.58 $492.71 $533.45 $447.52 $363.43 $579.31 $571.83$424.87 $332.60 $568.23 $514.10 $556.62 $466.95 $379.21 $604.46 $596.66$444.79 $348.19 $594.88 $538.21 $582.72 $488.85 $397.00 $632.81 $624.64$464.46 $363.59 $621.19 $562.02 $608.49 $510.47 $414.56 $660.80 $652.27$486.13 $380.55 $650.17 $588.23 $636.88 $534.28 $433.89 $691.63 $682.69$508.05 $397.71 $679.48 $614.75 $665.59 $558.37 $453.45 $722.81 $713.47$531.70 $416.23 $711.12 $643.38 $696.59 $584.37 $474.57 $756.47 $746.70$555.36 $434.75 $742.77 $672.01 $727.58 $610.37 $495.69 $790.13 $779.92$581.01 $454.83 $777.07 $703.05 $761.19 $638.57 $518.58 $826.62 $815.95$606.92 $475.11 $811.71 $734.39 $795.12 $667.03 $541.70 $863.47 $852.32$634.56 $496.75 $848.68 $767.84 $831.34 $697.41 $566.37 $902.80 $891.14$648.26 $507.47 $867.00 $784.41 $849.28 $712.47 $578.60 $922.29 $910.38$675.90 $529.11 $903.97 $817.86 $885.50 $742.85 $603.27 $961.62 $949.20$699.81 $547.83 $935.95 $846.79 $916.82 $769.13 $624.61 $995.63 $982.77$715.50 $560.11 $956.93 $865.78 $937.37 $786.37 $638.62 $1,017.95 $1,004.81$735.17 $575.51 $983.25 $889.58 $963.15 $807.99 $656.18 $1,045.94 $1,032.44$747.12 $584.86 $999.23 $904.04 $978.80 $821.12 $666.84 $1,062.94 $1,049.21



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2


$209.98 $204.05 $203.66 $198.62 $178.50 $175.15 $178.33 $172.17 $167.58$330.67 $321.33 $320.73 $312.79 $281.11 $275.83 $280.84 $271.14 $263.90$330.67 $321.33 $320.73 $312.79 $281.11 $275.83 $280.84 $271.14 $263.90$330.67 $321.33 $320.73 $312.79 $281.11 $275.83 $280.84 $271.14 $263.90$330.67 $321.33 $320.73 $312.79 $281.11 $275.83 $280.84 $271.14 $263.90$331.99 $322.62 $322.02 $314.04 $282.23 $276.93 $281.96 $272.22 $264.96$338.61 $329.05 $328.43 $320.29 $287.86 $282.45 $287.58 $277.65 $270.24$346.54 $336.76 $336.13 $327.80 $294.60 $289.07 $294.32 $284.15 $276.57$359.44 $349.29 $348.64 $340.00 $305.57 $299.83 $305.27 $294.73 $286.86$370.02 $359.57 $358.90 $350.01 $314.56 $308.66 $314.26 $303.41 $295.31$375.31 $364.71 $364.03 $355.01 $319.06 $313.07 $318.75 $307.74 $299.53$383.25 $372.43 $371.73 $362.52 $325.81 $319.69 $325.49 $314.25 $305.87$391.18 $380.14 $379.43 $370.03 $332.55 $326.31 $332.23 $320.76 $312.20$396.14 $384.96 $384.24 $374.72 $336.77 $330.45 $336.44 $324.83 $316.16$401.43 $390.10 $389.37 $379.72 $341.27 $334.86 $340.94 $329.16 $320.38$404.08 $392.67 $391.93 $382.22 $343.52 $337.07 $343.18 $331.33 $322.49$406.72 $395.24 $394.50 $384.73 $345.77 $339.27 $345.43 $333.50 $324.60$409.37 $397.81 $397.07 $387.23 $348.01 $341.48 $347.68 $335.67 $326.71$412.01 $400.38 $399.63 $389.73 $350.26 $343.69 $349.92 $337.84 $328.83$417.31 $405.52 $404.76 $394.74 $354.76 $348.10 $354.42 $342.18 $333.05$422.60 $410.66 $409.90 $399.74 $359.26 $352.51 $358.91 $346.52 $337.27$430.53 $418.38 $417.59 $407.25 $366.00 $359.13 $365.65 $353.02 $343.60$438.14 $425.77 $424.97 $414.44 $372.47 $365.48 $372.11 $359.26 $349.67$448.72 $436.05 $435.23 $424.45 $381.47 $374.30 $381.10 $367.94 $358.12$461.95 $448.90 $448.06 $436.96 $392.71 $385.34 $392.33 $378.78 $368.68$477.49 $464.01 $463.14 $451.66 $405.92 $398.30 $405.53 $391.53 $381.08$496.01 $482.00 $481.10 $469.18 $421.66 $413.75 $421.25 $406.71 $395.86$516.84 $502.24 $501.30 $488.88 $439.37 $431.12 $438.95 $423.79 $412.48$540.65 $525.38 $524.40 $511.41 $459.61 $450.98 $459.17 $443.31 $431.48$564.12 $548.20 $547.17 $533.61 $479.57 $470.57 $479.11 $462.57 $450.22$590.58 $573.90 $572.83 $558.64 $502.06 $492.63 $501.57 $484.26 $471.33$616.70 $599.29 $598.17 $583.35 $524.27 $514.43 $523.76 $505.68 $492.18$645.47 $627.24 $626.07 $610.56 $548.73 $538.42 $548.19 $529.27 $515.14$674.57 $655.52 $654.29 $638.08 $573.46 $562.70 $572.91 $553.13 $538.37$705.98 $686.05 $684.76 $667.80 $600.17 $588.90 $599.59 $578.88 $563.44$737.39 $716.57 $715.23 $697.51 $626.87 $615.10 $626.27 $604.64 $588.51$771.45 $749.67 $748.27 $729.73 $655.83 $643.51 $655.19 $632.57 $615.69$805.84 $783.09 $781.62 $762.26 $685.06 $672.20 $684.40 $660.77 $643.14$842.55 $818.76 $817.23 $796.98 $716.27 $702.82 $715.57 $690.87 $672.43$860.73 $836.43 $834.87 $814.18 $731.73 $717.99 $731.02 $705.78 $686.94$897.44 $872.10 $870.47 $848.90 $762.93 $748.61 $762.19 $735.87 $716.24$929.18 $902.95 $901.26 $878.93 $789.92 $775.09 $789.15 $761.90 $741.57$950.02 $923.19 $921.46 $898.63 $807.63 $792.46 $806.84 $778.99 $758.20$976.14 $948.58 $946.80 $923.34 $829.84 $814.25 $829.03 $800.41 $779.05$992.00 $963.99 $962.19 $938.35 $843.32 $827.48 $842.50 $813.41 $791.70



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

$163.49 $159.76 $151.05 $170.97 $166.02 $144.77 $133.98 $181.42 $173.37$257.46 $251.59 $237.87 $269.25 $261.45 $227.98 $211.00 $285.70 $273.02$257.46 $251.59 $237.87 $269.25 $261.45 $227.98 $211.00 $285.70 $273.02$257.46 $251.59 $237.87 $269.25 $261.45 $227.98 $211.00 $285.70 $273.02$257.46 $251.59 $237.87 $269.25 $261.45 $227.98 $211.00 $285.70 $273.02$258.49 $252.59 $238.82 $270.33 $262.49 $228.89 $211.84 $286.85 $274.11$263.64 $257.62 $243.58 $275.71 $267.72 $233.45 $216.06 $292.56 $279.57$269.82 $263.66 $249.29 $282.17 $274.00 $238.92 $221.13 $299.42 $286.12$279.86 $273.47 $258.57 $292.67 $284.19 $247.81 $229.35 $310.56 $296.77$288.10 $281.53 $266.18 $301.29 $292.56 $255.11 $236.11 $319.70 $305.51$292.22 $285.55 $269.98 $305.60 $296.74 $258.76 $239.48 $324.27 $309.88$298.40 $291.59 $275.69 $312.06 $303.02 $264.23 $244.55 $331.13 $316.43$304.57 $297.63 $281.40 $318.52 $309.29 $269.70 $249.61 $337.99 $322.98$308.44 $301.40 $284.97 $322.56 $313.21 $273.12 $252.77 $342.27 $327.08$312.56 $305.43 $288.78 $326.87 $317.40 $276.77 $256.15 $346.84 $331.44$314.62 $307.44 $290.68 $329.02 $319.49 $278.59 $257.84 $349.13 $333.63$316.67 $309.45 $292.58 $331.18 $321.58 $280.42 $259.53 $351.42 $335.81$318.73 $311.46 $294.49 $333.33 $323.67 $282.24 $261.21 $353.70 $338.00$320.79 $313.48 $296.39 $335.48 $325.76 $284.06 $262.90 $355.99 $340.18$324.91 $317.50 $300.19 $339.79 $329.95 $287.71 $266.28 $360.56 $344.55$329.03 $321.53 $304.00 $344.10 $334.13 $291.36 $269.65 $365.13 $348.92$335.21 $327.57 $309.71 $350.56 $340.41 $296.83 $274.72 $371.99 $355.47$341.13 $333.35 $315.18 $356.75 $346.42 $302.07 $279.57 $378.56 $361.75$349.37 $341.40 $322.79 $365.37 $354.78 $309.37 $286.32 $387.70 $370.49$359.67 $351.47 $332.31 $376.14 $365.24 $318.49 $294.76 $399.13 $381.41$371.77 $363.29 $343.49 $388.79 $377.53 $329.20 $304.68 $412.56 $394.24$386.19 $377.38 $356.81 $403.87 $392.17 $341.97 $316.50 $428.56 $409.53$402.41 $393.23 $371.79 $420.83 $408.64 $356.33 $329.79 $446.55 $426.73$420.95 $411.34 $388.92 $440.22 $427.47 $372.75 $344.98 $467.13 $446.39$439.23 $429.21 $405.81 $459.34 $446.03 $388.93 $359.96 $487.41 $465.77$459.82 $449.33 $424.84 $480.88 $466.95 $407.17 $376.84 $510.27 $487.61$480.16 $469.21 $443.63 $502.15 $487.60 $425.18 $393.51 $532.84 $509.18$502.56 $491.10 $464.33 $525.57 $510.35 $445.02 $411.87 $557.69 $532.93$525.22 $513.24 $485.26 $549.27 $533.35 $465.08 $430.43 $582.84 $556.96$549.68 $537.14 $507.86 $574.84 $558.19 $486.74 $450.48 $609.98 $582.89$574.13 $561.04 $530.46 $600.42 $583.03 $508.40 $470.52 $637.12 $608.83$600.65 $586.95 $554.96 $628.16 $609.96 $531.88 $492.26 $666.55 $636.95$627.43 $613.12 $579.69 $656.16 $637.15 $555.59 $514.20 $696.26 $665.35$656.01 $641.04 $606.10 $686.04 $666.17 $580.89 $537.62 $727.97 $695.65$670.17 $654.88 $619.18 $700.85 $680.55 $593.43 $549.23 $743.69 $710.67$698.74 $682.81 $645.59 $730.74 $709.57 $618.74 $572.65 $775.40 $740.97$723.46 $706.96 $668.42 $756.59 $734.67 $640.63 $592.90 $802.83 $767.18$739.68 $722.81 $683.41 $773.55 $751.14 $654.99 $606.19 $820.83 $784.38$760.02 $742.68 $702.20 $794.82 $771.79 $673.00 $622.86 $843.40 $805.95$772.37 $754.75 $713.61 $807.73 $784.33 $683.93 $632.98 $857.10 $819.05



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

$166.86 $146.88 $134.29 $133.48 $133.78 $152.61 $119.46 $204.10 $184.66$262.77 $231.31 $211.48 $210.20 $210.68 $240.33 $188.13 $321.42 $290.80$262.77 $231.31 $211.48 $210.20 $210.68 $240.33 $188.13 $321.42 $290.80$262.77 $231.31 $211.48 $210.20 $210.68 $240.33 $188.13 $321.42 $290.80$262.77 $231.31 $211.48 $210.20 $210.68 $240.33 $188.13 $321.42 $290.80$263.82 $232.24 $212.33 $211.04 $211.53 $241.29 $188.89 $322.71 $291.97$269.07 $236.87 $216.56 $215.25 $215.74 $246.09 $192.65 $329.13 $297.78$275.38 $242.42 $221.64 $220.29 $220.80 $251.86 $197.16 $336.85 $304.76$285.63 $251.44 $229.88 $228.49 $229.01 $261.23 $204.50 $349.38 $316.10$294.04 $258.84 $236.65 $235.22 $235.76 $268.92 $210.52 $359.67 $325.41$298.24 $262.54 $240.03 $238.58 $239.13 $272.77 $213.53 $364.81 $330.06$304.55 $268.09 $245.11 $243.62 $244.18 $278.54 $218.05 $372.53 $337.04$310.85 $273.64 $250.19 $248.67 $249.24 $284.31 $222.56 $380.24 $344.02$314.80 $277.11 $253.36 $251.82 $252.40 $287.91 $225.38 $385.06 $348.38$319.00 $280.81 $256.74 $255.19 $255.77 $291.76 $228.39 $390.20 $353.03$321.10 $282.67 $258.43 $256.87 $257.46 $293.68 $229.90 $392.78 $355.36$323.20 $284.52 $260.13 $258.55 $259.14 $295.60 $231.40 $395.35 $357.69$325.31 $286.37 $261.82 $260.23 $260.83 $297.52 $232.91 $397.92 $360.01$327.41 $288.22 $263.51 $261.91 $262.51 $299.45 $234.41 $400.49 $362.34$331.61 $291.92 $266.89 $265.28 $265.88 $303.29 $237.42 $405.63 $366.99$335.82 $295.62 $270.28 $268.64 $269.25 $307.14 $240.43 $410.78 $371.65$342.12 $301.17 $275.35 $273.68 $274.31 $312.90 $244.95 $418.49 $378.63$348.17 $306.49 $280.22 $278.52 $279.16 $318.43 $249.28 $425.88 $385.31$356.58 $313.89 $286.98 $285.24 $285.90 $326.12 $255.30 $436.17 $394.62$367.09 $323.15 $295.44 $293.65 $294.33 $335.73 $262.82 $449.02 $406.25$379.44 $334.02 $305.38 $303.53 $304.23 $347.03 $271.66 $464.13 $419.92$394.15 $346.97 $317.23 $315.30 $316.03 $360.49 $282.20 $482.13 $436.20$410.71 $361.54 $330.55 $328.55 $329.30 $375.63 $294.05 $502.38 $454.52$429.63 $378.20 $345.78 $343.68 $344.47 $392.93 $307.60 $525.52 $475.46$448.28 $394.62 $360.79 $358.61 $359.43 $410.00 $320.95 $548.34 $496.11$469.30 $413.13 $377.71 $375.42 $376.28 $429.22 $336.01 $574.06 $519.37$490.06 $431.40 $394.42 $392.03 $392.93 $448.21 $350.87 $599.45 $542.35$512.92 $451.52 $412.82 $410.32 $411.26 $469.12 $367.24 $627.41 $567.65$536.05 $471.88 $431.43 $428.81 $429.80 $490.26 $383.79 $655.70 $593.24$561.01 $493.86 $451.52 $448.78 $449.81 $513.09 $401.66 $686.23 $620.86$585.97 $515.83 $471.61 $468.75 $469.83 $535.93 $419.54 $716.77 $648.49$613.04 $539.66 $493.39 $490.40 $491.53 $560.68 $438.91 $749.87 $678.44$640.37 $563.71 $515.39 $512.26 $513.44 $585.67 $458.48 $783.30 $708.69$669.53 $589.39 $538.86 $535.60 $536.82 $612.35 $479.36 $818.98 $740.97$683.99 $602.11 $550.49 $547.16 $548.41 $625.57 $489.71 $836.66 $756.96$713.15 $627.79 $573.97 $570.49 $571.80 $652.24 $510.59 $872.34 $789.24$738.38 $649.99 $594.27 $590.67 $592.02 $675.31 $528.65 $903.19 $817.16$754.93 $664.56 $607.59 $603.91 $605.30 $690.46 $540.51 $923.44 $835.48$775.69 $682.84 $624.30 $620.52 $621.94 $709.44 $555.37 $948.83 $858.45$788.29 $693.93 $634.44 $630.60 $632.04 $720.97 $564.39 $964.25 $872.40



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500

$199.93 $167.72 $136.21 $224.99 $222.09 $209.98 $204.05 $203.66 $198.62$314.85 $264.13 $214.50 $354.32 $349.74 $330.67 $321.33 $320.73 $312.79$314.85 $264.13 $214.50 $354.32 $349.74 $330.67 $321.33 $320.73 $312.79$314.85 $264.13 $214.50 $354.32 $349.74 $330.67 $321.33 $320.73 $312.79$314.85 $264.13 $214.50 $354.32 $349.74 $330.67 $321.33 $320.73 $312.79$316.11 $265.19 $215.36 $355.73 $351.14 $331.99 $322.62 $322.02 $314.04$322.41 $270.47 $219.65 $362.82 $358.13 $338.61 $329.05 $328.43 $320.29$329.96 $276.81 $224.80 $371.32 $366.53 $346.54 $336.76 $336.13 $327.80$342.24 $287.11 $233.16 $385.14 $380.17 $359.44 $349.29 $348.64 $340.00$352.32 $295.56 $240.03 $396.48 $391.36 $370.02 $359.57 $358.90 $350.01$357.36 $299.79 $243.46 $402.15 $396.96 $375.31 $364.71 $364.03 $355.01$364.91 $306.13 $248.61 $410.65 $405.35 $383.25 $372.43 $371.73 $362.52$372.47 $312.47 $253.76 $419.16 $413.74 $391.18 $380.14 $379.43 $370.03$377.19 $316.43 $256.97 $424.47 $418.99 $396.14 $384.96 $384.24 $374.72$382.23 $320.65 $260.41 $430.14 $424.59 $401.43 $390.10 $389.37 $379.72$384.75 $322.77 $262.12 $432.98 $427.38 $404.08 $392.67 $391.93 $382.22$387.27 $324.88 $263.84 $435.81 $430.18 $406.72 $395.24 $394.50 $384.73$389.79 $326.99 $265.55 $438.64 $432.98 $409.37 $397.81 $397.07 $387.23$392.30 $329.11 $267.27 $441.48 $435.78 $412.01 $400.38 $399.63 $389.73$397.34 $333.33 $270.70 $447.15 $441.37 $417.31 $405.52 $404.76 $394.74$402.38 $337.56 $274.13 $452.82 $446.97 $422.60 $410.66 $409.90 $399.74$409.94 $343.90 $279.28 $461.32 $455.36 $430.53 $418.38 $417.59 $407.25$417.18 $349.97 $284.22 $469.47 $463.41 $438.14 $425.77 $424.97 $414.44$427.25 $358.43 $291.08 $480.81 $474.60 $448.72 $436.05 $435.23 $424.45$439.85 $368.99 $299.66 $494.98 $488.59 $461.95 $448.90 $448.06 $436.96$454.64 $381.40 $309.74 $511.63 $505.03 $477.49 $464.01 $463.14 $451.66$472.28 $396.20 $321.75 $531.48 $524.61 $496.01 $482.00 $481.10 $469.18$492.11 $412.84 $335.27 $553.80 $546.65 $516.84 $502.24 $501.30 $488.88$514.78 $431.85 $350.71 $579.31 $571.83 $540.65 $525.38 $524.40 $511.41$537.14 $450.61 $365.94 $604.46 $596.66 $564.12 $548.20 $547.17 $533.61$562.32 $471.74 $383.10 $632.81 $624.64 $590.58 $573.90 $572.83 $558.64$587.20 $492.60 $400.05 $660.80 $652.27 $616.70 $599.29 $598.17 $583.35$614.59 $515.58 $418.71 $691.63 $682.69 $645.47 $627.24 $626.07 $610.56$642.30 $538.83 $437.58 $722.81 $713.47 $674.57 $655.52 $654.29 $638.08$672.21 $563.92 $457.96 $756.47 $746.70 $705.98 $686.05 $684.76 $667.80$702.12 $589.01 $478.34 $790.13 $779.92 $737.39 $716.57 $715.23 $697.51$734.55 $616.22 $500.43 $826.62 $815.95 $771.45 $749.67 $748.27 $729.73$767.29 $643.69 $522.74 $863.47 $852.32 $805.84 $783.09 $781.62 $762.26$802.24 $673.00 $546.55 $902.80 $891.14 $842.55 $818.76 $817.23 $796.98$819.56 $687.53 $558.35 $922.29 $910.38 $860.73 $836.43 $834.87 $814.18$854.50 $716.85 $582.16 $961.62 $949.20 $897.44 $872.10 $870.47 $848.90$884.73 $742.21 $602.75 $995.63 $982.77 $929.18 $902.95 $901.26 $878.93$904.57 $758.85 $616.26 $1,017.95 $1,004.81 $950.02 $923.19 $921.46 $898.63$929.44 $779.71 $633.21 $1,045.94 $1,032.44 $976.14 $948.58 $946.80 $923.34$944.54 $792.38 $643.50 $1,062.95 $1,049.22 $992.01 $964.00 $962.20 $938.36



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3


Moda Health

Connexus

Aspire 2000

$178.50 $175.15 $178.33 $172.17 $167.58 $163.49 $159.76 $151.05 $170.97$281.11 $275.83 $280.84 $271.14 $263.90 $257.46 $251.59 $237.87 $269.25$281.11 $275.83 $280.84 $271.14 $263.90 $257.46 $251.59 $237.87 $269.25$281.11 $275.83 $280.84 $271.14 $263.90 $257.46 $251.59 $237.87 $269.25$281.11 $275.83 $280.84 $271.14 $263.90 $257.46 $251.59 $237.87 $269.25$282.23 $276.93 $281.96 $272.22 $264.96 $258.49 $252.59 $238.82 $270.33$287.86 $282.45 $287.58 $277.65 $270.24 $263.64 $257.62 $243.58 $275.71$294.60 $289.07 $294.32 $284.15 $276.57 $269.82 $263.66 $249.29 $282.17$305.57 $299.83 $305.27 $294.73 $286.86 $279.86 $273.47 $258.57 $292.67$314.56 $308.66 $314.26 $303.41 $295.31 $288.10 $281.53 $266.18 $301.29$319.06 $313.07 $318.75 $307.74 $299.53 $292.22 $285.55 $269.98 $305.60$325.81 $319.69 $325.49 $314.25 $305.87 $298.40 $291.59 $275.69 $312.06$332.55 $326.31 $332.23 $320.76 $312.20 $304.57 $297.63 $281.40 $318.52$336.77 $330.45 $336.44 $324.83 $316.16 $308.44 $301.40 $284.97 $322.56$341.27 $334.86 $340.94 $329.16 $320.38 $312.56 $305.43 $288.78 $326.87$343.52 $337.07 $343.18 $331.33 $322.49 $314.62 $307.44 $290.68 $329.02$345.77 $339.27 $345.43 $333.50 $324.60 $316.67 $309.45 $292.58 $331.18$348.01 $341.48 $347.68 $335.67 $326.71 $318.73 $311.46 $294.49 $333.33$350.26 $343.69 $349.92 $337.84 $328.83 $320.79 $313.48 $296.39 $335.48$354.76 $348.10 $354.42 $342.18 $333.05 $324.91 $317.50 $300.19 $339.79$359.26 $352.51 $358.91 $346.52 $337.27 $329.03 $321.53 $304.00 $344.10$366.00 $359.13 $365.65 $353.02 $343.60 $335.21 $327.57 $309.71 $350.56$372.47 $365.48 $372.11 $359.26 $349.67 $341.13 $333.35 $315.18 $356.75$381.47 $374.30 $381.10 $367.94 $358.12 $349.37 $341.40 $322.79 $365.37$392.71 $385.34 $392.33 $378.78 $368.68 $359.67 $351.47 $332.31 $376.14$405.92 $398.30 $405.53 $391.53 $381.08 $371.77 $363.29 $343.49 $388.79$421.66 $413.75 $421.25 $406.71 $395.86 $386.19 $377.38 $356.81 $403.87$439.37 $431.12 $438.95 $423.79 $412.48 $402.41 $393.23 $371.79 $420.83$459.61 $450.98 $459.17 $443.31 $431.48 $420.95 $411.34 $388.92 $440.22$479.57 $470.57 $479.11 $462.57 $450.22 $439.23 $429.21 $405.81 $459.34$502.06 $492.63 $501.57 $484.26 $471.33 $459.82 $449.33 $424.84 $480.88$524.27 $514.43 $523.76 $505.68 $492.18 $480.16 $469.21 $443.63 $502.15$548.73 $538.42 $548.19 $529.27 $515.14 $502.56 $491.10 $464.33 $525.57$573.46 $562.70 $572.91 $553.13 $538.37 $525.22 $513.24 $485.26 $549.27$600.17 $588.90 $599.59 $578.88 $563.44 $549.68 $537.14 $507.86 $574.84$626.87 $615.10 $626.27 $604.64 $588.51 $574.13 $561.04 $530.46 $600.42$655.83 $643.51 $655.19 $632.57 $615.69 $600.65 $586.95 $554.96 $628.16$685.06 $672.20 $684.40 $660.77 $643.14 $627.43 $613.12 $579.69 $656.16$716.27 $702.82 $715.57 $690.87 $672.43 $656.01 $641.04 $606.10 $686.04$731.73 $717.99 $731.02 $705.78 $686.94 $670.17 $654.88 $619.18 $700.85$762.93 $748.61 $762.19 $735.87 $716.24 $698.74 $682.81 $645.59 $730.74$789.92 $775.09 $789.15 $761.90 $741.57 $723.46 $706.96 $668.42 $756.59$807.63 $792.46 $806.84 $778.99 $758.20 $739.68 $722.81 $683.41 $773.55$829.84 $814.25 $829.03 $800.41 $779.05 $760.02 $742.68 $702.20 $794.82$843.33 $827.49 $842.51 $813.42 $791.71 $772.38 $754.76 $713.62 $807.74



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

$166.02 $144.77 $133.98 $181.42 $173.37 $166.86 $146.88 $134.29 $133.48$261.45 $227.98 $211.00 $285.70 $273.02 $262.77 $231.31 $211.48 $210.20$261.45 $227.98 $211.00 $285.70 $273.02 $262.77 $231.31 $211.48 $210.20$261.45 $227.98 $211.00 $285.70 $273.02 $262.77 $231.31 $211.48 $210.20$261.45 $227.98 $211.00 $285.70 $273.02 $262.77 $231.31 $211.48 $210.20$262.49 $228.89 $211.84 $286.85 $274.11 $263.82 $232.24 $212.33 $211.04$267.72 $233.45 $216.06 $292.56 $279.57 $269.07 $236.87 $216.56 $215.25$274.00 $238.92 $221.13 $299.42 $286.12 $275.38 $242.42 $221.64 $220.29$284.19 $247.81 $229.35 $310.56 $296.77 $285.63 $251.44 $229.88 $228.49$292.56 $255.11 $236.11 $319.70 $305.51 $294.04 $258.84 $236.65 $235.22$296.74 $258.76 $239.48 $324.27 $309.88 $298.24 $262.54 $240.03 $238.58$303.02 $264.23 $244.55 $331.13 $316.43 $304.55 $268.09 $245.11 $243.62$309.29 $269.70 $249.61 $337.99 $322.98 $310.85 $273.64 $250.19 $248.67$313.21 $273.12 $252.77 $342.27 $327.08 $314.80 $277.11 $253.36 $251.82$317.40 $276.77 $256.15 $346.84 $331.44 $319.00 $280.81 $256.74 $255.19$319.49 $278.59 $257.84 $349.13 $333.63 $321.10 $282.67 $258.43 $256.87$321.58 $280.42 $259.53 $351.42 $335.81 $323.20 $284.52 $260.13 $258.55$323.67 $282.24 $261.21 $353.70 $338.00 $325.31 $286.37 $261.82 $260.23$325.76 $284.06 $262.90 $355.99 $340.18 $327.41 $288.22 $263.51 $261.91$329.95 $287.71 $266.28 $360.56 $344.55 $331.61 $291.92 $266.89 $265.28$334.13 $291.36 $269.65 $365.13 $348.92 $335.82 $295.62 $270.28 $268.64$340.41 $296.83 $274.72 $371.99 $355.47 $342.12 $301.17 $275.35 $273.68$346.42 $302.07 $279.57 $378.56 $361.75 $348.17 $306.49 $280.22 $278.52$354.78 $309.37 $286.32 $387.70 $370.49 $356.58 $313.89 $286.98 $285.24$365.24 $318.49 $294.76 $399.13 $381.41 $367.09 $323.15 $295.44 $293.65$377.53 $329.20 $304.68 $412.56 $394.24 $379.44 $334.02 $305.38 $303.53$392.17 $341.97 $316.50 $428.56 $409.53 $394.15 $346.97 $317.23 $315.30$408.64 $356.33 $329.79 $446.55 $426.73 $410.71 $361.54 $330.55 $328.55$427.47 $372.75 $344.98 $467.13 $446.39 $429.63 $378.20 $345.78 $343.68$446.03 $388.93 $359.96 $487.41 $465.77 $448.28 $394.62 $360.79 $358.61$466.95 $407.17 $376.84 $510.27 $487.61 $469.30 $413.13 $377.71 $375.42$487.60 $425.18 $393.51 $532.84 $509.18 $490.06 $431.40 $394.42 $392.03$510.35 $445.02 $411.87 $557.69 $532.93 $512.92 $451.52 $412.82 $410.32$533.35 $465.08 $430.43 $582.84 $556.96 $536.05 $471.88 $431.43 $428.81$558.19 $486.74 $450.48 $609.98 $582.89 $561.01 $493.86 $451.52 $448.78$583.03 $508.40 $470.52 $637.12 $608.83 $585.97 $515.83 $471.61 $468.75$609.96 $531.88 $492.26 $666.55 $636.95 $613.04 $539.66 $493.39 $490.40$637.15 $555.59 $514.20 $696.26 $665.35 $640.37 $563.71 $515.39 $512.26$666.17 $580.89 $537.62 $727.97 $695.65 $669.53 $589.39 $538.86 $535.60$680.55 $593.43 $549.23 $743.69 $710.67 $683.99 $602.11 $550.49 $547.16$709.57 $618.74 $572.65 $775.40 $740.97 $713.15 $627.79 $573.97 $570.49$734.67 $640.63 $592.90 $802.83 $767.18 $738.38 $649.99 $594.27 $590.67$751.14 $654.99 $606.19 $820.83 $784.38 $754.93 $664.56 $607.59 $603.91$771.79 $673.00 $622.86 $843.40 $805.95 $775.69 $682.84 $624.30 $620.52$784.34 $683.94 $632.99 $857.11 $819.06 $788.30 $693.94 $634.45 $630.61



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

$133.78 $152.61 $119.46 $204.10 $184.66 $199.93 $167.72 $136.21 $242.48$210.68 $240.33 $188.13 $321.42 $290.80 $314.85 $264.13 $214.50 $381.85$210.68 $240.33 $188.13 $321.42 $290.80 $314.85 $264.13 $214.50 $381.85$210.68 $240.33 $188.13 $321.42 $290.80 $314.85 $264.13 $214.50 $381.85$210.68 $240.33 $188.13 $321.42 $290.80 $314.85 $264.13 $214.50 $381.85$211.53 $241.29 $188.89 $322.71 $291.97 $316.11 $265.19 $215.36 $383.38$215.74 $246.09 $192.65 $329.13 $297.78 $322.41 $270.47 $219.65 $391.02$220.80 $251.86 $197.16 $336.85 $304.76 $329.96 $276.81 $224.80 $400.18$229.01 $261.23 $204.50 $349.38 $316.10 $342.24 $287.11 $233.16 $415.08$235.76 $268.92 $210.52 $359.67 $325.41 $352.32 $295.56 $240.03 $427.30$239.13 $272.77 $213.53 $364.81 $330.06 $357.36 $299.79 $243.46 $433.40$244.18 $278.54 $218.05 $372.53 $337.04 $364.91 $306.13 $248.61 $442.57$249.24 $284.31 $222.56 $380.24 $344.02 $372.47 $312.47 $253.76 $451.73$252.40 $287.91 $225.38 $385.06 $348.38 $377.19 $316.43 $256.97 $457.46$255.77 $291.76 $228.39 $390.20 $353.03 $382.23 $320.65 $260.41 $463.57$257.46 $293.68 $229.90 $392.78 $355.36 $384.75 $322.77 $262.12 $466.63$259.14 $295.60 $231.40 $395.35 $357.69 $387.27 $324.88 $263.84 $469.68$260.83 $297.52 $232.91 $397.92 $360.01 $389.79 $326.99 $265.55 $472.74$262.51 $299.45 $234.41 $400.49 $362.34 $392.30 $329.11 $267.27 $475.79$265.88 $303.29 $237.42 $405.63 $366.99 $397.34 $333.33 $270.70 $481.90$269.25 $307.14 $240.43 $410.78 $371.65 $402.38 $337.56 $274.13 $488.01$274.31 $312.90 $244.95 $418.49 $378.63 $409.94 $343.90 $279.28 $497.17$279.16 $318.43 $249.28 $425.88 $385.31 $417.18 $349.97 $284.22 $505.96$285.90 $326.12 $255.30 $436.17 $394.62 $427.25 $358.43 $291.08 $518.18$294.33 $335.73 $262.82 $449.02 $406.25 $439.85 $368.99 $299.66 $533.45$304.23 $347.03 $271.66 $464.13 $419.92 $454.64 $381.40 $309.74 $551.40$316.03 $360.49 $282.20 $482.13 $436.20 $472.28 $396.20 $321.75 $572.78$329.30 $375.63 $294.05 $502.38 $454.52 $492.11 $412.84 $335.27 $596.84$344.47 $392.93 $307.60 $525.52 $475.46 $514.78 $431.85 $350.71 $624.33$359.43 $410.00 $320.95 $548.34 $496.11 $537.14 $450.61 $365.94 $651.44$376.28 $429.22 $336.01 $574.06 $519.37 $562.32 $471.74 $383.10 $681.99$392.93 $448.21 $350.87 $599.45 $542.35 $587.20 $492.60 $400.05 $712.16$411.26 $469.12 $367.24 $627.41 $567.65 $614.59 $515.58 $418.71 $745.38$429.80 $490.26 $383.79 $655.70 $593.24 $642.30 $538.83 $437.58 $778.98$449.81 $513.09 $401.66 $686.23 $620.86 $672.21 $563.92 $457.96 $815.26$469.83 $535.93 $419.54 $716.77 $648.49 $702.12 $589.01 $478.34 $851.54$491.53 $560.68 $438.91 $749.87 $678.44 $734.55 $616.22 $500.43 $890.87$513.44 $585.67 $458.48 $783.30 $708.69 $767.29 $643.69 $522.74 $930.58$536.82 $612.35 $479.36 $818.98 $740.97 $802.24 $673.00 $546.55 $972.96$548.41 $625.57 $489.71 $836.66 $756.96 $819.56 $687.53 $558.35 $993.97$571.80 $652.24 $510.59 $872.34 $789.24 $854.50 $716.85 $582.16 $1,036.35$592.02 $675.31 $528.65 $903.19 $817.16 $884.73 $742.21 $602.75 $1,073.01$605.30 $690.46 $540.51 $923.44 $835.48 $904.57 $758.85 $616.26 $1,097.07$621.94 $709.44 $555.37 $948.83 $858.45 $929.44 $779.71 $633.21 $1,127.23$632.05 $720.98 $564.40 $964.26 $872.41 $944.55 $792.39 $643.51 $1,145.56



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum


$239.35 $226.29 $219.91 $219.49 $214.06 $192.38 $188.77 $192.19 $185.56$376.92 $356.37 $346.31 $345.66 $337.10 $302.96 $297.27 $302.66 $292.21$376.92 $356.37 $346.31 $345.66 $337.10 $302.96 $297.27 $302.66 $292.21$376.92 $356.37 $346.31 $345.66 $337.10 $302.96 $297.27 $302.66 $292.21$376.92 $356.37 $346.31 $345.66 $337.10 $302.96 $297.27 $302.66 $292.21$378.43 $357.80 $347.69 $347.04 $338.44 $304.17 $298.46 $303.87 $293.38$385.97 $364.92 $354.62 $353.96 $345.19 $310.23 $304.40 $309.93 $299.23$395.02 $373.48 $362.93 $362.25 $353.28 $317.50 $311.54 $317.19 $306.24$409.72 $387.37 $376.44 $375.73 $366.42 $329.32 $323.13 $328.99 $317.64$421.78 $398.78 $387.52 $386.79 $377.21 $339.01 $332.64 $338.68 $326.99$427.81 $404.48 $393.06 $392.32 $382.60 $343.86 $337.40 $343.52 $331.66$436.85 $413.03 $401.37 $400.62 $390.69 $351.13 $344.53 $350.79 $338.68$445.90 $421.59 $409.68 $408.92 $398.78 $358.40 $351.67 $358.05 $345.69$451.55 $426.93 $414.88 $414.10 $403.84 $362.94 $356.13 $362.59 $350.07$457.58 $432.63 $420.42 $419.63 $409.23 $367.79 $360.88 $367.43 $354.75$460.60 $435.48 $423.19 $422.40 $411.93 $370.21 $363.26 $369.85 $357.08$463.62 $438.33 $425.96 $425.16 $414.63 $372.64 $365.64 $372.28 $359.42$466.63 $441.19 $428.73 $427.93 $417.32 $375.06 $368.02 $374.70 $361.76$469.65 $444.04 $431.50 $430.69 $420.02 $377.49 $370.40 $377.12 $364.10$475.68 $449.74 $437.04 $436.22 $425.42 $382.33 $375.15 $381.96 $368.77$481.71 $455.44 $442.58 $441.75 $430.81 $387.18 $379.91 $386.80 $373.45$490.75 $463.99 $450.89 $450.05 $438.90 $394.45 $387.04 $394.07 $380.46$499.42 $472.19 $458.86 $458.00 $446.65 $401.42 $393.88 $401.03 $387.18$511.48 $483.59 $469.94 $469.06 $457.44 $411.11 $403.39 $410.71 $396.53$526.56 $497.85 $483.79 $482.89 $470.92 $423.23 $415.28 $422.82 $408.22$544.28 $514.60 $500.07 $499.13 $486.77 $437.47 $429.26 $437.05 $421.96$565.38 $534.55 $519.46 $518.49 $505.64 $454.44 $445.90 $453.99 $438.32$589.13 $557.01 $541.28 $540.27 $526.88 $473.52 $464.63 $473.06 $456.73$616.27 $582.66 $566.21 $565.15 $551.15 $495.34 $486.03 $494.85 $477.77$643.03 $607.97 $590.80 $589.70 $575.09 $516.85 $507.14 $516.34 $498.52$673.18 $636.48 $618.51 $617.35 $602.05 $541.08 $530.92 $540.56 $521.89$702.96 $664.63 $645.86 $644.66 $628.68 $565.02 $554.41 $564.47 $544.98$735.75 $695.63 $675.99 $674.73 $658.01 $591.37 $580.27 $590.80 $570.40$768.92 $726.99 $706.47 $705.15 $687.68 $618.03 $606.43 $617.43 $596.12$804.73 $760.85 $739.37 $737.98 $719.70 $646.81 $634.67 $646.19 $623.88$840.54 $794.70 $772.27 $770.82 $751.72 $675.60 $662.91 $674.94 $651.64$879.36 $831.41 $807.94 $806.42 $786.45 $706.80 $693.53 $706.11 $681.73$918.56 $868.47 $843.95 $842.37 $821.50 $738.31 $724.44 $737.59 $712.12$960.40 $908.03 $882.39 $880.74 $858.92 $771.94 $757.44 $771.19 $744.56$981.13 $927.63 $901.44 $899.75 $877.46 $788.60 $773.79 $787.83 $760.63

$1,022.97 $967.19 $939.88 $938.12 $914.88 $822.23 $806.79 $821.43 $793.07$1,059.15 $1,001.40 $973.13 $971.30 $947.24 $851.31 $835.33 $850.48 $821.12$1,082.90 $1,023.85 $994.94 $993.08 $968.48 $870.40 $854.05 $869.55 $839.53$1,112.68 $1,052.00 $1,022.30 $1,020.39 $995.11 $894.33 $877.54 $893.46 $862.61$1,130.77 $1,069.11 $1,038.92 $1,036.98 $1,011.29 $908.87 $891.81 $907.99 $876.64



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

$180.60 $176.19 $172.17 $162.79 $184.26 $178.92 $156.02 $144.40 $195.52$284.42 $277.47 $271.14 $256.36 $290.17 $281.77 $245.70 $227.40 $307.91$284.42 $277.47 $271.14 $256.36 $290.17 $281.77 $245.70 $227.40 $307.91$284.42 $277.47 $271.14 $256.36 $290.17 $281.77 $245.70 $227.40 $307.91$284.42 $277.47 $271.14 $256.36 $290.17 $281.77 $245.70 $227.40 $307.91$285.55 $278.58 $272.22 $257.39 $291.33 $282.89 $246.68 $228.31 $309.14$291.24 $284.13 $277.65 $262.51 $297.14 $288.53 $251.60 $232.85 $315.30$298.07 $290.79 $284.15 $268.66 $304.10 $295.29 $257.49 $238.31 $322.69$309.16 $301.61 $294.73 $278.66 $315.42 $306.28 $267.08 $247.18 $334.70$318.26 $310.49 $303.41 $286.87 $324.70 $315.30 $274.94 $254.46 $344.55$322.81 $314.93 $307.74 $290.97 $329.35 $319.81 $278.87 $258.09 $349.48$329.64 $321.59 $314.25 $297.12 $336.31 $326.57 $284.77 $263.55 $356.87$336.46 $328.25 $320.76 $303.27 $343.28 $333.33 $290.66 $269.01 $364.26$340.73 $332.41 $324.83 $307.12 $347.63 $337.56 $294.35 $272.42 $368.87$345.28 $336.85 $329.16 $311.22 $352.27 $342.07 $298.28 $276.06 $373.80$347.56 $339.07 $331.33 $313.27 $354.59 $344.32 $300.24 $277.88 $376.26$349.83 $341.29 $333.50 $315.32 $356.91 $346.57 $302.21 $279.70 $378.73$352.11 $343.51 $335.67 $317.37 $359.24 $348.83 $304.18 $281.52 $381.19$354.38 $345.73 $337.84 $319.42 $361.56 $351.08 $306.14 $283.34 $383.65$358.93 $350.17 $342.18 $323.53 $366.20 $355.59 $310.07 $286.97 $388.58$363.48 $354.61 $346.52 $327.63 $370.84 $360.10 $314.00 $290.61 $393.51$370.31 $361.26 $353.02 $333.78 $377.81 $366.86 $319.90 $296.07 $400.90$376.85 $367.65 $359.26 $339.68 $384.48 $373.34 $325.55 $301.30 $407.98$385.95 $376.53 $367.94 $347.88 $393.77 $382.36 $333.41 $308.58 $417.83$397.33 $387.62 $378.78 $358.13 $405.37 $393.63 $343.24 $317.67 $430.15$410.70 $400.67 $391.53 $370.18 $419.01 $406.87 $354.79 $328.36 $444.62$426.62 $416.20 $406.71 $384.54 $435.26 $422.65 $368.55 $341.09 $461.86$444.54 $433.68 $423.79 $400.69 $453.54 $440.40 $384.03 $355.42 $481.26$465.02 $453.66 $443.31 $419.15 $474.43 $460.69 $401.72 $371.79 $503.43$485.21 $473.36 $462.57 $437.35 $495.04 $480.70 $419.16 $387.94 $525.29$507.97 $495.56 $484.26 $457.86 $518.25 $503.24 $438.82 $406.13 $549.92$530.43 $517.48 $505.68 $478.11 $541.17 $525.50 $458.23 $424.09 $574.25$555.18 $541.62 $529.27 $500.41 $566.42 $550.01 $479.61 $443.88 $601.04$580.21 $566.04 $553.13 $522.97 $591.96 $574.81 $501.23 $463.89 $628.13$607.23 $592.40 $578.88 $547.33 $619.52 $601.57 $524.57 $485.49 $657.39$634.25 $618.76 $604.64 $571.68 $647.09 $628.34 $547.91 $507.09 $686.64$663.54 $647.33 $632.57 $598.09 $676.98 $657.36 $573.22 $530.51 $718.35$693.12 $676.19 $660.77 $624.75 $707.15 $686.67 $598.77 $554.16 $750.37$724.69 $706.99 $690.87 $653.20 $739.36 $717.94 $626.04 $579.40 $784.55$740.33 $722.25 $705.78 $667.30 $755.32 $733.44 $639.56 $591.91 $801.49$771.90 $753.05 $735.87 $695.76 $787.53 $764.72 $666.83 $617.15 $835.66$799.21 $779.69 $761.90 $720.37 $815.39 $791.77 $690.42 $638.98 $865.22$817.13 $797.17 $778.99 $736.52 $833.67 $809.52 $705.89 $653.31 $884.62$839.59 $819.09 $800.41 $756.77 $856.59 $831.78 $725.30 $671.27 $908.95$853.25 $832.41 $813.42 $769.08 $870.52 $845.30 $737.10 $682.19 $923.73



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

$186.84 $179.83 $158.30 $144.73 $143.85 $144.18 $164.47 $170.08$294.24 $283.19 $249.29 $227.92 $226.54 $227.06 $259.00 $267.84$294.24 $283.19 $249.29 $227.92 $226.54 $227.06 $259.00 $267.84$294.24 $283.19 $249.29 $227.92 $226.54 $227.06 $259.00 $267.84$294.24 $283.19 $249.29 $227.92 $226.54 $227.06 $259.00 $267.84$295.41 $284.32 $250.29 $228.83 $227.45 $227.97 $260.04 $268.91$301.30 $289.99 $255.27 $233.39 $231.98 $232.51 $265.22 $274.27$308.36 $296.78 $261.26 $238.86 $237.41 $237.96 $271.44 $280.70$319.84 $307.83 $270.98 $247.75 $246.25 $246.81 $281.54 $291.14$329.25 $316.89 $278.96 $255.04 $253.50 $254.08 $289.83 $299.71$333.96 $321.42 $282.95 $258.69 $257.12 $257.71 $293.97 $304.00$341.02 $328.22 $288.93 $264.16 $262.56 $263.16 $300.19 $310.43$348.08 $335.01 $294.91 $269.63 $268.00 $268.61 $306.40 $316.85$352.50 $339.26 $298.65 $273.05 $271.39 $272.02 $310.29 $320.87$357.20 $343.79 $302.64 $276.70 $275.02 $275.65 $314.43 $325.16$359.56 $346.06 $304.63 $278.52 $276.83 $277.47 $316.50 $327.30$361.91 $348.32 $306.63 $280.34 $278.64 $279.28 $318.57 $329.44$364.27 $350.59 $308.62 $282.17 $280.46 $281.10 $320.65 $331.59$366.62 $352.86 $310.62 $283.99 $282.27 $282.92 $322.72 $333.73$371.33 $357.39 $314.61 $287.64 $285.89 $286.55 $326.86 $338.01$376.04 $361.92 $318.59 $291.28 $289.52 $290.18 $331.01 $342.30$383.10 $368.71 $324.58 $296.75 $294.95 $295.63 $337.22 $348.73$389.86 $375.23 $330.31 $301.99 $300.16 $300.85 $343.18 $354.89$399.28 $384.29 $338.29 $309.29 $307.41 $308.12 $351.47 $363.46$411.05 $395.62 $348.26 $318.40 $316.48 $317.20 $361.83 $374.17$424.88 $408.93 $359.98 $329.12 $327.12 $327.87 $374.00 $386.76$441.36 $424.79 $373.94 $341.88 $339.81 $340.59 $388.51 $401.76$459.89 $442.63 $389.64 $356.24 $354.08 $354.89 $404.82 $418.63$481.08 $463.02 $407.59 $372.65 $370.39 $371.24 $423.47 $437.92$501.97 $483.12 $425.29 $388.83 $386.48 $387.36 $441.86 $456.94$525.51 $505.78 $445.23 $407.07 $404.60 $405.53 $462.58 $478.36$548.75 $528.15 $464.93 $425.07 $422.50 $423.47 $483.04 $499.52$574.35 $552.79 $486.62 $444.90 $442.20 $443.22 $505.58 $522.82$600.24 $577.71 $508.55 $464.96 $462.14 $463.20 $528.37 $546.39$628.20 $604.61 $532.24 $486.61 $483.66 $484.77 $552.97 $571.84$656.15 $631.51 $555.92 $508.26 $505.18 $506.34 $577.58 $597.28$686.46 $660.68 $581.60 $531.74 $528.52 $529.73 $604.26 $624.87$717.06 $690.14 $607.52 $555.44 $552.08 $553.34 $631.19 $652.73$749.72 $721.57 $635.19 $580.74 $577.22 $578.55 $659.94 $682.46$765.90 $737.14 $648.91 $593.28 $589.68 $591.03 $674.19 $697.19$798.56 $768.58 $676.58 $618.58 $614.83 $616.24 $702.94 $726.92$826.81 $795.77 $700.51 $640.46 $636.58 $638.04 $727.80 $752.63$845.34 $813.61 $716.21 $654.82 $650.85 $652.34 $744.12 $769.50$868.59 $835.98 $735.91 $672.82 $668.74 $670.28 $764.58 $790.66$882.71 $849.57 $747.87 $683.76 $679.62 $681.18 $777.01 $803.52



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

$128.75 $132.84 $219.97 $227.93 $199.01 $206.14 $215.47 $180.76 $146.79$202.75 $209.20 $346.40 $358.95 $313.40 $324.63 $339.32 $284.66 $231.17$202.75 $209.20 $346.40 $358.95 $313.40 $324.63 $339.32 $284.66 $231.17$202.75 $209.20 $346.40 $358.95 $313.40 $324.63 $339.32 $284.66 $231.17$202.75 $209.20 $346.40 $358.95 $313.40 $324.63 $339.32 $284.66 $231.17$203.57 $210.04 $347.79 $360.38 $314.66 $325.93 $340.68 $285.80 $232.10$207.62 $214.23 $354.72 $367.56 $320.93 $332.42 $347.46 $291.49 $236.72$212.49 $219.25 $363.03 $376.18 $328.45 $340.21 $355.61 $298.32 $242.27$220.39 $227.41 $376.54 $390.18 $340.67 $352.87 $368.84 $309.42 $251.29$226.88 $234.10 $387.62 $401.66 $350.70 $363.26 $379.70 $318.53 $258.68$230.13 $237.45 $393.17 $407.41 $355.71 $368.46 $385.13 $323.09 $262.38$234.99 $242.47 $401.48 $416.02 $363.24 $376.25 $393.27 $329.92 $267.93$239.86 $247.49 $409.79 $424.64 $370.76 $384.04 $401.42 $336.75 $273.48$242.90 $250.63 $414.99 $430.02 $375.46 $388.91 $406.51 $341.02 $276.95$246.14 $253.97 $420.53 $435.76 $380.47 $394.10 $411.94 $345.58 $280.64$247.77 $255.65 $423.30 $438.64 $382.98 $396.70 $414.65 $347.85 $282.49$249.39 $257.32 $426.07 $441.51 $385.49 $399.30 $417.36 $350.13 $284.34$251.01 $259.00 $428.85 $444.38 $387.99 $401.89 $420.08 $352.41 $286.19$252.63 $260.67 $431.62 $447.25 $390.50 $404.49 $422.79 $354.68 $288.04$255.88 $264.02 $437.16 $452.99 $395.52 $409.68 $428.22 $359.24 $291.74$259.12 $267.36 $442.70 $458.74 $400.53 $414.88 $433.65 $363.79 $295.44$263.99 $272.38 $451.01 $467.35 $408.05 $422.67 $441.80 $370.63 $300.99$268.65 $277.20 $458.98 $475.61 $415.26 $430.14 $449.60 $377.17 $306.30$275.14 $283.89 $470.07 $487.09 $425.29 $440.52 $460.46 $386.28 $313.70$283.25 $292.26 $483.92 $501.45 $437.83 $453.51 $474.03 $397.67 $322.95$292.78 $302.09 $500.20 $518.32 $452.56 $468.77 $489.98 $411.05 $333.81$304.13 $313.81 $519.60 $538.42 $470.11 $486.95 $508.98 $426.99 $346.76$316.91 $326.99 $541.43 $561.04 $489.85 $507.40 $530.36 $444.92 $361.32$331.50 $342.05 $566.37 $586.88 $512.42 $530.77 $554.79 $465.42 $377.97$345.90 $356.90 $590.96 $612.37 $534.67 $553.82 $578.88 $485.63 $394.38$362.12 $373.64 $618.67 $641.08 $559.74 $579.79 $606.03 $508.40 $412.88$378.14 $390.17 $646.04 $669.44 $584.50 $605.44 $632.83 $530.89 $431.14$395.78 $408.37 $676.18 $700.67 $611.76 $633.68 $662.35 $555.65 $451.25$413.62 $426.78 $706.66 $732.26 $639.34 $662.25 $692.21 $580.70 $471.59$432.88 $446.65 $739.57 $766.36 $669.12 $693.09 $724.45 $607.75 $493.55$452.14 $466.53 $772.48 $800.46 $698.89 $723.93 $756.69 $634.79 $515.52$473.03 $488.07 $808.15 $837.43 $731.17 $757.36 $791.64 $664.11 $539.33$494.11 $509.83 $844.18 $874.76 $763.77 $791.12 $826.92 $693.71 $563.37$516.62 $533.05 $882.63 $914.60 $798.55 $827.16 $864.59 $725.31 $589.03$527.77 $544.56 $901.68 $934.34 $815.79 $845.01 $883.25 $740.97 $601.74$550.28 $567.78 $940.13 $974.19 $850.58 $881.05 $920.92 $772.56 $627.40$569.74 $587.87 $973.39 $1,008.65 $880.66 $912.21 $953.49 $799.89 $649.60$582.51 $601.04 $995.21 $1,031.26 $900.41 $932.66 $974.87 $817.82 $664.16$598.53 $617.57 $1,022.58 $1,059.62 $925.17 $958.31 $1,001.68 $840.31 $682.42$608.26 $627.61 $1,039.20 $1,076.85 $940.21 $973.89 $1,017.96 $853.98 $693.52



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

250

PPO Platinum


$233.15 $230.14 $217.59 $211.45 $211.05 $205.82 $184.98 $181.51 $184.80$367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.02$367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.02$367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.02$367.17 $362.43 $342.66 $332.99 $332.37 $324.13 $291.31 $285.84 $291.02$368.64 $363.88 $344.03 $334.32 $333.69 $325.43 $292.47 $286.98 $292.19$375.98 $371.12 $350.89 $340.98 $340.34 $331.91 $298.30 $292.70 $298.01$384.79 $379.82 $359.11 $348.97 $348.32 $339.69 $305.29 $299.56 $304.99$399.11 $393.96 $372.48 $361.96 $361.28 $352.33 $316.65 $310.70 $316.34$410.86 $405.55 $383.44 $372.61 $371.92 $362.70 $325.97 $319.85 $325.65$416.74 $411.35 $388.92 $377.94 $377.23 $367.89 $330.63 $324.42 $330.31$425.55 $420.05 $397.15 $385.93 $385.21 $375.67 $337.62 $331.28 $337.29$434.36 $428.75 $405.37 $393.93 $393.19 $383.45 $344.61 $338.14 $344.28$439.87 $434.19 $410.51 $398.92 $398.17 $388.31 $348.98 $342.43 $348.64$445.74 $439.99 $415.99 $404.25 $403.49 $393.49 $353.64 $347.00 $353.30$448.68 $442.88 $418.73 $406.91 $406.15 $396.09 $355.98 $349.29 $355.63$451.62 $445.78 $421.48 $409.58 $408.81 $398.68 $358.31 $351.58 $357.96$454.55 $448.68 $424.22 $412.24 $411.47 $401.27 $360.64 $353.86 $360.29$457.49 $451.58 $426.96 $414.90 $414.13 $403.87 $362.97 $356.15 $362.61$463.37 $457.38 $432.44 $420.23 $419.44 $409.05 $367.63 $360.72 $367.27$469.24 $463.18 $437.92 $425.56 $424.76 $414.24 $372.29 $365.30 $371.93$478.05 $471.88 $446.15 $433.55 $432.74 $422.02 $379.28 $372.16 $378.91$486.50 $480.21 $454.03 $441.21 $440.38 $429.47 $385.98 $378.73 $385.60$498.25 $491.81 $464.99 $451.87 $451.02 $439.85 $395.30 $387.88 $394.92$512.93 $506.31 $478.70 $465.18 $464.31 $452.81 $406.95 $399.31 $406.56$530.19 $523.34 $494.81 $480.84 $479.94 $468.04 $420.65 $412.75 $420.24$550.75 $543.64 $513.99 $499.48 $498.55 $486.20 $436.96 $428.75 $436.53$573.88 $566.47 $535.58 $520.46 $519.49 $506.62 $455.31 $446.76 $454.87$600.32 $592.57 $560.25 $544.44 $543.42 $529.95 $476.28 $467.34 $475.82$626.39 $618.30 $584.58 $568.08 $567.01 $552.97 $496.97 $487.64 $496.48$655.76 $647.29 $612.00 $594.72 $593.60 $578.90 $520.27 $510.50 $519.77$684.77 $675.92 $639.07 $621.02 $619.86 $604.50 $543.28 $533.08 $542.76$716.71 $707.46 $668.88 $649.99 $648.78 $632.70 $568.63 $557.95 $568.08$749.02 $739.35 $699.03 $679.30 $678.02 $661.23 $594.26 $583.10 $593.69$783.90 $773.78 $731.59 $710.93 $709.60 $692.02 $621.94 $610.26 $621.33$818.78 $808.21 $764.14 $742.56 $741.17 $722.81 $649.61 $637.41 $648.98$856.60 $845.54 $799.43 $776.86 $775.41 $756.20 $679.62 $666.85 $678.96$894.79 $883.23 $835.07 $811.49 $809.97 $789.91 $709.91 $696.58 $709.22$935.54 $923.46 $873.11 $848.45 $846.87 $825.89 $742.25 $728.31 $741.52$955.74 $943.39 $891.95 $866.77 $865.15 $843.71 $758.27 $744.03 $757.53$996.49 $983.62 $929.99 $903.73 $902.04 $879.69 $790.60 $775.76 $789.83

$1,031.74 $1,018.42 $962.88 $935.70 $933.95 $910.81 $818.57 $803.20 $817.77$1,054.87 $1,041.25 $984.47 $956.68 $954.88 $931.23 $836.92 $821.21 $836.11$1,083.88 $1,069.88 $1,011.54 $982.98 $981.14 $956.83 $859.93 $843.79 $859.10$1,101.50 $1,087.28 $1,027.99 $998.96 $997.10 $972.39 $873.92 $857.51 $873.07



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

$178.42 $173.66 $169.42 $165.55 $156.53 $177.17 $172.04 $150.02 $138.84$280.97 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25 $218.65$280.97 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25 $218.65$280.97 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25 $218.65$280.97 $273.48 $266.80 $260.71 $246.50 $279.01 $270.93 $236.25 $218.65$282.10 $274.57 $267.86 $261.75 $247.49 $280.13 $272.01 $237.19 $219.52$287.72 $280.04 $273.20 $266.97 $252.42 $285.71 $277.43 $241.92 $223.90$294.46 $286.60 $279.60 $273.23 $258.33 $292.41 $283.94 $247.59 $229.15$305.42 $297.27 $290.01 $283.39 $267.95 $303.29 $294.50 $256.80 $237.67$314.41 $306.02 $298.55 $291.74 $275.83 $312.22 $303.17 $264.36 $244.67$318.91 $310.40 $302.81 $295.91 $279.78 $316.68 $307.51 $268.14 $248.17$325.65 $316.96 $309.22 $302.16 $285.69 $323.38 $314.01 $273.81 $253.42$332.39 $323.52 $315.62 $308.42 $291.61 $330.07 $320.51 $279.48 $258.66$336.61 $327.62 $319.62 $312.33 $295.31 $334.26 $324.57 $283.03 $261.94$341.10 $332.00 $323.89 $316.50 $299.25 $338.72 $328.91 $286.81 $265.44$343.35 $334.19 $326.03 $318.59 $301.22 $340.95 $331.08 $288.70 $267.19$345.60 $336.38 $328.16 $320.68 $303.19 $343.19 $333.24 $290.59 $268.94$347.85 $338.56 $330.29 $322.76 $305.17 $345.42 $335.41 $292.48 $270.69$350.09 $340.75 $332.43 $324.85 $307.14 $347.65 $337.58 $294.37 $272.44$354.59 $345.13 $336.70 $329.02 $311.08 $352.12 $341.91 $298.15 $275.94$359.09 $349.50 $340.97 $333.19 $315.03 $356.58 $346.25 $301.93 $279.43$365.83 $356.07 $347.37 $339.45 $320.94 $363.28 $352.75 $307.60 $284.68$372.29 $362.36 $353.51 $345.44 $326.61 $369.69 $358.98 $313.03 $289.71$381.28 $371.11 $362.04 $353.79 $334.50 $378.62 $367.65 $320.59 $296.71$392.52 $382.05 $372.72 $364.21 $344.36 $389.78 $378.49 $330.04 $305.45$405.73 $394.90 $385.25 $376.47 $355.95 $402.90 $391.22 $341.14 $315.73$421.46 $410.21 $400.20 $391.07 $369.75 $418.52 $406.40 $354.37 $327.97$439.16 $427.44 $417.00 $407.49 $385.28 $436.10 $423.46 $369.26 $341.75$459.39 $447.13 $436.21 $426.26 $403.03 $456.19 $442.97 $386.27 $357.49$479.34 $466.55 $455.16 $444.77 $420.53 $476.00 $462.21 $403.04 $373.02$501.82 $488.43 $476.50 $465.63 $440.25 $498.32 $483.88 $421.94 $390.51$524.02 $510.03 $497.58 $486.23 $459.72 $520.36 $505.29 $440.61 $407.78$548.46 $533.83 $520.79 $508.91 $481.17 $544.63 $528.86 $461.16 $426.80$573.19 $557.89 $544.27 $531.85 $502.86 $569.19 $552.70 $481.95 $446.05$599.88 $583.87 $569.61 $556.62 $526.28 $595.69 $578.44 $504.39 $466.82$626.57 $609.85 $594.96 $581.39 $549.69 $622.20 $604.18 $526.84 $487.59$655.51 $638.02 $622.44 $608.24 $575.08 $650.94 $632.08 $551.17 $510.11$684.73 $666.46 $650.18 $635.35 $600.72 $679.96 $660.26 $575.74 $532.85$715.92 $696.82 $679.80 $664.29 $628.08 $710.93 $690.33 $601.96 $557.12$731.38 $711.86 $694.47 $678.63 $641.64 $726.27 $705.23 $614.96 $569.15$762.56 $742.22 $724.09 $707.57 $669.00 $757.24 $735.31 $641.18 $593.42$789.54 $768.47 $749.70 $732.60 $692.66 $784.03 $761.31 $663.86 $614.41$807.24 $785.70 $766.51 $749.02 $708.19 $801.61 $778.38 $678.74 $628.18$829.44 $807.30 $787.58 $769.62 $727.67 $823.65 $799.79 $697.41 $645.45$842.92 $820.43 $800.39 $782.13 $739.50 $837.04 $812.79 $708.75 $655.95



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

$188.00 $179.65 $172.91 $152.21 $139.16 $138.32 $138.64 $158.14 $123.80$296.07 $282.92 $272.30 $239.70 $219.15 $217.83 $218.33 $249.04 $194.96$296.07 $282.92 $272.30 $239.70 $219.15 $217.83 $218.33 $249.04 $194.96$296.07 $282.92 $272.30 $239.70 $219.15 $217.83 $218.33 $249.04 $194.96$296.07 $282.92 $272.30 $239.70 $219.15 $217.83 $218.33 $249.04 $194.96$297.25 $284.05 $273.39 $240.66 $220.03 $218.70 $219.20 $250.04 $195.74$303.17 $289.71 $278.83 $245.46 $224.41 $223.05 $223.57 $255.02 $199.64$310.28 $296.50 $285.37 $251.21 $229.67 $228.28 $228.81 $261.00 $204.31$321.82 $307.53 $295.99 $260.56 $238.22 $236.78 $237.32 $270.71 $211.92$331.30 $316.59 $304.70 $268.23 $245.23 $243.75 $244.31 $278.68 $218.16$336.04 $321.11 $309.06 $272.06 $248.74 $247.23 $247.80 $282.66 $221.28$343.14 $327.91 $315.59 $277.82 $254.00 $252.46 $253.04 $288.64 $225.95$350.25 $334.70 $322.13 $283.57 $259.26 $257.69 $258.28 $294.62 $230.63$354.69 $338.94 $326.21 $287.16 $262.55 $260.96 $261.55 $298.35 $233.56$359.42 $343.47 $330.57 $291.00 $266.05 $264.44 $265.05 $302.34 $236.68$361.79 $345.73 $332.75 $292.92 $267.81 $266.18 $266.79 $304.33 $238.24$364.16 $347.99 $334.93 $294.84 $269.56 $267.93 $268.54 $306.32 $239.80$366.53 $350.26 $337.11 $296.75 $271.31 $269.67 $270.29 $308.31 $241.36$368.90 $352.52 $339.28 $298.67 $273.07 $271.41 $272.03 $310.31 $242.92$373.64 $357.05 $343.64 $302.51 $276.57 $274.90 $275.53 $314.29 $246.04$378.37 $361.57 $348.00 $306.34 $280.08 $278.38 $279.02 $318.28 $249.15$385.48 $368.36 $354.53 $312.09 $285.34 $283.61 $284.26 $324.25 $253.83$392.29 $374.87 $360.80 $317.61 $290.38 $288.62 $289.28 $329.98 $258.32$401.76 $383.92 $369.51 $325.28 $297.39 $295.59 $296.27 $337.95 $264.56$413.60 $395.24 $380.40 $334.87 $306.16 $304.30 $305.00 $347.91 $272.35$427.52 $408.54 $393.20 $346.13 $316.46 $314.54 $315.26 $359.62 $281.52$444.10 $424.38 $408.45 $359.56 $328.73 $326.74 $327.49 $373.56 $292.43$462.75 $442.21 $425.60 $374.66 $342.54 $340.46 $341.24 $389.25 $304.72$484.07 $462.58 $445.21 $391.92 $358.32 $356.15 $356.96 $407.18 $318.75$505.09 $482.66 $464.54 $408.93 $373.88 $371.61 $372.46 $424.87 $332.60$528.77 $505.30 $486.33 $428.11 $391.41 $389.04 $389.93 $444.79 $348.19$552.16 $527.65 $507.84 $447.05 $408.72 $406.25 $407.18 $464.46 $363.59$577.92 $552.26 $531.53 $467.90 $427.79 $425.20 $426.17 $486.13 $380.55$603.97 $577.16 $555.49 $489.00 $447.07 $444.37 $445.38 $508.05 $397.71$632.10 $604.04 $581.36 $511.77 $467.89 $465.06 $466.13 $531.70 $416.23$660.23 $630.91 $607.23 $534.54 $488.71 $485.75 $486.87 $555.36 $434.75$690.72 $660.05 $635.27 $559.23 $511.29 $508.19 $509.35 $581.01 $454.83$721.51 $689.48 $663.59 $584.16 $534.08 $530.84 $532.06 $606.92 $475.11$754.38 $720.88 $693.82 $610.76 $558.41 $555.02 $556.29 $634.56 $496.75$770.66 $736.44 $708.79 $623.95 $570.46 $567.00 $568.30 $648.26 $507.47$803.52 $767.85 $739.02 $650.56 $594.78 $591.18 $592.54 $675.90 $529.11$831.95 $795.01 $765.16 $673.57 $615.82 $612.09 $613.50 $699.81 $547.83$850.60 $812.83 $782.31 $688.67 $629.63 $625.81 $627.25 $715.50 $560.11$873.99 $835.18 $803.83 $707.60 $646.94 $643.02 $644.50 $735.17 $575.51$888.20 $848.76 $816.90 $719.11 $657.46 $653.48 $654.98 $747.13 $584.87



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$211.50 $191.36 $207.18 $173.81 $141.15 $240.15 $237.04 $224.12 $217.79$333.08 $301.35 $326.27 $273.71 $222.28 $378.18 $373.30 $352.94 $342.98$333.08 $301.35 $326.27 $273.71 $222.28 $378.18 $373.30 $352.94 $342.98$333.08 $301.35 $326.27 $273.71 $222.28 $378.18 $373.30 $352.94 $342.98$333.08 $301.35 $326.27 $273.71 $222.28 $378.18 $373.30 $352.94 $342.98$334.41 $302.56 $327.58 $274.81 $223.17 $379.70 $374.79 $354.35 $344.35$341.07 $308.58 $334.10 $280.28 $227.62 $387.26 $382.26 $361.41 $351.21$349.07 $315.81 $341.93 $286.85 $232.95 $396.34 $391.22 $369.88 $359.44$362.06 $327.57 $354.66 $297.52 $241.62 $411.08 $405.78 $383.65 $372.82$372.71 $337.21 $365.10 $306.28 $248.73 $423.19 $417.72 $394.94 $383.79$378.04 $342.03 $370.32 $310.66 $252.29 $429.24 $423.69 $400.59 $389.28$386.04 $349.26 $378.15 $317.23 $257.62 $438.31 $432.65 $409.06 $397.51$394.03 $356.50 $385.98 $323.80 $262.96 $447.39 $441.61 $417.53 $405.74$399.03 $361.02 $390.87 $327.90 $266.29 $453.06 $447.21 $422.83 $410.89$404.36 $365.84 $396.09 $332.28 $269.85 $459.11 $453.18 $428.47 $416.38$407.02 $368.25 $398.70 $334.47 $271.63 $462.14 $456.17 $431.30 $419.12$409.69 $370.66 $401.31 $336.66 $273.41 $465.16 $459.16 $434.12 $421.86$412.35 $373.07 $403.92 $338.85 $275.18 $468.19 $462.14 $436.94 $424.61$415.02 $375.48 $406.53 $341.04 $276.96 $471.22 $465.13 $439.77 $427.35$420.35 $380.30 $411.75 $345.42 $280.52 $477.27 $471.10 $445.41 $432.84$425.67 $385.13 $416.97 $349.80 $284.08 $483.32 $477.08 $451.06 $438.33$433.67 $392.36 $424.80 $356.37 $289.41 $492.39 $486.03 $459.53 $446.56$441.33 $399.29 $432.31 $362.67 $294.52 $501.09 $494.62 $467.65 $454.45$451.99 $408.93 $442.75 $371.42 $301.64 $513.19 $506.57 $478.94 $465.42$465.31 $420.99 $455.80 $382.37 $310.53 $528.32 $521.50 $493.06 $479.14$480.97 $435.15 $471.13 $395.24 $320.97 $546.10 $539.04 $509.65 $495.26$499.62 $452.02 $489.41 $410.57 $333.42 $567.27 $559.95 $529.41 $514.47$520.60 $471.01 $509.96 $427.81 $347.43 $591.10 $583.47 $551.65 $536.07$544.58 $492.71 $533.45 $447.52 $363.43 $618.33 $610.34 $577.06 $560.77$568.23 $514.10 $556.62 $466.95 $379.21 $645.18 $636.85 $602.12 $585.12$594.88 $538.21 $582.72 $488.85 $397.00 $675.43 $666.71 $630.36 $612.56$621.19 $562.02 $608.49 $510.47 $414.56 $705.31 $696.20 $658.24 $639.65$650.17 $588.23 $636.88 $534.28 $433.89 $738.21 $728.68 $688.95 $669.49$679.48 $614.75 $665.59 $558.37 $453.45 $771.49 $761.53 $720.00 $699.68$711.12 $643.38 $696.59 $584.37 $474.57 $807.42 $796.99 $753.53 $732.26$742.77 $672.01 $727.58 $610.37 $495.69 $843.35 $832.46 $787.06 $764.84$777.07 $703.05 $761.19 $638.57 $518.58 $882.30 $870.91 $823.42 $800.17$811.71 $734.39 $795.12 $667.03 $541.70 $921.63 $909.73 $860.12 $835.84$848.68 $767.84 $831.34 $697.41 $566.37 $963.61 $951.17 $899.30 $873.91$867.00 $784.41 $849.28 $712.47 $578.60 $984.41 $971.70 $918.71 $892.77$903.97 $817.86 $885.50 $742.85 $603.27 $1,026.39 $1,013.13 $957.89 $930.84$935.95 $846.79 $916.82 $769.13 $624.61 $1,062.69 $1,048.97 $991.77 $963.77$956.93 $865.78 $937.37 $786.37 $638.62 $1,086.52 $1,072.49 $1,014.01 $985.38$983.25 $889.58 $963.15 $807.99 $656.18 $1,116.40 $1,101.98 $1,041.89 $1,012.47$999.24 $904.05 $978.81 $821.13 $666.85 $1,134.55 $1,119.90 $1,058.83 $1,028.93



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6


$217.38 $212.00 $190.53 $186.95 $190.34 $183.77 $178.87 $174.50 $170.52$342.34 $333.85 $300.04 $294.41 $299.75 $289.40 $281.68 $274.80 $268.53$342.34 $333.85 $300.04 $294.41 $299.75 $289.40 $281.68 $274.80 $268.53$342.34 $333.85 $300.04 $294.41 $299.75 $289.40 $281.68 $274.80 $268.53$342.34 $333.85 $300.04 $294.41 $299.75 $289.40 $281.68 $274.80 $268.53$343.71 $335.19 $301.24 $295.59 $300.95 $290.56 $282.81 $275.90 $269.61$350.55 $341.87 $307.25 $301.48 $306.95 $296.35 $288.44 $281.40 $274.98$358.77 $349.88 $314.45 $308.54 $314.14 $303.29 $295.20 $287.99 $281.42$372.12 $362.90 $326.15 $320.02 $325.83 $314.58 $306.19 $298.71 $291.90$383.07 $373.58 $335.75 $329.45 $335.42 $323.84 $315.20 $307.50 $300.49$388.55 $378.93 $340.55 $334.16 $340.22 $328.47 $319.71 $311.90 $304.78$396.77 $386.94 $347.75 $341.22 $347.41 $335.42 $326.47 $318.49 $311.23$404.98 $394.95 $354.95 $348.29 $354.61 $342.36 $333.23 $325.09 $317.67$410.12 $399.96 $359.45 $352.70 $359.10 $346.71 $337.45 $329.21 $321.70$415.60 $405.30 $364.25 $357.41 $363.90 $351.34 $341.96 $333.61 $326.00$418.33 $407.97 $366.65 $359.77 $366.30 $353.65 $344.21 $335.81 $328.15$421.07 $410.64 $369.05 $362.13 $368.70 $355.97 $346.47 $338.01 $330.30$423.81 $413.31 $371.46 $364.48 $371.09 $358.28 $348.72 $340.20 $332.44$426.55 $415.98 $373.86 $366.84 $373.49 $360.60 $350.97 $342.40 $334.59$432.03 $421.32 $378.66 $371.55 $378.29 $365.23 $355.48 $346.80 $338.89$437.51 $426.67 $383.46 $376.26 $383.08 $369.86 $359.99 $351.20 $343.19$445.72 $434.68 $390.66 $383.32 $390.28 $376.80 $366.75 $357.79 $349.63$453.60 $442.36 $397.56 $390.09 $397.17 $383.46 $373.23 $364.11 $355.81$464.55 $453.04 $407.16 $399.52 $406.76 $392.72 $382.24 $372.90 $364.40$478.24 $466.40 $419.16 $411.29 $418.75 $404.30 $393.51 $383.90 $375.14$494.33 $482.09 $433.26 $425.13 $432.84 $417.90 $406.75 $396.81 $387.76$513.50 $500.78 $450.07 $441.62 $449.63 $434.11 $422.52 $412.20 $402.80$535.07 $521.81 $468.97 $460.16 $468.51 $452.34 $440.27 $429.51 $419.72$559.72 $545.85 $490.57 $481.36 $490.10 $473.17 $460.55 $449.30 $439.05$584.03 $569.56 $511.88 $502.26 $511.38 $493.72 $480.55 $468.81 $458.12$611.41 $596.26 $535.88 $525.82 $535.36 $516.87 $503.08 $490.79 $479.60$638.46 $622.64 $559.58 $549.08 $559.04 $539.74 $525.33 $512.50 $500.81$668.24 $651.68 $585.69 $574.69 $585.12 $564.92 $549.84 $536.41 $524.18$698.37 $681.06 $612.09 $600.60 $611.50 $590.38 $574.63 $560.59 $547.81$730.89 $712.78 $640.60 $628.57 $639.97 $617.88 $601.39 $586.70 $573.32$763.41 $744.50 $669.10 $656.54 $668.45 $645.37 $628.15 $612.81 $598.83$798.67 $778.88 $700.00 $686.86 $699.32 $675.18 $657.16 $641.11 $626.49$834.27 $813.60 $731.21 $717.48 $730.50 $705.28 $686.46 $669.69 $654.41$872.27 $850.66 $764.51 $750.16 $763.77 $737.40 $717.72 $700.19 $684.22$891.10 $869.02 $781.02 $766.35 $780.26 $753.32 $733.22 $715.31 $698.99$929.10 $906.08 $814.32 $799.03 $813.53 $785.44 $764.48 $745.81 $728.80$961.96 $938.13 $843.13 $827.29 $842.31 $813.22 $791.52 $772.19 $754.58$983.53 $959.16 $862.03 $845.84 $861.19 $831.46 $809.27 $789.50 $771.50

$1,010.58 $985.54 $885.73 $869.10 $884.87 $854.32 $831.52 $811.21 $792.71$1,027.01 $1,001.56 $900.13 $883.23 $899.26 $868.21 $845.04 $824.40 $805.60



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$161.22 $182.49 $177.20 $154.52 $143.01 $193.64 $185.04 $178.10 $156.78$253.89 $287.38 $279.06 $243.34 $225.21 $304.95 $291.41 $280.47 $246.89$253.89 $287.38 $279.06 $243.34 $225.21 $304.95 $291.41 $280.47 $246.89$253.89 $287.38 $279.06 $243.34 $225.21 $304.95 $291.41 $280.47 $246.89$253.89 $287.38 $279.06 $243.34 $225.21 $304.95 $291.41 $280.47 $246.89$254.91 $288.53 $280.17 $244.31 $226.11 $306.17 $292.57 $281.59 $247.88$259.99 $294.28 $285.76 $249.18 $230.61 $312.27 $298.40 $287.20 $252.82$266.08 $301.18 $292.45 $255.02 $236.02 $319.59 $305.40 $293.93 $258.75$275.98 $312.39 $303.34 $264.51 $244.80 $331.48 $316.76 $304.87 $268.37$284.11 $321.58 $312.27 $272.29 $252.01 $341.24 $326.09 $313.84 $276.28$288.17 $326.18 $316.73 $276.19 $255.61 $346.12 $330.75 $318.33 $280.23$294.26 $333.08 $323.43 $282.03 $261.02 $353.43 $337.74 $325.06 $286.15$300.36 $339.98 $330.13 $287.87 $266.42 $360.75 $344.74 $331.79 $292.08$304.17 $344.29 $334.31 $291.52 $269.80 $365.33 $349.11 $336.00 $295.78$308.23 $348.88 $338.78 $295.41 $273.40 $370.21 $353.77 $340.49 $299.73$310.26 $351.18 $341.01 $297.36 $275.21 $372.65 $356.10 $342.73 $301.71$312.29 $353.48 $343.24 $299.30 $277.01 $375.09 $358.43 $344.97 $303.68$314.32 $355.78 $345.47 $301.25 $278.81 $377.53 $360.76 $347.22 $305.66$316.35 $358.08 $347.71 $303.20 $280.61 $379.97 $363.09 $349.46 $307.63$320.42 $362.68 $352.17 $307.09 $284.21 $384.84 $367.76 $353.95 $311.58$324.48 $367.28 $356.64 $310.98 $287.82 $389.72 $372.42 $358.44 $315.53$330.57 $374.17 $363.33 $316.82 $293.22 $397.04 $379.41 $365.17 $321.46$336.41 $380.78 $369.75 $322.42 $298.40 $404.06 $386.12 $371.62 $327.14$344.54 $389.98 $378.68 $330.21 $305.61 $413.81 $395.44 $380.59 $335.04$354.69 $401.48 $389.84 $339.94 $314.62 $426.01 $407.10 $391.81 $344.91$366.62 $414.98 $402.96 $351.38 $325.20 $440.35 $420.79 $405.00 $356.52$380.84 $431.08 $418.59 $365.01 $337.81 $457.42 $437.11 $420.70 $370.34$396.84 $449.18 $436.17 $380.34 $352.00 $476.63 $455.47 $438.37 $385.90$415.12 $469.87 $456.26 $397.86 $368.22 $498.59 $476.45 $458.56 $403.67$433.14 $490.28 $476.07 $415.13 $384.21 $520.24 $497.14 $478.48 $421.20$453.46 $513.27 $498.40 $434.60 $402.22 $544.64 $520.46 $500.91 $440.95$473.51 $535.97 $520.44 $453.82 $420.02 $568.73 $543.48 $523.07 $460.46$495.60 $560.97 $544.72 $474.99 $439.61 $595.26 $568.83 $547.47 $481.94$517.95 $586.26 $569.28 $496.41 $459.43 $622.09 $594.47 $572.15 $503.66$542.07 $613.56 $595.79 $519.52 $480.82 $651.06 $622.16 $598.80 $527.12$566.19 $640.87 $622.30 $542.64 $502.22 $680.03 $649.84 $625.44 $550.57$592.34 $670.47 $651.04 $567.70 $525.41 $711.44 $679.86 $654.33 $576.00$618.74 $700.35 $680.07 $593.01 $548.84 $743.16 $710.16 $683.50 $601.68$646.92 $732.25 $711.04 $620.02 $573.83 $777.01 $742.51 $714.63 $629.09$660.89 $748.06 $726.39 $633.41 $586.22 $793.78 $758.54 $730.06 $642.67$689.07 $779.96 $757.36 $660.42 $611.22 $827.63 $790.88 $761.19 $670.07$713.44 $807.55 $784.15 $683.78 $632.84 $856.90 $818.86 $788.11 $693.77$729.44 $825.65 $801.73 $699.11 $647.03 $876.12 $837.22 $805.78 $709.33$749.50 $848.36 $823.78 $718.33 $664.82 $900.21 $860.24 $827.94 $728.83$761.68 $862.15 $837.18 $730.01 $675.63 $914.84 $874.22 $841.40 $740.68



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

$143.34 $142.47 $142.80 $162.89 $168.44 $127.51 $131.57 $217.85 $225.74$225.73 $224.36 $224.88 $256.51 $265.26 $200.81 $207.19 $343.07 $355.50$225.73 $224.36 $224.88 $256.51 $265.26 $200.81 $207.19 $343.07 $355.50$225.73 $224.36 $224.88 $256.51 $265.26 $200.81 $207.19 $343.07 $355.50$225.73 $224.36 $224.88 $256.51 $265.26 $200.81 $207.19 $343.07 $355.50$226.63 $225.26 $225.78 $257.54 $266.33 $201.61 $208.02 $344.44 $356.92$231.15 $229.75 $230.27 $262.67 $271.63 $205.62 $212.17 $351.30 $364.03$236.56 $235.13 $235.67 $268.83 $278.00 $210.44 $217.14 $359.54 $372.56$245.37 $243.88 $244.44 $278.83 $288.34 $218.28 $225.22 $372.92 $386.43$252.59 $251.06 $251.64 $287.04 $296.83 $224.70 $231.85 $383.90 $397.80$256.20 $254.65 $255.23 $291.14 $301.08 $227.91 $235.16 $389.39 $403.49$261.62 $260.03 $260.63 $297.30 $307.44 $232.73 $240.14 $397.62 $412.02$267.04 $265.42 $266.03 $303.46 $313.81 $237.55 $245.11 $405.85 $420.55$270.42 $268.78 $269.40 $307.30 $317.79 $240.56 $248.22 $411.00 $425.89$274.03 $272.37 $273.00 $311.41 $322.03 $243.78 $251.53 $416.49 $431.57$275.84 $274.17 $274.80 $313.46 $324.15 $245.38 $253.19 $419.23 $434.42$277.65 $275.96 $276.60 $315.51 $326.28 $246.99 $254.85 $421.98 $437.26$279.45 $277.76 $278.40 $317.56 $328.40 $248.60 $256.50 $424.72 $440.11$281.26 $279.55 $280.20 $319.62 $330.52 $250.20 $258.16 $427.47 $442.95$284.87 $283.14 $283.79 $323.72 $334.76 $253.42 $261.48 $432.96 $448.64$288.48 $286.73 $287.39 $327.82 $339.01 $256.63 $264.79 $438.44 $454.33$293.90 $292.12 $292.79 $333.98 $345.37 $261.45 $269.77 $446.68 $462.86$299.09 $297.28 $297.96 $339.88 $351.48 $266.07 $274.53 $454.57 $471.03$306.31 $304.46 $305.16 $348.09 $359.96 $272.49 $281.16 $465.55 $482.41$315.34 $313.43 $314.15 $358.35 $370.57 $280.52 $289.45 $479.27 $496.63$325.95 $323.98 $324.72 $370.41 $383.04 $289.96 $299.19 $495.39 $513.34$338.59 $336.54 $337.31 $384.77 $397.90 $301.21 $310.79 $514.61 $533.25$352.81 $350.68 $351.48 $400.93 $414.61 $313.86 $323.84 $536.22 $555.64$369.07 $366.83 $367.67 $419.40 $433.71 $328.32 $338.76 $560.92 $581.24$385.09 $382.76 $383.64 $437.61 $452.54 $342.57 $353.47 $585.28 $606.48$403.15 $400.71 $401.63 $458.13 $473.76 $358.64 $370.05 $612.72 $634.92$420.98 $418.43 $419.39 $478.40 $494.72 $374.50 $386.42 $639.83 $663.00$440.62 $437.95 $438.96 $500.71 $517.80 $391.97 $404.44 $669.67 $693.93$460.49 $457.70 $458.75 $523.29 $541.14 $409.64 $422.67 $699.86 $725.21$481.93 $479.01 $480.11 $547.66 $566.34 $428.72 $442.36 $732.46 $758.99$503.38 $500.33 $501.47 $572.02 $591.54 $447.80 $462.04 $765.05 $792.76$526.63 $523.43 $524.64 $598.45 $618.86 $468.48 $483.38 $800.38 $829.37$550.10 $546.77 $548.02 $625.12 $646.45 $489.36 $504.93 $836.06 $866.35$575.16 $571.67 $572.98 $653.60 $675.89 $511.65 $527.93 $874.14 $905.81$587.57 $584.01 $585.35 $667.70 $690.48 $522.70 $539.32 $893.01 $925.36$612.63 $608.92 $610.31 $696.18 $719.93 $544.99 $562.32 $931.09 $964.82$634.30 $630.45 $631.90 $720.80 $745.39 $564.26 $582.21 $964.03 $998.95$648.52 $644.59 $646.07 $736.96 $762.11 $576.91 $595.27 $985.64 $1,021.34$666.35 $662.31 $663.83 $757.23 $783.06 $592.78 $611.63 $1,012.75 $1,049.43$677.19 $673.08 $674.63 $769.54 $795.79 $602.42 $621.58 $1,029.21 $1,066.49



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$197.10 $204.16 $213.40 $179.02 $145.38 $242.48 $239.35 $226.29 $219.91$310.39 $321.51 $336.06 $281.92 $228.95 $381.85 $376.92 $356.37 $346.31$310.39 $321.51 $336.06 $281.92 $228.95 $381.85 $376.92 $356.37 $346.31$310.39 $321.51 $336.06 $281.92 $228.95 $381.85 $376.92 $356.37 $346.31$310.39 $321.51 $336.06 $281.92 $228.95 $381.85 $376.92 $356.37 $346.31$311.63 $322.79 $337.40 $283.05 $229.87 $383.38 $378.43 $357.80 $347.69$317.84 $329.23 $344.12 $288.69 $234.45 $391.02 $385.97 $364.92 $354.62$325.29 $336.94 $352.19 $295.45 $239.94 $400.18 $395.02 $373.48 $362.93$337.39 $349.48 $365.30 $306.45 $248.87 $415.08 $409.72 $387.37 $376.44$347.33 $359.77 $376.05 $315.47 $256.20 $427.30 $421.78 $398.78 $387.52$352.29 $364.91 $381.43 $319.98 $259.86 $433.40 $427.81 $404.48 $393.06$359.74 $372.63 $389.49 $326.75 $265.35 $442.57 $436.85 $413.03 $401.37$367.19 $380.35 $397.56 $333.51 $270.85 $451.73 $445.90 $421.59 $409.68$371.85 $385.17 $402.60 $337.74 $274.28 $457.46 $451.55 $426.93 $414.88$376.81 $390.31 $407.97 $342.25 $277.95 $463.57 $457.58 $432.63 $420.42$379.30 $392.88 $410.66 $344.51 $279.78 $466.63 $460.60 $435.48 $423.19$381.78 $395.46 $413.35 $346.76 $281.61 $469.68 $463.62 $438.33 $425.96$384.26 $398.03 $416.04 $349.02 $283.44 $472.74 $466.63 $441.19 $428.73$386.75 $400.60 $418.73 $351.27 $285.27 $475.79 $469.65 $444.04 $431.50$391.71 $405.74 $424.11 $355.79 $288.94 $481.90 $475.68 $449.74 $437.04$396.68 $410.89 $429.48 $360.30 $292.60 $488.01 $481.71 $455.44 $442.58$404.13 $418.60 $437.55 $367.06 $298.09 $497.17 $490.75 $463.99 $450.89$411.27 $426.00 $445.28 $373.55 $303.36 $505.96 $499.42 $472.19 $458.86$421.20 $436.29 $456.03 $382.57 $310.69 $518.18 $511.48 $483.59 $469.94$433.62 $449.15 $469.47 $393.84 $319.84 $533.45 $526.56 $497.85 $483.79$448.20 $464.26 $485.27 $407.09 $330.60 $551.40 $544.28 $514.60 $500.07$465.59 $482.26 $504.09 $422.88 $343.43 $572.78 $565.38 $534.55 $519.46$485.14 $502.52 $525.26 $440.64 $357.85 $596.84 $589.13 $557.01 $541.28$507.49 $525.67 $549.46 $460.94 $374.33 $624.33 $616.27 $582.66 $566.21$529.53 $548.49 $573.32 $480.96 $390.59 $651.44 $643.03 $607.97 $590.80$554.36 $574.22 $600.20 $503.51 $408.91 $681.99 $673.18 $636.48 $618.51$578.88 $599.61 $626.75 $525.78 $426.99 $712.16 $702.96 $664.63 $645.86$605.88 $627.59 $655.99 $550.31 $446.91 $745.38 $735.75 $695.63 $675.99$633.20 $655.88 $685.56 $575.12 $467.06 $778.98 $768.92 $726.99 $706.47$662.68 $686.42 $717.48 $601.90 $488.81 $815.26 $804.73 $760.85 $739.37$692.17 $716.96 $749.41 $628.69 $510.56 $851.54 $840.54 $794.70 $772.27$724.14 $750.08 $784.02 $657.72 $534.14 $890.87 $879.36 $831.41 $807.94$756.42 $783.52 $818.97 $687.04 $557.95 $930.58 $918.56 $868.47 $843.95$790.87 $819.20 $856.28 $718.34 $583.37 $972.96 $960.40 $908.03 $882.39$807.95 $836.89 $874.76 $733.84 $595.96 $993.97 $981.13 $927.63 $901.44$842.40 $872.58 $912.06 $765.14 $621.37 $1,036.35 $1,022.97 $967.19 $939.88$872.20 $903.44 $944.32 $792.20 $643.35 $1,073.01 $1,059.15 $1,001.40 $973.13$891.75 $923.70 $965.50 $809.96 $657.77 $1,097.07 $1,082.90 $1,023.85 $994.94$916.27 $949.09 $992.04 $832.23 $675.86 $1,127.23 $1,112.68 $1,052.00 $1,022.30$931.17 $964.53 $1,008.17 $845.76 $686.85 $1,145.56 $1,130.77 $1,069.11 $1,038.92



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7


$219.49 $214.06 $192.38 $188.77 $192.19 $185.56 $180.60 $176.19 $172.17$345.66 $337.10 $302.96 $297.27 $302.66 $292.21 $284.42 $277.47 $271.14$345.66 $337.10 $302.96 $297.27 $302.66 $292.21 $284.42 $277.47 $271.14$345.66 $337.10 $302.96 $297.27 $302.66 $292.21 $284.42 $277.47 $271.14$345.66 $337.10 $302.96 $297.27 $302.66 $292.21 $284.42 $277.47 $271.14$347.04 $338.44 $304.17 $298.46 $303.87 $293.38 $285.55 $278.58 $272.22$353.96 $345.19 $310.23 $304.40 $309.93 $299.23 $291.24 $284.13 $277.65$362.25 $353.28 $317.50 $311.54 $317.19 $306.24 $298.07 $290.79 $284.15$375.73 $366.42 $329.32 $323.13 $328.99 $317.64 $309.16 $301.61 $294.73$386.79 $377.21 $339.01 $332.64 $338.68 $326.99 $318.26 $310.49 $303.41$392.32 $382.60 $343.86 $337.40 $343.52 $331.66 $322.81 $314.93 $307.74$400.62 $390.69 $351.13 $344.53 $350.79 $338.68 $329.64 $321.59 $314.25$408.92 $398.78 $358.40 $351.67 $358.05 $345.69 $336.46 $328.25 $320.76$414.10 $403.84 $362.94 $356.13 $362.59 $350.07 $340.73 $332.41 $324.83$419.63 $409.23 $367.79 $360.88 $367.43 $354.75 $345.28 $336.85 $329.16$422.40 $411.93 $370.21 $363.26 $369.85 $357.08 $347.56 $339.07 $331.33$425.16 $414.63 $372.64 $365.64 $372.28 $359.42 $349.83 $341.29 $333.50$427.93 $417.32 $375.06 $368.02 $374.70 $361.76 $352.11 $343.51 $335.67$430.69 $420.02 $377.49 $370.40 $377.12 $364.10 $354.38 $345.73 $337.84$436.22 $425.42 $382.33 $375.15 $381.96 $368.77 $358.93 $350.17 $342.18$441.75 $430.81 $387.18 $379.91 $386.80 $373.45 $363.48 $354.61 $346.52$450.05 $438.90 $394.45 $387.04 $394.07 $380.46 $370.31 $361.26 $353.02$458.00 $446.65 $401.42 $393.88 $401.03 $387.18 $376.85 $367.65 $359.26$469.06 $457.44 $411.11 $403.39 $410.71 $396.53 $385.95 $376.53 $367.94$482.89 $470.92 $423.23 $415.28 $422.82 $408.22 $397.33 $387.62 $378.78$499.13 $486.77 $437.47 $429.26 $437.05 $421.96 $410.70 $400.67 $391.53$518.49 $505.64 $454.44 $445.90 $453.99 $438.32 $426.62 $416.20 $406.71$540.27 $526.88 $473.52 $464.63 $473.06 $456.73 $444.54 $433.68 $423.79$565.15 $551.15 $495.34 $486.03 $494.85 $477.77 $465.02 $453.66 $443.31$589.70 $575.09 $516.85 $507.14 $516.34 $498.52 $485.21 $473.36 $462.57$617.35 $602.05 $541.08 $530.92 $540.56 $521.89 $507.97 $495.56 $484.26$644.66 $628.68 $565.02 $554.41 $564.47 $544.98 $530.43 $517.48 $505.68$674.73 $658.01 $591.37 $580.27 $590.80 $570.40 $555.18 $541.62 $529.27$705.15 $687.68 $618.03 $606.43 $617.43 $596.12 $580.21 $566.04 $553.13$737.98 $719.70 $646.81 $634.67 $646.19 $623.88 $607.23 $592.40 $578.88$770.82 $751.72 $675.60 $662.91 $674.94 $651.64 $634.25 $618.76 $604.64$806.42 $786.45 $706.80 $693.53 $706.11 $681.73 $663.54 $647.33 $632.57$842.37 $821.50 $738.31 $724.44 $737.59 $712.12 $693.12 $676.19 $660.77$880.74 $858.92 $771.94 $757.44 $771.19 $744.56 $724.69 $706.99 $690.87$899.75 $877.46 $788.60 $773.79 $787.83 $760.63 $740.33 $722.25 $705.78$938.12 $914.88 $822.23 $806.79 $821.43 $793.07 $771.90 $753.05 $735.87$971.30 $947.24 $851.31 $835.33 $850.48 $821.12 $799.21 $779.69 $761.90$993.08 $968.48 $870.40 $854.05 $869.55 $839.53 $817.13 $797.17 $778.99

$1,020.39 $995.11 $894.33 $877.54 $893.46 $862.61 $839.59 $819.09 $800.41$1,036.98 $1,011.29 $908.87 $891.81 $907.99 $876.64 $853.25 $832.41 $813.42



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$162.79 $184.26 $178.92 $156.02 $144.40 $195.52 $186.84 $179.83 $158.30$256.36 $290.17 $281.77 $245.70 $227.40 $307.91 $294.24 $283.19 $249.29$256.36 $290.17 $281.77 $245.70 $227.40 $307.91 $294.24 $283.19 $249.29$256.36 $290.17 $281.77 $245.70 $227.40 $307.91 $294.24 $283.19 $249.29$256.36 $290.17 $281.77 $245.70 $227.40 $307.91 $294.24 $283.19 $249.29$257.39 $291.33 $282.89 $246.68 $228.31 $309.14 $295.41 $284.32 $250.29$262.51 $297.14 $288.53 $251.60 $232.85 $315.30 $301.30 $289.99 $255.27$268.66 $304.10 $295.29 $257.49 $238.31 $322.69 $308.36 $296.78 $261.26$278.66 $315.42 $306.28 $267.08 $247.18 $334.70 $319.84 $307.83 $270.98$286.87 $324.70 $315.30 $274.94 $254.46 $344.55 $329.25 $316.89 $278.96$290.97 $329.35 $319.81 $278.87 $258.09 $349.48 $333.96 $321.42 $282.95$297.12 $336.31 $326.57 $284.77 $263.55 $356.87 $341.02 $328.22 $288.93$303.27 $343.28 $333.33 $290.66 $269.01 $364.26 $348.08 $335.01 $294.91$307.12 $347.63 $337.56 $294.35 $272.42 $368.87 $352.50 $339.26 $298.65$311.22 $352.27 $342.07 $298.28 $276.06 $373.80 $357.20 $343.79 $302.64$313.27 $354.59 $344.32 $300.24 $277.88 $376.26 $359.56 $346.06 $304.63$315.32 $356.91 $346.57 $302.21 $279.70 $378.73 $361.91 $348.32 $306.63$317.37 $359.24 $348.83 $304.18 $281.52 $381.19 $364.27 $350.59 $308.62$319.42 $361.56 $351.08 $306.14 $283.34 $383.65 $366.62 $352.86 $310.62$323.53 $366.20 $355.59 $310.07 $286.97 $388.58 $371.33 $357.39 $314.61$327.63 $370.84 $360.10 $314.00 $290.61 $393.51 $376.04 $361.92 $318.59$333.78 $377.81 $366.86 $319.90 $296.07 $400.90 $383.10 $368.71 $324.58$339.68 $384.48 $373.34 $325.55 $301.30 $407.98 $389.86 $375.23 $330.31$347.88 $393.77 $382.36 $333.41 $308.58 $417.83 $399.28 $384.29 $338.29$358.13 $405.37 $393.63 $343.24 $317.67 $430.15 $411.05 $395.62 $348.26$370.18 $419.01 $406.87 $354.79 $328.36 $444.62 $424.88 $408.93 $359.98$384.54 $435.26 $422.65 $368.55 $341.09 $461.86 $441.36 $424.79 $373.94$400.69 $453.54 $440.40 $384.03 $355.42 $481.26 $459.89 $442.63 $389.64$419.15 $474.43 $460.69 $401.72 $371.79 $503.43 $481.08 $463.02 $407.59$437.35 $495.04 $480.70 $419.16 $387.94 $525.29 $501.97 $483.12 $425.29$457.86 $518.25 $503.24 $438.82 $406.13 $549.92 $525.51 $505.78 $445.23$478.11 $541.17 $525.50 $458.23 $424.09 $574.25 $548.75 $528.15 $464.93$500.41 $566.42 $550.01 $479.61 $443.88 $601.04 $574.35 $552.79 $486.62$522.97 $591.96 $574.81 $501.23 $463.89 $628.13 $600.24 $577.71 $508.55$547.33 $619.52 $601.57 $524.57 $485.49 $657.39 $628.20 $604.61 $532.24$571.68 $647.09 $628.34 $547.91 $507.09 $686.64 $656.15 $631.51 $555.92$598.09 $676.98 $657.36 $573.22 $530.51 $718.35 $686.46 $660.68 $581.60$624.75 $707.15 $686.67 $598.77 $554.16 $750.37 $717.06 $690.14 $607.52$653.20 $739.36 $717.94 $626.04 $579.40 $784.55 $749.72 $721.57 $635.19$667.30 $755.32 $733.44 $639.56 $591.91 $801.49 $765.90 $737.14 $648.91$695.76 $787.53 $764.72 $666.83 $617.15 $835.66 $798.56 $768.58 $676.58$720.37 $815.39 $791.77 $690.42 $638.98 $865.22 $826.81 $795.77 $700.51$736.52 $833.67 $809.52 $705.89 $653.31 $884.62 $845.34 $813.61 $716.21$756.77 $856.59 $831.78 $725.30 $671.27 $908.95 $868.59 $835.98 $735.91$769.08 $870.52 $845.30 $737.10 $682.19 $923.73 $882.71 $849.57 $747.87



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

$144.73 $143.85 $144.18 $164.47 $128.75 $219.97 $199.01 $215.47 $180.76$227.92 $226.54 $227.06 $259.00 $202.75 $346.40 $313.40 $339.32 $284.66$227.92 $226.54 $227.06 $259.00 $202.75 $346.40 $313.40 $339.32 $284.66$227.92 $226.54 $227.06 $259.00 $202.75 $346.40 $313.40 $339.32 $284.66$227.92 $226.54 $227.06 $259.00 $202.75 $346.40 $313.40 $339.32 $284.66$228.83 $227.45 $227.97 $260.04 $203.57 $347.79 $314.66 $340.68 $285.80$233.39 $231.98 $232.51 $265.22 $207.62 $354.72 $320.93 $347.46 $291.49$238.86 $237.41 $237.96 $271.44 $212.49 $363.03 $328.45 $355.61 $298.32$247.75 $246.25 $246.81 $281.54 $220.39 $376.54 $340.67 $368.84 $309.42$255.04 $253.50 $254.08 $289.83 $226.88 $387.62 $350.70 $379.70 $318.53$258.69 $257.12 $257.71 $293.97 $230.13 $393.17 $355.71 $385.13 $323.09$264.16 $262.56 $263.16 $300.19 $234.99 $401.48 $363.24 $393.27 $329.92$269.63 $268.00 $268.61 $306.40 $239.86 $409.79 $370.76 $401.42 $336.75$273.05 $271.39 $272.02 $310.29 $242.90 $414.99 $375.46 $406.51 $341.02$276.70 $275.02 $275.65 $314.43 $246.14 $420.53 $380.47 $411.94 $345.58$278.52 $276.83 $277.47 $316.50 $247.77 $423.30 $382.98 $414.65 $347.85$280.34 $278.64 $279.28 $318.57 $249.39 $426.07 $385.49 $417.36 $350.13$282.17 $280.46 $281.10 $320.65 $251.01 $428.85 $387.99 $420.08 $352.41$283.99 $282.27 $282.92 $322.72 $252.63 $431.62 $390.50 $422.79 $354.68$287.64 $285.89 $286.55 $326.86 $255.88 $437.16 $395.52 $428.22 $359.24$291.28 $289.52 $290.18 $331.01 $259.12 $442.70 $400.53 $433.65 $363.79$296.75 $294.95 $295.63 $337.22 $263.99 $451.01 $408.05 $441.80 $370.63$301.99 $300.16 $300.85 $343.18 $268.65 $458.98 $415.26 $449.60 $377.17$309.29 $307.41 $308.12 $351.47 $275.14 $470.07 $425.29 $460.46 $386.28$318.40 $316.48 $317.20 $361.83 $283.25 $483.92 $437.83 $474.03 $397.67$329.12 $327.12 $327.87 $374.00 $292.78 $500.20 $452.56 $489.98 $411.05$341.88 $339.81 $340.59 $388.51 $304.13 $519.60 $470.11 $508.98 $426.99$356.24 $354.08 $354.89 $404.82 $316.91 $541.43 $489.85 $530.36 $444.92$372.65 $370.39 $371.24 $423.47 $331.50 $566.37 $512.42 $554.79 $465.42$388.83 $386.48 $387.36 $441.86 $345.90 $590.96 $534.67 $578.88 $485.63$407.07 $404.60 $405.53 $462.58 $362.12 $618.67 $559.74 $606.03 $508.40$425.07 $422.50 $423.47 $483.04 $378.14 $646.04 $584.50 $632.83 $530.89$444.90 $442.20 $443.22 $505.58 $395.78 $676.18 $611.76 $662.35 $555.65$464.96 $462.14 $463.20 $528.37 $413.62 $706.66 $639.34 $692.21 $580.70$486.61 $483.66 $484.77 $552.97 $432.88 $739.57 $669.12 $724.45 $607.75$508.26 $505.18 $506.34 $577.58 $452.14 $772.48 $698.89 $756.69 $634.79$531.74 $528.52 $529.73 $604.26 $473.03 $808.15 $731.17 $791.64 $664.11$555.44 $552.08 $553.34 $631.19 $494.11 $844.18 $763.77 $826.92 $693.71$580.74 $577.22 $578.55 $659.94 $516.62 $882.63 $798.55 $864.59 $725.31$593.28 $589.68 $591.03 $674.19 $527.77 $901.68 $815.79 $883.25 $740.97$618.58 $614.83 $616.24 $702.94 $550.28 $940.13 $850.58 $920.92 $772.56$640.46 $636.58 $638.04 $727.80 $569.74 $973.39 $880.66 $953.49 $799.89$654.82 $650.85 $652.34 $744.12 $582.51 $995.21 $900.41 $974.87 $817.82$672.82 $668.74 $670.28 $764.58 $598.53 $1,022.58 $925.17 $1,001.68 $840.31$683.76 $679.62 $681.18 $777.01 $608.26 $1,039.20 $940.21 $1,017.96 $853.98



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Moda Health

Oregon

Standard

Bronze

$146.79$231.17$231.17$231.17$231.17$232.10$236.72$242.27$251.29$258.68$262.38$267.93$273.48$276.95$280.64$282.49$284.34$286.19$288.04$291.74$295.44$300.99$306.30$313.70$322.95$333.81$346.76$361.32$377.97$394.38$412.88$431.14$451.25$471.59$493.55$515.52$539.33$563.37$589.03$601.74$627.40$649.60$664.16$682.42$693.52



Market: Small Group



Plan

PPO Platinum

250

PPO Platinum


0-20 $236.09 $233.04 $220.34 $214.11 $213.71 $208.42 $187.31 $183.80 $187.1321 $371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.6922 $371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.6923 $371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.6924 $371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.6925 $373.29 $368.47 $348.37 $338.54 $337.90 $329.53 $296.16 $290.60 $295.8726 $380.72 $375.81 $355.31 $345.28 $344.64 $336.10 $302.06 $296.39 $301.7727 $389.65 $384.61 $363.64 $353.37 $352.71 $343.97 $309.14 $303.33 $308.8428 $404.15 $398.93 $377.17 $366.52 $365.84 $356.77 $320.64 $314.62 $320.3329 $416.04 $410.67 $388.28 $377.31 $376.61 $367.28 $330.08 $323.88 $329.7630 $421.99 $416.54 $393.83 $382.71 $381.99 $372.53 $334.80 $328.52 $334.4831 $430.92 $425.35 $402.16 $390.80 $390.07 $380.41 $341.88 $335.46 $341.5532 $439.84 $434.16 $410.48 $398.89 $398.15 $388.28 $348.96 $342.41 $348.6233 $445.42 $439.66 $415.69 $403.95 $403.20 $393.21 $353.39 $346.75 $353.0434 $451.36 $445.54 $421.24 $409.35 $408.58 $398.46 $358.11 $351.38 $357.7635 $454.34 $448.47 $424.02 $412.04 $411.27 $401.08 $360.47 $353.70 $360.1236 $457.31 $451.41 $426.79 $414.74 $413.97 $403.71 $362.83 $356.01 $362.4737 $460.29 $454.34 $429.57 $417.44 $416.66 $406.34 $365.19 $358.33 $364.8338 $463.26 $457.28 $432.34 $420.14 $419.35 $408.96 $367.55 $360.64 $367.1939 $469.21 $463.15 $437.90 $425.53 $424.74 $414.21 $372.27 $365.27 $371.9040 $475.16 $469.02 $443.45 $430.93 $430.12 $419.46 $376.98 $369.91 $376.6241 $484.08 $477.83 $451.78 $439.02 $438.20 $427.34 $384.06 $376.85 $383.6942 $492.63 $486.27 $459.76 $446.78 $445.94 $434.89 $390.85 $383.51 $390.4743 $504.53 $498.02 $470.86 $457.57 $456.71 $445.39 $400.29 $392.77 $399.9044 $519.40 $512.70 $484.74 $471.05 $470.17 $458.52 $412.09 $404.35 $411.6945 $536.88 $529.94 $501.05 $486.90 $485.99 $473.95 $425.95 $417.95 $425.5446 $557.70 $550.50 $520.48 $505.78 $504.84 $492.33 $442.47 $434.16 $442.0447 $581.12 $573.62 $542.34 $527.03 $526.04 $513.01 $461.05 $452.40 $460.6148 $607.89 $600.04 $567.32 $551.30 $550.27 $536.64 $482.29 $473.24 $481.8249 $634.29 $626.10 $591.96 $575.24 $574.17 $559.94 $503.24 $493.79 $502.7550 $664.03 $655.46 $619.72 $602.22 $601.09 $586.20 $526.83 $516.94 $526.3251 $693.41 $684.45 $647.13 $628.86 $627.68 $612.13 $550.14 $539.81 $549.6052 $725.75 $716.38 $677.32 $658.19 $656.96 $640.68 $575.80 $564.99 $575.2453 $758.47 $748.68 $707.85 $687.87 $686.58 $669.57 $601.76 $590.46 $601.1754 $793.79 $783.54 $740.81 $719.90 $718.55 $700.75 $629.78 $617.96 $629.1755 $829.11 $818.41 $773.78 $751.93 $750.52 $731.93 $657.81 $645.45 $657.1756 $867.41 $856.21 $809.52 $786.66 $785.19 $765.74 $688.19 $675.27 $687.5257 $906.07 $894.37 $845.60 $821.73 $820.19 $799.87 $718.87 $705.37 $718.1758 $947.34 $935.11 $884.12 $859.16 $857.55 $836.30 $751.61 $737.50 $750.8859 $967.79 $955.30 $903.20 $877.70 $876.06 $854.36 $767.83 $753.42 $767.0960 $1,009.06 $996.03 $941.72 $915.13 $913.42 $890.79 $800.58 $785.54 $799.8061 $1,044.76 $1,031.26 $975.03 $947.50 $945.73 $922.30 $828.89 $813.33 $828.0962 $1,068.18 $1,054.38 $996.89 $968.74 $966.93 $942.97 $847.48 $831.56 $846.6563 $1,097.55 $1,083.38 $1,024.30 $995.38 $993.52 $968.90 $870.78 $854.43 $869.94

64+ $1,115.39 $1,100.98 $1,040.95 $1,011.56 $1,009.66 $984.65 $884.93 $868.31 $884.07



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Value 2000

Value 2000


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

$180.67 $166.88 $175.85 $171.55 $167.64 $158.50 $179.41 $174.21 $151.91$284.52 $262.80 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23$284.52 $262.80 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23$284.52 $262.80 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23$284.52 $262.80 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23$285.66 $263.85 $278.03 $271.24 $265.06 $250.61 $283.66 $275.45 $240.19$291.35 $269.11 $283.57 $276.65 $270.34 $255.60 $289.31 $280.93 $244.97$298.18 $275.41 $290.22 $283.13 $276.67 $261.59 $296.09 $287.52 $250.71$309.27 $285.66 $301.02 $293.67 $286.97 $271.33 $307.11 $298.22 $260.04$318.38 $294.07 $309.88 $302.31 $295.42 $279.31 $316.15 $307.00 $267.70$322.93 $298.28 $314.31 $306.63 $299.64 $283.31 $320.68 $311.39 $271.53$329.76 $304.58 $320.96 $313.12 $305.98 $289.30 $327.46 $317.97 $277.27$336.59 $310.89 $327.60 $319.60 $312.31 $295.29 $334.24 $324.55 $283.01$340.85 $314.83 $331.76 $323.65 $316.27 $299.03 $338.47 $328.67 $286.60$345.41 $319.04 $336.19 $327.98 $320.50 $303.03 $343.00 $333.06 $290.42$347.68 $321.14 $338.40 $330.14 $322.61 $305.02 $345.26 $335.25 $292.34$349.96 $323.24 $340.62 $332.30 $324.72 $307.02 $347.52 $337.45 $294.25$352.23 $325.34 $342.83 $334.46 $326.83 $309.02 $349.78 $339.64 $296.17$354.51 $327.45 $345.05 $336.62 $328.94 $311.01 $352.04 $341.84 $298.08$359.06 $331.65 $349.48 $340.95 $333.17 $315.01 $356.56 $346.23 $301.91$363.61 $335.86 $353.91 $345.27 $337.39 $319.00 $361.08 $350.62 $305.74$370.44 $342.16 $360.56 $351.75 $343.73 $324.99 $367.86 $357.20 $311.48$376.99 $348.21 $366.93 $357.97 $349.80 $330.73 $374.36 $363.51 $316.98$386.09 $356.62 $375.79 $366.61 $358.25 $338.72 $383.40 $372.29 $324.63$397.47 $367.13 $386.87 $377.42 $368.81 $348.70 $394.70 $383.26 $334.20$410.85 $379.48 $399.88 $390.11 $381.22 $360.44 $407.98 $396.16 $345.45$426.78 $394.20 $415.39 $405.24 $396.00 $374.41 $423.80 $411.52 $358.84$444.70 $410.75 $432.84 $422.26 $412.63 $390.14 $441.60 $428.81 $373.92$465.19 $429.68 $452.77 $441.72 $431.64 $408.11 $461.94 $448.56 $391.14$485.39 $448.33 $472.44 $460.90 $450.38 $425.83 $482.00 $468.04 $408.13$508.15 $469.36 $494.59 $482.51 $471.50 $445.80 $504.60 $489.99 $427.26$530.63 $490.12 $516.47 $503.85 $492.36 $465.52 $526.92 $511.66 $446.16$555.38 $512.98 $540.56 $527.36 $515.33 $487.24 $551.51 $535.53 $466.98$580.42 $536.11 $564.93 $551.13 $538.56 $509.20 $576.37 $559.67 $488.03$607.45 $561.08 $591.24 $576.80 $563.64 $532.92 $603.21 $585.73 $510.76$634.48 $586.04 $617.55 $602.46 $588.72 $556.63 $630.05 $611.80 $533.48$663.78 $613.11 $646.07 $630.29 $615.91 $582.34 $659.15 $640.05 $558.12$693.37 $640.44 $674.87 $658.39 $643.37 $608.30 $688.53 $668.59 $583.00$724.95 $669.61 $705.61 $688.37 $672.67 $636.00 $719.89 $699.04 $609.56$740.60 $684.07 $720.84 $703.23 $687.19 $649.73 $735.43 $714.13 $622.71$772.18 $713.24 $751.58 $733.22 $716.50 $677.44 $766.80 $744.58 $649.27$799.50 $738.46 $778.16 $759.16 $741.84 $701.40 $793.92 $770.92 $672.24$817.42 $755.02 $795.61 $776.18 $758.47 $717.13 $811.72 $788.20 $687.31$839.90 $775.78 $817.49 $797.52 $779.33 $736.85 $834.04 $809.88 $706.21$853.55 $788.39 $830.77 $810.48 $791.99 $748.82 $847.59 $823.03 $717.68



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 1

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Rose City

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

$140.59 $190.37 $181.92 $175.09 $154.13 $140.92 $129.47 $140.06 $140.39$221.41 $299.80 $286.49 $275.73 $242.73 $221.92 $203.89 $220.57 $221.08$221.41 $299.80 $286.49 $275.73 $242.73 $221.92 $203.89 $220.57 $221.08$221.41 $299.80 $286.49 $275.73 $242.73 $221.92 $203.89 $220.57 $221.08$221.41 $299.80 $286.49 $275.73 $242.73 $221.92 $203.89 $220.57 $221.08$222.29 $301.00 $287.64 $276.84 $243.70 $222.81 $204.70 $221.46 $221.96$226.72 $307.00 $293.37 $282.35 $248.55 $227.24 $208.78 $225.87 $226.39$232.04 $314.19 $300.24 $288.97 $254.38 $232.57 $213.67 $231.16 $231.69$240.67 $325.88 $311.41 $299.72 $263.84 $241.23 $221.63 $239.76 $240.31$247.76 $335.48 $320.58 $308.55 $271.61 $248.33 $228.15 $246.82 $247.39$251.30 $340.27 $325.17 $312.96 $275.50 $251.88 $231.41 $250.35 $250.93$256.61 $347.47 $332.04 $319.58 $281.32 $257.20 $236.31 $255.65 $256.23$261.93 $354.66 $338.92 $326.19 $287.15 $262.53 $241.20 $260.94 $261.54$265.25 $359.16 $343.21 $330.33 $290.79 $265.86 $244.26 $264.25 $264.85$268.79 $363.96 $347.80 $334.74 $294.67 $269.41 $247.52 $267.78 $268.39$270.56 $366.36 $350.09 $336.95 $296.61 $271.18 $249.15 $269.54 $270.16$272.33 $368.76 $352.38 $339.15 $298.55 $272.96 $250.78 $271.31 $271.93$274.10 $371.15 $354.67 $341.36 $300.50 $274.74 $252.41 $273.07 $273.70$275.87 $373.55 $356.97 $343.56 $302.44 $276.51 $254.04 $274.84 $275.47$279.42 $378.35 $361.55 $347.98 $306.32 $280.06 $257.31 $278.36 $279.00$282.96 $383.15 $366.13 $352.39 $310.21 $283.61 $260.57 $281.89 $282.54$288.27 $390.34 $373.01 $359.00 $316.03 $288.94 $265.46 $287.19 $287.85$293.37 $397.24 $379.60 $365.35 $321.61 $294.04 $270.15 $292.26 $292.93$300.45 $406.83 $388.77 $374.17 $329.38 $301.14 $276.68 $299.32 $300.01$309.31 $418.82 $400.23 $385.20 $339.09 $310.02 $284.83 $308.14 $308.85$319.71 $432.91 $413.69 $398.16 $350.50 $320.45 $294.41 $318.51 $319.24$332.11 $449.70 $429.73 $413.60 $364.09 $332.88 $305.83 $330.86 $331.62$346.06 $468.59 $447.78 $430.97 $379.38 $346.86 $318.68 $344.76 $345.55$362.00 $490.17 $468.41 $450.82 $396.86 $362.84 $333.36 $360.64 $361.47$377.72 $511.46 $488.75 $470.40 $414.09 $378.59 $347.83 $376.30 $377.16$395.43 $535.44 $511.67 $492.46 $433.51 $396.35 $364.14 $393.95 $394.85$412.93 $559.13 $534.30 $514.24 $452.69 $413.88 $380.25 $411.37 $412.31$432.19 $585.21 $559.23 $538.23 $473.80 $433.19 $397.99 $430.56 $431.55$451.67 $611.59 $584.44 $562.50 $495.16 $452.71 $415.93 $449.97 $451.00$472.71 $640.07 $611.66 $588.69 $518.22 $473.80 $435.30 $470.93 $472.01$493.74 $668.56 $638.87 $614.89 $541.28 $494.88 $454.67 $491.88 $493.01$516.55 $699.44 $668.38 $643.29 $566.28 $517.74 $475.67 $514.60 $515.78$539.57 $730.61 $698.18 $671.96 $591.53 $540.82 $496.88 $537.54 $538.77$564.15 $763.89 $729.98 $702.57 $618.47 $565.45 $519.51 $562.02 $563.31$576.33 $780.38 $745.73 $717.73 $631.82 $577.65 $530.72 $574.15 $575.47$600.90 $813.66 $777.53 $748.34 $658.76 $602.29 $553.35 $598.64 $600.01$622.16 $842.44 $805.04 $774.81 $682.06 $623.59 $572.93 $619.81 $621.23$636.11 $861.33 $823.08 $792.18 $697.36 $637.57 $585.77 $633.71 $635.16$653.60 $885.01 $845.72 $813.97 $716.53 $655.10 $601.88 $651.13 $652.63$664.21 $899.39 $859.46 $827.19 $728.17 $665.75 $611.65 $661.71 $663.23



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500

$160.14 $125.36 $214.17 $193.77 $209.80 $176.00 $142.93 $227.83 $224.89$252.18 $197.42 $337.28 $305.15 $330.39 $277.16 $225.09 $358.79 $354.15$252.18 $197.42 $337.28 $305.15 $330.39 $277.16 $225.09 $358.79 $354.15$252.18 $197.42 $337.28 $305.15 $330.39 $277.16 $225.09 $358.79 $354.15$252.18 $197.42 $337.28 $305.15 $330.39 $277.16 $225.09 $358.79 $354.15$253.19 $198.21 $338.63 $306.37 $331.71 $278.27 $225.99 $360.22 $355.57$258.24 $202.15 $345.37 $312.47 $338.32 $283.82 $230.49 $367.40 $362.65$264.29 $206.89 $353.47 $319.80 $346.24 $290.47 $235.89 $376.01 $371.15$274.12 $214.59 $366.62 $331.70 $359.13 $301.28 $244.67 $390.00 $384.96$282.19 $220.91 $377.42 $341.46 $369.70 $310.15 $251.87 $401.48 $396.30$286.23 $224.07 $382.81 $346.35 $374.99 $314.58 $255.47 $407.22 $401.96$292.28 $228.80 $390.91 $353.67 $382.92 $321.23 $260.87 $415.83 $410.46$298.33 $233.54 $399.00 $360.99 $390.85 $327.88 $266.28 $424.44 $418.96$302.12 $236.50 $404.06 $365.57 $395.80 $332.04 $269.65 $429.83 $424.28$306.15 $239.66 $409.46 $370.45 $401.09 $336.48 $273.25 $435.57 $429.94$308.17 $241.24 $412.16 $372.89 $403.73 $338.69 $275.05 $438.44 $432.77$310.19 $242.82 $414.85 $375.34 $406.37 $340.91 $276.86 $441.31 $435.61$312.20 $244.40 $417.55 $377.78 $409.02 $343.13 $278.66 $444.18 $438.44$314.22 $245.98 $420.25 $380.22 $411.66 $345.35 $280.46 $447.05 $441.27$318.26 $249.14 $425.65 $385.10 $416.95 $349.78 $284.06 $452.79 $446.94$322.29 $252.30 $431.04 $389.98 $422.23 $354.21 $287.66 $458.53 $452.61$328.34 $257.04 $439.14 $397.31 $430.16 $360.87 $293.06 $467.14 $461.11$334.14 $261.58 $446.90 $404.33 $437.76 $367.24 $298.24 $475.39 $469.25$342.21 $267.89 $457.69 $414.09 $448.33 $376.11 $305.44 $486.87 $480.59$352.30 $275.79 $471.18 $426.30 $461.55 $387.20 $314.44 $501.22 $494.75$364.15 $285.07 $487.03 $440.64 $477.08 $400.22 $325.02 $518.09 $511.40$378.28 $296.12 $505.92 $457.73 $495.58 $415.74 $337.63 $538.18 $531.23$394.16 $308.56 $527.17 $476.95 $516.39 $433.21 $351.81 $560.78 $553.54$412.32 $322.77 $551.45 $498.92 $540.18 $453.16 $368.02 $586.62 $579.04$430.23 $336.79 $575.40 $520.59 $563.64 $472.84 $384.00 $612.09 $604.18$450.40 $352.58 $602.38 $545.00 $590.07 $495.01 $402.00 $640.79 $632.52$470.32 $368.18 $629.03 $569.11 $616.17 $516.91 $419.79 $669.14 $660.50$492.26 $385.36 $658.37 $595.66 $644.91 $541.02 $439.37 $700.35 $691.31$514.45 $402.73 $688.05 $622.51 $673.99 $565.41 $459.18 $731.92 $722.47$538.41 $421.48 $720.09 $651.50 $705.37 $591.74 $480.56 $766.01 $756.12$562.37 $440.24 $752.13 $680.49 $736.76 $618.07 $501.94 $800.09 $789.76$588.34 $460.57 $786.87 $711.92 $770.79 $646.62 $525.13 $837.05 $826.24$614.57 $481.10 $821.95 $743.65 $805.15 $675.45 $548.53 $874.36 $863.07$642.56 $503.02 $859.39 $777.53 $841.82 $706.21 $573.52 $914.19 $902.38$656.43 $513.87 $877.94 $794.31 $859.99 $721.46 $585.90 $933.92 $921.86$684.43 $535.79 $915.38 $828.18 $896.67 $752.22 $610.88 $973.75 $961.17$708.64 $554.74 $947.76 $857.48 $928.38 $778.83 $632.49 $1,008.19 $995.17$724.52 $567.18 $969.01 $876.70 $949.20 $796.29 $646.67 $1,030.79 $1,017.48$744.45 $582.77 $995.65 $900.81 $975.30 $818.19 $664.45 $1,059.14 $1,045.46$756.54 $592.24 $1,011.83 $915.44 $991.15 $831.48 $675.25 $1,076.35 $1,062.45



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2


$212.62 $206.62 $206.23 $201.12 $180.76 $177.36 $180.58 $174.35 $169.69$334.84 $325.39 $324.78 $316.73 $284.66 $279.31 $284.38 $274.56 $267.23$334.84 $325.39 $324.78 $316.73 $284.66 $279.31 $284.38 $274.56 $267.23$334.84 $325.39 $324.78 $316.73 $284.66 $279.31 $284.38 $274.56 $267.23$334.84 $325.39 $324.78 $316.73 $284.66 $279.31 $284.38 $274.56 $267.23$336.18 $326.69 $326.08 $318.00 $285.79 $280.43 $285.52 $275.66 $268.30$342.88 $333.20 $332.57 $324.33 $291.49 $286.01 $291.20 $281.15 $273.65$350.91 $341.01 $340.37 $331.94 $298.32 $292.72 $298.03 $287.74 $280.06$363.97 $353.70 $353.03 $344.29 $309.42 $303.61 $309.12 $298.45 $290.48$374.69 $364.11 $363.43 $354.42 $318.53 $312.55 $318.22 $307.23 $299.03$380.04 $369.31 $368.62 $359.49 $323.08 $317.02 $322.77 $311.63 $303.31$388.08 $377.12 $376.42 $367.09 $329.92 $323.72 $329.60 $318.22 $309.72$396.12 $384.93 $384.21 $374.69 $336.75 $330.42 $336.42 $324.81 $316.14$401.14 $389.81 $389.08 $379.44 $341.02 $334.61 $340.69 $328.92 $320.15$406.50 $395.02 $394.28 $384.51 $345.57 $339.08 $345.24 $333.32 $324.42$409.18 $397.62 $396.88 $387.05 $347.85 $341.32 $347.51 $335.51 $326.56$411.85 $400.23 $399.48 $389.58 $350.13 $343.55 $349.79 $337.71 $328.70$414.53 $402.83 $402.08 $392.11 $352.40 $345.79 $352.06 $339.91 $330.84$417.21 $405.43 $404.67 $394.65 $354.68 $348.02 $354.34 $342.10 $332.97$422.57 $410.64 $409.87 $399.72 $359.24 $352.49 $358.89 $346.50 $337.25$427.93 $415.84 $415.07 $404.78 $363.79 $356.96 $363.44 $350.89 $341.52$435.96 $423.65 $422.86 $412.38 $370.62 $363.66 $370.26 $357.48 $347.94$443.66 $431.14 $430.33 $419.67 $377.17 $370.09 $376.80 $363.79 $354.08$454.38 $441.55 $440.72 $429.81 $386.28 $379.02 $385.90 $372.58 $362.64$467.77 $454.57 $453.72 $442.47 $397.66 $390.20 $397.28 $383.56 $373.33$483.51 $469.86 $468.98 $457.36 $411.04 $403.32 $410.64 $396.47 $385.89$502.26 $488.08 $487.17 $475.10 $426.98 $418.97 $426.57 $411.84 $400.85$523.36 $508.58 $507.63 $495.05 $444.92 $436.56 $444.48 $429.14 $417.69$547.47 $532.01 $531.01 $517.86 $465.41 $456.67 $464.96 $448.91 $436.93$571.24 $555.11 $554.07 $540.34 $485.62 $476.50 $485.15 $468.40 $455.90$598.03 $581.14 $580.05 $565.68 $508.40 $498.85 $507.90 $490.37 $477.28$624.48 $606.85 $605.71 $590.71 $530.88 $520.91 $530.37 $512.06 $498.39$653.61 $635.16 $633.97 $618.26 $555.65 $545.21 $555.11 $535.94 $521.64$683.08 $663.79 $662.55 $646.13 $580.70 $569.79 $580.13 $560.10 $545.16$714.89 $694.70 $693.40 $676.22 $607.74 $596.33 $607.15 $586.19 $570.54$746.70 $725.61 $724.26 $706.31 $634.78 $622.86 $634.17 $612.27 $595.93$781.18 $759.13 $757.71 $738.94 $664.10 $651.63 $663.46 $640.55 $623.46$816.01 $792.97 $791.48 $771.88 $693.71 $680.68 $693.03 $669.10 $651.25$853.18 $829.09 $827.53 $807.03 $725.30 $711.68 $724.60 $699.58 $680.91$871.59 $846.98 $845.40 $824.45 $740.96 $727.05 $740.24 $714.68 $695.61$908.76 $883.10 $881.45 $859.61 $772.56 $758.05 $771.81 $745.16 $725.27$940.90 $914.34 $912.63 $890.02 $799.88 $784.86 $799.11 $771.52 $750.93$962.00 $934.84 $933.09 $909.97 $817.82 $802.46 $817.02 $788.81 $767.76$988.45 $960.54 $958.75 $934.99 $840.30 $824.53 $839.49 $810.50 $788.87

$1,004.51 $976.15 $974.32 $950.19 $853.96 $837.92 $853.13 $823.67 $801.69



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

$165.55 $161.77 $152.95 $173.13 $168.11 $146.59 $135.67 $183.71 $175.55$260.71 $254.76 $240.87 $272.64 $264.75 $230.86 $213.66 $289.31 $276.46$260.71 $254.76 $240.87 $272.64 $264.75 $230.86 $213.66 $289.31 $276.46$260.71 $254.76 $240.87 $272.64 $264.75 $230.86 $213.66 $289.31 $276.46$260.71 $254.76 $240.87 $272.64 $264.75 $230.86 $213.66 $289.31 $276.46$261.75 $255.78 $241.84 $273.74 $265.81 $231.78 $214.51 $290.47 $277.57$266.96 $260.87 $246.65 $279.19 $271.10 $236.40 $218.79 $296.25 $283.10$273.22 $266.99 $252.43 $285.73 $277.45 $241.94 $223.91 $303.19 $289.73$283.39 $276.92 $261.83 $296.36 $287.78 $250.94 $232.25 $314.48 $300.51$291.73 $285.08 $269.54 $305.09 $296.25 $258.33 $239.08 $323.74 $309.36$295.90 $289.15 $273.39 $309.45 $300.49 $262.02 $242.50 $328.36 $313.78$302.16 $295.27 $279.17 $316.00 $306.84 $267.56 $247.63 $335.31 $320.42$308.42 $301.38 $284.95 $322.54 $313.19 $273.10 $252.76 $342.25 $327.06$312.33 $305.20 $288.57 $326.63 $317.17 $276.57 $255.96 $346.59 $331.20$316.50 $309.28 $292.42 $330.99 $321.40 $280.26 $259.38 $351.22 $335.63$318.58 $311.32 $294.35 $333.17 $323.52 $282.11 $261.09 $353.53 $337.84$320.67 $313.36 $296.27 $335.35 $325.64 $283.95 $262.80 $355.85 $340.05$322.76 $315.39 $298.20 $337.53 $327.76 $285.80 $264.51 $358.16 $342.26$324.84 $317.43 $300.13 $339.72 $329.87 $287.65 $266.22 $360.48 $344.47$329.01 $321.51 $303.98 $344.08 $334.11 $291.34 $269.64 $365.11 $348.90$333.18 $325.58 $307.84 $348.44 $338.35 $295.03 $273.06 $369.74 $353.32$339.44 $331.70 $313.62 $354.98 $344.70 $300.58 $278.18 $376.68 $359.95$345.44 $337.56 $319.16 $361.25 $350.79 $305.88 $283.10 $383.33 $366.31$353.78 $345.71 $326.86 $369.98 $359.26 $313.27 $289.94 $392.59 $375.16$364.21 $355.90 $336.50 $380.88 $369.85 $322.51 $298.48 $404.16 $386.22$376.46 $367.87 $347.82 $393.70 $382.29 $333.36 $308.52 $417.76 $399.21$391.06 $382.14 $361.31 $408.97 $397.12 $346.28 $320.49 $433.96 $414.69$407.48 $398.19 $376.48 $426.14 $413.80 $360.83 $333.95 $452.19 $432.11$426.26 $416.53 $393.83 $445.77 $432.86 $377.45 $349.33 $473.02 $452.02$444.77 $434.62 $410.93 $465.13 $451.66 $393.84 $364.50 $493.56 $471.65$465.62 $455.00 $430.20 $486.94 $472.84 $412.31 $381.59 $516.70 $493.76$486.22 $475.13 $449.23 $508.48 $493.75 $430.55 $398.47 $539.56 $515.60$508.90 $497.29 $470.18 $532.20 $516.78 $450.63 $417.06 $564.73 $539.65$531.84 $519.71 $491.38 $556.20 $540.08 $470.95 $435.86 $590.19 $563.98$556.61 $543.91 $514.26 $582.10 $565.23 $492.88 $456.16 $617.67 $590.25$581.38 $568.12 $537.15 $608.00 $590.38 $514.81 $476.46 $645.16 $616.51$608.23 $594.36 $561.96 $636.08 $617.65 $538.59 $498.47 $674.96 $644.99$635.34 $620.85 $587.01 $664.43 $645.19 $562.60 $520.69 $705.04 $673.74$664.28 $649.13 $613.74 $694.70 $674.57 $588.22 $544.40 $737.16 $704.43$678.62 $663.14 $626.99 $709.69 $689.13 $600.92 $556.15 $753.07 $719.63$707.56 $691.42 $653.73 $739.96 $718.52 $626.54 $579.87 $785.18 $750.32$732.59 $715.88 $676.85 $766.13 $743.94 $648.71 $600.38 $812.95 $776.86$749.01 $731.93 $692.03 $783.31 $760.62 $663.25 $613.84 $831.18 $794.28$769.61 $752.05 $711.06 $804.85 $781.53 $681.49 $630.72 $854.04 $816.12$782.11 $764.27 $722.61 $817.92 $794.23 $692.56 $640.97 $867.91 $829.38



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

$168.96 $148.74 $135.99 $135.16 $135.47 $154.53 $120.97 $206.68 $186.99$266.08 $234.23 $214.15 $212.85 $213.34 $243.36 $190.51 $325.48 $294.47$266.08 $234.23 $214.15 $212.85 $213.34 $243.36 $190.51 $325.48 $294.47$266.08 $234.23 $214.15 $212.85 $213.34 $243.36 $190.51 $325.48 $294.47$266.08 $234.23 $214.15 $212.85 $213.34 $243.36 $190.51 $325.48 $294.47$267.15 $235.17 $215.01 $213.71 $214.20 $244.33 $191.27 $326.78 $295.65$272.47 $239.85 $219.29 $217.96 $218.46 $249.20 $195.08 $333.29 $301.54$278.85 $245.47 $224.43 $223.07 $223.58 $255.04 $199.65 $341.10 $308.61$289.23 $254.61 $232.78 $231.37 $231.90 $264.53 $207.08 $353.79 $320.09$297.75 $262.11 $239.64 $238.18 $238.73 $272.32 $213.18 $364.21 $329.51$302.00 $265.85 $243.06 $241.59 $242.14 $276.21 $216.22 $369.41 $334.22$308.39 $271.47 $248.20 $246.70 $247.26 $282.05 $220.80 $377.23 $341.29$314.78 $277.10 $253.34 $251.81 $252.38 $287.89 $225.37 $385.04 $348.36$318.77 $280.61 $256.55 $255.00 $255.58 $291.54 $228.23 $389.92 $352.78$323.02 $284.36 $259.98 $258.40 $259.00 $295.44 $231.27 $395.13 $357.49$325.15 $286.23 $261.69 $260.11 $260.70 $297.38 $232.80 $397.73 $359.84$327.28 $288.11 $263.41 $261.81 $262.41 $299.33 $234.32 $400.33 $362.20$329.41 $289.98 $265.12 $263.51 $264.12 $301.28 $235.85 $402.94 $364.56$331.54 $291.85 $266.83 $265.22 $265.82 $303.22 $237.37 $405.54 $366.91$335.80 $295.60 $270.26 $268.62 $269.24 $307.12 $240.42 $410.75 $371.62$340.05 $299.35 $273.69 $272.03 $272.65 $311.01 $243.47 $415.96 $376.33$346.44 $304.97 $278.83 $277.14 $277.77 $316.85 $248.04 $423.77 $383.40$352.56 $310.36 $283.75 $282.03 $282.68 $322.45 $252.42 $431.25 $390.17$361.07 $317.85 $290.60 $288.84 $289.51 $330.24 $258.52 $441.67 $399.60$371.72 $327.22 $299.17 $297.36 $298.04 $339.97 $266.14 $454.69 $411.38$384.22 $338.23 $309.24 $307.36 $308.07 $351.41 $275.09 $469.99 $425.22$399.12 $351.35 $321.23 $319.28 $320.01 $365.04 $285.76 $488.21 $441.71$415.89 $366.10 $334.72 $332.69 $333.45 $380.37 $297.76 $508.72 $460.26$435.05 $382.97 $350.14 $348.02 $348.81 $397.89 $311.48 $532.15 $481.46$453.94 $399.60 $365.34 $363.13 $363.96 $415.17 $325.00 $555.26 $502.37$475.22 $418.34 $382.48 $380.16 $381.03 $434.64 $340.24 $581.30 $525.93$496.24 $436.84 $399.39 $396.97 $397.88 $453.86 $355.29 $607.01 $549.19$519.39 $457.22 $418.02 $415.49 $416.44 $475.03 $371.87 $635.33 $574.81$542.81 $477.83 $436.87 $434.22 $435.22 $496.45 $388.63 $663.97 $600.72$568.09 $500.08 $457.21 $454.44 $455.49 $519.57 $406.73 $694.89 $628.70$593.36 $522.34 $477.56 $474.66 $475.75 $542.69 $424.83 $725.81 $656.67$620.77 $546.46 $499.62 $496.59 $497.73 $567.75 $444.45 $759.33 $687.00$648.44 $570.82 $521.89 $518.73 $519.92 $593.06 $464.26 $793.18 $717.63$677.98 $596.82 $545.66 $542.35 $543.60 $620.07 $485.41 $829.31 $750.31$692.61 $609.71 $557.44 $554.06 $555.33 $633.46 $495.89 $847.21 $766.51$722.15 $635.71 $581.21 $577.69 $579.01 $660.47 $517.03 $883.34 $799.19$747.69 $658.19 $601.77 $598.12 $599.49 $683.83 $535.32 $914.59 $827.46$764.46 $672.95 $615.26 $611.53 $612.93 $699.16 $547.32 $935.09 $846.02$785.48 $691.45 $632.18 $628.34 $629.79 $718.39 $562.37 $960.80 $869.28$798.24 $702.69 $642.45 $638.55 $640.02 $730.06 $571.51 $976.42 $883.40



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500

$202.45 $169.84 $137.93 $227.83 $224.89 $212.62 $206.62 $206.23 $201.12$318.82 $267.46 $217.21 $358.79 $354.15 $334.84 $325.39 $324.78 $316.73$318.82 $267.46 $217.21 $358.79 $354.15 $334.84 $325.39 $324.78 $316.73$318.82 $267.46 $217.21 $358.79 $354.15 $334.84 $325.39 $324.78 $316.73$318.82 $267.46 $217.21 $358.79 $354.15 $334.84 $325.39 $324.78 $316.73$320.10 $268.53 $218.08 $360.22 $355.57 $336.18 $326.69 $326.08 $318.00$326.47 $273.88 $222.42 $367.40 $362.65 $342.88 $333.20 $332.57 $324.33$334.13 $280.30 $227.63 $376.01 $371.15 $350.91 $341.01 $340.37 $331.94$346.56 $290.73 $236.10 $390.00 $384.96 $363.97 $353.70 $353.03 $344.29$356.76 $299.29 $243.06 $401.48 $396.30 $374.69 $364.11 $363.43 $354.42$361.86 $303.57 $246.53 $407.22 $401.96 $380.04 $369.31 $368.62 $359.49$369.52 $309.99 $251.74 $415.83 $410.46 $388.08 $377.12 $376.42 $367.09$377.17 $316.41 $256.96 $424.44 $418.96 $396.12 $384.93 $384.21 $374.69$381.95 $320.42 $260.21 $429.83 $424.28 $401.14 $389.81 $389.08 $379.44$387.05 $324.70 $263.69 $435.57 $429.94 $406.50 $395.02 $394.28 $384.51$389.60 $326.84 $265.43 $438.44 $432.77 $409.18 $397.62 $396.88 $387.05$392.15 $328.98 $267.17 $441.31 $435.61 $411.85 $400.23 $399.48 $389.58$394.70 $331.12 $268.90 $444.18 $438.44 $414.53 $402.83 $402.08 $392.11$397.25 $333.26 $270.64 $447.05 $441.27 $417.21 $405.43 $404.67 $394.65$402.35 $337.54 $274.12 $452.79 $446.94 $422.57 $410.64 $409.87 $399.72$407.45 $341.82 $277.59 $458.53 $452.61 $427.93 $415.84 $415.07 $404.78$415.11 $348.24 $282.80 $467.14 $461.11 $435.96 $423.65 $422.86 $412.38$422.44 $354.39 $287.80 $475.39 $469.25 $443.66 $431.14 $430.33 $419.67$432.64 $362.95 $294.75 $486.87 $480.59 $454.38 $441.55 $440.72 $429.81$445.39 $373.64 $303.44 $501.22 $494.75 $467.77 $454.57 $453.72 $442.47$460.38 $386.22 $313.65 $518.09 $511.40 $483.51 $469.86 $468.98 $457.36$478.23 $401.19 $325.81 $538.18 $531.23 $502.26 $488.08 $487.17 $475.10$498.32 $418.04 $339.50 $560.78 $553.54 $523.36 $508.58 $507.63 $495.05$521.27 $437.30 $355.13 $586.62 $579.04 $547.47 $532.01 $531.01 $517.86$543.91 $456.29 $370.56 $612.09 $604.18 $571.24 $555.11 $554.07 $540.34$569.42 $477.69 $387.93 $640.79 $632.52 $598.03 $581.14 $580.05 $565.68$594.60 $498.82 $405.09 $669.14 $660.50 $624.48 $606.85 $605.71 $590.71$622.34 $522.09 $423.99 $700.35 $691.31 $653.61 $635.16 $633.97 $618.26$650.40 $545.62 $443.10 $731.92 $722.47 $683.08 $663.79 $662.55 $646.13$680.69 $571.03 $463.74 $766.01 $756.12 $714.89 $694.70 $693.40 $676.22$710.97 $596.44 $484.37 $800.09 $789.76 $746.70 $725.61 $724.26 $706.31$743.81 $623.99 $506.75 $837.05 $826.24 $781.18 $759.13 $757.71 $738.94$776.97 $651.81 $529.34 $874.36 $863.07 $816.01 $792.97 $791.48 $771.88$812.36 $681.49 $553.45 $914.19 $902.38 $853.18 $829.09 $827.53 $807.03$829.89 $696.20 $565.39 $933.92 $921.86 $871.59 $846.98 $845.40 $824.45$865.28 $725.89 $589.50 $973.75 $961.17 $908.76 $883.10 $881.45 $859.61$895.89 $751.57 $610.35 $1,008.19 $995.17 $940.90 $914.34 $912.63 $890.02$915.98 $768.42 $624.04 $1,030.79 $1,017.48 $962.00 $934.84 $933.09 $909.97$941.16 $789.55 $641.20 $1,059.14 $1,045.46 $988.45 $960.54 $958.75 $934.99$956.46 $802.38 $651.61 $1,076.36 $1,062.46 $1,004.52 $976.16 $974.33 $950.20



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3


Moda Health

Connexus

Aspire 2000

$180.76 $177.36 $180.58 $174.35 $169.69 $165.55 $161.77 $152.95 $173.13$284.66 $279.31 $284.38 $274.56 $267.23 $260.71 $254.76 $240.87 $272.64$284.66 $279.31 $284.38 $274.56 $267.23 $260.71 $254.76 $240.87 $272.64$284.66 $279.31 $284.38 $274.56 $267.23 $260.71 $254.76 $240.87 $272.64$284.66 $279.31 $284.38 $274.56 $267.23 $260.71 $254.76 $240.87 $272.64$285.79 $280.43 $285.52 $275.66 $268.30 $261.75 $255.78 $241.84 $273.74$291.49 $286.01 $291.20 $281.15 $273.65 $266.96 $260.87 $246.65 $279.19$298.32 $292.72 $298.03 $287.74 $280.06 $273.22 $266.99 $252.43 $285.73$309.42 $303.61 $309.12 $298.45 $290.48 $283.39 $276.92 $261.83 $296.36$318.53 $312.55 $318.22 $307.23 $299.03 $291.73 $285.08 $269.54 $305.09$323.08 $317.02 $322.77 $311.63 $303.31 $295.90 $289.15 $273.39 $309.45$329.92 $323.72 $329.60 $318.22 $309.72 $302.16 $295.27 $279.17 $316.00$336.75 $330.42 $336.42 $324.81 $316.14 $308.42 $301.38 $284.95 $322.54$341.02 $334.61 $340.69 $328.92 $320.15 $312.33 $305.20 $288.57 $326.63$345.57 $339.08 $345.24 $333.32 $324.42 $316.50 $309.28 $292.42 $330.99$347.85 $341.32 $347.51 $335.51 $326.56 $318.58 $311.32 $294.35 $333.17$350.13 $343.55 $349.79 $337.71 $328.70 $320.67 $313.36 $296.27 $335.35$352.40 $345.79 $352.06 $339.91 $330.84 $322.76 $315.39 $298.20 $337.53$354.68 $348.02 $354.34 $342.10 $332.97 $324.84 $317.43 $300.13 $339.72$359.24 $352.49 $358.89 $346.50 $337.25 $329.01 $321.51 $303.98 $344.08$363.79 $356.96 $363.44 $350.89 $341.52 $333.18 $325.58 $307.84 $348.44$370.62 $363.66 $370.26 $357.48 $347.94 $339.44 $331.70 $313.62 $354.98$377.17 $370.09 $376.80 $363.79 $354.08 $345.44 $337.56 $319.16 $361.25$386.28 $379.02 $385.90 $372.58 $362.64 $353.78 $345.71 $326.86 $369.98$397.66 $390.20 $397.28 $383.56 $373.33 $364.21 $355.90 $336.50 $380.88$411.04 $403.32 $410.64 $396.47 $385.89 $376.46 $367.87 $347.82 $393.70$426.98 $418.97 $426.57 $411.84 $400.85 $391.06 $382.14 $361.31 $408.97$444.92 $436.56 $444.48 $429.14 $417.69 $407.48 $398.19 $376.48 $426.14$465.41 $456.67 $464.96 $448.91 $436.93 $426.26 $416.53 $393.83 $445.77$485.62 $476.50 $485.15 $468.40 $455.90 $444.77 $434.62 $410.93 $465.13$508.40 $498.85 $507.90 $490.37 $477.28 $465.62 $455.00 $430.20 $486.94$530.88 $520.91 $530.37 $512.06 $498.39 $486.22 $475.13 $449.23 $508.48$555.65 $545.21 $555.11 $535.94 $521.64 $508.90 $497.29 $470.18 $532.20$580.70 $569.79 $580.13 $560.10 $545.16 $531.84 $519.71 $491.38 $556.20$607.74 $596.33 $607.15 $586.19 $570.54 $556.61 $543.91 $514.26 $582.10$634.78 $622.86 $634.17 $612.27 $595.93 $581.38 $568.12 $537.15 $608.00$664.10 $651.63 $663.46 $640.55 $623.46 $608.23 $594.36 $561.96 $636.08$693.71 $680.68 $693.03 $669.10 $651.25 $635.34 $620.85 $587.01 $664.43$725.30 $711.68 $724.60 $699.58 $680.91 $664.28 $649.13 $613.74 $694.70$740.96 $727.05 $740.24 $714.68 $695.61 $678.62 $663.14 $626.99 $709.69$772.56 $758.05 $771.81 $745.16 $725.27 $707.56 $691.42 $653.73 $739.96$799.88 $784.86 $799.11 $771.52 $750.93 $732.59 $715.88 $676.85 $766.13$817.82 $802.46 $817.02 $788.81 $767.76 $749.01 $731.93 $692.03 $783.31$840.30 $824.53 $839.49 $810.50 $788.87 $769.61 $752.05 $711.06 $804.85$853.97 $837.93 $853.14 $823.68 $801.70 $782.12 $764.28 $722.62 $817.93



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

$168.11 $146.59 $135.67 $183.71 $175.55 $168.96 $148.74 $135.99 $135.16$264.75 $230.86 $213.66 $289.31 $276.46 $266.08 $234.23 $214.15 $212.85$264.75 $230.86 $213.66 $289.31 $276.46 $266.08 $234.23 $214.15 $212.85$264.75 $230.86 $213.66 $289.31 $276.46 $266.08 $234.23 $214.15 $212.85$264.75 $230.86 $213.66 $289.31 $276.46 $266.08 $234.23 $214.15 $212.85$265.81 $231.78 $214.51 $290.47 $277.57 $267.15 $235.17 $215.01 $213.71$271.10 $236.40 $218.79 $296.25 $283.10 $272.47 $239.85 $219.29 $217.96$277.45 $241.94 $223.91 $303.19 $289.73 $278.85 $245.47 $224.43 $223.07$287.78 $250.94 $232.25 $314.48 $300.51 $289.23 $254.61 $232.78 $231.37$296.25 $258.33 $239.08 $323.74 $309.36 $297.75 $262.11 $239.64 $238.18$300.49 $262.02 $242.50 $328.36 $313.78 $302.00 $265.85 $243.06 $241.59$306.84 $267.56 $247.63 $335.31 $320.42 $308.39 $271.47 $248.20 $246.70$313.19 $273.10 $252.76 $342.25 $327.06 $314.78 $277.10 $253.34 $251.81$317.17 $276.57 $255.96 $346.59 $331.20 $318.77 $280.61 $256.55 $255.00$321.40 $280.26 $259.38 $351.22 $335.63 $323.02 $284.36 $259.98 $258.40$323.52 $282.11 $261.09 $353.53 $337.84 $325.15 $286.23 $261.69 $260.11$325.64 $283.95 $262.80 $355.85 $340.05 $327.28 $288.11 $263.41 $261.81$327.76 $285.80 $264.51 $358.16 $342.26 $329.41 $289.98 $265.12 $263.51$329.87 $287.65 $266.22 $360.48 $344.47 $331.54 $291.85 $266.83 $265.22$334.11 $291.34 $269.64 $365.11 $348.90 $335.80 $295.60 $270.26 $268.62$338.35 $295.03 $273.06 $369.74 $353.32 $340.05 $299.35 $273.69 $272.03$344.70 $300.58 $278.18 $376.68 $359.95 $346.44 $304.97 $278.83 $277.14$350.79 $305.88 $283.10 $383.33 $366.31 $352.56 $310.36 $283.75 $282.03$359.26 $313.27 $289.94 $392.59 $375.16 $361.07 $317.85 $290.60 $288.84$369.85 $322.51 $298.48 $404.16 $386.22 $371.72 $327.22 $299.17 $297.36$382.29 $333.36 $308.52 $417.76 $399.21 $384.22 $338.23 $309.24 $307.36$397.12 $346.28 $320.49 $433.96 $414.69 $399.12 $351.35 $321.23 $319.28$413.80 $360.83 $333.95 $452.19 $432.11 $415.89 $366.10 $334.72 $332.69$432.86 $377.45 $349.33 $473.02 $452.02 $435.05 $382.97 $350.14 $348.02$451.66 $393.84 $364.50 $493.56 $471.65 $453.94 $399.60 $365.34 $363.13$472.84 $412.31 $381.59 $516.70 $493.76 $475.22 $418.34 $382.48 $380.16$493.75 $430.55 $398.47 $539.56 $515.60 $496.24 $436.84 $399.39 $396.97$516.78 $450.63 $417.06 $564.73 $539.65 $519.39 $457.22 $418.02 $415.49$540.08 $470.95 $435.86 $590.19 $563.98 $542.81 $477.83 $436.87 $434.22$565.23 $492.88 $456.16 $617.67 $590.25 $568.09 $500.08 $457.21 $454.44$590.38 $514.81 $476.46 $645.16 $616.51 $593.36 $522.34 $477.56 $474.66$617.65 $538.59 $498.47 $674.96 $644.99 $620.77 $546.46 $499.62 $496.59$645.19 $562.60 $520.69 $705.04 $673.74 $648.44 $570.82 $521.89 $518.73$674.57 $588.22 $544.40 $737.16 $704.43 $677.98 $596.82 $545.66 $542.35$689.13 $600.92 $556.15 $753.07 $719.63 $692.61 $609.71 $557.44 $554.06$718.52 $626.54 $579.87 $785.18 $750.32 $722.15 $635.71 $581.21 $577.69$743.94 $648.71 $600.38 $812.95 $776.86 $747.69 $658.19 $601.77 $598.12$760.62 $663.25 $613.84 $831.18 $794.28 $764.46 $672.95 $615.26 $611.53$781.53 $681.49 $630.72 $854.04 $816.12 $785.48 $691.45 $632.18 $628.34$794.24 $692.57 $640.98 $867.92 $829.39 $798.25 $702.70 $642.46 $638.56



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

$135.47 $154.53 $120.97 $206.68 $186.99 $202.45 $169.84 $137.93 $245.54$213.34 $243.36 $190.51 $325.48 $294.47 $318.82 $267.46 $217.21 $386.67$213.34 $243.36 $190.51 $325.48 $294.47 $318.82 $267.46 $217.21 $386.67$213.34 $243.36 $190.51 $325.48 $294.47 $318.82 $267.46 $217.21 $386.67$213.34 $243.36 $190.51 $325.48 $294.47 $318.82 $267.46 $217.21 $386.67$214.20 $244.33 $191.27 $326.78 $295.65 $320.10 $268.53 $218.08 $388.22$218.46 $249.20 $195.08 $333.29 $301.54 $326.47 $273.88 $222.42 $395.95$223.58 $255.04 $199.65 $341.10 $308.61 $334.13 $280.30 $227.63 $405.23$231.90 $264.53 $207.08 $353.79 $320.09 $346.56 $290.73 $236.10 $420.31$238.73 $272.32 $213.18 $364.21 $329.51 $356.76 $299.29 $243.06 $432.69$242.14 $276.21 $216.22 $369.41 $334.22 $361.86 $303.57 $246.53 $438.87$247.26 $282.05 $220.80 $377.23 $341.29 $369.52 $309.99 $251.74 $448.15$252.38 $287.89 $225.37 $385.04 $348.36 $377.17 $316.41 $256.96 $457.43$255.58 $291.54 $228.23 $389.92 $352.78 $381.95 $320.42 $260.21 $463.23$259.00 $295.44 $231.27 $395.13 $357.49 $387.05 $324.70 $263.69 $469.42$260.70 $297.38 $232.80 $397.73 $359.84 $389.60 $326.84 $265.43 $472.51$262.41 $299.33 $234.32 $400.33 $362.20 $392.15 $328.98 $267.17 $475.61$264.12 $301.28 $235.85 $402.94 $364.56 $394.70 $331.12 $268.90 $478.70$265.82 $303.22 $237.37 $405.54 $366.91 $397.25 $333.26 $270.64 $481.79$269.24 $307.12 $240.42 $410.75 $371.62 $402.35 $337.54 $274.12 $487.98$272.65 $311.01 $243.47 $415.96 $376.33 $407.45 $341.82 $277.59 $494.17$277.77 $316.85 $248.04 $423.77 $383.40 $415.11 $348.24 $282.80 $503.45$282.68 $322.45 $252.42 $431.25 $390.17 $422.44 $354.39 $287.80 $512.34$289.51 $330.24 $258.52 $441.67 $399.60 $432.64 $362.95 $294.75 $524.71$298.04 $339.97 $266.14 $454.69 $411.38 $445.39 $373.64 $303.44 $540.18$308.07 $351.41 $275.09 $469.99 $425.22 $460.38 $386.22 $313.65 $558.35$320.01 $365.04 $285.76 $488.21 $441.71 $478.23 $401.19 $325.81 $580.01$333.45 $380.37 $297.76 $508.72 $460.26 $498.32 $418.04 $339.50 $604.37$348.81 $397.89 $311.48 $532.15 $481.46 $521.27 $437.30 $355.13 $632.21$363.96 $415.17 $325.00 $555.26 $502.37 $543.91 $456.29 $370.56 $659.66$381.03 $434.64 $340.24 $581.30 $525.93 $569.42 $477.69 $387.93 $690.59$397.88 $453.86 $355.29 $607.01 $549.19 $594.60 $498.82 $405.09 $721.14$416.44 $475.03 $371.87 $635.33 $574.81 $622.34 $522.09 $423.99 $754.78$435.22 $496.45 $388.63 $663.97 $600.72 $650.40 $545.62 $443.10 $788.81$455.49 $519.57 $406.73 $694.89 $628.70 $680.69 $571.03 $463.74 $825.54$475.75 $542.69 $424.83 $725.81 $656.67 $710.97 $596.44 $484.37 $862.28$497.73 $567.75 $444.45 $759.33 $687.00 $743.81 $623.99 $506.75 $902.10$519.92 $593.06 $464.26 $793.18 $717.63 $776.97 $651.81 $529.34 $942.32$543.60 $620.07 $485.41 $829.31 $750.31 $812.36 $681.49 $553.45 $985.24$555.33 $633.46 $495.89 $847.21 $766.51 $829.89 $696.20 $565.39 $1,006.51$579.01 $660.47 $517.03 $883.34 $799.19 $865.28 $725.89 $589.50 $1,049.43$599.49 $683.83 $535.32 $914.59 $827.46 $895.89 $751.57 $610.35 $1,086.55$612.93 $699.16 $547.32 $935.09 $846.02 $915.98 $768.42 $624.04 $1,110.91$629.79 $718.39 $562.37 $960.80 $869.28 $941.16 $789.55 $641.20 $1,141.45$640.03 $730.07 $571.52 $976.43 $883.41 $956.47 $802.39 $651.62 $1,160.01



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum


$242.37 $229.15 $222.68 $222.26 $216.76 $194.80 $191.15 $194.62 $187.90$381.68 $360.87 $350.68 $350.02 $341.35 $306.78 $301.02 $306.48 $295.90$381.68 $360.87 $350.68 $350.02 $341.35 $306.78 $301.02 $306.48 $295.90$381.68 $360.87 $350.68 $350.02 $341.35 $306.78 $301.02 $306.48 $295.90$381.68 $360.87 $350.68 $350.02 $341.35 $306.78 $301.02 $306.48 $295.90$383.20 $362.31 $352.08 $351.42 $342.71 $308.01 $302.22 $307.71 $297.08$390.84 $369.53 $359.09 $358.42 $349.54 $314.14 $308.24 $313.84 $303.00$400.00 $378.19 $367.51 $366.82 $357.73 $321.50 $315.47 $321.19 $310.10$414.88 $392.26 $381.19 $380.47 $371.05 $333.47 $327.21 $333.15 $321.64$427.10 $403.81 $392.41 $391.67 $381.97 $343.29 $336.84 $342.95 $331.11$433.20 $409.58 $398.02 $397.27 $387.43 $348.19 $341.66 $347.86 $335.85$442.36 $418.24 $406.43 $405.67 $395.62 $355.56 $348.88 $355.21 $342.95$451.52 $426.90 $414.85 $414.07 $403.82 $362.92 $356.11 $362.57 $350.05$457.25 $432.32 $420.11 $419.32 $408.94 $367.52 $360.62 $367.16 $354.49$463.36 $438.09 $425.72 $424.92 $414.40 $372.43 $365.44 $372.07 $359.22$466.41 $440.98 $428.53 $427.72 $417.13 $374.88 $367.85 $374.52 $361.59$469.46 $443.86 $431.33 $430.52 $419.86 $377.34 $370.25 $376.97 $363.96$472.52 $446.75 $434.14 $433.32 $422.59 $379.79 $372.66 $379.42 $366.32$475.57 $449.64 $436.94 $436.12 $425.32 $382.25 $375.07 $381.88 $368.69$481.68 $455.41 $442.55 $441.73 $430.78 $387.16 $379.89 $386.78 $373.43$487.78 $461.19 $448.16 $447.33 $436.24 $392.06 $384.70 $391.68 $378.16$496.94 $469.85 $456.58 $455.73 $444.44 $399.43 $391.93 $399.04 $385.26$505.72 $478.15 $464.65 $463.78 $452.29 $406.48 $398.85 $406.09 $392.07$517.94 $489.69 $475.87 $474.98 $463.21 $416.30 $408.48 $415.90 $401.54$533.20 $504.13 $489.89 $488.98 $476.86 $428.57 $420.52 $428.15 $413.37$551.14 $521.09 $506.38 $505.43 $492.91 $442.99 $434.67 $442.56 $427.28$572.52 $541.30 $526.01 $525.03 $512.02 $460.17 $451.53 $459.72 $443.85$596.56 $564.03 $548.11 $547.08 $533.53 $479.50 $470.49 $479.03 $462.49$624.04 $590.01 $573.36 $572.28 $558.10 $501.58 $492.17 $501.10 $483.80$651.14 $615.64 $598.25 $597.13 $582.34 $523.37 $513.54 $522.86 $504.80$681.68 $644.51 $626.31 $625.14 $609.65 $547.91 $537.62 $547.38 $528.48$711.83 $673.01 $654.01 $652.79 $636.61 $572.14 $561.40 $571.59 $551.85$745.03 $704.41 $684.52 $683.24 $666.31 $598.83 $587.59 $598.25 $577.60$778.62 $736.17 $715.38 $714.04 $696.35 $625.83 $614.08 $625.22 $603.63$814.88 $770.45 $748.69 $747.29 $728.78 $654.97 $642.68 $654.34 $631.75$851.14 $804.73 $782.01 $780.54 $761.21 $684.12 $671.27 $683.45 $659.86$890.45 $841.90 $818.13 $816.60 $796.37 $715.72 $702.28 $715.02 $690.33$930.15 $879.43 $854.60 $853.00 $831.87 $747.62 $733.58 $746.89 $721.11$972.51 $919.48 $893.52 $891.85 $869.76 $781.67 $767.00 $780.91 $753.95$993.51 $939.33 $912.81 $911.10 $888.53 $798.55 $783.55 $797.77 $770.23

$1,035.87 $979.39 $951.74 $949.95 $926.42 $832.60 $816.97 $831.79 $803.07$1,072.51 $1,014.03 $985.40 $983.56 $959.19 $862.05 $845.86 $861.21 $831.48$1,096.56 $1,036.77 $1,007.49 $1,005.61 $980.69 $881.38 $864.83 $880.52 $850.12$1,126.71 $1,065.27 $1,035.20 $1,033.26 $1,007.66 $905.61 $888.61 $904.73 $873.50$1,145.03 $1,082.60 $1,052.03 $1,050.06 $1,024.05 $920.34 $903.06 $919.44 $887.70



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

$182.88 $178.42 $174.35 $164.84 $186.58 $181.18 $157.99 $146.22 $197.99$288.00 $280.97 $274.56 $259.59 $293.83 $285.32 $248.80 $230.26 $311.79$288.00 $280.97 $274.56 $259.59 $293.83 $285.32 $248.80 $230.26 $311.79$288.00 $280.97 $274.56 $259.59 $293.83 $285.32 $248.80 $230.26 $311.79$288.00 $280.97 $274.56 $259.59 $293.83 $285.32 $248.80 $230.26 $311.79$289.16 $282.09 $275.66 $260.63 $295.01 $286.46 $249.79 $231.19 $313.04$294.92 $287.71 $281.15 $265.82 $300.89 $292.17 $254.77 $235.79 $319.28$301.83 $294.46 $287.74 $272.05 $307.94 $299.02 $260.74 $241.32 $326.76$313.06 $305.41 $298.45 $282.18 $319.40 $310.15 $270.44 $250.30 $338.92$322.28 $314.40 $307.23 $290.49 $328.80 $319.28 $278.41 $257.67 $348.90$326.88 $318.90 $311.63 $294.64 $333.50 $323.84 $282.39 $261.35 $353.88$333.80 $325.64 $318.22 $300.87 $340.55 $330.69 $288.36 $266.88 $361.37$340.71 $332.39 $324.81 $307.10 $347.61 $337.54 $294.33 $272.40 $368.85$345.03 $336.60 $328.92 $310.99 $352.01 $341.82 $298.06 $275.86 $373.53$349.64 $341.10 $333.32 $315.15 $356.72 $346.38 $302.04 $279.54 $378.52$351.94 $343.34 $335.51 $317.22 $359.07 $348.66 $304.03 $281.38 $381.01$354.24 $345.59 $337.71 $319.30 $361.42 $350.95 $306.02 $283.23 $383.51$356.55 $347.84 $339.91 $321.38 $363.77 $353.23 $308.01 $285.07 $386.00$358.85 $350.09 $342.10 $323.45 $366.12 $355.51 $310.00 $286.91 $388.49$363.46 $354.58 $346.50 $327.61 $370.82 $360.08 $313.98 $290.59 $393.48$368.07 $359.08 $350.89 $331.76 $375.52 $364.64 $317.96 $294.28 $398.47$374.98 $365.82 $357.48 $337.99 $382.57 $371.49 $323.94 $299.80 $405.95$381.60 $372.28 $363.79 $343.96 $389.33 $378.05 $329.66 $305.10 $413.13$390.82 $381.28 $372.58 $352.27 $398.73 $387.18 $337.62 $312.47 $423.10$402.34 $392.51 $383.56 $362.65 $410.49 $398.60 $347.57 $321.68 $435.57$415.88 $405.72 $396.47 $374.85 $424.30 $412.01 $359.27 $332.50 $450.23$432.01 $421.45 $411.84 $389.39 $440.75 $427.98 $373.20 $345.40 $467.69$450.15 $439.15 $429.14 $405.74 $459.26 $445.96 $388.87 $359.90 $487.33$470.89 $459.38 $448.91 $424.44 $480.42 $466.50 $406.79 $376.48 $509.78$491.33 $479.33 $468.40 $442.87 $501.28 $486.76 $424.45 $392.83 $531.92$514.37 $501.81 $490.36 $463.63 $524.79 $509.59 $444.35 $411.25 $556.86$537.13 $524.01 $512.06 $484.14 $548.00 $532.13 $464.01 $429.44 $581.49$562.18 $548.45 $535.94 $506.73 $573.57 $556.95 $485.66 $449.48 $608.62$587.53 $573.18 $560.10 $529.57 $599.42 $582.06 $507.55 $469.74 $636.06$614.89 $599.87 $586.19 $554.23 $627.34 $609.16 $531.19 $491.61 $665.68$642.25 $626.56 $612.27 $578.89 $655.25 $636.27 $554.82 $513.49 $695.30$671.91 $655.50 $640.55 $605.63 $685.52 $665.66 $580.45 $537.21 $727.41$701.86 $684.72 $669.10 $632.63 $716.08 $695.33 $606.32 $561.15 $759.84$733.83 $715.91 $699.58 $661.44 $748.69 $727.00 $633.94 $586.71 $794.45$749.67 $731.36 $714.68 $675.72 $764.85 $742.69 $647.62 $599.38 $811.60$781.64 $762.55 $745.16 $704.54 $797.47 $774.36 $675.24 $624.94 $846.21$809.29 $789.52 $771.51 $729.46 $825.68 $801.76 $699.12 $647.04 $876.14$827.43 $807.22 $788.81 $745.81 $844.19 $819.73 $714.80 $661.55 $895.78$850.19 $829.42 $810.50 $766.32 $867.40 $842.27 $734.45 $679.74 $920.41$864.01 $842.91 $823.68 $778.78 $881.50 $855.97 $746.40 $690.79 $935.38



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

$189.20 $182.09 $160.30 $146.56 $145.67 $146.00 $166.54 $172.22$297.95 $286.76 $252.44 $230.80 $229.40 $229.92 $262.27 $271.22$297.95 $286.76 $252.44 $230.80 $229.40 $229.92 $262.27 $271.22$297.95 $286.76 $252.44 $230.80 $229.40 $229.92 $262.27 $271.22$297.95 $286.76 $252.44 $230.80 $229.40 $229.92 $262.27 $271.22$299.14 $287.91 $253.45 $231.72 $230.31 $230.84 $263.32 $272.30$305.10 $293.65 $258.49 $236.33 $234.90 $235.44 $268.57 $277.73$312.25 $300.53 $264.55 $241.87 $240.41 $240.96 $274.86 $284.24$323.87 $311.71 $274.40 $250.87 $249.35 $249.93 $285.09 $294.81$333.41 $320.89 $282.48 $258.26 $256.70 $257.28 $293.48 $303.49$338.17 $325.48 $286.52 $261.95 $260.37 $260.96 $297.68 $307.83$345.32 $332.36 $292.57 $267.49 $265.87 $266.48 $303.97 $314.34$352.47 $339.24 $298.63 $273.03 $271.38 $272.00 $310.27 $320.85$356.94 $343.54 $302.42 $276.49 $274.82 $275.45 $314.20 $324.92$361.71 $348.13 $306.46 $280.19 $278.49 $279.13 $318.40 $329.26$364.09 $350.42 $308.48 $282.03 $280.32 $280.97 $320.49 $331.43$366.48 $352.72 $310.50 $283.88 $282.16 $282.81 $322.59 $333.60$368.86 $355.01 $312.52 $285.73 $283.99 $284.64 $324.69 $335.77$371.24 $357.31 $314.54 $287.57 $285.83 $286.48 $326.79 $337.94$376.01 $361.89 $318.57 $291.26 $289.50 $290.16 $330.99 $342.28$380.78 $366.48 $322.61 $294.96 $293.17 $293.84 $335.18 $346.62$387.93 $373.37 $328.67 $300.50 $298.67 $299.36 $341.48 $353.13$394.78 $379.96 $334.48 $305.80 $303.95 $304.65 $347.51 $359.36$404.32 $389.14 $342.56 $313.19 $311.29 $312.01 $355.90 $368.04$416.24 $400.61 $352.65 $322.42 $320.47 $321.20 $366.39 $378.89$430.24 $414.09 $364.52 $333.27 $331.25 $332.01 $378.72 $391.64$446.92 $430.14 $378.65 $346.19 $344.10 $344.88 $393.41 $406.83$465.69 $448.21 $394.56 $360.73 $358.55 $359.37 $409.93 $423.92$487.15 $468.86 $412.73 $377.35 $375.06 $375.92 $428.81 $443.44$508.30 $489.22 $430.66 $393.74 $391.35 $392.25 $447.43 $462.70$532.14 $512.16 $450.85 $412.20 $409.70 $410.64 $468.42 $484.40$555.68 $534.81 $470.79 $430.43 $427.83 $428.81 $489.14 $505.82$581.60 $559.76 $492.76 $450.51 $447.78 $448.81 $511.95 $529.42$607.82 $585.00 $514.97 $470.82 $467.97 $469.04 $535.03 $553.29$636.12 $612.24 $538.95 $492.75 $489.76 $490.89 $559.95 $579.05$664.43 $639.48 $562.93 $514.67 $511.56 $512.73 $584.86 $604.82$695.12 $669.02 $588.93 $538.45 $535.18 $536.41 $611.88 $632.75$726.10 $698.84 $615.19 $562.45 $559.04 $560.32 $639.15 $660.96$759.17 $730.67 $643.21 $588.07 $584.50 $585.84 $668.27 $691.07$775.56 $746.44 $657.09 $600.76 $597.12 $598.49 $682.69 $705.98$808.63 $778.27 $685.11 $626.38 $622.58 $624.01 $711.80 $736.09$837.24 $805.80 $709.35 $648.54 $644.61 $646.08 $736.98 $762.13$856.01 $823.87 $725.25 $663.08 $659.06 $660.57 $753.50 $779.21$879.55 $846.52 $745.19 $681.31 $677.18 $678.73 $774.22 $800.64$893.85 $860.29 $757.31 $692.39 $688.19 $689.77 $786.81 $813.66



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

$130.37 $134.52 $222.74 $230.81 $201.52 $208.74 $218.19 $183.04 $148.65$205.31 $211.84 $350.77 $363.48 $317.36 $328.73 $343.60 $288.25 $234.09$205.31 $211.84 $350.77 $363.48 $317.36 $328.73 $343.60 $288.25 $234.09$205.31 $211.84 $350.77 $363.48 $317.36 $328.73 $343.60 $288.25 $234.09$205.31 $211.84 $350.77 $363.48 $317.36 $328.73 $343.60 $288.25 $234.09$206.13 $212.69 $352.17 $364.93 $318.63 $330.04 $344.98 $289.40 $235.03$210.24 $216.93 $359.19 $372.20 $324.97 $336.61 $351.85 $295.17 $239.71$215.17 $222.01 $367.61 $380.92 $332.59 $344.50 $360.09 $302.09 $245.33$223.17 $230.27 $381.29 $395.10 $344.97 $357.32 $373.49 $313.33 $254.46$229.74 $237.05 $392.51 $406.73 $355.12 $367.84 $384.49 $322.55 $261.95$233.03 $240.44 $398.13 $412.55 $360.20 $373.10 $389.99 $327.16 $265.69$237.96 $245.53 $406.54 $421.27 $367.82 $380.99 $398.23 $334.08 $271.31$242.88 $250.61 $414.96 $429.99 $375.43 $388.88 $406.48 $341.00 $276.93$245.96 $253.79 $420.22 $435.44 $380.19 $393.81 $411.63 $345.32 $280.44$249.25 $257.18 $425.84 $441.26 $385.27 $399.07 $417.13 $349.94 $284.18$250.89 $258.87 $428.64 $444.17 $387.81 $401.70 $419.88 $352.24 $286.06$252.53 $260.57 $431.45 $447.08 $390.35 $404.33 $422.63 $354.55 $287.93$254.18 $262.26 $434.25 $449.98 $392.89 $406.96 $425.38 $356.85 $289.80$255.82 $263.96 $437.06 $452.89 $395.43 $409.59 $428.13 $359.16 $291.68$259.10 $267.35 $442.67 $458.71 $400.50 $414.85 $433.62 $363.77 $295.42$262.39 $270.74 $448.29 $464.52 $405.58 $420.11 $439.12 $368.38 $299.17$267.32 $275.82 $456.70 $473.25 $413.20 $428.00 $447.37 $375.30 $304.78$272.04 $280.69 $464.77 $481.61 $420.50 $435.56 $455.27 $381.93 $310.17$278.61 $287.47 $476.00 $493.24 $430.65 $446.08 $466.27 $391.15 $317.66$286.82 $295.95 $490.03 $507.78 $443.35 $459.23 $480.01 $402.68 $327.02$296.47 $305.90 $506.51 $524.86 $458.26 $474.68 $496.16 $416.23 $338.02$307.97 $317.77 $526.16 $545.21 $476.04 $493.09 $515.40 $432.37 $351.13$320.90 $331.11 $548.26 $568.11 $496.03 $513.80 $537.05 $450.53 $365.88$335.69 $346.36 $573.51 $594.28 $518.88 $537.47 $561.79 $471.29 $382.74$350.26 $361.41 $598.42 $620.09 $541.41 $560.81 $586.18 $491.75 $399.36$366.69 $378.35 $626.48 $649.17 $566.80 $587.10 $613.67 $514.81 $418.08$382.91 $395.09 $654.19 $677.88 $591.87 $613.07 $640.82 $537.59 $436.58$400.77 $413.52 $684.71 $709.51 $619.48 $641.67 $670.71 $562.66 $456.94$418.84 $432.16 $715.57 $741.49 $647.41 $670.60 $700.95 $588.03 $477.54$438.34 $452.29 $748.90 $776.02 $677.56 $701.83 $733.59 $615.41 $499.78$457.85 $472.41 $782.22 $810.55 $707.71 $733.06 $766.23 $642.80 $522.02$478.99 $494.23 $818.35 $847.99 $740.39 $766.92 $801.62 $672.49 $546.13$500.35 $516.26 $854.83 $885.79 $773.40 $801.10 $837.36 $702.46 $570.48$523.14 $539.78 $893.77 $926.14 $808.63 $837.59 $875.50 $734.46 $596.46$534.43 $551.43 $913.06 $946.13 $826.08 $855.67 $894.39 $750.31 $609.33$557.22 $574.94 $951.99 $986.48 $861.31 $892.16 $932.53 $782.31 $635.32$576.93 $595.28 $985.67 $1,021.37 $891.77 $923.72 $965.52 $809.98 $657.79$589.86 $608.63 $1,007.77 $1,044.27 $911.77 $944.43 $987.17 $828.14 $672.54$606.08 $625.36 $1,035.48 $1,072.98 $936.84 $970.40 $1,014.31 $850.91 $691.03$615.94 $635.53 $1,052.31 $1,090.43 $952.07 $986.18 $1,030.80 $864.75 $702.27



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

250

PPO Platinum


$236.09 $233.04 $220.34 $214.11 $213.71 $208.42 $187.31 $183.80 $187.13$371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.69$371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.69$371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.69$371.80 $367.00 $346.99 $337.19 $336.56 $328.22 $294.98 $289.44 $294.69$373.29 $368.47 $348.37 $338.54 $337.90 $329.53 $296.16 $290.60 $295.87$380.72 $375.81 $355.31 $345.28 $344.64 $336.10 $302.06 $296.39 $301.77$389.65 $384.61 $363.64 $353.37 $352.71 $343.97 $309.14 $303.33 $308.84$404.15 $398.93 $377.17 $366.52 $365.84 $356.77 $320.64 $314.62 $320.33$416.04 $410.67 $388.28 $377.31 $376.61 $367.28 $330.08 $323.88 $329.76$421.99 $416.54 $393.83 $382.71 $381.99 $372.53 $334.80 $328.52 $334.48$430.92 $425.35 $402.16 $390.80 $390.07 $380.41 $341.88 $335.46 $341.55$439.84 $434.16 $410.48 $398.89 $398.15 $388.28 $348.96 $342.41 $348.62$445.42 $439.66 $415.69 $403.95 $403.20 $393.21 $353.39 $346.75 $353.04$451.36 $445.54 $421.24 $409.35 $408.58 $398.46 $358.11 $351.38 $357.76$454.34 $448.47 $424.02 $412.04 $411.27 $401.08 $360.47 $353.70 $360.12$457.31 $451.41 $426.79 $414.74 $413.97 $403.71 $362.83 $356.01 $362.47$460.29 $454.34 $429.57 $417.44 $416.66 $406.34 $365.19 $358.33 $364.83$463.26 $457.28 $432.34 $420.14 $419.35 $408.96 $367.55 $360.64 $367.19$469.21 $463.15 $437.90 $425.53 $424.74 $414.21 $372.27 $365.27 $371.90$475.16 $469.02 $443.45 $430.93 $430.12 $419.46 $376.98 $369.91 $376.62$484.08 $477.83 $451.78 $439.02 $438.20 $427.34 $384.06 $376.85 $383.69$492.63 $486.27 $459.76 $446.78 $445.94 $434.89 $390.85 $383.51 $390.47$504.53 $498.02 $470.86 $457.57 $456.71 $445.39 $400.29 $392.77 $399.90$519.40 $512.70 $484.74 $471.05 $470.17 $458.52 $412.09 $404.35 $411.69$536.88 $529.94 $501.05 $486.90 $485.99 $473.95 $425.95 $417.95 $425.54$557.70 $550.50 $520.48 $505.78 $504.84 $492.33 $442.47 $434.16 $442.04$581.12 $573.62 $542.34 $527.03 $526.04 $513.01 $461.05 $452.40 $460.61$607.89 $600.04 $567.32 $551.30 $550.27 $536.64 $482.29 $473.24 $481.82$634.29 $626.10 $591.96 $575.24 $574.17 $559.94 $503.24 $493.79 $502.75$664.03 $655.46 $619.72 $602.22 $601.09 $586.20 $526.83 $516.94 $526.32$693.41 $684.45 $647.13 $628.86 $627.68 $612.13 $550.14 $539.81 $549.60$725.75 $716.38 $677.32 $658.19 $656.96 $640.68 $575.80 $564.99 $575.24$758.47 $748.68 $707.85 $687.87 $686.58 $669.57 $601.76 $590.46 $601.17$793.79 $783.54 $740.81 $719.90 $718.55 $700.75 $629.78 $617.96 $629.17$829.11 $818.41 $773.78 $751.93 $750.52 $731.93 $657.81 $645.45 $657.17$867.41 $856.21 $809.52 $786.66 $785.19 $765.74 $688.19 $675.27 $687.52$906.07 $894.37 $845.60 $821.73 $820.19 $799.87 $718.87 $705.37 $718.17$947.34 $935.11 $884.12 $859.16 $857.55 $836.30 $751.61 $737.50 $750.88$967.79 $955.30 $903.20 $877.70 $876.06 $854.36 $767.83 $753.42 $767.09

$1,009.06 $996.03 $941.72 $915.13 $913.42 $890.79 $800.58 $785.54 $799.80$1,044.76 $1,031.26 $975.03 $947.50 $945.73 $922.30 $828.89 $813.33 $828.09$1,068.18 $1,054.38 $996.89 $968.74 $966.93 $942.97 $847.48 $831.56 $846.65$1,097.55 $1,083.38 $1,024.30 $995.38 $993.52 $968.90 $870.78 $854.43 $869.94$1,115.40 $1,100.99 $1,040.96 $1,011.57 $1,009.67 $984.66 $884.94 $868.32 $884.08



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

$180.67 $175.85 $171.55 $167.64 $158.50 $179.41 $174.21 $151.91 $140.59$284.52 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23 $221.41$284.52 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23 $221.41$284.52 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23 $221.41$284.52 $276.93 $270.16 $264.00 $249.61 $282.53 $274.35 $239.23 $221.41$285.66 $278.03 $271.24 $265.06 $250.61 $283.66 $275.45 $240.19 $222.29$291.35 $283.57 $276.65 $270.34 $255.60 $289.31 $280.93 $244.97 $226.72$298.18 $290.22 $283.13 $276.67 $261.59 $296.09 $287.52 $250.71 $232.04$309.27 $301.02 $293.67 $286.97 $271.33 $307.11 $298.22 $260.04 $240.67$318.38 $309.88 $302.31 $295.42 $279.31 $316.15 $307.00 $267.70 $247.76$322.93 $314.31 $306.63 $299.64 $283.31 $320.68 $311.39 $271.53 $251.30$329.76 $320.96 $313.12 $305.98 $289.30 $327.46 $317.97 $277.27 $256.61$336.59 $327.60 $319.60 $312.31 $295.29 $334.24 $324.55 $283.01 $261.93$340.85 $331.76 $323.65 $316.27 $299.03 $338.47 $328.67 $286.60 $265.25$345.41 $336.19 $327.98 $320.50 $303.03 $343.00 $333.06 $290.42 $268.79$347.68 $338.40 $330.14 $322.61 $305.02 $345.26 $335.25 $292.34 $270.56$349.96 $340.62 $332.30 $324.72 $307.02 $347.52 $337.45 $294.25 $272.33$352.23 $342.83 $334.46 $326.83 $309.02 $349.78 $339.64 $296.17 $274.10$354.51 $345.05 $336.62 $328.94 $311.01 $352.04 $341.84 $298.08 $275.87$359.06 $349.48 $340.95 $333.17 $315.01 $356.56 $346.23 $301.91 $279.42$363.61 $353.91 $345.27 $337.39 $319.00 $361.08 $350.62 $305.74 $282.96$370.44 $360.56 $351.75 $343.73 $324.99 $367.86 $357.20 $311.48 $288.27$376.99 $366.93 $357.97 $349.80 $330.73 $374.36 $363.51 $316.98 $293.37$386.09 $375.79 $366.61 $358.25 $338.72 $383.40 $372.29 $324.63 $300.45$397.47 $386.87 $377.42 $368.81 $348.70 $394.70 $383.26 $334.20 $309.31$410.85 $399.88 $390.11 $381.22 $360.44 $407.98 $396.16 $345.45 $319.71$426.78 $415.39 $405.24 $396.00 $374.41 $423.80 $411.52 $358.84 $332.11$444.70 $432.84 $422.26 $412.63 $390.14 $441.60 $428.81 $373.92 $346.06$465.19 $452.77 $441.72 $431.64 $408.11 $461.94 $448.56 $391.14 $362.00$485.39 $472.44 $460.90 $450.38 $425.83 $482.00 $468.04 $408.13 $377.72$508.15 $494.59 $482.51 $471.50 $445.80 $504.60 $489.99 $427.26 $395.43$530.63 $516.47 $503.85 $492.36 $465.52 $526.92 $511.66 $446.16 $412.93$555.38 $540.56 $527.36 $515.33 $487.24 $551.51 $535.53 $466.98 $432.19$580.42 $564.93 $551.13 $538.56 $509.20 $576.37 $559.67 $488.03 $451.67$607.45 $591.24 $576.80 $563.64 $532.92 $603.21 $585.73 $510.76 $472.71$634.48 $617.55 $602.46 $588.72 $556.63 $630.05 $611.80 $533.48 $493.74$663.78 $646.07 $630.29 $615.91 $582.34 $659.15 $640.05 $558.12 $516.55$693.37 $674.87 $658.39 $643.37 $608.30 $688.53 $668.59 $583.00 $539.57$724.95 $705.61 $688.37 $672.67 $636.00 $719.89 $699.04 $609.56 $564.15$740.60 $720.84 $703.23 $687.19 $649.73 $735.43 $714.13 $622.71 $576.33$772.18 $751.58 $733.22 $716.50 $677.44 $766.80 $744.58 $649.27 $600.90$799.50 $778.16 $759.16 $741.84 $701.40 $793.92 $770.92 $672.24 $622.16$817.42 $795.61 $776.18 $758.47 $717.13 $811.72 $788.20 $687.31 $636.11$839.90 $817.49 $797.52 $779.33 $736.85 $834.04 $809.88 $706.21 $653.60$853.56 $830.78 $810.49 $792.00 $748.83 $847.60 $823.04 $717.69 $664.22



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

$190.37 $181.92 $175.09 $154.13 $140.92 $140.06 $140.39 $160.14 $125.36$299.80 $286.49 $275.73 $242.73 $221.92 $220.57 $221.08 $252.18 $197.42$299.80 $286.49 $275.73 $242.73 $221.92 $220.57 $221.08 $252.18 $197.42$299.80 $286.49 $275.73 $242.73 $221.92 $220.57 $221.08 $252.18 $197.42$299.80 $286.49 $275.73 $242.73 $221.92 $220.57 $221.08 $252.18 $197.42$301.00 $287.64 $276.84 $243.70 $222.81 $221.46 $221.96 $253.19 $198.21$307.00 $293.37 $282.35 $248.55 $227.24 $225.87 $226.39 $258.24 $202.15$314.19 $300.24 $288.97 $254.38 $232.57 $231.16 $231.69 $264.29 $206.89$325.88 $311.41 $299.72 $263.84 $241.23 $239.76 $240.31 $274.12 $214.59$335.48 $320.58 $308.55 $271.61 $248.33 $246.82 $247.39 $282.19 $220.91$340.27 $325.17 $312.96 $275.50 $251.88 $250.35 $250.93 $286.23 $224.07$347.47 $332.04 $319.58 $281.32 $257.20 $255.65 $256.23 $292.28 $228.80$354.66 $338.92 $326.19 $287.15 $262.53 $260.94 $261.54 $298.33 $233.54$359.16 $343.21 $330.33 $290.79 $265.86 $264.25 $264.85 $302.12 $236.50$363.96 $347.80 $334.74 $294.67 $269.41 $267.78 $268.39 $306.15 $239.66$366.36 $350.09 $336.95 $296.61 $271.18 $269.54 $270.16 $308.17 $241.24$368.76 $352.38 $339.15 $298.55 $272.96 $271.31 $271.93 $310.19 $242.82$371.15 $354.67 $341.36 $300.50 $274.74 $273.07 $273.70 $312.20 $244.40$373.55 $356.97 $343.56 $302.44 $276.51 $274.84 $275.47 $314.22 $245.98$378.35 $361.55 $347.98 $306.32 $280.06 $278.36 $279.00 $318.26 $249.14$383.15 $366.13 $352.39 $310.21 $283.61 $281.89 $282.54 $322.29 $252.30$390.34 $373.01 $359.00 $316.03 $288.94 $287.19 $287.85 $328.34 $257.04$397.24 $379.60 $365.35 $321.61 $294.04 $292.26 $292.93 $334.14 $261.58$406.83 $388.77 $374.17 $329.38 $301.14 $299.32 $300.01 $342.21 $267.89$418.82 $400.23 $385.20 $339.09 $310.02 $308.14 $308.85 $352.30 $275.79$432.91 $413.69 $398.16 $350.50 $320.45 $318.51 $319.24 $364.15 $285.07$449.70 $429.73 $413.60 $364.09 $332.88 $330.86 $331.62 $378.28 $296.12$468.59 $447.78 $430.97 $379.38 $346.86 $344.76 $345.55 $394.16 $308.56$490.17 $468.41 $450.82 $396.86 $362.84 $360.64 $361.47 $412.32 $322.77$511.46 $488.75 $470.40 $414.09 $378.59 $376.30 $377.16 $430.23 $336.79$535.44 $511.67 $492.46 $433.51 $396.35 $393.95 $394.85 $450.40 $352.58$559.13 $534.30 $514.24 $452.69 $413.88 $411.37 $412.31 $470.32 $368.18$585.21 $559.23 $538.23 $473.80 $433.19 $430.56 $431.55 $492.26 $385.36$611.59 $584.44 $562.50 $495.16 $452.71 $449.97 $451.00 $514.45 $402.73$640.07 $611.66 $588.69 $518.22 $473.80 $470.93 $472.01 $538.41 $421.48$668.56 $638.87 $614.89 $541.28 $494.88 $491.88 $493.01 $562.37 $440.24$699.44 $668.38 $643.29 $566.28 $517.74 $514.60 $515.78 $588.34 $460.57$730.61 $698.18 $671.96 $591.53 $540.82 $537.54 $538.77 $614.57 $481.10$763.89 $729.98 $702.57 $618.47 $565.45 $562.02 $563.31 $642.56 $503.02$780.38 $745.73 $717.73 $631.82 $577.65 $574.15 $575.47 $656.43 $513.87$813.66 $777.53 $748.34 $658.76 $602.29 $598.64 $600.01 $684.43 $535.79$842.44 $805.04 $774.81 $682.06 $623.59 $619.81 $621.23 $708.64 $554.74$861.33 $823.08 $792.18 $697.36 $637.57 $633.71 $635.16 $724.52 $567.18$885.01 $845.72 $813.97 $716.53 $655.10 $651.13 $652.63 $744.45 $582.77$899.40 $859.47 $827.20 $728.18 $665.76 $661.72 $663.24 $756.55 $592.25



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$214.17 $193.77 $209.80 $176.00 $142.93 $243.18 $240.03 $226.95 $220.54$337.28 $305.15 $330.39 $277.16 $225.09 $382.95 $378.01 $357.40 $347.30$337.28 $305.15 $330.39 $277.16 $225.09 $382.95 $378.01 $357.40 $347.30$337.28 $305.15 $330.39 $277.16 $225.09 $382.95 $378.01 $357.40 $347.30$337.28 $305.15 $330.39 $277.16 $225.09 $382.95 $378.01 $357.40 $347.30$338.63 $306.37 $331.71 $278.27 $225.99 $384.49 $379.52 $358.83 $348.69$345.37 $312.47 $338.32 $283.82 $230.49 $392.14 $387.08 $365.97 $355.64$353.47 $319.80 $346.24 $290.47 $235.89 $401.34 $396.15 $374.55 $363.98$366.62 $331.70 $359.13 $301.28 $244.67 $416.27 $410.89 $388.49 $377.52$377.42 $341.46 $369.70 $310.15 $251.87 $428.52 $422.99 $399.93 $388.63$382.81 $346.35 $374.99 $314.58 $255.47 $434.65 $429.04 $405.64 $394.19$390.91 $353.67 $382.92 $321.23 $260.87 $443.84 $438.11 $414.22 $402.53$399.00 $360.99 $390.85 $327.88 $266.28 $453.03 $447.18 $422.80 $410.86$404.06 $365.57 $395.80 $332.04 $269.65 $458.78 $452.85 $428.16 $416.07$409.46 $370.45 $401.09 $336.48 $273.25 $464.91 $458.90 $433.88 $421.63$412.16 $372.89 $403.73 $338.69 $275.05 $467.97 $461.93 $436.74 $424.41$414.85 $375.34 $406.37 $340.91 $276.86 $471.03 $464.95 $439.60 $427.18$417.55 $377.78 $409.02 $343.13 $278.66 $474.10 $467.97 $442.46 $429.96$420.25 $380.22 $411.66 $345.35 $280.46 $477.16 $471.00 $445.31 $432.74$425.65 $385.10 $416.95 $349.78 $284.06 $483.29 $477.05 $451.03 $438.30$431.04 $389.98 $422.23 $354.21 $287.66 $489.41 $483.09 $456.75 $443.86$439.14 $397.31 $430.16 $360.87 $293.06 $498.61 $492.17 $465.33 $452.19$446.90 $404.33 $437.76 $367.24 $298.24 $507.41 $500.86 $473.55 $460.18$457.69 $414.09 $448.33 $376.11 $305.44 $519.67 $512.96 $484.99 $471.29$471.18 $426.30 $461.55 $387.20 $314.44 $534.99 $528.08 $499.28 $485.18$487.03 $440.64 $477.08 $400.22 $325.02 $552.98 $545.84 $516.08 $501.51$505.92 $457.73 $495.58 $415.74 $337.63 $574.43 $567.01 $536.09 $520.96$527.17 $476.95 $516.39 $433.21 $351.81 $598.56 $590.83 $558.61 $542.84$551.45 $498.92 $540.18 $453.16 $368.02 $626.13 $618.04 $584.34 $567.84$575.40 $520.59 $563.64 $472.84 $384.00 $653.32 $644.88 $609.72 $592.50$602.38 $545.00 $590.07 $495.01 $402.00 $683.95 $675.12 $638.31 $620.29$629.03 $569.11 $616.17 $516.91 $419.79 $714.21 $704.98 $666.54 $647.72$658.37 $595.66 $644.91 $541.02 $439.37 $747.52 $737.87 $697.64 $677.94$688.05 $622.51 $673.99 $565.41 $459.18 $781.22 $771.14 $729.09 $708.50$720.09 $651.50 $705.37 $591.74 $480.56 $817.61 $807.05 $763.04 $741.50$752.13 $680.49 $736.76 $618.07 $501.94 $853.99 $842.96 $796.99 $774.49$786.87 $711.92 $770.79 $646.62 $525.13 $893.43 $881.89 $833.80 $810.26$821.95 $743.65 $805.15 $675.45 $548.53 $933.26 $921.20 $870.97 $846.38$859.39 $777.53 $841.82 $706.21 $573.52 $975.77 $963.16 $910.64 $884.93$877.94 $794.31 $859.99 $721.46 $585.90 $996.83 $983.95 $930.30 $904.03$915.38 $828.18 $896.67 $752.22 $610.88 $1,039.34 $1,025.91 $969.97 $942.58$947.76 $857.48 $928.38 $778.83 $632.49 $1,076.10 $1,062.20 $1,004.28 $975.93$969.01 $876.70 $949.20 $796.29 $646.67 $1,100.22 $1,086.02 $1,026.80 $997.81$995.65 $900.81 $975.30 $818.19 $664.45 $1,130.48 $1,115.88 $1,055.03 $1,025.24

$1,011.84 $915.45 $991.16 $831.49 $675.26 $1,148.86 $1,134.02 $1,072.19 $1,041.91



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6


$220.13 $214.67 $192.93 $189.31 $192.74 $186.09 $181.12 $176.70 $172.67$346.65 $338.07 $303.83 $298.12 $303.53 $293.05 $285.23 $278.27 $271.92$346.65 $338.07 $303.83 $298.12 $303.53 $293.05 $285.23 $278.27 $271.92$346.65 $338.07 $303.83 $298.12 $303.53 $293.05 $285.23 $278.27 $271.92$346.65 $338.07 $303.83 $298.12 $303.53 $293.05 $285.23 $278.27 $271.92$348.04 $339.42 $305.04 $299.32 $304.75 $294.23 $286.38 $279.38 $273.01$354.97 $346.18 $311.12 $305.28 $310.82 $300.09 $292.08 $284.95 $278.45$363.29 $354.29 $318.41 $312.43 $318.10 $307.12 $298.93 $291.62 $284.97$376.81 $367.48 $330.26 $324.06 $329.94 $318.55 $310.05 $302.48 $295.58$387.91 $378.30 $339.99 $333.60 $339.65 $327.93 $319.18 $311.38 $304.28$393.45 $383.71 $344.85 $338.37 $344.51 $332.62 $323.74 $315.83 $308.63$401.77 $391.82 $352.14 $345.53 $351.80 $339.65 $330.59 $322.51 $315.16$410.09 $399.93 $359.43 $352.68 $359.08 $346.68 $337.43 $329.19 $321.68$415.29 $405.00 $363.99 $357.15 $363.63 $351.08 $341.71 $333.36 $325.76$420.84 $410.41 $368.85 $361.92 $368.49 $355.77 $346.27 $337.82 $330.11$423.61 $413.12 $371.28 $364.31 $370.92 $358.11 $348.56 $340.04 $332.29$426.38 $415.82 $373.71 $366.69 $373.35 $360.46 $350.84 $342.27 $334.46$429.16 $418.53 $376.14 $369.08 $375.78 $362.80 $353.12 $344.50 $336.64$431.93 $421.23 $378.57 $371.46 $378.20 $365.15 $355.40 $346.72 $338.81$437.48 $426.64 $383.43 $376.23 $383.06 $369.83 $359.97 $351.17 $343.16$443.02 $432.05 $388.29 $381.00 $387.92 $374.52 $364.53 $355.63 $347.51$451.34 $440.16 $395.59 $388.16 $395.20 $381.56 $371.37 $362.30 $354.04$459.32 $447.94 $402.57 $395.01 $402.18 $388.30 $377.94 $368.70 $360.29$470.41 $458.76 $412.30 $404.55 $411.90 $397.67 $387.06 $377.61 $369.00$484.28 $472.28 $424.45 $416.48 $424.04 $409.40 $398.47 $388.74 $379.87$500.57 $488.17 $438.73 $430.49 $438.30 $423.17 $411.88 $401.82 $392.65$519.98 $507.10 $455.74 $447.19 $455.30 $439.58 $427.85 $417.40 $407.88$541.82 $528.40 $474.89 $465.97 $474.42 $458.04 $445.82 $434.93 $425.01$566.78 $552.74 $496.76 $487.43 $496.28 $479.14 $466.36 $454.97 $444.59$591.39 $576.74 $518.33 $508.60 $517.83 $499.95 $486.61 $474.72 $463.90$619.12 $603.79 $542.64 $532.45 $542.11 $523.40 $509.43 $496.99 $485.65$646.51 $630.49 $566.64 $556.00 $566.09 $546.55 $531.96 $518.97 $507.13$676.67 $659.91 $593.08 $581.94 $592.50 $572.04 $556.78 $543.18 $530.79$707.18 $689.66 $619.81 $608.17 $619.21 $597.83 $581.88 $567.67 $554.72$740.11 $721.77 $648.68 $636.50 $648.05 $625.67 $608.97 $594.10 $580.55$773.04 $753.89 $677.54 $664.82 $676.88 $653.51 $636.07 $620.54 $606.38$808.74 $788.71 $708.83 $695.52 $708.15 $683.70 $665.45 $649.20 $634.39$844.80 $823.87 $740.43 $726.53 $739.71 $714.17 $695.12 $678.14 $662.67$883.28 $861.39 $774.16 $759.62 $773.41 $746.70 $726.78 $709.03 $692.85$902.34 $879.99 $790.87 $776.02 $790.10 $762.82 $742.46 $724.33 $707.81$940.82 $917.51 $824.59 $809.11 $823.79 $795.35 $774.13 $755.22 $737.99$974.10 $949.97 $853.76 $837.73 $852.93 $823.48 $801.51 $781.93 $764.10$995.94 $971.26 $872.90 $856.51 $872.05 $841.95 $819.48 $799.46 $781.23

$1,023.32 $997.97 $896.91 $880.06 $896.03 $865.10 $842.01 $821.45 $802.71$1,039.96 $1,014.20 $911.49 $894.37 $910.60 $879.16 $855.70 $834.80 $815.76



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$163.26 $184.79 $179.44 $156.47 $144.81 $196.08 $187.38 $180.34 $158.76$257.10 $291.01 $282.58 $246.41 $228.05 $308.79 $295.08 $284.01 $250.01$257.10 $291.01 $282.58 $246.41 $228.05 $308.79 $295.08 $284.01 $250.01$257.10 $291.01 $282.58 $246.41 $228.05 $308.79 $295.08 $284.01 $250.01$257.10 $291.01 $282.58 $246.41 $228.05 $308.79 $295.08 $284.01 $250.01$258.13 $292.17 $283.71 $247.39 $228.96 $310.03 $296.26 $285.14 $251.01$263.27 $297.99 $289.36 $252.32 $233.52 $316.21 $302.17 $290.82 $256.01$269.44 $304.98 $296.14 $258.23 $239.00 $323.62 $309.25 $297.64 $262.01$279.46 $316.33 $307.16 $267.84 $247.89 $335.66 $320.76 $308.71 $271.76$287.69 $325.64 $316.21 $275.73 $255.19 $345.54 $330.20 $317.80 $279.76$291.81 $330.30 $320.73 $279.67 $258.84 $350.48 $334.92 $322.35 $283.76$297.98 $337.28 $327.51 $285.59 $264.31 $357.89 $342.00 $329.16 $289.76$304.15 $344.26 $334.29 $291.50 $269.78 $365.30 $349.08 $335.98 $295.76$308.00 $348.63 $338.53 $295.19 $273.20 $369.94 $353.51 $340.24 $299.51$312.12 $353.29 $343.05 $299.14 $276.85 $374.88 $358.23 $344.78 $303.51$314.17 $355.61 $345.31 $301.11 $278.68 $377.35 $360.59 $347.05 $305.51$316.23 $357.94 $347.57 $303.08 $280.50 $379.82 $362.95 $349.33 $307.51$318.29 $360.27 $349.83 $305.05 $282.33 $382.29 $365.31 $351.60 $309.51$320.34 $362.60 $352.09 $307.02 $284.15 $384.76 $367.68 $353.87 $311.51$324.46 $367.25 $356.61 $310.96 $287.80 $389.70 $372.40 $358.41 $315.51$328.57 $371.91 $361.14 $314.91 $291.45 $394.64 $377.12 $362.96 $319.51$334.74 $378.89 $367.92 $320.82 $296.92 $402.05 $384.20 $369.78 $325.51$340.65 $385.59 $374.42 $326.49 $302.17 $409.15 $390.99 $376.31 $331.26$348.88 $394.90 $383.46 $334.37 $309.46 $419.03 $400.43 $385.40 $339.26$359.17 $406.54 $394.76 $344.23 $318.59 $431.39 $412.23 $396.76 $349.26$371.25 $420.22 $408.04 $355.81 $329.30 $445.90 $426.10 $410.10 $361.01$385.65 $436.51 $423.87 $369.61 $342.08 $463.19 $442.63 $426.01 $375.01$401.84 $454.85 $441.67 $385.13 $356.44 $482.65 $461.22 $443.90 $390.76$420.35 $475.80 $462.02 $402.87 $372.86 $504.88 $482.46 $464.35 $408.76$438.61 $496.46 $482.08 $420.37 $389.05 $526.80 $503.41 $484.51 $426.52$459.18 $519.74 $504.69 $440.08 $407.30 $551.51 $527.02 $507.23 $446.52$479.49 $542.73 $527.01 $459.55 $425.31 $575.90 $550.33 $529.67 $466.27$501.85 $568.05 $551.59 $480.99 $445.15 $602.77 $576.00 $554.38 $488.02$524.48 $593.66 $576.46 $502.67 $465.22 $629.94 $601.97 $579.37 $510.02$548.90 $621.30 $603.31 $526.08 $486.89 $659.28 $630.01 $606.35 $533.77$573.33 $648.95 $630.15 $549.49 $508.55 $688.61 $658.04 $633.33 $557.52$599.81 $678.92 $659.26 $574.87 $532.04 $720.42 $688.43 $662.58 $583.27$626.55 $709.19 $688.64 $600.49 $555.76 $752.53 $719.12 $692.12 $609.27$655.08 $741.49 $720.01 $627.84 $581.07 $786.81 $751.87 $723.65 $637.02$669.22 $757.50 $735.55 $641.40 $593.62 $803.79 $768.10 $739.27 $650.77$697.76 $789.80 $766.92 $668.75 $618.93 $838.07 $800.86 $770.79 $678.52$722.44 $817.74 $794.05 $692.40 $640.82 $867.71 $829.19 $798.06 $702.53$738.64 $836.07 $811.85 $707.93 $655.19 $887.17 $847.78 $815.95 $718.28$758.95 $859.06 $834.17 $727.39 $673.20 $911.56 $871.09 $838.38 $738.03$771.29 $873.03 $847.74 $739.22 $684.15 $926.38 $885.25 $852.02 $750.03



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

$145.15 $144.27 $144.60 $164.94 $170.57 $129.12 $133.23 $220.60 $228.59$228.58 $227.19 $227.71 $259.75 $268.61 $203.34 $209.81 $347.40 $359.98$228.58 $227.19 $227.71 $259.75 $268.61 $203.34 $209.81 $347.40 $359.98$228.58 $227.19 $227.71 $259.75 $268.61 $203.34 $209.81 $347.40 $359.98$228.58 $227.19 $227.71 $259.75 $268.61 $203.34 $209.81 $347.40 $359.98$229.49 $228.10 $228.62 $260.79 $269.69 $204.15 $210.65 $348.79 $361.42$234.06 $232.64 $233.18 $265.98 $275.06 $208.22 $214.84 $355.74 $368.62$239.55 $238.10 $238.64 $272.22 $281.50 $213.10 $219.88 $364.07 $377.26$248.46 $246.96 $247.52 $282.35 $291.98 $221.03 $228.06 $377.62 $391.30$255.78 $254.23 $254.81 $290.66 $300.58 $227.54 $234.77 $388.74 $402.82$259.43 $257.86 $258.45 $294.82 $304.87 $230.79 $238.13 $394.30 $408.58$264.92 $263.31 $263.92 $301.05 $311.32 $235.67 $243.17 $402.63 $417.22$270.41 $268.77 $269.38 $307.28 $317.77 $240.55 $248.20 $410.97 $425.86$273.83 $272.18 $272.80 $311.18 $321.80 $243.60 $251.35 $416.18 $431.26$277.49 $275.81 $276.44 $315.34 $326.09 $246.85 $254.71 $421.74 $437.02$279.32 $277.63 $278.26 $317.41 $328.24 $248.48 $256.38 $424.52 $439.90$281.15 $279.45 $280.09 $319.49 $330.39 $250.11 $258.06 $427.30 $442.78$282.98 $281.26 $281.91 $321.57 $332.54 $251.73 $259.74 $430.08 $445.66$284.81 $283.08 $283.73 $323.65 $334.69 $253.36 $261.42 $432.86 $448.54$288.46 $286.72 $287.37 $327.80 $338.99 $256.61 $264.78 $438.42 $454.30$292.12 $290.35 $291.02 $331.96 $343.28 $259.87 $268.13 $443.98 $460.06$297.61 $295.80 $296.48 $338.19 $349.73 $264.75 $273.17 $452.31 $468.70$302.86 $301.03 $301.72 $344.17 $355.91 $269.42 $277.99 $460.30 $476.98$310.18 $308.30 $309.01 $352.48 $364.51 $275.93 $284.71 $471.42 $488.49$319.32 $317.39 $318.11 $362.87 $375.25 $284.06 $293.10 $485.32 $502.89$330.06 $328.06 $328.82 $375.08 $387.87 $293.62 $302.96 $501.64 $519.81$342.86 $340.79 $341.57 $389.62 $402.92 $305.01 $314.71 $521.10 $539.97$357.27 $355.10 $355.91 $405.99 $419.84 $317.82 $327.93 $542.98 $562.65$373.72 $371.46 $372.31 $424.69 $439.18 $332.46 $343.03 $568.00 $588.57$389.95 $387.59 $388.48 $443.13 $458.25 $346.89 $357.93 $592.66 $614.13$408.24 $405.76 $406.69 $463.91 $479.74 $363.16 $374.71 $620.45 $642.93$426.30 $423.71 $424.68 $484.43 $500.96 $379.23 $391.29 $647.90 $671.37$446.18 $443.48 $444.49 $507.03 $524.33 $396.92 $409.54 $678.12 $702.68$466.30 $463.47 $464.53 $529.89 $547.97 $414.81 $428.01 $708.69 $734.36$488.01 $485.05 $486.17 $554.56 $573.48 $434.13 $447.94 $741.70 $768.56$509.73 $506.64 $507.80 $579.24 $599.00 $453.44 $467.87 $774.70 $802.76$533.27 $530.04 $531.25 $605.99 $626.67 $474.39 $489.48 $810.48 $839.84$557.04 $553.67 $554.94 $633.01 $654.60 $495.54 $511.30 $846.61 $877.28$582.41 $578.88 $580.21 $661.84 $684.42 $518.11 $534.59 $885.17 $917.23$594.98 $591.38 $592.74 $676.13 $699.19 $529.29 $546.13 $904.28 $937.03$620.36 $616.60 $618.01 $704.96 $729.01 $551.86 $569.42 $942.84 $976.99$642.30 $638.41 $639.87 $729.89 $754.80 $571.38 $589.56 $976.19 $1,011.55$656.70 $652.72 $654.22 $746.26 $771.72 $584.19 $602.77 $998.08 $1,034.23$674.76 $670.67 $672.21 $766.78 $792.94 $600.25 $619.35 $1,025.52 $1,062.67$685.73 $681.57 $683.14 $779.25 $805.83 $610.01 $629.42 $1,042.20 $1,079.94



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$199.58 $206.73 $216.09 $181.28 $147.22 $245.54 $242.37 $229.15 $222.68$314.31 $325.56 $340.30 $285.48 $231.84 $386.67 $381.68 $360.87 $350.68$314.31 $325.56 $340.30 $285.48 $231.84 $386.67 $381.68 $360.87 $350.68$314.31 $325.56 $340.30 $285.48 $231.84 $386.67 $381.68 $360.87 $350.68$314.31 $325.56 $340.30 $285.48 $231.84 $386.67 $381.68 $360.87 $350.68$315.56 $326.87 $341.66 $286.62 $232.77 $388.22 $383.20 $362.31 $352.08$321.85 $333.38 $348.46 $292.33 $237.40 $395.95 $390.84 $369.53 $359.09$329.39 $341.19 $356.63 $299.18 $242.97 $405.23 $400.00 $378.19 $367.51$341.65 $353.89 $369.90 $310.31 $252.01 $420.31 $414.88 $392.26 $381.19$351.71 $364.31 $380.79 $319.45 $259.43 $432.69 $427.10 $403.81 $392.41$356.74 $369.52 $386.24 $324.02 $263.14 $438.87 $433.20 $409.58 $398.02$364.28 $377.33 $394.40 $330.87 $268.70 $448.15 $442.36 $418.24 $406.43$371.82 $385.14 $402.57 $337.72 $274.26 $457.43 $451.52 $426.90 $414.85$376.54 $390.03 $407.68 $342.00 $277.74 $463.23 $457.25 $432.32 $420.11$381.57 $395.24 $413.12 $346.57 $281.45 $469.42 $463.36 $438.09 $425.72$384.08 $397.84 $415.84 $348.85 $283.31 $472.51 $466.41 $440.98 $428.53$386.60 $400.44 $418.57 $351.14 $285.16 $475.61 $469.46 $443.86 $431.33$389.11 $403.05 $421.29 $353.42 $287.02 $478.70 $472.52 $446.75 $434.14$391.63 $405.65 $424.01 $355.71 $288.87 $481.79 $475.57 $449.64 $436.94$396.65 $410.86 $429.46 $360.27 $292.58 $487.98 $481.68 $455.41 $442.55$401.68 $416.07 $434.90 $364.84 $296.29 $494.17 $487.78 $461.19 $448.16$409.23 $423.89 $443.07 $371.69 $301.85 $503.45 $496.94 $469.85 $456.58$416.46 $431.37 $450.89 $378.26 $307.19 $512.34 $505.72 $478.15 $464.65$426.51 $441.79 $461.78 $387.39 $314.60 $524.71 $517.94 $489.69 $475.87$439.09 $454.81 $475.40 $398.81 $323.88 $540.18 $533.20 $504.13 $489.89$453.86 $470.12 $491.39 $412.23 $334.77 $558.35 $551.14 $521.09 $506.38$471.46 $488.35 $510.45 $428.22 $347.76 $580.01 $572.52 $541.30 $526.01$491.26 $508.86 $531.88 $446.20 $362.36 $604.37 $596.56 $564.03 $548.11$513.89 $532.30 $556.39 $466.76 $379.06 $632.21 $624.04 $590.01 $573.36$536.21 $555.41 $580.55 $487.03 $395.52 $659.66 $651.14 $615.64 $598.25$561.35 $581.46 $607.77 $509.86 $414.06 $690.59 $681.68 $644.51 $626.31$586.18 $607.18 $634.65 $532.42 $432.38 $721.14 $711.83 $673.01 $654.01$613.52 $635.50 $664.26 $557.25 $452.55 $754.78 $745.03 $704.41 $684.52$641.18 $664.15 $694.21 $582.38 $472.95 $788.81 $778.62 $736.17 $715.38$671.04 $695.08 $726.54 $609.50 $494.97 $825.54 $814.88 $770.45 $748.69$700.90 $726.01 $758.86 $636.62 $517.00 $862.28 $851.14 $804.73 $782.01$733.28 $759.54 $793.91 $666.02 $540.88 $902.10 $890.45 $841.90 $818.13$765.96 $793.40 $829.30 $695.71 $564.99 $942.32 $930.15 $879.43 $854.60$800.85 $829.54 $867.08 $727.40 $590.72 $985.24 $972.51 $919.48 $893.52$818.14 $847.44 $885.79 $743.10 $603.48 $1,006.51 $993.51 $939.33 $912.81$853.03 $883.58 $923.57 $774.79 $629.21 $1,049.43 $1,035.87 $979.39 $951.74$883.20 $914.84 $956.24 $802.19 $651.47 $1,086.55 $1,072.51 $1,014.03 $985.40$903.00 $935.35 $977.67 $820.18 $666.07 $1,110.91 $1,096.56 $1,036.77 $1,007.49$927.83 $961.07 $1,004.56 $842.73 $684.39 $1,141.45 $1,126.71 $1,065.27 $1,035.20$942.92 $976.69 $1,020.89 $856.43 $695.52 $1,160.01 $1,145.03 $1,082.60 $1,052.03



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7


$222.26 $216.76 $194.80 $191.15 $194.62 $187.90 $182.88 $178.42 $174.35$350.02 $341.35 $306.78 $301.02 $306.48 $295.90 $288.00 $280.97 $274.56$350.02 $341.35 $306.78 $301.02 $306.48 $295.90 $288.00 $280.97 $274.56$350.02 $341.35 $306.78 $301.02 $306.48 $295.90 $288.00 $280.97 $274.56$350.02 $341.35 $306.78 $301.02 $306.48 $295.90 $288.00 $280.97 $274.56$351.42 $342.71 $308.01 $302.22 $307.71 $297.08 $289.16 $282.09 $275.66$358.42 $349.54 $314.14 $308.24 $313.84 $303.00 $294.92 $287.71 $281.15$366.82 $357.73 $321.50 $315.47 $321.19 $310.10 $301.83 $294.46 $287.74$380.47 $371.05 $333.47 $327.21 $333.15 $321.64 $313.06 $305.41 $298.45$391.67 $381.97 $343.29 $336.84 $342.95 $331.11 $322.28 $314.40 $307.23$397.27 $387.43 $348.19 $341.66 $347.86 $335.85 $326.88 $318.90 $311.63$405.67 $395.62 $355.56 $348.88 $355.21 $342.95 $333.80 $325.64 $318.22$414.07 $403.82 $362.92 $356.11 $362.57 $350.05 $340.71 $332.39 $324.81$419.32 $408.94 $367.52 $360.62 $367.16 $354.49 $345.03 $336.60 $328.92$424.92 $414.40 $372.43 $365.44 $372.07 $359.22 $349.64 $341.10 $333.32$427.72 $417.13 $374.88 $367.85 $374.52 $361.59 $351.94 $343.34 $335.51$430.52 $419.86 $377.34 $370.25 $376.97 $363.96 $354.24 $345.59 $337.71$433.32 $422.59 $379.79 $372.66 $379.42 $366.32 $356.55 $347.84 $339.91$436.12 $425.32 $382.25 $375.07 $381.88 $368.69 $358.85 $350.09 $342.10$441.73 $430.78 $387.16 $379.89 $386.78 $373.43 $363.46 $354.58 $346.50$447.33 $436.24 $392.06 $384.70 $391.68 $378.16 $368.07 $359.08 $350.89$455.73 $444.44 $399.43 $391.93 $399.04 $385.26 $374.98 $365.82 $357.48$463.78 $452.29 $406.48 $398.85 $406.09 $392.07 $381.60 $372.28 $363.79$474.98 $463.21 $416.30 $408.48 $415.90 $401.54 $390.82 $381.28 $372.58$488.98 $476.86 $428.57 $420.52 $428.15 $413.37 $402.34 $392.51 $383.56$505.43 $492.91 $442.99 $434.67 $442.56 $427.28 $415.88 $405.72 $396.47$525.03 $512.02 $460.17 $451.53 $459.72 $443.85 $432.01 $421.45 $411.84$547.08 $533.53 $479.50 $470.49 $479.03 $462.49 $450.15 $439.15 $429.14$572.28 $558.10 $501.58 $492.17 $501.10 $483.80 $470.89 $459.38 $448.91$597.13 $582.34 $523.37 $513.54 $522.86 $504.80 $491.33 $479.33 $468.40$625.14 $609.65 $547.91 $537.62 $547.38 $528.48 $514.37 $501.81 $490.36$652.79 $636.61 $572.14 $561.40 $571.59 $551.85 $537.13 $524.01 $512.06$683.24 $666.31 $598.83 $587.59 $598.25 $577.60 $562.18 $548.45 $535.94$714.04 $696.35 $625.83 $614.08 $625.22 $603.63 $587.53 $573.18 $560.10$747.29 $728.78 $654.97 $642.68 $654.34 $631.75 $614.89 $599.87 $586.19$780.54 $761.21 $684.12 $671.27 $683.45 $659.86 $642.25 $626.56 $612.27$816.60 $796.37 $715.72 $702.28 $715.02 $690.33 $671.91 $655.50 $640.55$853.00 $831.87 $747.62 $733.58 $746.89 $721.11 $701.86 $684.72 $669.10$891.85 $869.76 $781.67 $767.00 $780.91 $753.95 $733.83 $715.91 $699.58$911.10 $888.53 $798.55 $783.55 $797.77 $770.23 $749.67 $731.36 $714.68$949.95 $926.42 $832.60 $816.97 $831.79 $803.07 $781.64 $762.55 $745.16$983.56 $959.19 $862.05 $845.86 $861.21 $831.48 $809.29 $789.52 $771.51

$1,005.61 $980.69 $881.38 $864.83 $880.52 $850.12 $827.43 $807.22 $788.81$1,033.26 $1,007.66 $905.61 $888.61 $904.73 $873.50 $850.19 $829.42 $810.50$1,050.06 $1,024.05 $920.34 $903.06 $919.44 $887.70 $864.01 $842.91 $823.68



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$164.84 $186.58 $181.18 $157.99 $146.22 $197.99 $189.20 $182.09 $160.30$259.59 $293.83 $285.32 $248.80 $230.26 $311.79 $297.95 $286.76 $252.44$259.59 $293.83 $285.32 $248.80 $230.26 $311.79 $297.95 $286.76 $252.44$259.59 $293.83 $285.32 $248.80 $230.26 $311.79 $297.95 $286.76 $252.44$259.59 $293.83 $285.32 $248.80 $230.26 $311.79 $297.95 $286.76 $252.44$260.63 $295.01 $286.46 $249.79 $231.19 $313.04 $299.14 $287.91 $253.45$265.82 $300.89 $292.17 $254.77 $235.79 $319.28 $305.10 $293.65 $258.49$272.05 $307.94 $299.02 $260.74 $241.32 $326.76 $312.25 $300.53 $264.55$282.18 $319.40 $310.15 $270.44 $250.30 $338.92 $323.87 $311.71 $274.40$290.49 $328.80 $319.28 $278.41 $257.67 $348.90 $333.41 $320.89 $282.48$294.64 $333.50 $323.84 $282.39 $261.35 $353.88 $338.17 $325.48 $286.52$300.87 $340.55 $330.69 $288.36 $266.88 $361.37 $345.32 $332.36 $292.57$307.10 $347.61 $337.54 $294.33 $272.40 $368.85 $352.47 $339.24 $298.63$310.99 $352.01 $341.82 $298.06 $275.86 $373.53 $356.94 $343.54 $302.42$315.15 $356.72 $346.38 $302.04 $279.54 $378.52 $361.71 $348.13 $306.46$317.22 $359.07 $348.66 $304.03 $281.38 $381.01 $364.09 $350.42 $308.48$319.30 $361.42 $350.95 $306.02 $283.23 $383.51 $366.48 $352.72 $310.50$321.38 $363.77 $353.23 $308.01 $285.07 $386.00 $368.86 $355.01 $312.52$323.45 $366.12 $355.51 $310.00 $286.91 $388.49 $371.24 $357.31 $314.54$327.61 $370.82 $360.08 $313.98 $290.59 $393.48 $376.01 $361.89 $318.57$331.76 $375.52 $364.64 $317.96 $294.28 $398.47 $380.78 $366.48 $322.61$337.99 $382.57 $371.49 $323.94 $299.80 $405.95 $387.93 $373.37 $328.67$343.96 $389.33 $378.05 $329.66 $305.10 $413.13 $394.78 $379.96 $334.48$352.27 $398.73 $387.18 $337.62 $312.47 $423.10 $404.32 $389.14 $342.56$362.65 $410.49 $398.60 $347.57 $321.68 $435.57 $416.24 $400.61 $352.65$374.85 $424.30 $412.01 $359.27 $332.50 $450.23 $430.24 $414.09 $364.52$389.39 $440.75 $427.98 $373.20 $345.40 $467.69 $446.92 $430.14 $378.65$405.74 $459.26 $445.96 $388.87 $359.90 $487.33 $465.69 $448.21 $394.56$424.44 $480.42 $466.50 $406.79 $376.48 $509.78 $487.15 $468.86 $412.73$442.87 $501.28 $486.76 $424.45 $392.83 $531.92 $508.30 $489.22 $430.66$463.63 $524.79 $509.59 $444.35 $411.25 $556.86 $532.14 $512.16 $450.85$484.14 $548.00 $532.13 $464.01 $429.44 $581.49 $555.68 $534.81 $470.79$506.73 $573.57 $556.95 $485.66 $449.48 $608.62 $581.60 $559.76 $492.76$529.57 $599.42 $582.06 $507.55 $469.74 $636.06 $607.82 $585.00 $514.97$554.23 $627.34 $609.16 $531.19 $491.61 $665.68 $636.12 $612.24 $538.95$578.89 $655.25 $636.27 $554.82 $513.49 $695.30 $664.43 $639.48 $562.93$605.63 $685.52 $665.66 $580.45 $537.21 $727.41 $695.12 $669.02 $588.93$632.63 $716.08 $695.33 $606.32 $561.15 $759.84 $726.10 $698.84 $615.19$661.44 $748.69 $727.00 $633.94 $586.71 $794.45 $759.17 $730.67 $643.21$675.72 $764.85 $742.69 $647.62 $599.38 $811.60 $775.56 $746.44 $657.09$704.54 $797.47 $774.36 $675.24 $624.94 $846.21 $808.63 $778.27 $685.11$729.46 $825.68 $801.76 $699.12 $647.04 $876.14 $837.24 $805.80 $709.35$745.81 $844.19 $819.73 $714.80 $661.55 $895.78 $856.01 $823.87 $725.25$766.32 $867.40 $842.27 $734.45 $679.74 $920.41 $879.55 $846.52 $745.19$778.78 $881.50 $855.97 $746.40 $690.79 $935.38 $893.85 $860.29 $757.31



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

$146.56 $145.67 $146.00 $166.54 $130.37 $222.74 $201.52 $218.19 $183.04$230.80 $229.40 $229.92 $262.27 $205.31 $350.77 $317.36 $343.60 $288.25$230.80 $229.40 $229.92 $262.27 $205.31 $350.77 $317.36 $343.60 $288.25$230.80 $229.40 $229.92 $262.27 $205.31 $350.77 $317.36 $343.60 $288.25$230.80 $229.40 $229.92 $262.27 $205.31 $350.77 $317.36 $343.60 $288.25$231.72 $230.31 $230.84 $263.32 $206.13 $352.17 $318.63 $344.98 $289.40$236.33 $234.90 $235.44 $268.57 $210.24 $359.19 $324.97 $351.85 $295.17$241.87 $240.41 $240.96 $274.86 $215.17 $367.61 $332.59 $360.09 $302.09$250.87 $249.35 $249.93 $285.09 $223.17 $381.29 $344.97 $373.49 $313.33$258.26 $256.70 $257.28 $293.48 $229.74 $392.51 $355.12 $384.49 $322.55$261.95 $260.37 $260.96 $297.68 $233.03 $398.13 $360.20 $389.99 $327.16$267.49 $265.87 $266.48 $303.97 $237.96 $406.54 $367.82 $398.23 $334.08$273.03 $271.38 $272.00 $310.27 $242.88 $414.96 $375.43 $406.48 $341.00$276.49 $274.82 $275.45 $314.20 $245.96 $420.22 $380.19 $411.63 $345.32$280.19 $278.49 $279.13 $318.40 $249.25 $425.84 $385.27 $417.13 $349.94$282.03 $280.32 $280.97 $320.49 $250.89 $428.64 $387.81 $419.88 $352.24$283.88 $282.16 $282.81 $322.59 $252.53 $431.45 $390.35 $422.63 $354.55$285.73 $283.99 $284.64 $324.69 $254.18 $434.25 $392.89 $425.38 $356.85$287.57 $285.83 $286.48 $326.79 $255.82 $437.06 $395.43 $428.13 $359.16$291.26 $289.50 $290.16 $330.99 $259.10 $442.67 $400.50 $433.62 $363.77$294.96 $293.17 $293.84 $335.18 $262.39 $448.29 $405.58 $439.12 $368.38$300.50 $298.67 $299.36 $341.48 $267.32 $456.70 $413.20 $447.37 $375.30$305.80 $303.95 $304.65 $347.51 $272.04 $464.77 $420.50 $455.27 $381.93$313.19 $311.29 $312.01 $355.90 $278.61 $476.00 $430.65 $466.27 $391.15$322.42 $320.47 $321.20 $366.39 $286.82 $490.03 $443.35 $480.01 $402.68$333.27 $331.25 $332.01 $378.72 $296.47 $506.51 $458.26 $496.16 $416.23$346.19 $344.10 $344.88 $393.41 $307.97 $526.16 $476.04 $515.40 $432.37$360.73 $358.55 $359.37 $409.93 $320.90 $548.26 $496.03 $537.05 $450.53$377.35 $375.06 $375.92 $428.81 $335.69 $573.51 $518.88 $561.79 $471.29$393.74 $391.35 $392.25 $447.43 $350.26 $598.42 $541.41 $586.18 $491.75$412.20 $409.70 $410.64 $468.42 $366.69 $626.48 $566.80 $613.67 $514.81$430.43 $427.83 $428.81 $489.14 $382.91 $654.19 $591.87 $640.82 $537.59$450.51 $447.78 $448.81 $511.95 $400.77 $684.71 $619.48 $670.71 $562.66$470.82 $467.97 $469.04 $535.03 $418.84 $715.57 $647.41 $700.95 $588.03$492.75 $489.76 $490.89 $559.95 $438.34 $748.90 $677.56 $733.59 $615.41$514.67 $511.56 $512.73 $584.86 $457.85 $782.22 $707.71 $766.23 $642.80$538.45 $535.18 $536.41 $611.88 $478.99 $818.35 $740.39 $801.62 $672.49$562.45 $559.04 $560.32 $639.15 $500.35 $854.83 $773.40 $837.36 $702.46$588.07 $584.50 $585.84 $668.27 $523.14 $893.77 $808.63 $875.50 $734.46$600.76 $597.12 $598.49 $682.69 $534.43 $913.06 $826.08 $894.39 $750.31$626.38 $622.58 $624.01 $711.80 $557.22 $951.99 $861.31 $932.53 $782.31$648.54 $644.61 $646.08 $736.98 $576.93 $985.67 $891.77 $965.52 $809.98$663.08 $659.06 $660.57 $753.50 $589.86 $1,007.77 $911.77 $987.17 $828.14$681.31 $677.18 $678.73 $774.22 $606.08 $1,035.48 $936.84 $1,014.31 $850.91$692.39 $688.19 $689.77 $786.81 $615.94 $1,052.31 $952.07 $1,030.80 $864.75



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Moda Health

Oregon

Standard

Bronze

$148.65$234.09$234.09$234.09$234.09$235.03$239.71$245.33$254.46$261.95$265.69$271.31$276.93$280.44$284.18$286.06$287.93$289.80$291.68$295.42$299.17$304.78$310.17$317.66$327.02$338.02$351.13$365.88$382.74$399.36$418.08$436.58$456.94$477.54$499.78$522.02$546.13$570.48$596.46$609.33$635.32$657.79$672.54$691.03$702.27



Market: Small Group



Plan

PPO Platinum

250

PPO Platinum


0-20 $239.07 $235.98 $223.12 $216.82 $216.41 $211.05 $189.68 $186.11 $189.4921 $376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.4122 $376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.4123 $376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.4124 $376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.4125 $378.00 $373.11 $352.77 $342.81 $342.17 $333.69 $299.90 $294.27 $299.6026 $385.53 $380.55 $359.80 $349.64 $348.98 $340.34 $305.87 $300.13 $305.5727 $394.56 $389.47 $368.23 $357.83 $357.16 $348.31 $313.04 $307.16 $312.7428 $409.24 $403.96 $381.93 $371.15 $370.45 $361.28 $324.69 $318.59 $324.3729 $421.29 $415.85 $393.18 $382.07 $381.36 $371.91 $334.25 $327.97 $333.9230 $427.32 $421.80 $398.80 $387.54 $386.81 $377.23 $339.03 $332.66 $338.7031 $436.35 $430.72 $407.23 $395.73 $394.99 $385.21 $346.20 $339.69 $345.8632 $445.39 $439.64 $415.66 $403.93 $403.17 $393.18 $353.36 $346.73 $353.0233 $451.03 $445.21 $420.93 $409.05 $408.28 $398.17 $357.84 $351.13 $357.5034 $457.06 $451.16 $426.56 $414.51 $413.74 $403.49 $362.62 $355.81 $362.2735 $460.07 $454.13 $429.37 $417.24 $416.46 $406.14 $365.01 $358.16 $364.6636 $463.08 $457.10 $432.18 $419.97 $419.19 $408.80 $367.40 $360.50 $367.0537 $466.09 $460.08 $434.99 $422.71 $421.92 $411.46 $369.79 $362.85 $369.4338 $469.11 $463.05 $437.80 $425.44 $424.64 $414.12 $372.18 $365.19 $371.8239 $475.13 $468.99 $443.42 $430.90 $430.09 $419.44 $376.96 $369.88 $376.6040 $481.15 $474.94 $449.04 $436.36 $435.55 $424.76 $381.74 $374.57 $381.3741 $490.19 $483.86 $457.48 $444.56 $443.73 $432.73 $388.91 $381.61 $388.5342 $498.85 $492.41 $465.56 $452.41 $451.56 $440.38 $395.78 $388.35 $395.4043 $510.90 $504.30 $476.80 $463.34 $462.47 $451.01 $405.34 $397.73 $404.9444 $525.96 $519.16 $490.85 $477.00 $476.10 $464.31 $417.29 $409.45 $416.8845 $543.65 $536.63 $507.37 $493.04 $492.12 $479.93 $431.33 $423.23 $430.9146 $564.73 $557.44 $527.05 $512.16 $511.21 $498.54 $448.05 $439.64 $447.6247 $588.45 $580.85 $549.18 $533.68 $532.68 $519.48 $466.87 $458.10 $466.4248 $615.56 $607.61 $574.48 $558.26 $557.21 $543.41 $488.38 $479.21 $487.9049 $642.29 $634.00 $599.43 $582.50 $581.41 $567.01 $509.59 $500.02 $509.0950 $672.41 $663.73 $627.54 $609.82 $608.68 $593.60 $533.48 $523.46 $532.9651 $702.15 $693.09 $655.29 $636.79 $635.60 $619.85 $557.08 $546.62 $556.5452 $734.91 $725.42 $685.86 $666.50 $665.25 $648.77 $583.07 $572.12 $582.5053 $768.04 $758.12 $716.78 $696.54 $695.24 $678.02 $609.35 $597.91 $608.7654 $803.81 $793.43 $750.16 $728.98 $727.62 $709.59 $637.73 $625.75 $637.1155 $839.57 $828.73 $783.54 $761.42 $759.99 $741.16 $666.10 $653.60 $665.4656 $878.35 $867.01 $819.73 $796.59 $795.10 $775.40 $696.87 $683.79 $696.1957 $917.51 $905.66 $856.27 $832.10 $830.54 $809.96 $727.94 $714.27 $727.2358 $959.30 $946.91 $895.27 $870.00 $868.37 $846.85 $761.09 $746.80 $760.3559 $980.00 $967.35 $914.60 $888.78 $887.11 $865.13 $777.52 $762.92 $776.7660 $1,021.79 $1,008.60 $953.60 $926.68 $924.94 $902.03 $810.68 $795.45 $809.8961 $1,057.94 $1,044.27 $987.33 $959.45 $957.66 $933.93 $839.35 $823.59 $838.5462 $1,081.66 $1,067.69 $1,009.47 $980.97 $979.13 $954.87 $858.17 $842.06 $857.3463 $1,111.40 $1,097.05 $1,037.22 $1,007.94 $1,006.05 $981.13 $881.77 $865.21 $880.91

64+ $1,129.46 $1,114.87 $1,054.08 $1,024.32 $1,022.40 $997.07 $896.10 $879.27 $895.22



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Value 2000

Value 2000


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

$182.95 $168.98 $178.07 $173.72 $169.76 $160.50 $181.67 $176.41 $153.83$288.11 $266.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25$288.11 $266.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25$288.11 $266.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25$288.11 $266.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25$289.26 $267.18 $281.54 $274.67 $268.40 $253.77 $287.24 $278.92 $243.22$295.02 $272.50 $287.15 $280.14 $273.75 $258.82 $292.96 $284.48 $248.06$301.94 $278.89 $293.88 $286.70 $280.16 $264.89 $299.83 $291.14 $253.88$313.17 $289.27 $304.82 $297.37 $290.59 $274.75 $310.99 $301.98 $263.32$322.39 $297.78 $313.79 $306.13 $299.14 $282.84 $320.14 $310.87 $271.08$327.00 $302.04 $318.28 $310.50 $303.42 $286.88 $324.72 $315.31 $274.95$333.92 $308.43 $325.01 $317.07 $309.84 $292.95 $331.59 $321.98 $280.77$340.83 $314.81 $331.74 $323.63 $316.25 $299.01 $338.45 $328.65 $286.58$345.15 $318.80 $335.94 $327.74 $320.26 $302.80 $342.75 $332.82 $290.21$349.76 $323.06 $340.43 $332.12 $324.54 $306.85 $347.32 $337.26 $294.09$352.07 $325.19 $342.67 $334.30 $326.68 $308.87 $349.61 $339.48 $296.03$354.37 $327.32 $344.92 $336.49 $328.82 $310.89 $351.90 $341.71 $297.96$356.68 $329.45 $347.16 $338.68 $330.96 $312.91 $354.19 $343.93 $299.90$358.98 $331.58 $349.40 $340.87 $333.09 $314.94 $356.48 $346.15 $301.84$363.59 $335.84 $353.89 $345.25 $337.37 $318.98 $361.06 $350.60 $305.72$368.20 $340.09 $358.38 $349.62 $341.65 $323.03 $365.63 $355.04 $309.59$375.12 $346.48 $365.11 $356.19 $348.07 $329.09 $372.50 $361.71 $315.41$381.74 $352.60 $371.56 $362.48 $354.21 $334.90 $379.08 $368.10 $320.98$390.96 $361.12 $380.53 $371.24 $362.77 $342.99 $388.23 $376.99 $328.73$402.49 $371.76 $391.75 $382.18 $373.46 $353.10 $399.68 $388.10 $338.42$416.03 $384.27 $404.93 $395.04 $386.03 $364.98 $413.13 $401.16 $349.81$432.16 $399.17 $420.63 $410.36 $401.00 $379.14 $429.15 $416.71 $363.37$450.31 $415.94 $438.30 $427.59 $417.84 $395.06 $447.17 $434.22 $378.63$471.06 $435.10 $458.49 $447.29 $437.09 $413.26 $467.77 $454.22 $396.07$491.51 $453.99 $478.40 $466.71 $456.07 $431.21 $488.08 $473.94 $413.27$514.56 $475.28 $500.83 $488.60 $477.45 $451.43 $510.97 $496.17 $432.65$537.32 $496.30 $522.98 $510.21 $498.57 $471.39 $533.57 $518.11 $451.79$562.39 $519.46 $547.38 $534.01 $521.83 $493.38 $558.46 $542.28 $472.87$587.74 $542.87 $572.06 $558.08 $545.36 $515.63 $583.64 $566.73 $494.19$615.11 $568.15 $598.70 $584.07 $570.75 $539.64 $610.82 $593.12 $517.20$642.48 $593.43 $625.34 $610.06 $596.15 $563.65 $638.00 $619.52 $540.21$672.16 $620.84 $654.22 $638.24 $623.68 $589.69 $667.47 $648.13 $565.16$702.12 $648.52 $683.38 $666.69 $651.49 $615.97 $697.22 $677.02 $590.36$734.10 $678.06 $714.51 $697.06 $681.16 $644.03 $728.98 $707.86 $617.25$749.95 $692.70 $729.93 $712.11 $695.86 $657.93 $744.71 $723.14 $630.57$781.93 $722.23 $761.06 $742.47 $725.54 $685.99 $776.47 $753.97 $657.46$809.58 $747.78 $787.98 $768.73 $751.20 $710.25 $803.93 $780.64 $680.72$827.73 $764.55 $805.65 $785.97 $768.04 $726.17 $821.96 $798.15 $695.98$850.50 $785.57 $827.80 $807.58 $789.16 $746.14 $844.56 $820.09 $715.12$864.31 $798.33 $841.25 $820.70 $801.98 $758.26 $858.28 $833.42 $726.73



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 1

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Rose City

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

$142.37 $192.78 $184.22 $177.30 $156.08 $142.70 $131.10 $141.83 $142.16$224.20 $303.58 $290.10 $279.21 $245.79 $224.72 $206.46 $223.36 $223.87$224.20 $303.58 $290.10 $279.21 $245.79 $224.72 $206.46 $223.36 $223.87$224.20 $303.58 $290.10 $279.21 $245.79 $224.72 $206.46 $223.36 $223.87$224.20 $303.58 $290.10 $279.21 $245.79 $224.72 $206.46 $223.36 $223.87$225.10 $304.80 $291.26 $280.33 $246.77 $225.62 $207.29 $224.25 $224.76$229.58 $310.87 $297.07 $285.91 $251.69 $230.11 $211.42 $228.72 $229.24$234.96 $318.16 $304.03 $292.61 $257.59 $235.51 $216.37 $234.08 $234.61$243.71 $329.99 $315.34 $303.50 $267.17 $244.27 $224.42 $242.79 $243.35$250.88 $339.71 $324.63 $312.44 $275.04 $251.46 $231.03 $249.94 $250.51$254.47 $344.57 $329.27 $316.91 $278.97 $255.06 $234.33 $253.51 $254.09$259.85 $351.85 $336.23 $323.61 $284.87 $260.45 $239.29 $258.87 $259.46$265.23 $359.14 $343.19 $330.31 $290.77 $265.84 $244.24 $264.23 $264.84$268.59 $363.69 $347.54 $334.50 $294.46 $269.21 $247.34 $267.58 $268.20$272.18 $368.55 $352.19 $338.96 $298.39 $272.81 $250.64 $271.16 $271.78$273.97 $370.98 $354.51 $341.20 $300.35 $274.61 $252.29 $272.94 $273.57$275.77 $373.41 $356.83 $343.43 $302.32 $276.40 $253.95 $274.73 $275.36$277.56 $375.84 $359.15 $345.66 $304.29 $278.20 $255.60 $276.52 $277.15$279.35 $378.26 $361.47 $347.90 $306.25 $280.00 $257.25 $278.30 $278.94$282.94 $383.12 $366.11 $352.37 $310.19 $283.59 $260.55 $281.88 $282.52$286.53 $387.98 $370.75 $356.83 $314.12 $287.19 $263.86 $285.45 $286.10$291.91 $395.27 $377.72 $363.53 $320.02 $292.58 $268.81 $290.81 $291.48$297.07 $402.25 $384.39 $369.96 $325.67 $297.75 $273.56 $295.95 $296.63$304.24 $411.96 $393.67 $378.89 $333.54 $304.94 $280.17 $303.10 $303.79$313.21 $424.11 $405.28 $390.06 $343.37 $313.93 $288.43 $312.03 $312.75$323.75 $438.37 $418.91 $403.18 $354.92 $324.49 $298.13 $322.53 $323.27$336.30 $455.37 $435.16 $418.82 $368.68 $337.08 $309.69 $335.04 $335.80$350.43 $474.50 $453.43 $436.41 $384.17 $351.24 $322.70 $349.11 $349.91$366.57 $496.36 $474.32 $456.51 $401.87 $367.41 $337.56 $365.19 $366.03$382.49 $517.91 $494.92 $476.34 $419.32 $383.37 $352.22 $381.05 $381.92$400.42 $542.20 $518.13 $498.67 $438.98 $401.35 $368.74 $398.92 $399.83$418.14 $566.18 $541.04 $520.73 $458.40 $419.10 $385.05 $416.56 $417.52$437.64 $592.59 $566.28 $545.02 $479.78 $438.65 $403.01 $435.99 $436.99$457.37 $619.31 $591.81 $569.59 $501.41 $458.43 $421.18 $455.65 $456.69$478.67 $648.15 $619.37 $596.12 $524.76 $479.77 $440.79 $476.87 $477.96$499.97 $676.99 $646.93 $622.64 $548.11 $501.12 $460.41 $498.09 $499.23$523.06 $708.26 $676.81 $651.40 $573.43 $524.27 $481.67 $521.09 $522.29$546.38 $739.83 $706.98 $680.44 $598.99 $547.64 $503.14 $544.32 $545.57$571.27 $773.53 $739.18 $711.43 $626.27 $572.58 $526.06 $569.11 $570.42$583.60 $790.23 $755.14 $726.79 $639.79 $584.94 $537.42 $581.40 $582.73$608.48 $823.92 $787.34 $757.78 $667.07 $609.89 $560.33 $606.19 $607.58$630.01 $853.07 $815.19 $784.59 $690.67 $631.46 $580.15 $627.63 $629.07$644.13 $872.19 $833.47 $802.18 $706.15 $645.62 $593.16 $641.70 $643.18$661.84 $896.18 $856.39 $824.23 $725.57 $663.37 $609.47 $659.35 $660.86$672.59 $910.74 $870.30 $837.63 $737.36 $674.15 $619.37 $670.06 $671.60



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500

$162.16 $126.94 $216.87 $196.22 $212.44 $178.22 $144.73 $230.70 $227.72$255.37 $199.91 $341.54 $309.00 $334.55 $280.66 $227.93 $363.31 $358.62$255.37 $199.91 $341.54 $309.00 $334.55 $280.66 $227.93 $363.31 $358.62$255.37 $199.91 $341.54 $309.00 $334.55 $280.66 $227.93 $363.31 $358.62$255.37 $199.91 $341.54 $309.00 $334.55 $280.66 $227.93 $363.31 $358.62$256.39 $200.71 $342.90 $310.24 $335.89 $281.78 $228.84 $364.77 $360.06$261.49 $204.70 $349.73 $316.42 $342.58 $287.40 $233.40 $372.03 $367.23$267.62 $209.50 $357.93 $323.83 $350.61 $294.13 $238.87 $380.75 $375.83$277.58 $217.30 $371.25 $335.88 $363.66 $305.08 $247.76 $394.92 $389.82$285.75 $223.70 $382.18 $345.77 $374.37 $314.06 $255.05 $406.55 $401.30$289.84 $226.89 $387.64 $350.72 $379.72 $318.55 $258.70 $412.36 $407.03$295.97 $231.69 $395.84 $358.13 $387.75 $325.28 $264.17 $421.08 $415.64$302.10 $236.49 $404.04 $365.55 $395.78 $332.02 $269.64 $429.80 $424.25$305.93 $239.49 $409.16 $370.18 $400.80 $336.23 $273.05 $435.25 $429.63$310.01 $242.69 $414.62 $375.13 $406.15 $340.72 $276.70 $441.06 $435.37$312.06 $244.29 $417.36 $377.60 $408.82 $342.97 $278.52 $443.97 $438.23$314.10 $245.88 $420.09 $380.07 $411.50 $345.21 $280.35 $446.87 $441.10$316.14 $247.48 $422.82 $382.54 $414.18 $347.46 $282.17 $449.78 $443.97$318.18 $249.08 $425.55 $385.02 $416.85 $349.70 $284.00 $452.69 $446.84$322.27 $252.28 $431.02 $389.96 $422.21 $354.19 $287.64 $458.50 $452.58$326.36 $255.48 $436.48 $394.90 $427.56 $358.68 $291.29 $464.31 $458.32$332.49 $260.28 $444.68 $402.32 $435.59 $365.42 $296.76 $473.03 $466.92$338.36 $264.88 $452.53 $409.43 $443.28 $371.87 $302.00 $481.39 $475.17$346.53 $271.27 $463.46 $419.31 $453.99 $380.86 $309.29 $493.02 $486.65$356.74 $279.27 $477.12 $431.67 $467.37 $392.08 $318.41 $507.55 $500.99$368.75 $288.66 $493.18 $446.20 $483.10 $405.27 $329.12 $524.62 $517.85$383.05 $299.86 $512.30 $463.50 $501.83 $420.99 $341.89 $544.97 $537.93$399.14 $312.45 $533.82 $482.97 $522.91 $438.67 $356.25 $567.86 $560.52$417.52 $326.85 $558.41 $505.22 $547.00 $458.88 $372.66 $594.02 $586.35$435.65 $341.04 $582.66 $527.16 $570.75 $478.81 $388.84 $619.81 $611.81$456.08 $357.03 $609.98 $551.88 $597.51 $501.26 $407.07 $648.88 $640.50$476.26 $372.83 $636.96 $576.29 $623.94 $523.43 $425.08 $677.58 $668.83$498.47 $390.22 $666.68 $603.17 $653.05 $547.85 $444.91 $709.19 $700.03$520.94 $407.81 $696.73 $630.36 $682.49 $572.55 $464.97 $741.16 $731.59$545.20 $426.80 $729.18 $659.72 $714.27 $599.21 $486.62 $775.67 $765.66$569.46 $445.79 $761.62 $689.07 $746.06 $625.87 $508.27 $810.19 $799.72$595.77 $466.38 $796.80 $720.90 $780.51 $654.78 $531.75 $847.61 $836.66$622.32 $487.17 $832.32 $753.04 $815.31 $683.97 $555.45 $885.39 $873.96$650.67 $509.36 $870.23 $787.33 $852.44 $715.12 $580.75 $925.72 $913.77$664.72 $520.36 $889.02 $804.33 $870.84 $730.56 $593.29 $945.70 $933.49$693.06 $542.55 $926.93 $838.63 $907.98 $761.71 $618.59 $986.03 $973.30$717.58 $561.74 $959.71 $868.29 $940.10 $788.65 $640.47 $1,020.91 $1,007.72$733.66 $574.33 $981.23 $887.76 $961.17 $806.34 $654.83 $1,043.80 $1,030.32$753.84 $590.12 $1,008.21 $912.17 $987.60 $828.51 $672.84 $1,072.50 $1,058.65$766.09 $599.71 $1,024.60 $926.99 $1,003.65 $841.97 $683.77 $1,089.93 $1,075.85



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2


$215.31 $209.23 $208.84 $203.66 $183.04 $179.60 $182.86 $176.55 $171.83$339.07 $329.49 $328.88 $320.73 $288.25 $282.83 $287.97 $278.02 $270.61$339.07 $329.49 $328.88 $320.73 $288.25 $282.83 $287.97 $278.02 $270.61$339.07 $329.49 $328.88 $320.73 $288.25 $282.83 $287.97 $278.02 $270.61$339.07 $329.49 $328.88 $320.73 $288.25 $282.83 $287.97 $278.02 $270.61$340.42 $330.81 $330.19 $322.01 $289.40 $283.97 $289.12 $279.14 $271.69$347.20 $337.40 $336.77 $328.43 $295.17 $289.62 $294.88 $284.70 $277.10$355.34 $345.31 $344.66 $336.12 $302.08 $296.41 $301.79 $291.37 $283.59$368.56 $358.16 $357.49 $348.63 $313.32 $307.44 $313.02 $302.21 $294.15$379.41 $368.70 $368.01 $358.89 $322.55 $316.49 $322.23 $311.11 $302.81$384.84 $373.97 $373.27 $364.03 $327.16 $321.02 $326.84 $315.56 $307.14$392.98 $381.88 $381.17 $371.72 $334.08 $327.81 $333.75 $322.23 $313.63$401.11 $389.79 $389.06 $379.42 $341.00 $334.59 $340.66 $328.90 $320.13$406.20 $394.73 $393.99 $384.23 $345.32 $338.84 $344.98 $333.07 $324.19$411.63 $400.00 $399.25 $389.36 $349.93 $343.36 $349.59 $337.52 $328.51$414.34 $402.64 $401.89 $391.93 $352.24 $345.62 $351.90 $339.75 $330.68$417.05 $405.28 $404.52 $394.50 $354.54 $347.89 $354.20 $341.97 $332.84$419.76 $407.91 $407.15 $397.06 $356.85 $350.15 $356.50 $344.19 $335.01$422.48 $410.55 $409.78 $399.63 $359.16 $352.41 $358.81 $346.42 $337.17$427.90 $415.82 $415.04 $404.76 $363.77 $356.94 $363.41 $350.87 $341.50$433.33 $421.09 $420.30 $409.89 $368.38 $361.46 $368.02 $355.32 $345.83$441.46 $429.00 $428.20 $417.59 $375.30 $368.25 $374.93 $361.99 $352.33$449.26 $436.58 $435.76 $424.96 $381.93 $374.76 $381.56 $368.38 $358.55$460.11 $447.12 $446.28 $435.23 $391.15 $383.81 $390.77 $377.28 $367.21$473.67 $460.30 $459.44 $448.06 $402.68 $395.12 $402.29 $388.40 $378.04$489.61 $475.79 $474.90 $463.13 $416.23 $408.41 $415.82 $401.47 $390.75$508.60 $494.24 $493.31 $481.09 $432.37 $424.25 $431.95 $417.04 $405.91$529.96 $515.00 $514.03 $501.30 $450.53 $442.07 $450.09 $434.55 $422.96$554.37 $538.72 $537.71 $524.39 $471.28 $462.43 $470.83 $454.57 $442.44$578.45 $562.11 $561.06 $547.16 $491.75 $482.52 $491.27 $474.31 $461.65$605.57 $588.47 $587.37 $572.82 $514.81 $505.14 $514.31 $496.55 $483.30$632.36 $614.50 $613.35 $598.16 $537.58 $527.49 $537.06 $518.52 $504.68$661.86 $643.17 $641.97 $626.06 $562.66 $552.09 $562.11 $542.70 $528.22$691.69 $672.16 $670.91 $654.28 $588.02 $576.98 $587.45 $567.17 $552.03$723.91 $703.47 $702.15 $684.75 $615.41 $603.85 $614.81 $593.58 $577.74$756.12 $734.77 $733.39 $715.22 $642.79 $630.72 $642.17 $619.99 $603.45$791.04 $768.71 $767.27 $748.26 $672.48 $659.85 $671.83 $648.63 $631.32$826.30 $802.97 $801.47 $781.61 $702.46 $689.27 $701.78 $677.55 $659.47$863.94 $839.55 $837.98 $817.21 $734.45 $720.66 $733.74 $708.41 $689.50$882.59 $857.67 $856.06 $834.85 $750.31 $736.22 $749.58 $723.70 $704.39$920.22 $894.24 $892.57 $870.46 $782.30 $767.61 $781.54 $754.56 $734.42$952.77 $925.87 $924.14 $901.25 $809.97 $794.77 $809.19 $781.25 $760.40$974.14 $946.63 $944.86 $921.45 $828.13 $812.58 $827.33 $798.76 $777.45

$1,000.92 $972.66 $970.84 $946.79 $850.91 $834.93 $850.08 $820.73 $798.83$1,017.19 $988.47 $986.62 $962.17 $864.73 $848.49 $863.89 $834.06 $811.81



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

$167.64 $163.81 $154.88 $175.31 $170.23 $148.44 $137.39 $186.03 $177.77$264.00 $257.97 $243.91 $276.08 $268.09 $233.77 $216.35 $292.96 $279.95$264.00 $257.97 $243.91 $276.08 $268.09 $233.77 $216.35 $292.96 $279.95$264.00 $257.97 $243.91 $276.08 $268.09 $233.77 $216.35 $292.96 $279.95$264.00 $257.97 $243.91 $276.08 $268.09 $233.77 $216.35 $292.96 $279.95$265.05 $259.01 $244.89 $277.19 $269.16 $234.70 $217.22 $294.13 $281.07$270.33 $264.17 $249.77 $282.71 $274.52 $239.38 $221.55 $299.99 $286.67$276.67 $270.36 $255.62 $289.34 $280.95 $244.99 $226.74 $307.02 $293.39$286.96 $280.42 $265.13 $300.10 $291.41 $254.11 $235.18 $318.45 $304.31$295.41 $288.67 $272.94 $308.94 $299.99 $261.59 $242.10 $327.82 $313.26$299.64 $292.80 $276.84 $313.36 $304.28 $265.33 $245.56 $332.51 $317.74$305.97 $298.99 $282.69 $319.98 $310.71 $270.94 $250.75 $339.54 $324.46$312.31 $305.18 $288.55 $326.61 $317.15 $276.55 $255.95 $346.57 $331.18$316.27 $309.05 $292.21 $330.75 $321.17 $280.06 $259.19 $350.96 $335.38$320.49 $313.18 $296.11 $335.17 $325.46 $283.80 $262.65 $355.65 $339.86$322.60 $315.24 $298.06 $337.38 $327.60 $285.67 $264.39 $357.99 $342.10$324.72 $317.31 $300.01 $339.58 $329.75 $287.54 $266.12 $360.34 $344.34$326.83 $319.37 $301.96 $341.79 $331.89 $289.41 $267.85 $362.68 $346.58$328.94 $321.44 $303.91 $344.00 $334.04 $291.28 $269.58 $365.03 $348.82$333.16 $325.56 $307.82 $348.42 $338.32 $295.02 $273.04 $369.71 $353.30$337.39 $329.69 $311.72 $352.84 $342.61 $298.76 $276.50 $374.40 $357.78$343.72 $335.88 $317.57 $359.46 $349.05 $304.37 $281.69 $381.43 $364.50$349.79 $341.82 $323.18 $365.81 $355.21 $309.74 $286.67 $388.17 $370.93$358.24 $350.07 $330.99 $374.65 $363.79 $317.22 $293.59 $397.54 $379.89$368.80 $360.39 $340.74 $385.69 $374.52 $326.58 $302.25 $409.26 $391.09$381.21 $372.52 $352.21 $398.67 $387.12 $337.56 $312.42 $423.03 $404.25$395.99 $386.96 $365.87 $414.13 $402.13 $350.65 $324.53 $439.44 $419.93$412.63 $403.21 $381.23 $431.52 $419.02 $365.38 $338.16 $457.89 $437.56$431.63 $421.79 $398.80 $451.40 $438.32 $382.21 $353.74 $478.99 $457.72$450.38 $440.10 $416.11 $471.00 $457.35 $398.81 $369.10 $499.79 $477.60$471.50 $460.74 $435.63 $493.09 $478.80 $417.51 $386.41 $523.22 $499.99$492.35 $481.12 $454.90 $514.90 $499.98 $435.98 $403.50 $546.37 $522.11$515.32 $503.57 $476.12 $538.92 $523.30 $456.32 $422.32 $571.85 $546.46$538.55 $526.27 $497.58 $563.21 $546.90 $476.89 $441.36 $597.63 $571.10$563.63 $550.78 $520.75 $589.44 $572.36 $499.10 $461.92 $625.46 $597.69$588.71 $575.28 $543.92 $615.67 $597.83 $521.30 $482.47 $653.30 $624.29$615.90 $601.85 $569.05 $644.10 $625.44 $545.38 $504.75 $683.47 $653.12$643.36 $628.68 $594.41 $672.82 $653.33 $569.70 $527.26 $713.94 $682.24$672.66 $657.32 $621.49 $703.46 $683.08 $595.64 $551.27 $746.46 $713.31$687.18 $671.51 $634.90 $718.65 $697.83 $608.50 $563.17 $762.57 $728.71$716.49 $700.14 $661.98 $749.29 $727.59 $634.45 $587.19 $795.09 $759.79$741.83 $724.91 $685.39 $775.80 $753.32 $656.89 $607.96 $823.21 $786.66$758.46 $741.16 $700.76 $793.19 $770.21 $671.62 $621.59 $841.67 $804.30$779.32 $761.54 $720.03 $815.00 $791.39 $690.09 $638.68 $864.81 $826.41$791.98 $773.91 $731.73 $828.24 $804.25 $701.30 $649.05 $878.86 $839.84



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 2

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

$171.09 $150.61 $137.70 $136.87 $137.18 $156.48 $122.50 $209.28 $189.35$269.44 $237.19 $216.85 $215.54 $216.03 $246.43 $192.91 $329.58 $298.19$269.44 $237.19 $216.85 $215.54 $216.03 $246.43 $192.91 $329.58 $298.19$269.44 $237.19 $216.85 $215.54 $216.03 $246.43 $192.91 $329.58 $298.19$269.44 $237.19 $216.85 $215.54 $216.03 $246.43 $192.91 $329.58 $298.19$270.52 $238.14 $217.72 $216.40 $216.90 $247.41 $193.68 $330.90 $299.38$275.91 $242.88 $222.06 $220.71 $221.22 $252.34 $197.54 $337.49 $305.34$282.37 $248.57 $227.26 $225.89 $226.40 $258.26 $202.17 $345.40 $312.50$292.88 $257.82 $235.72 $234.29 $234.83 $267.87 $209.69 $358.26 $324.13$301.50 $265.41 $242.66 $241.19 $241.74 $275.75 $215.87 $368.80 $333.67$305.81 $269.21 $246.13 $244.64 $245.20 $279.69 $218.95 $374.08 $338.44$312.28 $274.90 $251.33 $249.81 $250.38 $285.61 $223.58 $381.98 $345.60$318.75 $280.59 $256.54 $254.98 $255.57 $291.52 $228.21 $389.89 $352.75$322.79 $284.15 $259.79 $258.22 $258.81 $295.22 $231.11 $394.84 $357.23$327.10 $287.94 $263.26 $261.66 $262.27 $299.16 $234.19 $400.11 $362.00$329.26 $289.84 $264.99 $263.39 $263.99 $301.13 $235.74 $402.75 $364.38$331.41 $291.74 $266.73 $265.11 $265.72 $303.11 $237.28 $405.39 $366.77$333.57 $293.64 $268.46 $266.84 $267.45 $305.08 $238.82 $408.02 $369.15$335.72 $295.53 $270.20 $268.56 $269.18 $307.05 $240.37 $410.66 $371.54$340.03 $299.33 $273.67 $272.01 $272.63 $310.99 $243.45 $415.93 $376.31$344.34 $303.12 $277.14 $275.46 $276.09 $314.93 $246.54 $421.21 $381.08$350.81 $308.82 $282.34 $280.63 $281.28 $320.85 $251.17 $429.12 $388.24$357.01 $314.27 $287.33 $285.59 $286.24 $326.52 $255.61 $436.70 $395.10$365.63 $321.86 $294.27 $292.49 $293.16 $334.40 $261.78 $447.24 $404.64$376.41 $331.35 $302.94 $301.11 $301.80 $344.26 $269.49 $460.43 $416.57$389.07 $342.50 $313.14 $311.24 $311.95 $355.84 $278.56 $475.92 $430.58$404.16 $355.78 $325.28 $323.31 $324.05 $369.64 $289.36 $494.37 $447.28$421.13 $370.72 $338.94 $336.89 $337.66 $385.17 $301.52 $515.14 $466.06$440.53 $387.80 $354.56 $352.41 $353.22 $402.91 $315.41 $538.87 $487.53$459.66 $404.64 $369.95 $367.71 $368.55 $420.40 $329.10 $562.27 $508.71$481.22 $423.62 $387.30 $384.95 $385.84 $440.12 $344.54 $588.63 $532.56$502.51 $442.35 $404.43 $401.98 $402.90 $459.59 $359.78 $614.67 $556.12$525.95 $462.99 $423.30 $420.73 $421.70 $481.03 $376.56 $643.34 $582.06$549.66 $483.86 $442.38 $439.70 $440.71 $502.71 $393.54 $672.35 $608.30$575.25 $506.39 $462.98 $460.18 $461.23 $526.12 $411.86 $703.66 $636.63$600.85 $528.93 $483.58 $480.65 $481.76 $549.53 $430.19 $734.97 $664.95$628.60 $553.36 $505.92 $502.85 $504.01 $574.91 $450.06 $768.91 $695.67$656.62 $578.02 $528.47 $525.27 $526.47 $600.54 $470.12 $803.19 $726.68$686.53 $604.35 $552.54 $549.19 $550.45 $627.90 $491.53 $839.77 $759.78$701.35 $617.40 $564.47 $561.05 $562.34 $641.45 $502.14 $857.90 $776.18$731.26 $643.73 $588.54 $584.97 $586.32 $668.80 $523.56 $894.48 $809.28$757.13 $666.49 $609.36 $605.67 $607.05 $692.46 $542.08 $926.12 $837.90$774.10 $681.44 $623.02 $619.24 $620.67 $707.99 $554.23 $946.89 $856.69$795.39 $700.18 $640.15 $636.27 $637.73 $727.45 $569.47 $972.92 $880.25$808.31 $711.55 $650.55 $646.61 $648.09 $739.27 $578.72 $988.73 $894.55



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A PPO 1000B PPO 1500

$205.01 $171.98 $139.67 $230.70 $227.72 $215.31 $209.23 $208.84 $203.66$322.84 $270.84 $219.95 $363.31 $358.62 $339.07 $329.49 $328.88 $320.73$322.84 $270.84 $219.95 $363.31 $358.62 $339.07 $329.49 $328.88 $320.73$322.84 $270.84 $219.95 $363.31 $358.62 $339.07 $329.49 $328.88 $320.73$322.84 $270.84 $219.95 $363.31 $358.62 $339.07 $329.49 $328.88 $320.73$324.14 $271.92 $220.83 $364.77 $360.06 $340.42 $330.81 $330.19 $322.01$330.59 $277.34 $225.23 $372.03 $367.23 $347.20 $337.40 $336.77 $328.43$338.34 $283.84 $230.51 $380.75 $375.83 $355.34 $345.31 $344.66 $336.12$350.93 $294.40 $239.08 $394.92 $389.82 $368.56 $358.16 $357.49 $348.63$361.26 $303.07 $246.12 $406.55 $401.30 $379.41 $368.70 $368.01 $358.89$366.43 $307.40 $249.64 $412.36 $407.03 $384.84 $373.97 $373.27 $364.03$374.18 $313.90 $254.92 $421.08 $415.64 $392.98 $381.88 $381.17 $371.72$381.93 $320.40 $260.20 $429.80 $424.25 $401.11 $389.79 $389.06 $379.42$386.77 $324.46 $263.50 $435.25 $429.63 $406.20 $394.73 $393.99 $384.23$391.93 $328.80 $267.02 $441.06 $435.37 $411.63 $400.00 $399.25 $389.36$394.52 $330.96 $268.78 $443.97 $438.23 $414.34 $402.64 $401.89 $391.93$397.10 $333.13 $270.54 $446.87 $441.10 $417.05 $405.28 $404.52 $394.50$399.68 $335.30 $272.30 $449.78 $443.97 $419.76 $407.91 $407.15 $397.06$402.26 $337.46 $274.06 $452.69 $446.84 $422.48 $410.55 $409.78 $399.63$407.43 $341.80 $277.57 $458.50 $452.58 $427.90 $415.82 $415.04 $404.76$412.60 $346.13 $281.09 $464.31 $458.32 $433.33 $421.09 $420.30 $409.89$420.34 $352.63 $286.37 $473.03 $466.92 $441.46 $429.00 $428.20 $417.59$427.77 $358.86 $291.43 $481.39 $475.17 $449.26 $436.58 $435.76 $424.96$438.10 $367.53 $298.47 $493.02 $486.65 $460.11 $447.12 $446.28 $435.23$451.01 $378.36 $307.27 $507.55 $500.99 $473.67 $460.30 $459.44 $448.06$466.19 $391.09 $317.61 $524.62 $517.85 $489.61 $475.79 $474.90 $463.13$484.27 $406.26 $329.92 $544.97 $537.93 $508.60 $494.24 $493.31 $481.09$504.61 $423.32 $343.78 $567.86 $560.52 $529.96 $515.00 $514.03 $501.30$527.85 $442.82 $359.62 $594.02 $586.35 $554.37 $538.72 $537.71 $524.39$550.77 $462.05 $375.23 $619.81 $611.81 $578.45 $562.11 $561.06 $547.16$576.60 $483.71 $392.83 $648.88 $640.50 $605.57 $588.47 $587.37 $572.82$602.11 $505.11 $410.20 $677.58 $668.83 $632.36 $614.50 $613.35 $598.16$630.19 $528.67 $429.34 $709.19 $700.03 $661.86 $643.17 $641.97 $626.06$658.60 $552.51 $448.69 $741.16 $731.59 $691.69 $672.16 $670.91 $654.28$689.27 $578.24 $469.59 $775.67 $765.66 $723.91 $703.47 $702.15 $684.75$719.94 $603.97 $490.48 $810.19 $799.72 $756.12 $734.77 $733.39 $715.22$753.20 $631.86 $513.14 $847.61 $836.66 $791.04 $768.71 $767.27 $748.26$786.77 $660.03 $536.01 $885.39 $873.96 $826.30 $802.97 $801.47 $781.61$822.61 $690.09 $560.43 $925.72 $913.77 $863.94 $839.55 $837.98 $817.21$840.36 $704.99 $572.52 $945.70 $933.49 $882.59 $857.67 $856.06 $834.85$876.20 $735.05 $596.94 $986.03 $973.30 $920.22 $894.24 $892.57 $870.46$907.19 $761.05 $618.05 $1,020.91 $1,007.72 $952.77 $925.87 $924.14 $901.25$927.53 $778.11 $631.91 $1,043.80 $1,030.32 $974.14 $946.63 $944.86 $921.45$953.04 $799.51 $649.29 $1,072.50 $1,058.65 $1,000.92 $972.66 $970.84 $946.79$968.52 $812.50 $659.83 $1,089.94 $1,075.86 $1,017.20 $988.48 $986.63 $962.18



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3


Moda Health

Connexus

Aspire 2000

$183.04 $179.60 $182.86 $176.55 $171.83 $167.64 $163.81 $154.88 $175.31$288.25 $282.83 $287.97 $278.02 $270.61 $264.00 $257.97 $243.91 $276.08$288.25 $282.83 $287.97 $278.02 $270.61 $264.00 $257.97 $243.91 $276.08$288.25 $282.83 $287.97 $278.02 $270.61 $264.00 $257.97 $243.91 $276.08$288.25 $282.83 $287.97 $278.02 $270.61 $264.00 $257.97 $243.91 $276.08$289.40 $283.97 $289.12 $279.14 $271.69 $265.05 $259.01 $244.89 $277.19$295.17 $289.62 $294.88 $284.70 $277.10 $270.33 $264.17 $249.77 $282.71$302.08 $296.41 $301.79 $291.37 $283.59 $276.67 $270.36 $255.62 $289.34$313.32 $307.44 $313.02 $302.21 $294.15 $286.96 $280.42 $265.13 $300.10$322.55 $316.49 $322.23 $311.11 $302.81 $295.41 $288.67 $272.94 $308.94$327.16 $321.02 $326.84 $315.56 $307.14 $299.64 $292.80 $276.84 $313.36$334.08 $327.81 $333.75 $322.23 $313.63 $305.97 $298.99 $282.69 $319.98$341.00 $334.59 $340.66 $328.90 $320.13 $312.31 $305.18 $288.55 $326.61$345.32 $338.84 $344.98 $333.07 $324.19 $316.27 $309.05 $292.21 $330.75$349.93 $343.36 $349.59 $337.52 $328.51 $320.49 $313.18 $296.11 $335.17$352.24 $345.62 $351.90 $339.75 $330.68 $322.60 $315.24 $298.06 $337.38$354.54 $347.89 $354.20 $341.97 $332.84 $324.72 $317.31 $300.01 $339.58$356.85 $350.15 $356.50 $344.19 $335.01 $326.83 $319.37 $301.96 $341.79$359.16 $352.41 $358.81 $346.42 $337.17 $328.94 $321.44 $303.91 $344.00$363.77 $356.94 $363.41 $350.87 $341.50 $333.16 $325.56 $307.82 $348.42$368.38 $361.46 $368.02 $355.32 $345.83 $337.39 $329.69 $311.72 $352.84$375.30 $368.25 $374.93 $361.99 $352.33 $343.72 $335.88 $317.57 $359.46$381.93 $374.76 $381.56 $368.38 $358.55 $349.79 $341.82 $323.18 $365.81$391.15 $383.81 $390.77 $377.28 $367.21 $358.24 $350.07 $330.99 $374.65$402.68 $395.12 $402.29 $388.40 $378.04 $368.80 $360.39 $340.74 $385.69$416.23 $408.41 $415.82 $401.47 $390.75 $381.21 $372.52 $352.21 $398.67$432.37 $424.25 $431.95 $417.04 $405.91 $395.99 $386.96 $365.87 $414.13$450.53 $442.07 $450.09 $434.55 $422.96 $412.63 $403.21 $381.23 $431.52$471.28 $462.43 $470.83 $454.57 $442.44 $431.63 $421.79 $398.80 $451.40$491.75 $482.52 $491.27 $474.31 $461.65 $450.38 $440.10 $416.11 $471.00$514.81 $505.14 $514.31 $496.55 $483.30 $471.50 $460.74 $435.63 $493.09$537.58 $527.49 $537.06 $518.52 $504.68 $492.35 $481.12 $454.90 $514.90$562.66 $552.09 $562.11 $542.70 $528.22 $515.32 $503.57 $476.12 $538.92$588.02 $576.98 $587.45 $567.17 $552.03 $538.55 $526.27 $497.58 $563.21$615.41 $603.85 $614.81 $593.58 $577.74 $563.63 $550.78 $520.75 $589.44$642.79 $630.72 $642.17 $619.99 $603.45 $588.71 $575.28 $543.92 $615.67$672.48 $659.85 $671.83 $648.63 $631.32 $615.90 $601.85 $569.05 $644.10$702.46 $689.27 $701.78 $677.55 $659.47 $643.36 $628.68 $594.41 $672.82$734.45 $720.66 $733.74 $708.41 $689.50 $672.66 $657.32 $621.49 $703.46$750.31 $736.22 $749.58 $723.70 $704.39 $687.18 $671.51 $634.90 $718.65$782.30 $767.61 $781.54 $754.56 $734.42 $716.49 $700.14 $661.98 $749.29$809.97 $794.77 $809.19 $781.25 $760.40 $741.83 $724.91 $685.39 $775.80$828.13 $812.58 $827.33 $798.76 $777.45 $758.46 $741.16 $700.76 $793.19$850.91 $834.93 $850.08 $820.73 $798.83 $779.32 $761.54 $720.03 $815.00$864.74 $848.50 $863.90 $834.07 $811.82 $791.99 $773.92 $731.74 $828.25



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 3

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

$170.23 $148.44 $137.39 $186.03 $177.77 $171.09 $150.61 $137.70 $136.87$268.09 $233.77 $216.35 $292.96 $279.95 $269.44 $237.19 $216.85 $215.54$268.09 $233.77 $216.35 $292.96 $279.95 $269.44 $237.19 $216.85 $215.54$268.09 $233.77 $216.35 $292.96 $279.95 $269.44 $237.19 $216.85 $215.54$268.09 $233.77 $216.35 $292.96 $279.95 $269.44 $237.19 $216.85 $215.54$269.16 $234.70 $217.22 $294.13 $281.07 $270.52 $238.14 $217.72 $216.40$274.52 $239.38 $221.55 $299.99 $286.67 $275.91 $242.88 $222.06 $220.71$280.95 $244.99 $226.74 $307.02 $293.39 $282.37 $248.57 $227.26 $225.89$291.41 $254.11 $235.18 $318.45 $304.31 $292.88 $257.82 $235.72 $234.29$299.99 $261.59 $242.10 $327.82 $313.26 $301.50 $265.41 $242.66 $241.19$304.28 $265.33 $245.56 $332.51 $317.74 $305.81 $269.21 $246.13 $244.64$310.71 $270.94 $250.75 $339.54 $324.46 $312.28 $274.90 $251.33 $249.81$317.15 $276.55 $255.95 $346.57 $331.18 $318.75 $280.59 $256.54 $254.98$321.17 $280.06 $259.19 $350.96 $335.38 $322.79 $284.15 $259.79 $258.22$325.46 $283.80 $262.65 $355.65 $339.86 $327.10 $287.94 $263.26 $261.66$327.60 $285.67 $264.39 $357.99 $342.10 $329.26 $289.84 $264.99 $263.39$329.75 $287.54 $266.12 $360.34 $344.34 $331.41 $291.74 $266.73 $265.11$331.89 $289.41 $267.85 $362.68 $346.58 $333.57 $293.64 $268.46 $266.84$334.04 $291.28 $269.58 $365.03 $348.82 $335.72 $295.53 $270.20 $268.56$338.32 $295.02 $273.04 $369.71 $353.30 $340.03 $299.33 $273.67 $272.01$342.61 $298.76 $276.50 $374.40 $357.78 $344.34 $303.12 $277.14 $275.46$349.05 $304.37 $281.69 $381.43 $364.50 $350.81 $308.82 $282.34 $280.63$355.21 $309.74 $286.67 $388.17 $370.93 $357.01 $314.27 $287.33 $285.59$363.79 $317.22 $293.59 $397.54 $379.89 $365.63 $321.86 $294.27 $292.49$374.52 $326.58 $302.25 $409.26 $391.09 $376.41 $331.35 $302.94 $301.11$387.12 $337.56 $312.42 $423.03 $404.25 $389.07 $342.50 $313.14 $311.24$402.13 $350.65 $324.53 $439.44 $419.93 $404.16 $355.78 $325.28 $323.31$419.02 $365.38 $338.16 $457.89 $437.56 $421.13 $370.72 $338.94 $336.89$438.32 $382.21 $353.74 $478.99 $457.72 $440.53 $387.80 $354.56 $352.41$457.35 $398.81 $369.10 $499.79 $477.60 $459.66 $404.64 $369.95 $367.71$478.80 $417.51 $386.41 $523.22 $499.99 $481.22 $423.62 $387.30 $384.95$499.98 $435.98 $403.50 $546.37 $522.11 $502.51 $442.35 $404.43 $401.98$523.30 $456.32 $422.32 $571.85 $546.46 $525.95 $462.99 $423.30 $420.73$546.90 $476.89 $441.36 $597.63 $571.10 $549.66 $483.86 $442.38 $439.70$572.36 $499.10 $461.92 $625.46 $597.69 $575.25 $506.39 $462.98 $460.18$597.83 $521.30 $482.47 $653.30 $624.29 $600.85 $528.93 $483.58 $480.65$625.44 $545.38 $504.75 $683.47 $653.12 $628.60 $553.36 $505.92 $502.85$653.33 $569.70 $527.26 $713.94 $682.24 $656.62 $578.02 $528.47 $525.27$683.08 $595.64 $551.27 $746.46 $713.31 $686.53 $604.35 $552.54 $549.19$697.83 $608.50 $563.17 $762.57 $728.71 $701.35 $617.40 $564.47 $561.05$727.59 $634.45 $587.19 $795.09 $759.79 $731.26 $643.73 $588.54 $584.97$753.32 $656.89 $607.96 $823.21 $786.66 $757.13 $666.49 $609.36 $605.67$770.21 $671.62 $621.59 $841.67 $804.30 $774.10 $681.44 $623.02 $619.24$791.39 $690.09 $638.68 $864.81 $826.41 $795.39 $700.18 $640.15 $636.27$804.26 $701.31 $649.06 $878.87 $839.85 $808.32 $711.56 $650.56 $646.62



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

$137.18 $156.48 $122.50 $209.28 $189.35 $205.01 $171.98 $139.67 $248.63$216.03 $246.43 $192.91 $329.58 $298.19 $322.84 $270.84 $219.95 $391.55$216.03 $246.43 $192.91 $329.58 $298.19 $322.84 $270.84 $219.95 $391.55$216.03 $246.43 $192.91 $329.58 $298.19 $322.84 $270.84 $219.95 $391.55$216.03 $246.43 $192.91 $329.58 $298.19 $322.84 $270.84 $219.95 $391.55$216.90 $247.41 $193.68 $330.90 $299.38 $324.14 $271.92 $220.83 $393.12$221.22 $252.34 $197.54 $337.49 $305.34 $330.59 $277.34 $225.23 $400.95$226.40 $258.26 $202.17 $345.40 $312.50 $338.34 $283.84 $230.51 $410.34$234.83 $267.87 $209.69 $358.26 $324.13 $350.93 $294.40 $239.08 $425.61$241.74 $275.75 $215.87 $368.80 $333.67 $361.26 $303.07 $246.12 $438.14$245.20 $279.69 $218.95 $374.08 $338.44 $366.43 $307.40 $249.64 $444.41$250.38 $285.61 $223.58 $381.98 $345.60 $374.18 $313.90 $254.92 $453.81$255.57 $291.52 $228.21 $389.89 $352.75 $381.93 $320.40 $260.20 $463.20$258.81 $295.22 $231.11 $394.84 $357.23 $386.77 $324.46 $263.50 $469.08$262.27 $299.16 $234.19 $400.11 $362.00 $391.93 $328.80 $267.02 $475.34$263.99 $301.13 $235.74 $402.75 $364.38 $394.52 $330.96 $268.78 $478.47$265.72 $303.11 $237.28 $405.39 $366.77 $397.10 $333.13 $270.54 $481.61$267.45 $305.08 $238.82 $408.02 $369.15 $399.68 $335.30 $272.30 $484.74$269.18 $307.05 $240.37 $410.66 $371.54 $402.26 $337.46 $274.06 $487.87$272.63 $310.99 $243.45 $415.93 $376.31 $407.43 $341.80 $277.57 $494.14$276.09 $314.93 $246.54 $421.21 $381.08 $412.60 $346.13 $281.09 $500.40$281.28 $320.85 $251.17 $429.12 $388.24 $420.34 $352.63 $286.37 $509.80$286.24 $326.52 $255.61 $436.70 $395.10 $427.77 $358.86 $291.43 $518.80$293.16 $334.40 $261.78 $447.24 $404.64 $438.10 $367.53 $298.47 $531.33$301.80 $344.26 $269.49 $460.43 $416.57 $451.01 $378.36 $307.27 $546.99$311.95 $355.84 $278.56 $475.92 $430.58 $466.19 $391.09 $317.61 $565.40$324.05 $369.64 $289.36 $494.37 $447.28 $484.27 $406.26 $329.92 $587.32$337.66 $385.17 $301.52 $515.14 $466.06 $504.61 $423.32 $343.78 $611.99$353.22 $402.91 $315.41 $538.87 $487.53 $527.85 $442.82 $359.62 $640.18$368.55 $420.40 $329.10 $562.27 $508.71 $550.77 $462.05 $375.23 $667.98$385.84 $440.12 $344.54 $588.63 $532.56 $576.60 $483.71 $392.83 $699.31$402.90 $459.59 $359.78 $614.67 $556.12 $602.11 $505.11 $410.20 $730.24$421.70 $481.03 $376.56 $643.34 $582.06 $630.19 $528.67 $429.34 $764.30$440.71 $502.71 $393.54 $672.35 $608.30 $658.60 $552.51 $448.69 $798.76$461.23 $526.12 $411.86 $703.66 $636.63 $689.27 $578.24 $469.59 $835.96$481.76 $549.53 $430.19 $734.97 $664.95 $719.94 $603.97 $490.48 $873.16$504.01 $574.91 $450.06 $768.91 $695.67 $753.20 $631.86 $513.14 $913.49$526.47 $600.54 $470.12 $803.19 $726.68 $786.77 $660.03 $536.01 $954.21$550.45 $627.90 $491.53 $839.77 $759.78 $822.61 $690.09 $560.43 $997.67$562.34 $641.45 $502.14 $857.90 $776.18 $840.36 $704.99 $572.52 $1,019.20$586.32 $668.80 $523.56 $894.48 $809.28 $876.20 $735.05 $596.94 $1,062.67$607.05 $692.46 $542.08 $926.12 $837.90 $907.19 $761.05 $618.05 $1,100.25$620.67 $707.99 $554.23 $946.89 $856.69 $927.53 $778.11 $631.91 $1,124.92$637.73 $727.45 $569.47 $972.92 $880.25 $953.04 $799.51 $649.29 $1,155.85$648.10 $739.28 $578.73 $988.74 $894.56 $968.53 $812.51 $659.84 $1,174.65



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum


$245.42 $232.04 $225.49 $225.07 $219.49 $197.26 $193.56 $197.07 $190.27$386.49 $365.42 $355.10 $354.44 $345.65 $310.65 $304.82 $310.35 $299.63$386.49 $365.42 $355.10 $354.44 $345.65 $310.65 $304.82 $310.35 $299.63$386.49 $365.42 $355.10 $354.44 $345.65 $310.65 $304.82 $310.35 $299.63$386.49 $365.42 $355.10 $354.44 $345.65 $310.65 $304.82 $310.35 $299.63$388.04 $366.88 $356.52 $355.85 $347.04 $311.89 $306.04 $311.59 $300.83$395.77 $374.19 $363.62 $362.94 $353.95 $318.11 $312.13 $317.80 $306.82$405.04 $382.96 $372.15 $371.45 $362.25 $325.56 $319.45 $325.24 $314.01$420.12 $397.21 $385.99 $385.27 $375.73 $337.68 $331.34 $337.35 $325.70$432.49 $408.90 $397.36 $396.61 $386.79 $347.62 $341.09 $347.28 $335.29$438.67 $414.75 $403.04 $402.28 $392.32 $352.59 $345.97 $352.24 $340.08$447.95 $423.52 $411.56 $410.79 $400.61 $360.04 $353.28 $359.69 $347.27$457.22 $432.29 $420.08 $419.30 $408.91 $367.50 $360.60 $367.14 $354.47$463.02 $437.77 $425.41 $424.61 $414.09 $372.16 $365.17 $371.80 $358.96$469.20 $443.62 $431.09 $430.29 $419.62 $377.13 $370.05 $376.76 $363.75$472.29 $446.54 $433.93 $433.12 $422.39 $379.61 $372.49 $379.24 $366.15$475.39 $449.46 $436.77 $435.96 $425.16 $382.10 $374.92 $381.73 $368.55$478.48 $452.39 $439.61 $438.79 $427.92 $384.58 $377.36 $384.21 $370.95$481.57 $455.31 $442.46 $441.63 $430.69 $387.07 $379.80 $386.69 $373.34$487.75 $461.16 $448.14 $447.30 $436.22 $392.04 $384.68 $391.66 $378.14$493.94 $467.00 $453.82 $452.97 $441.75 $397.01 $389.56 $396.62 $382.93$503.21 $475.77 $462.34 $461.48 $450.04 $404.47 $396.87 $404.07 $390.12$512.10 $484.18 $470.51 $469.63 $457.99 $411.61 $403.88 $411.21 $397.01$524.47 $495.87 $481.87 $480.97 $469.05 $421.55 $413.64 $421.14 $406.60$539.93 $510.49 $496.08 $495.15 $482.88 $433.98 $425.83 $433.56 $418.59$558.10 $527.66 $512.77 $511.81 $499.13 $448.58 $440.16 $448.14 $432.67$579.74 $548.13 $532.65 $531.65 $518.48 $465.97 $457.22 $465.52 $449.45$604.09 $571.15 $555.02 $553.98 $540.26 $485.55 $476.43 $485.07 $468.33$631.92 $597.46 $580.59 $579.50 $565.15 $507.91 $498.38 $507.42 $489.90$659.36 $623.40 $605.80 $604.67 $589.69 $529.97 $520.02 $529.45 $511.17$690.28 $652.64 $634.21 $633.02 $617.34 $554.82 $544.40 $554.28 $535.14$720.81 $681.50 $662.26 $661.02 $644.65 $579.36 $568.48 $578.80 $558.81$754.43 $713.30 $693.16 $691.86 $674.72 $606.39 $595.00 $605.80 $584.88$788.45 $745.45 $724.41 $723.05 $705.14 $633.73 $621.83 $633.11 $611.25$825.16 $780.17 $758.14 $756.72 $737.97 $663.24 $650.78 $662.59 $639.72$861.88 $814.88 $791.87 $790.39 $770.81 $692.75 $679.74 $692.08 $668.18$901.69 $852.52 $828.45 $826.90 $806.41 $724.75 $711.14 $724.04 $699.04$941.88 $890.52 $865.38 $863.76 $842.36 $757.05 $742.84 $756.32 $730.20$984.78 $931.09 $904.80 $903.10 $880.73 $791.54 $776.67 $790.77 $763.46

$1,006.04 $951.18 $924.33 $922.60 $899.74 $808.62 $793.44 $807.84 $779.94$1,048.94 $991.74 $963.74 $961.94 $938.11 $843.10 $827.27 $842.28 $813.20$1,086.05 $1,026.82 $997.83 $995.96 $971.29 $872.93 $856.53 $872.08 $841.97$1,110.39 $1,049.85 $1,020.20 $1,018.29 $993.07 $892.50 $875.74 $891.63 $860.84$1,140.93 $1,078.71 $1,048.26 $1,046.29 $1,020.37 $917.04 $899.82 $916.15 $884.52$1,159.48 $1,096.25 $1,065.30 $1,063.31 $1,036.96 $931.95 $914.45 $931.04 $898.90



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

$185.19 $180.67 $176.55 $166.92 $188.94 $183.47 $159.98 $148.06 $200.49$291.64 $284.51 $278.02 $262.87 $297.54 $288.92 $251.94 $233.17 $315.73$291.64 $284.51 $278.02 $262.87 $297.54 $288.92 $251.94 $233.17 $315.73$291.64 $284.51 $278.02 $262.87 $297.54 $288.92 $251.94 $233.17 $315.73$291.64 $284.51 $278.02 $262.87 $297.54 $288.92 $251.94 $233.17 $315.73$292.80 $285.65 $279.14 $263.92 $298.73 $290.08 $252.95 $234.10 $316.99$298.64 $291.34 $284.70 $269.18 $304.68 $295.86 $257.98 $238.77 $323.30$305.64 $298.17 $291.37 $275.49 $311.82 $302.79 $264.03 $244.36 $330.88$317.01 $309.27 $302.21 $285.74 $323.43 $314.06 $273.86 $253.46 $343.19$326.34 $318.37 $311.11 $294.15 $332.95 $323.30 $281.92 $260.92 $353.30$331.01 $322.92 $315.56 $298.36 $337.71 $327.93 $285.95 $264.65 $358.35$338.01 $329.75 $322.23 $304.66 $344.85 $334.86 $292.00 $270.24 $365.93$345.01 $336.58 $328.90 $310.97 $351.99 $341.79 $298.04 $275.84 $373.50$349.38 $340.85 $333.07 $314.92 $356.45 $346.13 $301.82 $279.34 $378.24$354.05 $345.40 $337.52 $319.12 $361.22 $350.75 $305.85 $283.07 $383.29$356.38 $347.68 $339.75 $321.23 $363.60 $353.06 $307.87 $284.93 $385.82$358.71 $349.95 $341.97 $323.33 $365.98 $355.37 $309.88 $286.80 $388.34$361.05 $352.23 $344.19 $325.43 $368.36 $357.69 $311.90 $288.66 $390.87$363.38 $354.50 $346.42 $327.53 $370.74 $360.00 $313.91 $290.53 $393.40$368.05 $359.06 $350.87 $331.74 $375.50 $364.62 $317.95 $294.26 $398.45$372.71 $363.61 $355.32 $335.95 $380.26 $369.24 $321.98 $297.99 $403.50$379.71 $370.44 $361.99 $342.25 $387.40 $376.18 $328.02 $303.59 $411.08$386.42 $376.98 $368.38 $348.30 $394.24 $382.82 $333.82 $308.95 $418.34$395.75 $386.09 $377.28 $356.71 $403.76 $392.07 $341.88 $316.41 $428.44$407.42 $397.47 $388.40 $367.23 $415.67 $403.62 $351.96 $325.74 $441.07$421.12 $410.84 $401.47 $379.58 $429.65 $417.20 $363.80 $336.70 $455.91$437.46 $426.77 $417.04 $394.30 $446.31 $433.38 $377.91 $349.75 $473.59$455.83 $444.70 $434.55 $410.86 $465.06 $451.58 $393.78 $364.44 $493.48$476.83 $465.18 $454.57 $429.79 $486.48 $472.39 $411.92 $381.23 $516.21$497.53 $485.38 $474.31 $448.45 $507.61 $492.90 $429.81 $397.79 $538.63$520.86 $508.14 $496.55 $469.48 $531.41 $516.01 $449.96 $416.44 $563.89$543.90 $530.62 $518.52 $490.25 $554.92 $538.84 $469.86 $434.86 $588.83$569.28 $555.37 $542.70 $513.12 $580.80 $563.98 $491.78 $455.15 $616.30$594.94 $580.41 $567.17 $536.25 $606.98 $589.40 $513.95 $475.67 $644.08$622.64 $607.44 $593.58 $561.22 $635.25 $616.85 $537.89 $497.82 $674.08$650.35 $634.47 $619.99 $586.20 $663.52 $644.30 $561.82 $519.97 $704.07$680.39 $663.77 $648.63 $613.27 $694.16 $674.05 $587.77 $543.98 $736.59$710.72 $693.36 $677.55 $640.61 $725.11 $704.10 $613.97 $568.23 $769.43$743.09 $724.94 $708.41 $669.79 $758.14 $736.17 $641.94 $594.12 $804.47$759.13 $740.59 $723.70 $684.25 $774.50 $752.06 $655.79 $606.94 $821.84$791.50 $772.17 $754.56 $713.43 $807.53 $784.13 $683.76 $632.82 $856.88$819.50 $799.48 $781.25 $738.66 $836.09 $811.87 $707.94 $655.21 $887.19$837.87 $817.41 $798.76 $755.22 $854.84 $830.07 $723.82 $669.90 $907.08$860.91 $839.88 $820.73 $775.99 $878.34 $852.90 $743.72 $688.32 $932.02$874.91 $853.54 $834.07 $788.61 $892.62 $866.77 $755.81 $699.51 $947.18



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

$191.58 $184.39 $162.32 $148.40 $147.50 $147.84 $168.64 $174.40$301.71 $290.38 $255.62 $233.71 $232.29 $232.82 $265.58 $274.64$301.71 $290.38 $255.62 $233.71 $232.29 $232.82 $265.58 $274.64$301.71 $290.38 $255.62 $233.71 $232.29 $232.82 $265.58 $274.64$301.71 $290.38 $255.62 $233.71 $232.29 $232.82 $265.58 $274.64$302.91 $291.54 $256.64 $234.64 $233.22 $233.76 $266.64 $275.74$308.95 $297.35 $261.76 $239.32 $237.87 $238.41 $271.95 $281.23$316.19 $304.32 $267.89 $244.93 $243.44 $244.00 $278.33 $287.82$327.96 $315.64 $277.86 $254.04 $252.50 $253.08 $288.69 $298.53$337.61 $324.94 $286.04 $261.52 $259.93 $260.53 $297.18 $307.32$342.44 $329.58 $290.13 $265.26 $263.65 $264.26 $301.43 $311.72$349.68 $336.55 $296.26 $270.87 $269.23 $269.84 $307.81 $318.31$356.92 $343.52 $302.40 $276.48 $274.80 $275.43 $314.18 $324.90$361.45 $347.88 $306.23 $279.98 $278.28 $278.92 $318.16 $329.02$366.27 $352.52 $310.32 $283.72 $282.00 $282.65 $322.41 $333.41$368.69 $354.85 $312.37 $285.59 $283.86 $284.51 $324.54 $335.61$371.10 $357.17 $314.41 $287.46 $285.72 $286.37 $326.66 $337.81$373.51 $359.49 $316.46 $289.33 $287.58 $288.24 $328.79 $340.01$375.93 $361.81 $318.50 $291.20 $289.43 $290.10 $330.91 $342.20$380.76 $366.46 $322.59 $294.94 $293.15 $293.82 $335.16 $346.60$385.58 $371.11 $326.68 $298.68 $296.87 $297.55 $339.41 $350.99$392.82 $378.08 $332.82 $304.29 $302.44 $303.14 $345.78 $357.58$399.76 $384.75 $338.70 $309.66 $307.79 $308.49 $351.89 $363.90$409.42 $394.05 $346.88 $317.14 $315.22 $315.94 $360.39 $372.69$421.49 $405.66 $357.10 $326.49 $324.51 $325.26 $371.01 $383.67$435.67 $419.31 $369.12 $337.47 $335.43 $336.20 $383.50 $396.58$452.56 $435.57 $383.43 $350.56 $348.44 $349.24 $398.37 $411.96$471.57 $453.86 $399.54 $365.28 $363.07 $363.90 $415.10 $429.26$493.29 $474.77 $417.94 $382.11 $379.80 $380.67 $434.22 $449.04$514.71 $495.39 $436.09 $398.70 $396.29 $397.20 $453.08 $468.54$538.85 $518.62 $456.54 $417.40 $414.87 $415.82 $474.33 $490.51$562.69 $541.56 $476.73 $435.86 $433.22 $434.22 $495.31 $512.20$588.93 $566.82 $498.97 $456.20 $453.43 $454.47 $518.41 $536.10$615.48 $592.38 $521.47 $476.76 $473.87 $474.96 $541.78 $560.27$644.15 $619.96 $545.75 $498.97 $495.94 $497.08 $567.01 $586.36$672.81 $647.55 $570.03 $521.17 $518.01 $519.20 $592.24 $612.45$703.89 $677.46 $596.36 $545.24 $541.94 $543.18 $619.60 $640.74$735.26 $707.66 $622.95 $569.54 $566.09 $567.39 $647.22 $669.30$768.75 $739.89 $651.32 $595.49 $591.88 $593.24 $676.70 $699.78$785.35 $755.86 $665.38 $608.34 $604.65 $606.04 $691.30 $714.89$818.84 $788.09 $693.76 $634.28 $630.44 $631.88 $720.78 $745.37$847.80 $815.97 $718.30 $656.72 $652.74 $654.24 $746.28 $771.74$866.81 $834.26 $734.40 $671.44 $667.37 $668.90 $763.01 $789.04$890.64 $857.20 $754.59 $689.90 $685.72 $687.30 $783.99 $810.74$905.12 $871.14 $766.86 $701.12 $696.87 $698.47 $796.74 $823.92



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 4

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

$132.02 $136.22 $225.55 $233.72 $204.06 $211.37 $220.94 $185.35 $150.52$207.90 $214.52 $355.20 $368.06 $321.36 $332.87 $347.94 $291.89 $237.04$207.90 $214.52 $355.20 $368.06 $321.36 $332.87 $347.94 $291.89 $237.04$207.90 $214.52 $355.20 $368.06 $321.36 $332.87 $347.94 $291.89 $237.04$207.90 $214.52 $355.20 $368.06 $321.36 $332.87 $347.94 $291.89 $237.04$208.73 $215.37 $356.62 $369.53 $322.65 $334.20 $349.33 $293.05 $237.99$212.89 $219.66 $363.72 $376.90 $329.07 $340.86 $356.29 $298.89 $242.73$217.88 $224.81 $372.25 $385.73 $336.79 $348.85 $364.64 $305.90 $248.42$225.99 $233.18 $386.10 $400.08 $349.32 $361.83 $378.21 $317.28 $257.67$232.64 $240.04 $397.47 $411.86 $359.60 $372.48 $389.34 $326.62 $265.25$235.97 $243.48 $403.15 $417.75 $364.74 $377.81 $394.91 $331.29 $269.04$240.96 $248.62 $411.67 $426.58 $372.46 $385.80 $403.26 $338.30 $274.73$245.95 $253.77 $420.20 $435.42 $380.17 $393.79 $411.61 $345.30 $280.42$249.07 $256.99 $425.53 $440.94 $384.99 $398.78 $416.83 $349.68 $283.98$252.39 $260.42 $431.21 $446.83 $390.13 $404.11 $422.39 $354.35 $287.77$254.06 $262.14 $434.05 $449.77 $392.70 $406.77 $425.18 $356.68 $289.67$255.72 $263.86 $436.89 $452.72 $395.27 $409.43 $427.96 $359.02 $291.56$257.38 $265.57 $439.73 $455.66 $397.85 $412.10 $430.74 $361.36 $293.46$259.05 $267.29 $442.58 $458.61 $400.42 $414.76 $433.53 $363.69 $295.35$262.37 $270.72 $448.26 $464.49 $405.56 $420.09 $439.10 $368.36 $299.15$265.70 $274.15 $453.94 $470.38 $410.70 $425.41 $444.66 $373.03 $302.94$270.69 $279.30 $462.47 $479.22 $418.41 $433.40 $453.01 $380.04 $308.63$275.47 $284.23 $470.64 $487.68 $425.80 $441.06 $461.02 $386.75 $314.08$282.12 $291.10 $482.00 $499.46 $436.09 $451.71 $472.15 $396.09 $321.67$290.44 $299.68 $496.21 $514.18 $448.94 $465.02 $486.07 $407.77 $331.15$300.21 $309.76 $512.90 $531.48 $464.05 $480.67 $502.42 $421.48 $342.29$311.85 $321.77 $532.80 $552.09 $482.04 $499.31 $521.90 $437.83 $355.56$324.95 $335.29 $555.17 $575.28 $502.29 $520.28 $543.82 $456.22 $370.50$339.92 $350.73 $580.75 $601.78 $525.43 $544.25 $568.88 $477.23 $387.56$354.68 $365.96 $605.97 $627.91 $548.24 $567.88 $593.58 $497.96 $404.39$371.31 $383.13 $634.38 $657.36 $573.95 $594.51 $621.41 $521.31 $423.36$387.74 $400.07 $662.44 $686.44 $599.34 $620.81 $648.90 $544.37 $442.08$405.83 $418.74 $693.34 $718.46 $627.30 $649.77 $679.17 $569.76 $462.71$424.12 $437.61 $724.60 $750.85 $655.58 $679.06 $709.79 $595.45 $483.57$443.87 $457.99 $758.34 $785.81 $686.11 $710.68 $742.84 $623.18 $506.09$463.62 $478.37 $792.09 $820.78 $716.64 $742.31 $775.90 $650.91 $528.60$485.04 $500.47 $828.67 $858.69 $749.74 $776.59 $811.74 $680.97 $553.02$506.66 $522.78 $865.61 $896.97 $783.16 $811.21 $847.92 $711.33 $577.67$529.74 $546.59 $905.04 $937.82 $818.83 $848.16 $886.54 $743.73 $603.98$541.17 $558.39 $924.58 $958.07 $836.50 $866.47 $905.68 $759.78 $617.02$564.25 $582.20 $964.00 $998.92 $872.17 $903.42 $944.30 $792.18 $643.33$584.21 $602.79 $998.10 $1,034.25 $903.02 $935.37 $977.70 $820.20 $666.09$597.30 $616.31 $1,020.48 $1,057.44 $923.27 $956.34 $999.62 $838.59 $681.02$613.73 $633.25 $1,048.54 $1,086.52 $948.66 $982.64 $1,027.11 $861.65 $699.75$623.71 $643.55 $1,065.59 $1,104.19 $964.08 $998.62 $1,043.81 $875.66 $711.13



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

250

PPO Platinum


$239.07 $235.98 $223.12 $216.82 $216.41 $211.05 $189.68 $186.11 $189.49$376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.41$376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.41$376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.41$376.49 $371.63 $351.36 $341.44 $340.80 $332.36 $298.70 $293.09 $298.41$378.00 $373.11 $352.77 $342.81 $342.17 $333.69 $299.90 $294.27 $299.60$385.53 $380.55 $359.80 $349.64 $348.98 $340.34 $305.87 $300.13 $305.57$394.56 $389.47 $368.23 $357.83 $357.16 $348.31 $313.04 $307.16 $312.74$409.24 $403.96 $381.93 $371.15 $370.45 $361.28 $324.69 $318.59 $324.37$421.29 $415.85 $393.18 $382.07 $381.36 $371.91 $334.25 $327.97 $333.92$427.32 $421.80 $398.80 $387.54 $386.81 $377.23 $339.03 $332.66 $338.70$436.35 $430.72 $407.23 $395.73 $394.99 $385.21 $346.20 $339.69 $345.86$445.39 $439.64 $415.66 $403.93 $403.17 $393.18 $353.36 $346.73 $353.02$451.03 $445.21 $420.93 $409.05 $408.28 $398.17 $357.84 $351.13 $357.50$457.06 $451.16 $426.56 $414.51 $413.74 $403.49 $362.62 $355.81 $362.27$460.07 $454.13 $429.37 $417.24 $416.46 $406.14 $365.01 $358.16 $364.66$463.08 $457.10 $432.18 $419.97 $419.19 $408.80 $367.40 $360.50 $367.05$466.09 $460.08 $434.99 $422.71 $421.92 $411.46 $369.79 $362.85 $369.43$469.11 $463.05 $437.80 $425.44 $424.64 $414.12 $372.18 $365.19 $371.82$475.13 $468.99 $443.42 $430.90 $430.09 $419.44 $376.96 $369.88 $376.60$481.15 $474.94 $449.04 $436.36 $435.55 $424.76 $381.74 $374.57 $381.37$490.19 $483.86 $457.48 $444.56 $443.73 $432.73 $388.91 $381.61 $388.53$498.85 $492.41 $465.56 $452.41 $451.56 $440.38 $395.78 $388.35 $395.40$510.90 $504.30 $476.80 $463.34 $462.47 $451.01 $405.34 $397.73 $404.94$525.96 $519.16 $490.85 $477.00 $476.10 $464.31 $417.29 $409.45 $416.88$543.65 $536.63 $507.37 $493.04 $492.12 $479.93 $431.33 $423.23 $430.91$564.73 $557.44 $527.05 $512.16 $511.21 $498.54 $448.05 $439.64 $447.62$588.45 $580.85 $549.18 $533.68 $532.68 $519.48 $466.87 $458.10 $466.42$615.56 $607.61 $574.48 $558.26 $557.21 $543.41 $488.38 $479.21 $487.90$642.29 $634.00 $599.43 $582.50 $581.41 $567.01 $509.59 $500.02 $509.09$672.41 $663.73 $627.54 $609.82 $608.68 $593.60 $533.48 $523.46 $532.96$702.15 $693.09 $655.29 $636.79 $635.60 $619.85 $557.08 $546.62 $556.54$734.91 $725.42 $685.86 $666.50 $665.25 $648.77 $583.07 $572.12 $582.50$768.04 $758.12 $716.78 $696.54 $695.24 $678.02 $609.35 $597.91 $608.76$803.81 $793.43 $750.16 $728.98 $727.62 $709.59 $637.73 $625.75 $637.11$839.57 $828.73 $783.54 $761.42 $759.99 $741.16 $666.10 $653.60 $665.46$878.35 $867.01 $819.73 $796.59 $795.10 $775.40 $696.87 $683.79 $696.19$917.51 $905.66 $856.27 $832.10 $830.54 $809.96 $727.94 $714.27 $727.23$959.30 $946.91 $895.27 $870.00 $868.37 $846.85 $761.09 $746.80 $760.35$980.00 $967.35 $914.60 $888.78 $887.11 $865.13 $777.52 $762.92 $776.76

$1,021.79 $1,008.60 $953.60 $926.68 $924.94 $902.03 $810.68 $795.45 $809.89$1,057.94 $1,044.27 $987.33 $959.45 $957.66 $933.93 $839.35 $823.59 $838.54$1,081.66 $1,067.69 $1,009.47 $980.97 $979.13 $954.87 $858.17 $842.06 $857.34$1,111.40 $1,097.05 $1,037.22 $1,007.94 $1,006.05 $981.13 $881.77 $865.21 $880.91$1,129.47 $1,114.88 $1,054.09 $1,024.33 $1,022.41 $997.08 $896.11 $879.28 $895.23



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5


Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

$182.95 $178.07 $173.72 $169.76 $160.50 $181.67 $176.41 $153.83 $142.37$288.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25 $224.20$288.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25 $224.20$288.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25 $224.20$288.11 $280.42 $273.57 $267.33 $252.76 $286.10 $277.81 $242.25 $224.20$289.26 $281.54 $274.67 $268.40 $253.77 $287.24 $278.92 $243.22 $225.10$295.02 $287.15 $280.14 $273.75 $258.82 $292.96 $284.48 $248.06 $229.58$301.94 $293.88 $286.70 $280.16 $264.89 $299.83 $291.14 $253.88 $234.96$313.17 $304.82 $297.37 $290.59 $274.75 $310.99 $301.98 $263.32 $243.71$322.39 $313.79 $306.13 $299.14 $282.84 $320.14 $310.87 $271.08 $250.88$327.00 $318.28 $310.50 $303.42 $286.88 $324.72 $315.31 $274.95 $254.47$333.92 $325.01 $317.07 $309.84 $292.95 $331.59 $321.98 $280.77 $259.85$340.83 $331.74 $323.63 $316.25 $299.01 $338.45 $328.65 $286.58 $265.23$345.15 $335.94 $327.74 $320.26 $302.80 $342.75 $332.82 $290.21 $268.59$349.76 $340.43 $332.12 $324.54 $306.85 $347.32 $337.26 $294.09 $272.18$352.07 $342.67 $334.30 $326.68 $308.87 $349.61 $339.48 $296.03 $273.97$354.37 $344.92 $336.49 $328.82 $310.89 $351.90 $341.71 $297.96 $275.77$356.68 $347.16 $338.68 $330.96 $312.91 $354.19 $343.93 $299.90 $277.56$358.98 $349.40 $340.87 $333.09 $314.94 $356.48 $346.15 $301.84 $279.35$363.59 $353.89 $345.25 $337.37 $318.98 $361.06 $350.60 $305.72 $282.94$368.20 $358.38 $349.62 $341.65 $323.03 $365.63 $355.04 $309.59 $286.53$375.12 $365.11 $356.19 $348.07 $329.09 $372.50 $361.71 $315.41 $291.91$381.74 $371.56 $362.48 $354.21 $334.90 $379.08 $368.10 $320.98 $297.07$390.96 $380.53 $371.24 $362.77 $342.99 $388.23 $376.99 $328.73 $304.24$402.49 $391.75 $382.18 $373.46 $353.10 $399.68 $388.10 $338.42 $313.21$416.03 $404.93 $395.04 $386.03 $364.98 $413.13 $401.16 $349.81 $323.75$432.16 $420.63 $410.36 $401.00 $379.14 $429.15 $416.71 $363.37 $336.30$450.31 $438.30 $427.59 $417.84 $395.06 $447.17 $434.22 $378.63 $350.43$471.06 $458.49 $447.29 $437.09 $413.26 $467.77 $454.22 $396.07 $366.57$491.51 $478.40 $466.71 $456.07 $431.21 $488.08 $473.94 $413.27 $382.49$514.56 $500.83 $488.60 $477.45 $451.43 $510.97 $496.17 $432.65 $400.42$537.32 $522.98 $510.21 $498.57 $471.39 $533.57 $518.11 $451.79 $418.14$562.39 $547.38 $534.01 $521.83 $493.38 $558.46 $542.28 $472.87 $437.64$587.74 $572.06 $558.08 $545.36 $515.63 $583.64 $566.73 $494.19 $457.37$615.11 $598.70 $584.07 $570.75 $539.64 $610.82 $593.12 $517.20 $478.67$642.48 $625.34 $610.06 $596.15 $563.65 $638.00 $619.52 $540.21 $499.97$672.16 $654.22 $638.24 $623.68 $589.69 $667.47 $648.13 $565.16 $523.06$702.12 $683.38 $666.69 $651.49 $615.97 $697.22 $677.02 $590.36 $546.38$734.10 $714.51 $697.06 $681.16 $644.03 $728.98 $707.86 $617.25 $571.27$749.95 $729.93 $712.11 $695.86 $657.93 $744.71 $723.14 $630.57 $583.60$781.93 $761.06 $742.47 $725.54 $685.99 $776.47 $753.97 $657.46 $608.48$809.58 $787.98 $768.73 $751.20 $710.25 $803.93 $780.64 $680.72 $630.01$827.73 $805.65 $785.97 $768.04 $726.17 $821.96 $798.15 $695.98 $644.13$850.50 $827.80 $807.58 $789.16 $746.14 $844.56 $820.09 $715.12 $661.84$864.32 $841.26 $820.71 $801.99 $758.27 $858.29 $833.43 $726.74 $672.60



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 5

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

$192.78 $184.22 $177.30 $156.08 $142.70 $141.83 $142.16 $162.16 $126.94$303.58 $290.10 $279.21 $245.79 $224.72 $223.36 $223.87 $255.37 $199.91$303.58 $290.10 $279.21 $245.79 $224.72 $223.36 $223.87 $255.37 $199.91$303.58 $290.10 $279.21 $245.79 $224.72 $223.36 $223.87 $255.37 $199.91$303.58 $290.10 $279.21 $245.79 $224.72 $223.36 $223.87 $255.37 $199.91$304.80 $291.26 $280.33 $246.77 $225.62 $224.25 $224.76 $256.39 $200.71$310.87 $297.07 $285.91 $251.69 $230.11 $228.72 $229.24 $261.49 $204.70$318.16 $304.03 $292.61 $257.59 $235.51 $234.08 $234.61 $267.62 $209.50$329.99 $315.34 $303.50 $267.17 $244.27 $242.79 $243.35 $277.58 $217.30$339.71 $324.63 $312.44 $275.04 $251.46 $249.94 $250.51 $285.75 $223.70$344.57 $329.27 $316.91 $278.97 $255.06 $253.51 $254.09 $289.84 $226.89$351.85 $336.23 $323.61 $284.87 $260.45 $258.87 $259.46 $295.97 $231.69$359.14 $343.19 $330.31 $290.77 $265.84 $264.23 $264.84 $302.10 $236.49$363.69 $347.54 $334.50 $294.46 $269.21 $267.58 $268.20 $305.93 $239.49$368.55 $352.19 $338.96 $298.39 $272.81 $271.16 $271.78 $310.01 $242.69$370.98 $354.51 $341.20 $300.35 $274.61 $272.94 $273.57 $312.06 $244.29$373.41 $356.83 $343.43 $302.32 $276.40 $274.73 $275.36 $314.10 $245.88$375.84 $359.15 $345.66 $304.29 $278.20 $276.52 $277.15 $316.14 $247.48$378.26 $361.47 $347.90 $306.25 $280.00 $278.30 $278.94 $318.18 $249.08$383.12 $366.11 $352.37 $310.19 $283.59 $281.88 $282.52 $322.27 $252.28$387.98 $370.75 $356.83 $314.12 $287.19 $285.45 $286.10 $326.36 $255.48$395.27 $377.72 $363.53 $320.02 $292.58 $290.81 $291.48 $332.49 $260.28$402.25 $384.39 $369.96 $325.67 $297.75 $295.95 $296.63 $338.36 $264.88$411.96 $393.67 $378.89 $333.54 $304.94 $303.10 $303.79 $346.53 $271.27$424.11 $405.28 $390.06 $343.37 $313.93 $312.03 $312.75 $356.74 $279.27$438.37 $418.91 $403.18 $354.92 $324.49 $322.53 $323.27 $368.75 $288.66$455.37 $435.16 $418.82 $368.68 $337.08 $335.04 $335.80 $383.05 $299.86$474.50 $453.43 $436.41 $384.17 $351.24 $349.11 $349.91 $399.14 $312.45$496.36 $474.32 $456.51 $401.87 $367.41 $365.19 $366.03 $417.52 $326.85$517.91 $494.92 $476.34 $419.32 $383.37 $381.05 $381.92 $435.65 $341.04$542.20 $518.13 $498.67 $438.98 $401.35 $398.92 $399.83 $456.08 $357.03$566.18 $541.04 $520.73 $458.40 $419.10 $416.56 $417.52 $476.26 $372.83$592.59 $566.28 $545.02 $479.78 $438.65 $435.99 $436.99 $498.47 $390.22$619.31 $591.81 $569.59 $501.41 $458.43 $455.65 $456.69 $520.94 $407.81$648.15 $619.37 $596.12 $524.76 $479.77 $476.87 $477.96 $545.20 $426.80$676.99 $646.93 $622.64 $548.11 $501.12 $498.09 $499.23 $569.46 $445.79$708.26 $676.81 $651.40 $573.43 $524.27 $521.09 $522.29 $595.77 $466.38$739.83 $706.98 $680.44 $598.99 $547.64 $544.32 $545.57 $622.32 $487.17$773.53 $739.18 $711.43 $626.27 $572.58 $569.11 $570.42 $650.67 $509.36$790.23 $755.14 $726.79 $639.79 $584.94 $581.40 $582.73 $664.72 $520.36$823.92 $787.34 $757.78 $667.07 $609.89 $606.19 $607.58 $693.06 $542.55$853.07 $815.19 $784.59 $690.67 $631.46 $627.63 $629.07 $717.58 $561.74$872.19 $833.47 $802.18 $706.15 $645.62 $641.70 $643.18 $733.66 $574.33$896.18 $856.39 $824.23 $725.57 $663.37 $659.35 $660.86 $753.84 $590.12$910.75 $870.31 $837.64 $737.37 $674.16 $670.07 $671.61 $766.10 $599.72



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$216.87 $196.22 $212.44 $178.22 $144.73 $246.24 $243.06 $229.81 $223.32$341.54 $309.00 $334.55 $280.66 $227.93 $387.78 $382.78 $361.90 $351.69$341.54 $309.00 $334.55 $280.66 $227.93 $387.78 $382.78 $361.90 $351.69$341.54 $309.00 $334.55 $280.66 $227.93 $387.78 $382.78 $361.90 $351.69$341.54 $309.00 $334.55 $280.66 $227.93 $387.78 $382.78 $361.90 $351.69$342.90 $310.24 $335.89 $281.78 $228.84 $389.34 $384.31 $363.35 $353.09$349.73 $316.42 $342.58 $287.40 $233.40 $397.09 $391.96 $370.59 $360.13$357.93 $323.83 $350.61 $294.13 $238.87 $406.40 $401.15 $379.28 $368.57$371.25 $335.88 $363.66 $305.08 $247.76 $421.52 $416.08 $393.39 $382.28$382.18 $345.77 $374.37 $314.06 $255.05 $433.93 $428.33 $404.97 $393.54$387.64 $350.72 $379.72 $318.55 $258.70 $440.14 $434.45 $410.76 $399.16$395.84 $358.13 $387.75 $325.28 $264.17 $449.44 $443.64 $419.45 $407.60$404.04 $365.55 $395.78 $332.02 $269.64 $458.75 $452.82 $428.13 $416.04$409.16 $370.18 $400.80 $336.23 $273.05 $464.57 $458.57 $433.56 $421.32$414.62 $375.13 $406.15 $340.72 $276.70 $470.77 $464.69 $439.35 $426.95$417.36 $377.60 $408.82 $342.97 $278.52 $473.87 $467.75 $442.25 $429.76$420.09 $380.07 $411.50 $345.21 $280.35 $476.98 $470.82 $445.14 $432.57$422.82 $382.54 $414.18 $347.46 $282.17 $480.08 $473.88 $448.04 $435.39$425.55 $385.02 $416.85 $349.70 $284.00 $483.18 $476.94 $450.93 $438.20$431.02 $389.96 $422.21 $354.19 $287.64 $489.38 $483.06 $456.72 $443.83$436.48 $394.90 $427.56 $358.68 $291.29 $495.59 $489.19 $462.51 $449.45$444.68 $402.32 $435.59 $365.42 $296.76 $504.90 $498.38 $471.20 $457.90$452.53 $409.43 $443.28 $371.87 $302.00 $513.81 $507.18 $479.52 $465.98$463.46 $419.31 $453.99 $380.86 $309.29 $526.22 $519.43 $491.10 $477.24$477.12 $431.67 $467.37 $392.08 $318.41 $541.74 $534.74 $505.58 $491.31$493.18 $446.20 $483.10 $405.27 $329.12 $559.96 $552.73 $522.59 $507.83$512.30 $463.50 $501.83 $420.99 $341.89 $581.68 $574.17 $542.86 $527.53$533.82 $482.97 $522.91 $438.67 $356.25 $606.11 $598.28 $565.66 $549.69$558.41 $505.22 $547.00 $458.88 $372.66 $634.03 $625.84 $591.71 $575.01$582.66 $527.16 $570.75 $478.81 $388.84 $661.56 $653.02 $617.41 $599.98$609.98 $551.88 $597.51 $501.26 $407.07 $692.58 $683.64 $646.36 $628.11$636.96 $576.29 $623.94 $523.43 $425.08 $723.22 $713.88 $674.95 $655.89$666.68 $603.17 $653.05 $547.85 $444.91 $756.96 $747.18 $706.44 $686.49$696.73 $630.36 $682.49 $572.55 $464.97 $791.08 $780.86 $738.28 $717.44$729.18 $659.72 $714.27 $599.21 $486.62 $827.92 $817.23 $772.67 $750.85$761.62 $689.07 $746.06 $625.87 $508.27 $864.76 $853.59 $807.05 $784.26$796.80 $720.90 $780.51 $654.78 $531.75 $904.70 $893.02 $844.32 $820.48$832.32 $753.04 $815.31 $683.97 $555.45 $945.03 $932.83 $881.96 $857.06$870.23 $787.33 $852.44 $715.12 $580.75 $988.08 $975.31 $922.13 $896.10$889.02 $804.33 $870.84 $730.56 $593.29 $1,009.40 $996.37 $942.04 $915.44$926.93 $838.63 $907.98 $761.71 $618.59 $1,052.45 $1,038.86 $982.21 $954.48$959.71 $868.29 $940.10 $788.65 $640.47 $1,089.67 $1,075.60 $1,016.95 $988.24$981.23 $887.76 $961.17 $806.34 $654.83 $1,114.11 $1,099.72 $1,039.75 $1,010.39

$1,008.21 $912.17 $987.60 $828.51 $672.84 $1,144.74 $1,129.96 $1,068.34 $1,038.18$1,024.61 $927.00 $1,003.66 $841.98 $683.78 $1,163.35 $1,148.33 $1,085.71 $1,055.06



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6


$222.90 $217.38 $195.37 $191.70 $195.18 $188.44 $183.41 $178.93 $174.85$351.03 $342.33 $307.66 $301.89 $307.36 $296.75 $288.83 $281.78 $275.35$351.03 $342.33 $307.66 $301.89 $307.36 $296.75 $288.83 $281.78 $275.35$351.03 $342.33 $307.66 $301.89 $307.36 $296.75 $288.83 $281.78 $275.35$351.03 $342.33 $307.66 $301.89 $307.36 $296.75 $288.83 $281.78 $275.35$352.43 $343.70 $308.89 $303.09 $308.59 $297.94 $289.99 $282.91 $276.45$359.45 $350.55 $315.05 $309.13 $314.74 $303.87 $295.76 $288.54 $281.96$367.88 $358.76 $322.43 $316.38 $322.12 $311.00 $302.70 $295.30 $288.57$381.57 $372.11 $334.43 $328.15 $334.10 $322.57 $313.96 $306.29 $299.31$392.80 $383.07 $344.27 $337.81 $343.94 $332.06 $323.20 $315.31 $308.12$398.42 $388.55 $349.20 $342.64 $348.86 $336.81 $327.82 $319.82 $312.52$406.84 $396.76 $356.58 $349.89 $356.23 $343.93 $334.76 $326.58 $319.13$415.27 $404.98 $363.97 $357.13 $363.61 $351.06 $341.69 $333.34 $325.74$420.53 $410.11 $368.58 $361.66 $368.22 $355.51 $346.02 $337.57 $329.87$426.15 $415.59 $373.50 $366.49 $373.14 $360.26 $350.64 $342.08 $334.28$428.96 $418.33 $375.96 $368.90 $375.60 $362.63 $352.95 $344.33 $336.48$431.76 $421.07 $378.43 $371.32 $378.06 $365.00 $355.26 $346.59 $338.68$434.57 $423.81 $380.89 $373.73 $380.52 $367.38 $357.57 $348.84 $340.88$437.38 $426.54 $383.35 $376.15 $382.98 $369.75 $359.89 $351.10 $343.09$443.00 $432.02 $388.27 $380.98 $387.89 $374.50 $364.51 $355.60 $347.49$448.61 $437.50 $393.19 $385.81 $392.81 $379.25 $369.13 $360.11 $351.90$457.04 $445.72 $400.58 $393.06 $400.19 $386.37 $376.06 $366.88 $358.51$465.11 $453.59 $407.65 $400.00 $407.26 $393.20 $382.70 $373.36 $364.84$476.34 $464.54 $417.50 $409.66 $417.09 $402.69 $391.95 $382.37 $373.65$490.39 $478.24 $429.80 $421.73 $429.39 $414.56 $403.50 $393.64 $384.67$506.88 $494.33 $444.26 $435.92 $443.83 $428.51 $417.07 $406.89 $397.61$526.54 $513.50 $461.49 $452.83 $461.05 $445.13 $433.25 $422.67 $413.03$548.66 $535.06 $480.88 $471.85 $480.41 $463.82 $451.45 $440.42 $430.37$573.93 $559.71 $503.03 $493.58 $502.54 $485.19 $472.24 $460.71 $450.20$598.85 $584.02 $524.87 $515.02 $524.36 $506.26 $492.75 $480.71 $469.75$626.94 $611.40 $549.49 $539.17 $548.95 $530.00 $515.86 $503.26 $491.78$654.67 $638.45 $573.79 $563.02 $573.23 $553.44 $538.67 $525.52 $513.53$685.21 $668.23 $600.56 $589.28 $599.97 $579.26 $563.80 $550.03 $537.49$716.10 $698.36 $627.63 $615.85 $627.02 $605.37 $589.22 $574.83 $561.72$749.44 $730.88 $656.86 $644.53 $656.22 $633.56 $616.66 $601.60 $587.87$782.79 $763.40 $686.09 $673.20 $685.42 $661.76 $644.10 $628.37 $614.03$818.95 $798.66 $717.78 $704.30 $717.08 $692.32 $673.85 $657.39 $642.39$855.45 $834.26 $749.77 $735.70 $749.05 $723.18 $703.89 $686.69 $671.03$894.42 $872.26 $783.92 $769.20 $783.16 $756.12 $735.95 $717.97 $701.59$913.73 $891.09 $800.85 $785.81 $800.07 $772.44 $751.83 $733.47 $716.74$952.69 $929.09 $835.00 $819.32 $834.18 $805.38 $783.89 $764.75 $747.30$986.39 $961.95 $864.53 $848.30 $863.69 $833.87 $811.62 $791.80 $773.74

$1,008.50 $983.52 $883.92 $867.32 $883.06 $852.57 $829.82 $809.55 $791.08$1,036.23 $1,010.56 $908.22 $891.17 $907.34 $876.01 $852.63 $831.81 $812.84$1,053.08 $1,026.99 $922.99 $905.66 $922.09 $890.25 $866.50 $845.33 $826.05



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$165.32 $187.12 $181.70 $158.44 $146.64 $198.56 $189.74 $182.62 $160.76$260.34 $294.68 $286.14 $249.52 $230.93 $312.69 $298.81 $287.59 $253.16$260.34 $294.68 $286.14 $249.52 $230.93 $312.69 $298.81 $287.59 $253.16$260.34 $294.68 $286.14 $249.52 $230.93 $312.69 $298.81 $287.59 $253.16$260.34 $294.68 $286.14 $249.52 $230.93 $312.69 $298.81 $287.59 $253.16$261.38 $295.86 $287.29 $250.51 $231.85 $313.94 $300.00 $288.74 $254.18$266.59 $301.75 $293.01 $255.50 $236.47 $320.20 $305.98 $294.49 $259.24$272.84 $308.83 $299.88 $261.49 $242.01 $327.70 $313.15 $301.39 $265.31$282.99 $320.32 $311.04 $271.22 $251.02 $339.89 $324.80 $312.61 $275.19$291.32 $329.75 $320.19 $279.21 $258.41 $349.90 $334.37 $321.81 $283.29$295.49 $334.46 $324.77 $283.20 $262.10 $354.90 $339.15 $326.41 $287.34$301.74 $341.53 $331.64 $289.19 $267.64 $362.41 $346.32 $333.32 $293.42$307.98 $348.61 $338.51 $295.18 $273.19 $369.91 $353.49 $340.22 $299.49$311.89 $353.03 $342.80 $298.92 $276.65 $374.60 $357.97 $344.53 $303.29$316.05 $357.74 $347.38 $302.91 $280.35 $379.61 $362.75 $349.13 $307.34$318.14 $360.10 $349.67 $304.91 $282.19 $382.11 $365.14 $351.43 $309.37$320.22 $362.46 $351.96 $306.90 $284.04 $384.61 $367.53 $353.73 $311.39$322.30 $364.81 $354.25 $308.90 $285.89 $387.11 $369.92 $356.03 $313.42$324.38 $367.17 $356.54 $310.90 $287.74 $389.61 $372.31 $358.34 $315.44$328.55 $371.89 $361.11 $314.89 $291.43 $394.62 $377.09 $362.94 $319.49$332.72 $376.60 $365.69 $318.88 $295.13 $399.62 $381.88 $367.54 $323.54$338.96 $383.67 $372.56 $324.87 $300.67 $407.12 $389.05 $374.44 $329.62$344.95 $390.45 $379.14 $330.61 $305.98 $414.32 $395.92 $381.05 $335.44$353.28 $399.88 $388.30 $338.59 $313.37 $424.32 $405.48 $390.26 $343.54$363.70 $411.67 $399.74 $348.57 $322.61 $436.83 $417.43 $401.76 $353.67$375.93 $425.52 $413.19 $360.30 $333.46 $451.53 $431.48 $415.28 $365.57$390.51 $442.02 $429.22 $374.27 $346.39 $469.04 $448.21 $431.38 $379.74$406.91 $460.59 $447.24 $389.99 $360.94 $488.74 $467.04 $449.50 $395.69$425.66 $481.80 $467.84 $407.96 $377.57 $511.25 $488.55 $470.21 $413.92$444.14 $502.73 $488.16 $425.67 $393.96 $533.45 $509.76 $490.63 $431.90$464.97 $526.30 $511.05 $445.63 $412.44 $558.47 $533.67 $513.63 $452.15$485.54 $549.58 $533.66 $465.35 $430.68 $583.17 $557.28 $536.35 $472.15$508.19 $575.22 $558.55 $487.05 $450.77 $610.37 $583.27 $561.37 $494.17$531.10 $601.15 $583.73 $509.01 $471.09 $637.89 $609.57 $586.68 $516.45$555.83 $629.14 $610.92 $532.71 $493.03 $667.59 $637.95 $614.00 $540.50$580.56 $657.14 $638.10 $556.42 $514.97 $697.30 $666.34 $641.32 $564.55$607.38 $687.49 $667.57 $582.12 $538.75 $729.51 $697.12 $670.94 $590.63$634.45 $718.14 $697.33 $608.07 $562.77 $762.03 $728.19 $700.85 $616.96$663.35 $750.85 $729.09 $635.76 $588.40 $796.74 $761.36 $732.78 $645.06$677.67 $767.05 $744.83 $649.49 $601.10 $813.93 $777.79 $748.59 $658.98$706.57 $799.76 $776.59 $677.18 $626.74 $848.64 $810.96 $780.52 $687.08$731.56 $828.05 $804.06 $701.14 $648.91 $878.66 $839.65 $808.12 $711.39$747.96 $846.62 $822.09 $716.86 $663.45 $898.36 $858.47 $826.24 $727.34$768.53 $869.90 $844.70 $736.57 $681.70 $923.06 $882.08 $848.96 $747.34$781.02 $884.04 $858.43 $748.55 $692.78 $938.07 $896.42 $862.77 $759.49



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 6

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Summit

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

Moda Health

Summit

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Platinum

Summit

Exclusive 250

$146.98 $146.09 $146.42 $167.02 $172.72 $130.75 $134.91 $223.38 $231.47$231.46 $230.06 $230.59 $263.03 $272.00 $205.90 $212.45 $351.78 $364.52$231.46 $230.06 $230.59 $263.03 $272.00 $205.90 $212.45 $351.78 $364.52$231.46 $230.06 $230.59 $263.03 $272.00 $205.90 $212.45 $351.78 $364.52$231.46 $230.06 $230.59 $263.03 $272.00 $205.90 $212.45 $351.78 $364.52$232.39 $230.98 $231.51 $264.08 $273.09 $206.73 $213.30 $353.19 $365.98$237.02 $235.58 $236.12 $269.34 $278.53 $210.85 $217.55 $360.22 $373.27$242.57 $241.10 $241.65 $275.65 $285.06 $215.79 $222.65 $368.67 $382.02$251.60 $250.07 $250.65 $285.91 $295.66 $223.82 $230.94 $382.39 $396.24$259.00 $257.43 $258.02 $294.33 $304.37 $230.41 $237.74 $393.64 $407.90$262.71 $261.12 $261.71 $298.53 $308.72 $233.70 $241.13 $399.27 $413.73$268.26 $266.64 $267.25 $304.85 $315.25 $238.64 $246.23 $407.71 $422.48$273.82 $272.16 $272.78 $311.16 $321.78 $243.58 $251.33 $416.16 $431.23$277.29 $275.61 $276.24 $315.11 $325.86 $246.67 $254.52 $421.43 $436.70$280.99 $279.29 $279.93 $319.31 $330.21 $249.97 $257.92 $427.06 $442.53$282.84 $281.13 $281.78 $321.42 $332.38 $251.61 $259.62 $429.88 $445.45$284.70 $282.97 $283.62 $323.52 $334.56 $253.26 $261.32 $432.69 $448.36$286.55 $284.81 $285.46 $325.63 $336.74 $254.91 $263.02 $435.51 $451.28$288.40 $286.65 $287.31 $327.73 $338.91 $256.56 $264.72 $438.32 $454.20$292.10 $290.33 $291.00 $331.94 $343.26 $259.85 $268.12 $443.95 $460.03$295.81 $294.01 $294.69 $336.15 $347.62 $263.14 $271.52 $449.58 $465.86$301.36 $299.53 $300.22 $342.46 $354.14 $268.09 $276.61 $458.02 $474.61$306.68 $304.83 $305.53 $348.51 $360.40 $272.82 $281.50 $466.11 $482.99$314.09 $312.19 $312.90 $356.93 $369.10 $279.41 $288.30 $477.37 $494.66$323.35 $321.39 $322.13 $367.45 $379.98 $287.65 $296.80 $491.44 $509.24$334.23 $332.20 $332.97 $379.81 $392.77 $297.32 $306.78 $507.97 $526.37$347.19 $345.09 $345.88 $394.54 $408.00 $308.86 $318.68 $527.67 $546.78$361.77 $359.58 $360.40 $411.11 $425.14 $321.83 $332.07 $549.83 $569.75$378.44 $376.14 $377.01 $430.05 $444.72 $336.65 $347.36 $575.16 $596.00$394.87 $392.48 $393.38 $448.72 $464.03 $351.27 $362.45 $600.14 $621.88$413.39 $410.88 $411.83 $469.76 $485.79 $367.74 $379.44 $628.28 $651.04$431.67 $429.06 $430.04 $490.54 $507.28 $384.01 $396.23 $656.07 $679.84$451.81 $449.07 $450.10 $513.43 $530.94 $401.92 $414.71 $686.68 $711.55$472.18 $469.32 $470.39 $536.57 $554.88 $420.04 $433.41 $717.63 $743.63$494.17 $491.17 $492.30 $561.56 $580.72 $439.60 $453.59 $751.05 $778.26$516.16 $513.03 $514.21 $586.55 $606.56 $459.16 $473.77 $784.47 $812.89$540.00 $536.72 $537.96 $613.64 $634.58 $480.37 $495.65 $820.71 $850.43$564.07 $560.65 $561.94 $640.99 $662.86 $501.79 $517.75 $857.29 $888.34$589.76 $586.19 $587.53 $670.19 $693.06 $524.64 $541.33 $896.34 $928.80$602.49 $598.84 $600.21 $684.66 $708.02 $535.97 $553.02 $915.69 $948.85$628.18 $624.38 $625.81 $713.85 $738.21 $558.82 $576.60 $954.73 $989.32$650.40 $646.46 $647.94 $739.10 $764.32 $578.59 $596.99 $988.51 $1,024.31$664.99 $660.96 $662.47 $755.67 $781.46 $591.56 $610.38 $1,010.67 $1,047.27$683.27 $679.13 $680.69 $776.45 $802.94 $607.83 $627.16 $1,038.46 $1,076.07$694.38 $690.17 $691.76 $789.08 $816.00 $617.71 $637.36 $1,055.34 $1,093.57



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+


PPO Synergy

Exclusive

1000A

PPO Summit

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

Moda Health

Oregon

Standard

Bronze

PPO Platinum

250

PPO Platinum

500 PPO 500 PPO 1000A

$202.10 $209.34 $218.82 $183.57 $149.07 $248.63 $245.42 $232.04 $225.49$318.27 $329.67 $344.59 $289.08 $234.76 $391.55 $386.49 $365.42 $355.10$318.27 $329.67 $344.59 $289.08 $234.76 $391.55 $386.49 $365.42 $355.10$318.27 $329.67 $344.59 $289.08 $234.76 $391.55 $386.49 $365.42 $355.10$318.27 $329.67 $344.59 $289.08 $234.76 $391.55 $386.49 $365.42 $355.10$319.54 $330.99 $345.97 $290.24 $235.70 $393.12 $388.04 $366.88 $356.52$325.91 $337.58 $352.86 $296.02 $240.40 $400.95 $395.77 $374.19 $363.62$333.55 $345.50 $361.13 $302.96 $246.03 $410.34 $405.04 $382.96 $372.15$345.96 $358.35 $374.57 $314.23 $255.19 $425.61 $420.12 $397.21 $385.99$356.15 $368.90 $385.60 $323.48 $262.70 $438.14 $432.49 $408.90 $397.36$361.24 $374.18 $391.11 $328.11 $266.46 $444.41 $438.67 $414.75 $403.04$368.88 $382.09 $399.38 $335.04 $272.09 $453.81 $447.95 $423.52 $411.56$376.51 $390.00 $407.65 $341.98 $277.72 $463.20 $457.22 $432.29 $420.08$381.29 $394.95 $412.82 $346.32 $281.25 $469.08 $463.02 $437.77 $425.41$386.38 $400.22 $418.33 $350.94 $285.00 $475.34 $469.20 $443.62 $431.09$388.93 $402.86 $421.09 $353.26 $286.88 $478.47 $472.29 $446.54 $433.93$391.47 $405.50 $423.85 $355.57 $288.76 $481.61 $475.39 $449.46 $436.77$394.02 $408.13 $426.60 $357.88 $290.64 $484.74 $478.48 $452.39 $439.61$396.57 $410.77 $429.36 $360.19 $292.52 $487.87 $481.57 $455.31 $442.46$401.66 $416.05 $434.87 $364.82 $296.27 $494.14 $487.75 $461.16 $448.14$406.75 $421.32 $440.39 $369.44 $300.03 $500.40 $493.94 $467.00 $453.82$414.39 $429.23 $448.66 $376.38 $305.66 $509.80 $503.21 $475.77 $462.34$421.71 $436.82 $456.58 $383.03 $311.06 $518.80 $512.10 $484.18 $470.51$431.89 $447.36 $467.61 $392.28 $318.57 $531.33 $524.47 $495.87 $481.87$444.62 $460.55 $481.39 $403.84 $327.96 $546.99 $539.93 $510.49 $496.08$459.58 $476.05 $497.59 $417.43 $339.00 $565.40 $558.10 $527.66 $512.77$477.41 $494.51 $516.89 $433.62 $352.14 $587.32 $579.74 $548.13 $532.65$497.46 $515.28 $538.60 $451.83 $366.93 $611.99 $604.09 $571.15 $555.02$520.37 $539.01 $563.41 $472.65 $383.84 $640.18 $631.92 $597.46 $580.59$542.97 $562.42 $587.87 $493.17 $400.51 $667.98 $659.36 $623.40 $605.80$568.43 $588.79 $615.44 $516.30 $419.29 $699.31 $690.28 $652.64 $634.21$593.58 $614.84 $642.66 $539.13 $437.83 $730.24 $720.81 $681.50 $662.26$621.27 $643.52 $672.64 $564.28 $458.26 $764.30 $754.43 $713.30 $693.16$649.27 $672.53 $702.96 $589.72 $478.92 $798.76 $788.45 $745.45 $724.41$679.51 $703.85 $735.70 $617.18 $501.22 $835.96 $825.16 $780.17 $758.14$709.74 $735.17 $768.44 $644.65 $523.52 $873.16 $861.88 $814.88 $791.87$742.53 $769.12 $803.93 $674.42 $547.70 $913.49 $901.69 $852.52 $828.45$775.63 $803.41 $839.77 $704.49 $572.12 $954.21 $941.88 $890.52 $865.38$810.95 $840.00 $878.02 $736.57 $598.18 $997.67 $984.78 $931.09 $904.80$828.46 $858.14 $896.97 $752.47 $611.09 $1,019.20 $1,006.04 $951.18 $924.33$863.79 $894.73 $935.22 $784.56 $637.15 $1,062.67 $1,048.94 $991.74 $963.74$894.34 $926.38 $968.30 $812.31 $659.68 $1,100.25 $1,086.05 $1,026.82 $997.83$914.39 $947.15 $990.01 $830.53 $674.47 $1,124.92 $1,110.39 $1,049.85 $1,020.20$939.54 $973.19 $1,017.23 $853.36 $693.02 $1,155.85 $1,140.93 $1,078.71 $1,048.26$954.81 $989.02 $1,033.77 $867.24 $704.29 $1,174.65 $1,159.48 $1,096.25 $1,065.30



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7


$225.07 $219.49 $197.26 $193.56 $197.07 $190.27 $185.19 $180.67 $176.55$354.44 $345.65 $310.65 $304.82 $310.35 $299.63 $291.64 $284.51 $278.02$354.44 $345.65 $310.65 $304.82 $310.35 $299.63 $291.64 $284.51 $278.02$354.44 $345.65 $310.65 $304.82 $310.35 $299.63 $291.64 $284.51 $278.02$354.44 $345.65 $310.65 $304.82 $310.35 $299.63 $291.64 $284.51 $278.02$355.85 $347.04 $311.89 $306.04 $311.59 $300.83 $292.80 $285.65 $279.14$362.94 $353.95 $318.11 $312.13 $317.80 $306.82 $298.64 $291.34 $284.70$371.45 $362.25 $325.56 $319.45 $325.24 $314.01 $305.64 $298.17 $291.37$385.27 $375.73 $337.68 $331.34 $337.35 $325.70 $317.01 $309.27 $302.21$396.61 $386.79 $347.62 $341.09 $347.28 $335.29 $326.34 $318.37 $311.11$402.28 $392.32 $352.59 $345.97 $352.24 $340.08 $331.01 $322.92 $315.56$410.79 $400.61 $360.04 $353.28 $359.69 $347.27 $338.01 $329.75 $322.23$419.30 $408.91 $367.50 $360.60 $367.14 $354.47 $345.01 $336.58 $328.90$424.61 $414.09 $372.16 $365.17 $371.80 $358.96 $349.38 $340.85 $333.07$430.29 $419.62 $377.13 $370.05 $376.76 $363.75 $354.05 $345.40 $337.52$433.12 $422.39 $379.61 $372.49 $379.24 $366.15 $356.38 $347.68 $339.75$435.96 $425.16 $382.10 $374.92 $381.73 $368.55 $358.71 $349.95 $341.97$438.79 $427.92 $384.58 $377.36 $384.21 $370.95 $361.05 $352.23 $344.19$441.63 $430.69 $387.07 $379.80 $386.69 $373.34 $363.38 $354.50 $346.42$447.30 $436.22 $392.04 $384.68 $391.66 $378.14 $368.05 $359.06 $350.87$452.97 $441.75 $397.01 $389.56 $396.62 $382.93 $372.71 $363.61 $355.32$461.48 $450.04 $404.47 $396.87 $404.07 $390.12 $379.71 $370.44 $361.99$469.63 $457.99 $411.61 $403.88 $411.21 $397.01 $386.42 $376.98 $368.38$480.97 $469.05 $421.55 $413.64 $421.14 $406.60 $395.75 $386.09 $377.28$495.15 $482.88 $433.98 $425.83 $433.56 $418.59 $407.42 $397.47 $388.40$511.81 $499.13 $448.58 $440.16 $448.14 $432.67 $421.12 $410.84 $401.47$531.65 $518.48 $465.97 $457.22 $465.52 $449.45 $437.46 $426.77 $417.04$553.98 $540.26 $485.55 $476.43 $485.07 $468.33 $455.83 $444.70 $434.55$579.50 $565.15 $507.91 $498.38 $507.42 $489.90 $476.83 $465.18 $454.57$604.67 $589.69 $529.97 $520.02 $529.45 $511.17 $497.53 $485.38 $474.31$633.02 $617.34 $554.82 $544.40 $554.28 $535.14 $520.86 $508.14 $496.55$661.02 $644.65 $579.36 $568.48 $578.80 $558.81 $543.90 $530.62 $518.52$691.86 $674.72 $606.39 $595.00 $605.80 $584.88 $569.28 $555.37 $542.70$723.05 $705.14 $633.73 $621.83 $633.11 $611.25 $594.94 $580.41 $567.17$756.72 $737.97 $663.24 $650.78 $662.59 $639.72 $622.64 $607.44 $593.58$790.39 $770.81 $692.75 $679.74 $692.08 $668.18 $650.35 $634.47 $619.99$826.90 $806.41 $724.75 $711.14 $724.04 $699.04 $680.39 $663.77 $648.63$863.76 $842.36 $757.05 $742.84 $756.32 $730.20 $710.72 $693.36 $677.55$903.10 $880.73 $791.54 $776.67 $790.77 $763.46 $743.09 $724.94 $708.41$922.60 $899.74 $808.62 $793.44 $807.84 $779.94 $759.13 $740.59 $723.70$961.94 $938.11 $843.10 $827.27 $842.28 $813.20 $791.50 $772.17 $754.56$995.96 $971.29 $872.93 $856.53 $872.08 $841.97 $819.50 $799.48 $781.25

$1,018.29 $993.07 $892.50 $875.74 $891.63 $860.84 $837.87 $817.41 $798.76$1,046.29 $1,020.37 $917.04 $899.82 $916.15 $884.52 $860.91 $839.88 $820.73$1,063.31 $1,036.96 $931.95 $914.45 $931.04 $898.90 $874.91 $853.54 $834.07



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Value 5000

Moda Health

Connexus

Aspire 2000

Moda Health

Connexus

Aspire 2500

Moda Health

Connexus

Fundamental

3500

Moda Health

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Moda Health

Connexus HSA

2000

Moda Health

Connexus HSA

2500

Moda Health

Connexus HSA

3250

$166.92 $188.94 $183.47 $159.98 $148.06 $200.49 $191.58 $184.39 $162.32$262.87 $297.54 $288.92 $251.94 $233.17 $315.73 $301.71 $290.38 $255.62$262.87 $297.54 $288.92 $251.94 $233.17 $315.73 $301.71 $290.38 $255.62$262.87 $297.54 $288.92 $251.94 $233.17 $315.73 $301.71 $290.38 $255.62$262.87 $297.54 $288.92 $251.94 $233.17 $315.73 $301.71 $290.38 $255.62$263.92 $298.73 $290.08 $252.95 $234.10 $316.99 $302.91 $291.54 $256.64$269.18 $304.68 $295.86 $257.98 $238.77 $323.30 $308.95 $297.35 $261.76$275.49 $311.82 $302.79 $264.03 $244.36 $330.88 $316.19 $304.32 $267.89$285.74 $323.43 $314.06 $273.86 $253.46 $343.19 $327.96 $315.64 $277.86$294.15 $332.95 $323.30 $281.92 $260.92 $353.30 $337.61 $324.94 $286.04$298.36 $337.71 $327.93 $285.95 $264.65 $358.35 $342.44 $329.58 $290.13$304.66 $344.85 $334.86 $292.00 $270.24 $365.93 $349.68 $336.55 $296.26$310.97 $351.99 $341.79 $298.04 $275.84 $373.50 $356.92 $343.52 $302.40$314.92 $356.45 $346.13 $301.82 $279.34 $378.24 $361.45 $347.88 $306.23$319.12 $361.22 $350.75 $305.85 $283.07 $383.29 $366.27 $352.52 $310.32$321.23 $363.60 $353.06 $307.87 $284.93 $385.82 $368.69 $354.85 $312.37$323.33 $365.98 $355.37 $309.88 $286.80 $388.34 $371.10 $357.17 $314.41$325.43 $368.36 $357.69 $311.90 $288.66 $390.87 $373.51 $359.49 $316.46$327.53 $370.74 $360.00 $313.91 $290.53 $393.40 $375.93 $361.81 $318.50$331.74 $375.50 $364.62 $317.95 $294.26 $398.45 $380.76 $366.46 $322.59$335.95 $380.26 $369.24 $321.98 $297.99 $403.50 $385.58 $371.11 $326.68$342.25 $387.40 $376.18 $328.02 $303.59 $411.08 $392.82 $378.08 $332.82$348.30 $394.24 $382.82 $333.82 $308.95 $418.34 $399.76 $384.75 $338.70$356.71 $403.76 $392.07 $341.88 $316.41 $428.44 $409.42 $394.05 $346.88$367.23 $415.67 $403.62 $351.96 $325.74 $441.07 $421.49 $405.66 $357.10$379.58 $429.65 $417.20 $363.80 $336.70 $455.91 $435.67 $419.31 $369.12$394.30 $446.31 $433.38 $377.91 $349.75 $473.59 $452.56 $435.57 $383.43$410.86 $465.06 $451.58 $393.78 $364.44 $493.48 $471.57 $453.86 $399.54$429.79 $486.48 $472.39 $411.92 $381.23 $516.21 $493.29 $474.77 $417.94$448.45 $507.61 $492.90 $429.81 $397.79 $538.63 $514.71 $495.39 $436.09$469.48 $531.41 $516.01 $449.96 $416.44 $563.89 $538.85 $518.62 $456.54$490.25 $554.92 $538.84 $469.86 $434.86 $588.83 $562.69 $541.56 $476.73$513.12 $580.80 $563.98 $491.78 $455.15 $616.30 $588.93 $566.82 $498.97$536.25 $606.98 $589.40 $513.95 $475.67 $644.08 $615.48 $592.38 $521.47$561.22 $635.25 $616.85 $537.89 $497.82 $674.08 $644.15 $619.96 $545.75$586.20 $663.52 $644.30 $561.82 $519.97 $704.07 $672.81 $647.55 $570.03$613.27 $694.16 $674.05 $587.77 $543.98 $736.59 $703.89 $677.46 $596.36$640.61 $725.11 $704.10 $613.97 $568.23 $769.43 $735.26 $707.66 $622.95$669.79 $758.14 $736.17 $641.94 $594.12 $804.47 $768.75 $739.89 $651.32$684.25 $774.50 $752.06 $655.79 $606.94 $821.84 $785.35 $755.86 $665.38$713.43 $807.53 $784.13 $683.76 $632.82 $856.88 $818.84 $788.09 $693.76$738.66 $836.09 $811.87 $707.94 $655.21 $887.19 $847.80 $815.97 $718.30$755.22 $854.84 $830.07 $723.82 $669.90 $907.08 $866.81 $834.26 $734.40$775.99 $878.34 $852.90 $743.72 $688.32 $932.02 $890.64 $857.20 $754.59$788.61 $892.62 $866.77 $755.81 $699.51 $947.18 $905.12 $871.14 $766.86



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Area 7

Moda Health

Connexus

Essence 5000

Moda Health

Connexus

Essence 6000

Moda Health

Connexus Basic

6500

Moda Health

Synergy

Exclusive 2000

Moda Health

Synergy

Exclusive 5000

PPO Platinum

Synergy

Exclusive 250

PPO Synergy

Exclusive

1000A

Moda Health

Oregon

Standard Gold

Moda Health

Oregon

Standard Silver

$148.40 $147.50 $147.84 $168.64 $132.02 $225.55 $204.06 $220.94 $185.35$233.71 $232.29 $232.82 $265.58 $207.90 $355.20 $321.36 $347.94 $291.89$233.71 $232.29 $232.82 $265.58 $207.90 $355.20 $321.36 $347.94 $291.89$233.71 $232.29 $232.82 $265.58 $207.90 $355.20 $321.36 $347.94 $291.89$233.71 $232.29 $232.82 $265.58 $207.90 $355.20 $321.36 $347.94 $291.89$234.64 $233.22 $233.76 $266.64 $208.73 $356.62 $322.65 $349.33 $293.05$239.32 $237.87 $238.41 $271.95 $212.89 $363.72 $329.07 $356.29 $298.89$244.93 $243.44 $244.00 $278.33 $217.88 $372.25 $336.79 $364.64 $305.90$254.04 $252.50 $253.08 $288.69 $225.99 $386.10 $349.32 $378.21 $317.28$261.52 $259.93 $260.53 $297.18 $232.64 $397.47 $359.60 $389.34 $326.62$265.26 $263.65 $264.26 $301.43 $235.97 $403.15 $364.74 $394.91 $331.29$270.87 $269.23 $269.84 $307.81 $240.96 $411.67 $372.46 $403.26 $338.30$276.48 $274.80 $275.43 $314.18 $245.95 $420.20 $380.17 $411.61 $345.30$279.98 $278.28 $278.92 $318.16 $249.07 $425.53 $384.99 $416.83 $349.68$283.72 $282.00 $282.65 $322.41 $252.39 $431.21 $390.13 $422.39 $354.35$285.59 $283.86 $284.51 $324.54 $254.06 $434.05 $392.70 $425.18 $356.68$287.46 $285.72 $286.37 $326.66 $255.72 $436.89 $395.27 $427.96 $359.02$289.33 $287.58 $288.24 $328.79 $257.38 $439.73 $397.85 $430.74 $361.36$291.20 $289.43 $290.10 $330.91 $259.05 $442.58 $400.42 $433.53 $363.69$294.94 $293.15 $293.82 $335.16 $262.37 $448.26 $405.56 $439.10 $368.36$298.68 $296.87 $297.55 $339.41 $265.70 $453.94 $410.70 $444.66 $373.03$304.29 $302.44 $303.14 $345.78 $270.69 $462.47 $418.41 $453.01 $380.04$309.66 $307.79 $308.49 $351.89 $275.47 $470.64 $425.80 $461.02 $386.75$317.14 $315.22 $315.94 $360.39 $282.12 $482.00 $436.09 $472.15 $396.09$326.49 $324.51 $325.26 $371.01 $290.44 $496.21 $448.94 $486.07 $407.77$337.47 $335.43 $336.20 $383.50 $300.21 $512.90 $464.05 $502.42 $421.48$350.56 $348.44 $349.24 $398.37 $311.85 $532.80 $482.04 $521.90 $437.83$365.28 $363.07 $363.90 $415.10 $324.95 $555.17 $502.29 $543.82 $456.22$382.11 $379.80 $380.67 $434.22 $339.92 $580.75 $525.43 $568.88 $477.23$398.70 $396.29 $397.20 $453.08 $354.68 $605.97 $548.24 $593.58 $497.96$417.40 $414.87 $415.82 $474.33 $371.31 $634.38 $573.95 $621.41 $521.31$435.86 $433.22 $434.22 $495.31 $387.74 $662.44 $599.34 $648.90 $544.37$456.20 $453.43 $454.47 $518.41 $405.83 $693.34 $627.30 $679.17 $569.76$476.76 $473.87 $474.96 $541.78 $424.12 $724.60 $655.58 $709.79 $595.45$498.97 $495.94 $497.08 $567.01 $443.87 $758.34 $686.11 $742.84 $623.18$521.17 $518.01 $519.20 $592.24 $463.62 $792.09 $716.64 $775.90 $650.91$545.24 $541.94 $543.18 $619.60 $485.04 $828.67 $749.74 $811.74 $680.97$569.54 $566.09 $567.39 $647.22 $506.66 $865.61 $783.16 $847.92 $711.33$595.49 $591.88 $593.24 $676.70 $529.74 $905.04 $818.83 $886.54 $743.73$608.34 $604.65 $606.04 $691.30 $541.17 $924.58 $836.50 $905.68 $759.78$634.28 $630.44 $631.88 $720.78 $564.25 $964.00 $872.17 $944.30 $792.18$656.72 $652.74 $654.24 $746.28 $584.21 $998.10 $903.02 $977.70 $820.20$671.44 $667.37 $668.90 $763.01 $597.30 $1,020.48 $923.27 $999.62 $838.59$689.90 $685.72 $687.30 $783.99 $613.73 $1,048.54 $948.66 $1,027.11 $861.65$701.12 $696.87 $698.47 $796.74 $623.71 $1,065.59 $964.08 $1,043.81 $875.66



Market: Small Group


PlanHIOS Plan Id

0-2021222324252627282930313233343536373839404142434445464748495051525354555657585960616263

64+

Moda Health

Oregon

Standard

Bronze

$150.52$237.04$237.04$237.04$237.04$237.99$242.73$248.42$257.67$265.25$269.04$274.73$280.42$283.98$287.77$289.67$291.56$293.46$295.35$299.15$302.94$308.63$314.08$321.67$331.15$342.29$355.56$370.50$387.56$404.39$423.36$442.08$462.71$483.57$506.09$528.60$553.02$577.67$603.98$617.02$643.33$666.09$681.02$699.75$711.13

RATE TABLES AND FACTORS: Geographic Average Rate


Market: Small Group


Geographic Average Rate

Area 1 - Employee Only

Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $659.01 $667.14 $675.38 $683.71

PPO Platinum 500 $650.50 $658.52 $666.65 $674.88

PPO 500 $615.03 $622.62 $630.30 $638.08

PPO 1000A $597.66 $605.04 $612.50 $620.06

PPO 1000B $596.55 $603.91 $611.36 $618.91

PPO 1500 $581.77 $588.95 $596.21 $603.57

PPO 2500 $522.85 $529.30 $535.83 $542.44

PPO 3000 $513.03 $519.36 $525.77 $532.26

Value 1500 $522.34 $528.79 $535.31 $541.92Value 2000 $504.31 $510.53 $516.83 $523.21

Value 2000 (Rose City) $465.81 $471.56 $477.38 $483.27

Value 2500 $490.85 $496.90 $503.04 $509.24

Value 3000 $478.86 $484.77 $490.75 $496.81

Value 3500 $467.94 $473.71 $479.56 $485.48

Value 5000 $442.43 $447.89 $453.42 $459.01

Moda Health Connexus Aspire 2000 $500.79 $506.97 $513.22 $519.56


Moda Health Connexus Fundamental 3500 $424.03 $429.26 $434.56 $439.92


Moda Health Connexus HSA 1500 $531.39 $537.95 $544.59 $551.31




Moda Health Connexus Essence 5000 $393.35 $398.20 $403.11 $408.09

Moda Health Rose City Essence 5000 $361.39 $365.85 $370.36 $374.93


Moda Health Connexus Basic 6500 $391.86 $396.70 $401.59 $406.55

Moda Health Synergy Exclusive 2000 $446.99 $452.51 $458.09 $463.75


PPO Platinum Synergy Exclusive 250 $597.83 $605.20 $612.67 $620.23

PPO Synergy Exclusive 1000A $540.88 $547.55 $554.31 $561.15

Moda Health Oregon Standard Gold $585.61 $592.83 $600.15 $607.56

Moda Health Oregon Standard Silver $491.27 $497.33 $503.47 $509.68

Moda Health Oregon Standard Bronze $398.96 $403.88 $408.87 $413.91



Market: Small Group



Area 1 - Employee + Spouse

Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,318.02 $1,334.29 $1,350.75 $1,367.43

PPO Platinum 500 $1,300.99 $1,317.05 $1,333.30 $1,349.76

PPO 500 $1,230.06 $1,245.24 $1,260.61 $1,276.17

PPO 1000A $1,195.32 $1,210.07 $1,225.01 $1,240.13

PPO 1000B $1,193.09 $1,207.81 $1,222.72 $1,237.81

PPO 1500 $1,163.53 $1,177.89 $1,192.43 $1,207.14

PPO 2500 $1,045.69 $1,058.60 $1,071.66 $1,084.89

PPO 3000 $1,026.06 $1,038.72 $1,051.54 $1,064.52

Value 1500 $1,044.68 $1,057.57 $1,070.63 $1,083.84

Value 2000 $1,008.61 $1,021.06 $1,033.66 $1,046.42

Value 2000 (Rose City) $931.62 $943.12 $954.76 $966.54

Value 2500 $981.69 $993.81 $1,006.07 $1,018.49

Value 3000 $957.72 $969.54 $981.51 $993.62

Value 3500 $935.87 $947.42 $959.11 $970.95

Value 5000 $884.86 $895.78 $906.84 $918.03

Moda Health Connexus Aspire 2000 $1,001.57 $1,013.93 $1,026.44 $1,039.11

Moda Health Connexus Aspire 2500 $972.56 $984.56 $996.71 $1,009.02



Moda Health Connexus HSA 1500 $1,062.78 $1,075.90 $1,089.18 $1,102.62


Moda Health Connexus HSA 2500 $977.47 $989.53 $1,001.75 $1,014.11








PPO Platinum Synergy Exclusive 250 $1,195.65 $1,210.41 $1,225.35 $1,240.47

PPO Synergy Exclusive 1000A $1,081.75 $1,095.10 $1,108.62 $1,122.30

Moda Health Oregon Standard Gold $1,171.21 $1,185.66 $1,200.30 $1,215.11

Moda Health Oregon Standard Silver $982.53 $994.66 $1,006.93 $1,019.36




Market: Small Group



Area 1 - Employee + Family

Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,878.18 $1,901.36 $1,924.82 $1,948.58

PPO Platinum 500 $1,853.91 $1,876.79 $1,899.95 $1,923.40

PPO 500 $1,752.84 $1,774.47 $1,796.37 $1,818.54

PPO 1000A $1,703.33 $1,724.35 $1,745.63 $1,767.18

PPO 1000B $1,700.15 $1,721.14 $1,742.38 $1,763.88

PPO 1500 $1,658.03 $1,678.49 $1,699.21 $1,720.18

PPO 2500 $1,490.11 $1,508.50 $1,527.12 $1,545.96

PPO 3000 $1,462.14 $1,480.18 $1,498.45 $1,516.94

Value 1500 $1,488.67 $1,507.04 $1,525.64 $1,544.47

Value 2000 $1,437.27 $1,455.01 $1,472.97 $1,491.14

Value 2000 (Rose City) $1,327.56 $1,343.94 $1,360.53 $1,377.32

Value 2500 $1,398.91 $1,416.17 $1,433.65 $1,451.35

Value 3000 $1,364.75 $1,381.59 $1,398.65 $1,415.91

Value 3500 $1,333.61 $1,350.07 $1,366.74 $1,383.60

Value 5000 $1,260.93 $1,276.49 $1,292.24 $1,308.19



Moda Health Connexus Fundamental 3500 $1,208.49 $1,223.40 $1,238.50 $1,253.78






Moda Health Connexus Essence 5000 $1,121.03 $1,134.87 $1,148.88 $1,163.05

Moda Health Rose City Essence 5000 $1,029.95 $1,042.66 $1,055.53 $1,068.55


Moda Health Connexus Basic 6500 $1,116.80 $1,130.58 $1,144.54 $1,158.66

Moda Health Synergy Exclusive 2000 $1,273.92 $1,289.64 $1,305.56 $1,321.67

Moda Health Synergy Exclusive 5000 $997.26 $1,009.57 $1,022.03 $1,034.64




Moda Health Oregon Standard Silver $1,400.11 $1,417.39 $1,434.88 $1,452.59

Moda Health Oregon Standard Bronze $1,137.04 $1,151.07 $1,165.28 $1,179.66



Market: Small Group



Area 1 - Employee + Child(ren)

Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,219.17 $1,234.22 $1,249.45 $1,264.87

PPO Platinum 500 $1,203.42 $1,218.27 $1,233.30 $1,248.52

PPO 500 $1,137.81 $1,151.85 $1,166.06 $1,180.46

PPO 1000A $1,105.67 $1,119.32 $1,133.13 $1,147.12

PPO 1000B $1,103.61 $1,117.23 $1,131.02 $1,144.98

PPO 1500 $1,076.27 $1,089.55 $1,103.00 $1,116.61

PPO 2500 $967.26 $979.20 $991.29 $1,003.52

PPO 3000 $949.11 $960.82 $972.68 $984.68

Value 1500 $966.33 $978.26 $990.33 $1,002.55

Value 2000 $932.96 $944.48 $956.14 $967.94

Value 2000 (Rose City) $861.75 $872.38 $883.15 $894.05

Value 2500 $908.06 $919.27 $930.62 $942.10

Value 3000 $885.89 $896.82 $907.89 $919.10

Value 3500 $865.68 $876.36 $887.18 $898.13

Value 5000 $818.50 $828.60 $838.82 $849.18






















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $635.94 $643.79 $651.74 $659.78

PPO Platinum 500 $627.73 $635.47 $643.32 $651.26

PPO 500 $593.50 $600.83 $608.24 $615.75

PPO 1000A $576.74 $583.86 $591.07 $598.36

PPO 1000B $575.67 $582.77 $589.96 $597.24

PPO 1500 $561.40 $568.33 $575.35 $582.45

PPO 2500 $504.55 $510.77 $517.08 $523.46

PPO 3000 $495.07 $501.18 $507.37 $513.63

Value 1500 $504.06 $510.28 $516.58 $522.95Value 2000 $486.65 $492.66 $498.74 $504.90

Value 2500 $473.67 $479.51 $485.43 $491.42

Value 3000 $462.10 $467.80 $473.58 $479.42

Value 3500 $451.56 $457.13 $462.77 $468.48

Value 5000 $426.94 $432.21 $437.55 $442.95





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,271.89 $1,287.59 $1,303.48 $1,319.57

PPO Platinum 500 $1,255.46 $1,270.95 $1,286.64 $1,302.52

PPO 500 $1,187.01 $1,201.66 $1,216.49 $1,231.50

PPO 1000A $1,153.48 $1,167.72 $1,182.13 $1,196.72

PPO 1000B $1,151.33 $1,165.54 $1,179.93 $1,194.49

PPO 1500 $1,122.81 $1,136.66 $1,150.69 $1,164.89

PPO 2500 $1,009.09 $1,021.54 $1,034.15 $1,046.92

PPO 3000 $990.15 $1,002.37 $1,014.74 $1,027.26

Value 1500 $1,008.12 $1,020.56 $1,033.15 $1,045.90

Value 2000 $973.31 $985.32 $997.48 $1,009.79

Value 2500 $947.33 $959.02 $970.86 $982.84

Value 3000 $924.20 $935.61 $947.15 $958.84

Value 3500 $903.11 $914.26 $925.54 $936.97

Value 5000 $853.89 $864.43 $875.10 $885.90





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,812.44 $1,834.81 $1,857.46 $1,880.38

PPO Platinum 500 $1,789.02 $1,811.10 $1,833.46 $1,856.08

PPO 500 $1,691.49 $1,712.36 $1,733.50 $1,754.89

PPO 1000A $1,643.71 $1,664.00 $1,684.54 $1,705.33

PPO 1000B $1,640.65 $1,660.90 $1,681.39 $1,702.15

PPO 1500 $1,600.00 $1,619.75 $1,639.74 $1,659.97

PPO 2500 $1,437.95 $1,455.70 $1,473.67 $1,491.86

PPO 3000 $1,410.96 $1,428.37 $1,446.00 $1,463.85

Value 1500 $1,436.57 $1,454.30 $1,472.24 $1,490.41

Value 2000 $1,386.96 $1,404.08 $1,421.41 $1,438.95

Value 2500 $1,349.95 $1,366.61 $1,383.47 $1,400.55

Value 3000 $1,316.98 $1,333.24 $1,349.69 $1,366.35

Value 3500 $1,286.94 $1,302.82 $1,318.90 $1,335.18

Value 5000 $1,216.79 $1,231.81 $1,247.01 $1,262.40





















Market: Small Group



Area 2 - Employee + Child(Ren)

Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,176.50 $1,191.02 $1,205.72 $1,220.60

PPO Platinum 500 $1,161.30 $1,175.63 $1,190.14 $1,204.83

PPO 500 $1,097.98 $1,111.53 $1,125.25 $1,139.14

PPO 1000A $1,066.97 $1,080.14 $1,093.47 $1,106.97

PPO 1000B $1,064.98 $1,078.13 $1,091.43 $1,104.90

PPO 1500 $1,038.60 $1,051.41 $1,064.39 $1,077.53

PPO 2500 $933.41 $944.93 $956.59 $968.40

PPO 3000 $915.89 $927.19 $938.63 $950.22

Value 1500 $932.51 $944.02 $955.67 $967.46

Value 2000 $900.31 $911.42 $922.67 $934.06

Value 2500 $876.28 $887.10 $898.04 $909.13

Value 3000 $854.88 $865.44 $876.12 $886.93

Value 3500 $835.38 $845.69 $856.13 $866.69

Value 5000 $789.85 $799.60 $809.46 $819.46















PPO Synergy Exclusive 1000A $965.60 $977.51 $989.58 $1,001.79






Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $635.94 $643.79 $651.74 $659.78

PPO Platinum 500 $627.73 $635.47 $643.32 $651.26

PPO 500 $593.50 $600.83 $608.24 $615.75

PPO 1000A $576.74 $583.86 $591.07 $598.36

PPO 1000B $575.67 $582.77 $589.96 $597.24

PPO 1500 $561.40 $568.33 $575.35 $582.45

PPO 2500 $504.55 $510.77 $517.08 $523.46

PPO 3000 $495.07 $501.18 $507.37 $513.63

Value 1500 $504.06 $510.28 $516.58 $522.95Value 2000 $486.65 $492.66 $498.74 $504.90

Value 2500 $473.67 $479.51 $485.43 $491.42

Value 3000 $462.10 $467.80 $473.58 $479.42

Value 3500 $451.56 $457.13 $462.77 $468.48

Value 5000 $426.94 $432.21 $437.55 $442.95





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,271.89 $1,287.59 $1,303.48 $1,319.57

PPO Platinum 500 $1,255.46 $1,270.95 $1,286.64 $1,302.52

PPO 500 $1,187.01 $1,201.66 $1,216.49 $1,231.50

PPO 1000A $1,153.48 $1,167.72 $1,182.13 $1,196.72

PPO 1000B $1,151.33 $1,165.54 $1,179.93 $1,194.49

PPO 1500 $1,122.81 $1,136.66 $1,150.69 $1,164.89

PPO 2500 $1,009.09 $1,021.54 $1,034.15 $1,046.92

PPO 3000 $990.15 $1,002.37 $1,014.74 $1,027.26

Value 1500 $1,008.12 $1,020.56 $1,033.15 $1,045.90

Value 2000 $973.31 $985.32 $997.48 $1,009.79

Value 2500 $947.33 $959.02 $970.86 $982.84

Value 3000 $924.20 $935.61 $947.15 $958.84

Value 3500 $903.11 $914.26 $925.54 $936.97

Value 5000 $853.89 $864.43 $875.10 $885.90










Moda Health Connxus Essence 6000 $754.56 $763.88 $773.30 $782.85











Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,812.44 $1,834.81 $1,857.46 $1,880.38

PPO Platinum 500 $1,789.02 $1,811.10 $1,833.46 $1,856.08

PPO 500 $1,691.49 $1,712.36 $1,733.50 $1,754.89

PPO 1000A $1,643.71 $1,664.00 $1,684.54 $1,705.33

PPO 1000B $1,640.65 $1,660.90 $1,681.39 $1,702.15

PPO 1500 $1,600.00 $1,619.75 $1,639.74 $1,659.97

PPO 2500 $1,437.95 $1,455.70 $1,473.67 $1,491.86

PPO 3000 $1,410.96 $1,428.37 $1,446.00 $1,463.85

Value 1500 $1,436.57 $1,454.30 $1,472.24 $1,490.41

Value 2000 $1,386.96 $1,404.08 $1,421.41 $1,438.95

Value 2500 $1,349.95 $1,366.61 $1,383.47 $1,400.55

Value 3000 $1,316.98 $1,333.24 $1,349.69 $1,366.35

Value 3500 $1,286.94 $1,302.82 $1,318.90 $1,335.18

Value 5000 $1,216.79 $1,231.81 $1,247.01 $1,262.40










Moda Health Connxus Essence 6000 $1,075.25 $1,088.52 $1,101.96 $1,115.56











Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,176.50 $1,191.02 $1,205.72 $1,220.60

PPO Platinum 500 $1,161.30 $1,175.63 $1,190.14 $1,204.83

PPO 500 $1,097.98 $1,111.53 $1,125.25 $1,139.14

PPO 1000A $1,066.97 $1,080.14 $1,093.47 $1,106.97

PPO 1000B $1,064.98 $1,078.13 $1,091.43 $1,104.90

PPO 1500 $1,038.60 $1,051.41 $1,064.39 $1,077.53

PPO 2500 $933.41 $944.93 $956.59 $968.40

PPO 3000 $915.89 $927.19 $938.63 $950.22

Value 1500 $932.51 $944.02 $955.67 $967.46

Value 2000 $900.31 $911.42 $922.67 $934.06

Value 2500 $876.28 $887.10 $898.04 $909.13

Value 3000 $854.88 $865.44 $876.12 $886.93

Value 3500 $835.38 $845.69 $856.13 $866.69

Value 5000 $789.85 $799.60 $809.46 $819.46















PPO Synergy Exclusive 1000A $965.60 $977.51 $989.58 $1,001.79






Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $685.37 $693.83 $702.39 $711.06

PPO Platinum 500 $676.51 $684.86 $693.32 $701.87

PPO 500 $639.63 $647.53 $655.52 $663.61

PPO 1000A $621.57 $629.24 $637.00 $644.87

PPO 1000B $620.41 $628.06 $635.82 $643.66

PPO 1500 $605.04 $612.50 $620.06 $627.71

PPO 2500 $543.76 $550.47 $557.26 $564.14

PPO 3000 $533.55 $540.14 $546.80 $553.55

Value 1500 $543.23 $549.94 $556.73 $563.60Value 2000 $524.48 $530.95 $537.50 $544.14

Value 2500 $510.48 $516.78 $523.16 $529.61

Value 3000 $498.01 $504.16 $510.38 $516.68

Value 3500 $486.65 $492.66 $498.74 $504.89

Value 5000 $460.13 $465.81 $471.55 $477.37













Moda Health Summit Exclusive 2000 $480.73 $486.66 $492.67 $498.75




PPO Platinum Summit Exclusive 250 $644.26 $652.21 $660.26 $668.41


PPO Summit Exclusive 1000A $582.66 $589.85 $597.13 $604.50






Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,370.74 $1,387.66 $1,404.78 $1,422.12

PPO Platinum 500 $1,353.03 $1,369.73 $1,386.63 $1,403.75

PPO 500 $1,279.26 $1,295.05 $1,311.03 $1,327.21

PPO 1000A $1,243.13 $1,258.48 $1,274.01 $1,289.73

PPO 1000B $1,240.81 $1,256.13 $1,271.63 $1,287.32

PPO 1500 $1,210.07 $1,225.01 $1,240.12 $1,255.43

PPO 2500 $1,087.52 $1,100.94 $1,114.53 $1,128.28

PPO 3000 $1,067.10 $1,080.27 $1,093.60 $1,107.10

Value 1500 $1,086.47 $1,099.88 $1,113.45 $1,127.19

Value 2000 $1,048.95 $1,061.90 $1,075.01 $1,088.27

Value 2500 $1,020.96 $1,033.56 $1,046.31 $1,059.23

Value 3000 $996.03 $1,008.32 $1,020.77 $1,033.36

Value 3500 $973.30 $985.32 $997.48 $1,009.79

Value 5000 $920.25 $931.61 $943.11 $954.75

















PPO Platinum Summit Exclusive 250 $1,288.52 $1,304.42 $1,320.52 $1,336.82


PPO Summit Exclusive 1000A $1,165.32 $1,179.70 $1,194.26 $1,209.00






Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,953.31 $1,977.41 $2,001.82 $2,026.52

PPO Platinum 500 $1,928.07 $1,951.86 $1,975.95 $2,000.34

PPO 500 $1,822.95 $1,845.45 $1,868.22 $1,891.28

PPO 1000A $1,771.46 $1,793.33 $1,815.46 $1,837.87

PPO 1000B $1,768.16 $1,789.98 $1,812.07 $1,834.44

PPO 1500 $1,724.35 $1,745.63 $1,767.18 $1,788.99

PPO 2500 $1,549.71 $1,568.84 $1,588.20 $1,607.80

PPO 3000 $1,520.62 $1,539.39 $1,558.39 $1,577.62

Value 1500 $1,548.22 $1,567.32 $1,586.67 $1,606.25

Value 2000 $1,494.76 $1,513.21 $1,531.88 $1,550.79

Value 2500 $1,454.86 $1,472.82 $1,491.00 $1,509.40

Value 3000 $1,419.34 $1,436.86 $1,454.59 $1,472.54

Value 3500 $1,386.96 $1,404.08 $1,421.41 $1,438.95

Value 5000 $1,311.36 $1,327.55 $1,343.93 $1,360.52













Moda Health Summit Exclusive 2000 $1,370.08 $1,386.99 $1,404.11 $1,421.44












Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,267.94 $1,283.58 $1,299.43 $1,315.46

PPO Platinum 500 $1,251.55 $1,267.00 $1,282.64 $1,298.47

PPO 500 $1,183.32 $1,197.92 $1,212.71 $1,227.67

PPO 1000A $1,149.90 $1,164.09 $1,178.46 $1,193.00

PPO 1000B $1,147.75 $1,161.92 $1,176.26 $1,190.78

PPO 1500 $1,119.32 $1,133.13 $1,147.12 $1,161.27

PPO 2500 $1,005.95 $1,018.37 $1,030.94 $1,043.66

PPO 3000 $987.07 $999.25 $1,011.58 $1,024.07

Value 1500 $1,004.98 $1,017.39 $1,029.94 $1,042.65

Value 2000 $970.28 $982.26 $994.38 $1,006.65

Value 2500 $944.39 $956.04 $967.84 $979.79

Value 3000 $921.33 $932.70 $944.21 $955.86

Value 3500 $900.31 $911.42 $922.67 $934.05

Value 5000 $851.24 $861.74 $872.38 $883.14

























Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $659.01 $667.14 $675.38 $683.71

PPO Platinum 500 $650.50 $658.52 $666.65 $674.88

PPO 500 $615.03 $622.62 $630.30 $638.08

PPO 1000A $597.66 $605.04 $612.50 $620.06

PPO 1000B $596.55 $603.91 $611.36 $618.91

PPO 1500 $581.77 $588.95 $596.21 $603.57

PPO 2500 $522.85 $529.30 $535.83 $542.44

PPO 3000 $513.03 $519.36 $525.77 $532.26

Value 1500 $522.34 $528.79 $535.31 $541.92Value 2000 $504.31 $510.53 $516.83 $523.21

Value 2500 $490.85 $496.90 $503.04 $509.24

Value 3000 $478.86 $484.77 $490.75 $496.81

Value 3500 $467.94 $473.71 $479.56 $485.48

Value 5000 $442.43 $447.89 $453.42 $459.01





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,318.02 $1,334.29 $1,350.75 $1,367.43

PPO Platinum 500 $1,300.99 $1,317.05 $1,333.30 $1,349.76

PPO 500 $1,230.06 $1,245.24 $1,260.61 $1,276.17

PPO 1000A $1,195.32 $1,210.07 $1,225.01 $1,240.13

PPO 1000B $1,193.09 $1,207.81 $1,222.72 $1,237.81

PPO 1500 $1,163.53 $1,177.89 $1,192.43 $1,207.14

PPO 2500 $1,045.69 $1,058.60 $1,071.66 $1,084.89

PPO 3000 $1,026.06 $1,038.72 $1,051.54 $1,064.52

Value 1500 $1,044.68 $1,057.57 $1,070.63 $1,083.84

Value 2000 $1,008.61 $1,021.06 $1,033.66 $1,046.42

Value 2500 $981.69 $993.81 $1,006.07 $1,018.49

Value 3000 $957.72 $969.54 $981.51 $993.62

Value 3500 $935.87 $947.42 $959.11 $970.95

Value 5000 $884.86 $895.78 $906.84 $918.03

















Moda Health Oregon Standard Silver $982.53 $994.66 $1,006.93 $1,019.36




Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,878.18 $1,901.36 $1,924.82 $1,948.58

PPO Platinum 500 $1,853.91 $1,876.79 $1,899.95 $1,923.40

PPO 500 $1,752.84 $1,774.47 $1,796.37 $1,818.54

PPO 1000A $1,703.33 $1,724.35 $1,745.63 $1,767.18

PPO 1000B $1,700.15 $1,721.14 $1,742.38 $1,763.88

PPO 1500 $1,658.03 $1,678.49 $1,699.21 $1,720.18

PPO 2500 $1,490.11 $1,508.50 $1,527.12 $1,545.96

PPO 3000 $1,462.14 $1,480.18 $1,498.45 $1,516.94

Value 1500 $1,488.67 $1,507.04 $1,525.64 $1,544.47

Value 2000 $1,437.27 $1,455.01 $1,472.97 $1,491.14

Value 2500 $1,398.91 $1,416.17 $1,433.65 $1,451.35

Value 3000 $1,364.75 $1,381.59 $1,398.65 $1,415.91

Value 3500 $1,333.61 $1,350.07 $1,366.74 $1,383.60

Value 5000 $1,260.93 $1,276.49 $1,292.24 $1,308.19













Moda Health Synergy Exclusive 5000 $997.26 $1,009.57 $1,022.03 $1,034.64








Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,219.17 $1,234.22 $1,249.45 $1,264.87

PPO Platinum 500 $1,203.42 $1,218.27 $1,233.30 $1,248.52

PPO 500 $1,137.81 $1,151.85 $1,166.06 $1,180.46

PPO 1000A $1,105.67 $1,119.32 $1,133.13 $1,147.12

PPO 1000B $1,103.61 $1,117.23 $1,131.02 $1,144.98

PPO 1500 $1,076.27 $1,089.55 $1,103.00 $1,116.61

PPO 2500 $967.26 $979.20 $991.29 $1,003.52

PPO 3000 $949.11 $960.82 $972.68 $984.68

Value 1500 $966.33 $978.26 $990.33 $1,002.55

Value 2000 $932.96 $944.48 $956.14 $967.94

Value 2500 $908.06 $919.27 $930.62 $942.10

Value 3000 $885.89 $896.82 $907.89 $919.10

Value 3500 $865.68 $876.36 $887.18 $898.13

Value 5000 $818.50 $828.60 $838.82 $849.18





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $678.78 $687.16 $695.64 $704.22

PPO Platinum 500 $670.01 $678.28 $686.65 $695.12

PPO 500 $633.48 $641.30 $649.21 $657.23

PPO 1000A $615.59 $623.19 $630.88 $638.66

PPO 1000B $614.44 $622.02 $629.70 $637.47

PPO 1500 $599.22 $606.61 $614.10 $621.68

PPO 2500 $538.53 $545.18 $551.91 $558.72

PPO 3000 $528.42 $534.94 $541.54 $548.23

Value 1500 $538.01 $544.65 $551.37 $558.18Value 2000 $519.43 $525.84 $532.33 $538.90

Value 2500 $505.57 $511.81 $518.13 $524.52

Value 3000 $493.23 $499.31 $505.48 $511.71

Value 3500 $481.97 $487.92 $493.94 $500.04

Value 5000 $455.70 $461.33 $467.02 $472.78

















PPO Platinum Summit Exclusive 250 $638.06 $645.94 $653.91 $661.98


PPO Summit Exclusive 1000A $577.06 $584.18 $591.39 $598.69






Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,357.56 $1,374.32 $1,391.28 $1,408.45

PPO Platinum 500 $1,340.02 $1,356.56 $1,373.30 $1,390.25

PPO 500 $1,266.96 $1,282.60 $1,298.43 $1,314.45

PPO 1000A $1,231.18 $1,246.37 $1,261.76 $1,277.33

PPO 1000B $1,228.88 $1,244.05 $1,259.40 $1,274.95

PPO 1500 $1,198.44 $1,213.23 $1,228.20 $1,243.36

PPO 2500 $1,077.06 $1,090.35 $1,103.81 $1,117.43

PPO 3000 $1,056.84 $1,069.89 $1,083.09 $1,096.46

Value 1500 $1,076.02 $1,089.30 $1,102.74 $1,116.35

Value 2000 $1,038.87 $1,051.69 $1,064.67 $1,077.81

Value 2500 $1,011.14 $1,023.62 $1,036.25 $1,049.04

Value 3000 $986.45 $998.63 $1,010.95 $1,023.43

Value 3500 $963.95 $975.84 $987.89 $1,000.08

Value 5000 $911.41 $922.65 $934.04 $945.57

























Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,934.52 $1,958.40 $1,982.57 $2,007.04

PPO Platinum 500 $1,909.53 $1,933.10 $1,956.95 $1,981.11

PPO 500 $1,805.42 $1,827.70 $1,850.26 $1,873.10

PPO 1000A $1,754.43 $1,776.08 $1,798.00 $1,820.19

PPO 1000B $1,751.16 $1,772.77 $1,794.65 $1,816.80

PPO 1500 $1,707.77 $1,728.85 $1,750.19 $1,771.79

PPO 2500 $1,534.81 $1,553.75 $1,572.93 $1,592.34

PPO 3000 $1,506.00 $1,524.59 $1,543.40 $1,562.45

Value 1500 $1,533.33 $1,552.25 $1,571.41 $1,590.80

Value 2000 $1,480.39 $1,498.66 $1,517.15 $1,535.88

Value 2500 $1,440.88 $1,458.66 $1,476.66 $1,494.89

Value 3000 $1,405.69 $1,423.04 $1,440.61 $1,458.39

Value 3500 $1,373.62 $1,390.58 $1,407.74 $1,425.11

Value 5000 $1,298.75 $1,314.78 $1,331.01 $1,347.44

























Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,255.74 $1,271.24 $1,286.93 $1,302.81

PPO Platinum 500 $1,239.52 $1,254.82 $1,270.30 $1,285.98

PPO 500 $1,171.94 $1,186.40 $1,201.05 $1,215.87

PPO 1000A $1,138.84 $1,152.90 $1,167.13 $1,181.53

PPO 1000B $1,136.72 $1,150.75 $1,164.95 $1,179.33

PPO 1500 $1,108.55 $1,122.23 $1,136.09 $1,150.11

PPO 2500 $996.28 $1,008.58 $1,021.02 $1,033.63

PPO 3000 $977.58 $989.64 $1,001.86 $1,014.22

Value 1500 $995.32 $1,007.60 $1,020.04 $1,032.63

Value 2000 $960.95 $972.81 $984.82 $996.97

Value 2500 $935.31 $946.85 $958.53 $970.36

Value 3000 $912.47 $923.73 $935.13 $946.67

Value 3500 $891.65 $902.65 $913.80 $925.07

Value 5000 $843.05 $853.46 $863.99 $874.65






Moda Health Connexus HSA 2000 $967.61 $979.56 $991.64 $1,003.88



















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $685.37 $693.83 $702.39 $711.06

PPO Platinum 500 $676.51 $684.86 $693.32 $701.87

PPO 500 $639.63 $647.53 $655.52 $663.61

PPO 1000A $621.57 $629.24 $637.00 $644.87

PPO 1000B $620.41 $628.06 $635.82 $643.66

PPO 1500 $605.04 $612.50 $620.06 $627.71

PPO 2500 $543.76 $550.47 $557.26 $564.14

PPO 3000 $533.55 $540.14 $546.80 $553.55

Value 1500 $543.23 $549.94 $556.73 $563.60Value 2000 $524.48 $530.95 $537.50 $544.14

Value 2500 $510.48 $516.78 $523.16 $529.61

Value 3000 $498.01 $504.16 $510.38 $516.68

Value 3500 $486.65 $492.66 $498.74 $504.89

Value 5000 $460.13 $465.81 $471.55 $477.37





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,370.74 $1,387.66 $1,404.78 $1,422.12

PPO Platinum 500 $1,353.03 $1,369.73 $1,386.63 $1,403.75

PPO 500 $1,279.26 $1,295.05 $1,311.03 $1,327.21

PPO 1000A $1,243.13 $1,258.48 $1,274.01 $1,289.73

PPO 1000B $1,240.81 $1,256.13 $1,271.63 $1,287.32

PPO 1500 $1,210.07 $1,225.01 $1,240.12 $1,255.43

PPO 2500 $1,087.52 $1,100.94 $1,114.53 $1,128.28

PPO 3000 $1,067.10 $1,080.27 $1,093.60 $1,107.10

Value 1500 $1,086.47 $1,099.88 $1,113.45 $1,127.19

Value 2000 $1,048.95 $1,061.90 $1,075.01 $1,088.27

Value 2500 $1,020.96 $1,033.56 $1,046.31 $1,059.23

Value 3000 $996.03 $1,008.32 $1,020.77 $1,033.36

Value 3500 $973.30 $985.32 $997.48 $1,009.79

Value 5000 $920.25 $931.61 $943.11 $954.75





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,953.31 $1,977.41 $2,001.82 $2,026.52

PPO Platinum 500 $1,928.07 $1,951.86 $1,975.95 $2,000.34

PPO 500 $1,822.95 $1,845.45 $1,868.22 $1,891.28

PPO 1000A $1,771.46 $1,793.33 $1,815.46 $1,837.87

PPO 1000B $1,768.16 $1,789.98 $1,812.07 $1,834.44

PPO 1500 $1,724.35 $1,745.63 $1,767.18 $1,788.99

PPO 2500 $1,549.71 $1,568.84 $1,588.20 $1,607.80

PPO 3000 $1,520.62 $1,539.39 $1,558.39 $1,577.62

Value 1500 $1,548.22 $1,567.32 $1,586.67 $1,606.25

Value 2000 $1,494.76 $1,513.21 $1,531.88 $1,550.79

Value 2500 $1,454.86 $1,472.82 $1,491.00 $1,509.40

Value 3000 $1,419.34 $1,436.86 $1,454.59 $1,472.54

Value 3500 $1,386.96 $1,404.08 $1,421.41 $1,438.95

Value 5000 $1,311.36 $1,327.55 $1,343.93 $1,360.52





















Market: Small Group




Plan 2016 Q1 2016 Q2 2016 Q3 2016 Q4

PPO Platinum 250 $1,267.94 $1,283.58 $1,299.43 $1,315.46

PPO Platinum 500 $1,251.55 $1,267.00 $1,282.64 $1,298.47

PPO 500 $1,183.32 $1,197.92 $1,212.71 $1,227.67

PPO 1000A $1,149.90 $1,164.09 $1,178.46 $1,193.00

PPO 1000B $1,147.75 $1,161.92 $1,176.26 $1,190.78

PPO 1500 $1,119.32 $1,133.13 $1,147.12 $1,161.27

PPO 2500 $1,005.95 $1,018.37 $1,030.94 $1,043.66

PPO 3000 $987.07 $999.25 $1,011.58 $1,024.07

Value 1500 $1,004.98 $1,017.39 $1,029.94 $1,042.65

Value 2000 $970.28 $982.26 $994.38 $1,006.65

Value 2500 $944.39 $956.04 $967.84 $979.79

Value 3000 $921.33 $932.70 $944.21 $955.86

Value 3500 $900.31 $911.42 $922.67 $934.05

Value 5000 $851.24 $861.74 $872.38 $883.14



















Supporting Document Schedules Satisfied - Item: 4872 - Individual and Small Group Health Benefit Plan Rate FilingsComments:Attachment(s): Moda Small Group 2016 Product Standards.pdfItem Status:Status Date:

Satisfied - Item: 3894 Certification of ComplianceComments:Attachment(s): Moda SMGR 2016 Certificate of Compliance.pdfItem Status:Status Date:

Satisfied - Item: HBP - Actuarial Memorandum - SG and IndividualComments:

Attachment(s):SMGR Part III Rate Filing Documentation and Actuarial Memorandum.pdfActuarial Memorandum.pdfRisk Corridor Calculator.pdf

Item Status:Status Date:

Satisfied - Item: HBP -Exhibit 1: Development of Rate ChangeComments:Attachment(s): Exhibit 1.pdfItem Status:Status Date:

Satisfied - Item: HBP - Exhibit 2: Covered Benefit or Plan Design ChangesComments:Attachment(s): Exhibit 2.pdfItem Status:Status Date:

Satisfied - Item: HBP- Exhibit 3:Average Annual Rate ChangeComments:Attachment(s): Exhibit 3.pdf








Satisfied - Item: HBP - Exhibit 4: Trend Information and ProjectionComments:

Attachment(s): Exhibit 4.1.pdfExhibit 4.2.pdf


Satisfied - Item: HBP - Exhibit 5: Statement of Administrative Expenses and PremiumComments:Attachment(s): Exhibit 5.pdfItem Status:Status Date:

Satisfied - Item: HBP - Exhibit 6: Plan RelativitiesComments:Attachment(s): Exhibit 6.pdfItem Status:Status Date:

Satisfied - Item: HBP - Appendix I: Insurer's Financial Position:Comments:

Attachment(s):2014 MHP Annual-Pages.pdf2014 MHP SHCE.pdfModa Health Small Group Appendix I.pdf


Satisfied - Item: HBP - Appendix II: Cost Containment and Quality Improvement EffortsComments:Attachment(s): Moda Health Small Group Appendix II.pdfItem Status:Status Date:

Satisfied - Item: Standard Review QuestionsComments:







Attachment(s): Standard Review Questions.pdfItem Status:Status Date:

Satisfied - Item: Unified Rate Review TemplateComments:Attachment(s): Unified_Rate_Review_Template v3m.pdfItem Status:Status Date:

Satisfied - Item: Standard Plan RatesComments:Attachment(s): 2016 Proposed Small Group Standard Plan Rates.pdfItem Status:Status Date:

Satisfied - Item: Additional ExhibitsComments:

Attachment(s):Development of Benefit Adjustments.pdfMarket Index Rates.pdfPlan Index Rate.pdfProjected Age Distribution.pdf








440-4872 (12/14 INS) 1

Department of Consumer & Business Services

Oregon Insurance Division – 5 P.O. Box 14480

350 Winter St. NE Salem, OR 97309-0405 Phone (503) 947-7983

Standards for Filing Individual and Small Group Health Benefit Plan Rates

This checklist must be submitted with your filing in compliance with OAR 836-010-0011(2). These standards are summaries, and review of the entire statute or rule may be necessary. Complete each item to confirm that diligent consideration has been given to each and is certified by the signature on the certification of compliance form. “Not applicable” can be used only if the item does not apply to the rates being filed. Not including required information may cause this filing to be considered incomplete and returned without review. These standards are subject to change as HHS releases more information. Insurer Name: Date: TOI (type of insurance): Sub-TOI:

H15I – Individual Health - Hospital/Surgical/Medical Expense H15I.001- Hospital/Surgical/Medical Expense H16G – Group Health Major Medical H16G.001A – Any size group – PPO

H16G.001B – Any size group – POS H16G.001C – Any size group – Other H16G.003A – Small Group only - PPO H16G.003B – Small Group only – PPO Basic H16G.003D – Small Group only – POS H16G.003E – Small Group only – POS Basic H16G.003G – Small Group only – Other

H16I – Individual Health – Major Medical H16I.005A – Individual – PPO H16I.005B – Individual – POS H16I.005C – Individual – Other Product Type:

HMO PPO EPO POS HSA HDHP FFS Other

440-4872 (12/14 INS) 2

GENERAL REQUIREMENTS FOR ALL SMALL GROUP AND INDIVIDUAL HBP RATE FILINGS Category Reference Description of review standards requirements Answers Page #

SUBMISSION PACKAGE REQUIREMENTS

OAR 836-010-0011 Required forms are located on SERFF or on our Web site: http://insurance.oregon.gov/docs/serff/filing_requirements.html.

Paper filings: These items must be submitted with your filing for it to be accepted as complete:

NAIC transmittal form

Two self addressed stamped envelopes, one in which Insurance Division can return the approved filing

Complete copy of the filing on a CD, with each document as a separate PDF

Yes N/A

ORS 743.018 OAR 836-010-0011 (2)

If SERFF is not functioning, filing must be submitted by the deadline by one of the following methods:

Email [email protected]

CD rom (postmarked by due date)

Paper filing (postmarked by due date) The filing must be entered into SERFF at the earliest availability

Confirm

OAR 836-053-0473 (2)(m) Third party filer’s letter of authorization Yes N/A

OAR 836-053-0471 (2)(l) Certification of compliance form signed and dated by an authorized person

Confirm

OAR 836-010-0011(2) Product standards (this document) for rates with boxes checked. Confirm

OAR 836-010-0011(2) Naming convention of all electronic files consistent with the Product Standard Category (left column) attached to the appropriate section in SERFF

Confirm

ORS 731.296 (Grandfathered and Transitional plans only) Draft letter to consumer advising them of the rate change will be provided before the rate review is complete.

Yes N/A

GRANDFATHERED STATUS

Grandfathered Plans 45 CFR (A)(B) Part 147

Effective for plan years on or after 1/1/2014, filings for “Grandfathered” status health plans must be pooled separately from “Non-Grandfathered” status health plans. Each filing must stand alone.

Confirm

REVIEW REQUESTED ORS 742.003(1),

OAR 836-010-0011(3), ORS 743.767, OAR 836-010-0021(1)

The following are submitted in this filing for review (select one): 1. New rate filing 2. Rate change 3. Continued use of existing rates

The annual geographic average rate (GAR) filing is satisfied through the inclusion of GARs in the Rate Tables and Factors exhibit.

Yes No

http://insurance.oregon.gov/docs/serff/filing_requirements.html

mailto:[email protected]

440-4872 (12/14 INS) 3


FORM NUMBERS ORS 731.296 A list of policy form numbers to be listed on the Rate/Rule Schedule tab in SERFF.

Confirm

HEALTHCARE REFORM ELEMENTS

PPACA Public Law 111-148 CFR Title 45 Single Risk Pool CFR 45 (A)(B) Part 156 sub part 156.80 Grandfathered Plans CFR 45 (A)(B) Part 147 sub part 147.140 Age Banding CFR 45 (A)(B) Part 147 sub part 147.102(a)(1)(iii). Per Member Rating CFR 45 (A)(B) Part 147 sub part 147.102(c)(1). Composite Rating CFR 45 (A)(B) Part 147 sub part 147.102(c)(3). Tobacco Factors Composite Rating CFR 45 (A)(B) Part 147 sub part 147.102(a)(iv).

2015 Alignment of Individual Market

All ACA compliant products issued on or after January 1, 2014 may only provide coverage through December 31 of that year.

Rates and benefits for the same plan offered in and out of the Exchange must be identical

Single Pool Rating:

All associations (except student health plans available through a bona fide association) must be included in the base experience

Grandfathered plans:

Grandfathered plans are not subject to any of the new rating and benefit provisions effective in 2014

3 to 1 Age Banding Rating Restrictions:

Age factors will be standardized statewide and will be restricted to a 3 to 1 ratio The federal age factors will be used for small group and individual ACA compliant plans and individual Transitional plans

List bill (Individual ACA compliant filings):

All individual rates will be priced per member, with a maximum of 3 children under 21

Composite rating (Small Group ACA compliant filings):

Per-member build-up of rates is required to determine group aggregate premium based on census at time of quote

Standardized tier factors must be used for allocation of group aggregate to group members; changes from current tier factors must be revenue neutral

Standardized tier factors: Employee Only: 1.0; Employee + Spouse: 2.0; Employee + Child = 1.85; Family: 2.85 (note that children include all dependent children ages 0 to 25)

Tobacco Rating Factors (Individual ACA compliant plans):

Tobacco factors may not exceed 1.5

The age band ratio for smokers may not exceed 3 to 1.

Children under 18 may not be charged a tobacco load.

Yes N/A

440-4872 (12/14 INS) 4



Medical Loss Ratio CFR 45 (A)(B) Part 158 sub part B 158.210.

Federal MLR:

Rates may not be set such that the anticipated federal MLR is under 80%.

When determining reasonability of rates, Oregon does not recognize federal credibility standards in calculation of the Federal MLR

Yes N/A

Confirm


FEDERAL REGULATIONS Insurer Fee CFR 45 (A)(B) Part 156 sub part B 156.50. (De minimis) CFR 45 (A)(B) Part 156 sub part 156.140(a) (Actuarial Value) CFR 45 (A)(B) Part 156 sub part 156.135(a)

Fees and Assessments (General):

Fees must reflect an average total cost over the plan year Insurer’s Fee:

This fee is not considered a deduction for tax purposes

The unique tax implications should be added to margin, since they do not reflect explicit costs associated with the health benefit plans

Actuarial Value (AV) Calculator:

All metal tier plans, both inside and outside the exchange must meet the de minimis range (within 2%) for one of the 4 metal tiers: bronze, silver, gold, platinum

Catastrophic plans do not have an AV requirement

Actuarial value is determined based on Essential Health Benefits only

Where appropriate, the AV calculator should determine the objective differences between plans

Where the AV calculator is not appropriate, methodology must be consistent across all plans

The AV calculator is not required for determining pricing relativities

Yes N/A

Confirm

HEALTHCARE REFORM ELEMENTS The “3 Rs”

FEDERAL REGULATIONS Public Law 111-148

(Federal Reinsurance) CFR 45 (A)(B) Part 153 sub part (C) 153.405

(State Reinsurance) CFR 45 (A)(B) Part 153 sub part (C) 153.210

Reinsurance (Federal and State Supplemental):

Use parameters and assessments provided by federal and state regulators

Claims adjustments on individual filings must be consistent with average market risk

Embedded pediatric dental qualifies for reinsurance

Stand alone dental does not qualify for reinsurance

Reinsurance payments in the base period experience are inappropriate adjustments for projecting future claims

Yes N/A

Confirm

440-4872 (12/14 INS) 5


(Federal Risk Adjustment) CFR 45 (A)(B) Part 153 sub part(s) (D) 153.610 (Risk Corridor) CFR 45 (A)(B) Part 153 sub part(s) (F) 153.500

Risk Adjustment

Carrier projected claims must be adjusted to reflect average experience for the market

Risk adjustment payments in the base period experience are appropriate adjustments for projecting future claims

Risk Corridor:

Health benefit plans should not be priced to anticipate an impact of the risk corridor program

Any findings regarding risk corridor payments will result in adjustments to the approved rates, consistent with the company’s business plan.

Confirm

FILING DESCRIPTION

OAR 836-053-0473 (2)(a) The document labeled FILING DESCRIPTION is submitted in the form of a cover letter summarizing the reasons for rate change and includes: Filing Information:

Description of the benefit plan(s) Prior Filing Information:

Most recent prior SERFF filing number(s) and approval date(s)

Current HIOS Submission Tracking ID

Comparison of actual and expected results, including the following:

o Projected claims, admin and profit percentages from the prior filing with the rating period that most closely matches the experience period of this filing (Rate Filing Summary, “to” percentages)

o Actual claims, admin, and profit percentages from this filing (Rate Filing Summary, “from” percentages

Quantify primary differences between actual and expected results.

Yes N/A

440-4872 (12/14 INS) 6


FILING DESCRIPTION

OAR 836-053-0473 (2)(a) Rate Change Summary:

Type of rate change request: annual, quarterly, other (explain)

Identify the intended duration of rate change request (typically 12 months)

Effective dates of all rate change requests, if not annual

Confirm average rate change, minimum and maximum rate impact (do not include any impact from demographic shifts)

Briefly list key changes in the filing: o Rating factors o New and discontinued plans o Significant benefit changes

Filing Impact:

Identify the total members, subscribers, and groups affected by this rate filing and source of the counts, typically a snapshot of the most recent enrollment (e.g. members effective July 1,2013)

Identify how membership is projected to change between the experience period and rating period, as appropriate:

o Anticipated membership on the effective date of the filing

o Estimated average membership for the filing period o Projected membership for the end of the rating period, if

the proposed premium rate is approved as filed

Yes N/A

440-4872 (12/14 INS) 7



OAR 836-053-0473 (2)(b) A document labeled RATE TABLES AND FACTORS that includes: Introduction:

Indicate whether the rate changes are the same for all policies

If the rate change is not uniform for all policies, clear explanation of how the rate changes apply to different policies

o Identify the rate factors that are changing o Refer to table demonstrating a meaningful distribution

of rate changes(Exhibit 4)

Clear instructions, including a calculation, so that any member or group can determine the rates for each benefit plan, each age bracket, each geographic area, each rate tier, and all other variables used to determine rates

Cross-reference supporting exhibits: Benefit changes (Exhibit 2), Plan Relativities(Exhibit 6)

Identify any rating factors that are not used to develop rates Rate Tables:

Rate tables containing, at a minimum, the base rates for each available plan

Geographic Average Rate (GAR) table containing family type, geographic area, and average of highest and lowest rates resulting from the application of other rating factors

(Small Group only) Rates may vary quarterly based on trend Rate Factors:

Tables for all factors not already included in the rate tables: o Age o Tobacco o Family/Rating Tier o Geographic Area

The following factors are no longer allowed for plans issued on or after 2014

o Contribution o Participation o Wellness program participation o Duration of in-force coverage o Experience adjustments

Identify each rate factor that is changing as a result of this filing o Include the previous rate factors o Calculate the rate impact for each change

Yes N/A

440-4872 (12/14 INS) 8


ACTUARIAL MEMORANDUM

OAR 836-053-0473 (2)(c) This is the primary supporting document for the filing and should satisfy both state and federal memorandum requirements. All other supporting documentation should be provided as Exhibits to accompany the memorandum. A document labeled ACTUARIAL MEMORANDUM that includes: Company’s Identifying Information:

Company Legal Name

State: Oregon

HIOS Issuer ID

Market: Individual or Small Group

Effective Date Company Contact Information:

Name and contact information of the filer

Name and contact information for secondary contact Introduction:

Identify the benefit plans impacted by the rate change request

Overview of the filing o Identify the base rate increase, as calculated in the

Development of Rate Change exhibit. (Exhibit 1) o Quantify the impact of all rate factor changes and

whether those changes are revenue neutral, as identified in the Rate Table and Factors exhibit

o Quantify any impacts of the changes to the benefit plan, as described in the Covered Benefit Design Changes (Exhibit 2)

o Demonstrate the calculation of the average annual rate change (Exhibit 3)

Fill out and include Summary of Filed Rating Assumptions (see template) in Actuarial Memorandum.

Yes N/A

440-4872 (12/14 INS) 9



OAR 836-053-0473 (2)(c) Discussion:

Description of any changes in rating methodology, supported by sufficient detail to permit the division to evaluate the effect on rates

Discussion of all assumptions and calculations pertinent to the proposed rate

o (Small Group only) If rates vary more frequently than annually, provided information to justify such variation in rates

o Provide justification and need for assumptions, identifying relevant sources if the assumption is data driven

o Tie together the administrative costs presented in the Development of Rate Change (Exhibit 1) and Statement of Administrative Expenses (Exhibit 5)

o Consideration of credibility of calculations and data

Demonstrate how projected claims on Exhibit 1 tie to the Index Rate shown on the URRT.

Demonstrate starting with the Index rate how the rates for each plan are calculated utilizing network/area, pricing relativity, age factors and admin only.

Demonstrate that the anticipated Risk Corridor payments/receipts are zero.

We expect use of HHS guidance or generally accepted actuarial principles

Mandates:

Identify all mandated state and federal changes to the filing including, but not limited to:

o New benefits (EHB), including effective dates and pricing methodology

o New fees, including implementation and justification o “3 R’s”: Reinsurance, Risk Adjustment, Risk Corridor o Exchange impacts: fees, reallocation impacts o Impact of cost sharing subsidies on plan pricing o Impact of market changes: Transitional and Small

Group Expansion o Guaranteed issue

Yes N/A

440-4872 (12/14 INS) 10



OAR 836-053-0473 (2)(c) Certification:

Identify that the filing is consistent with the company’s internal business plans

Confirm all calculations are based on generally accepted actuarial rating principles for rating blocks of business

Signature of and date that a qualified actuary reviewed the rate filing

Contact information of peer review actuary (Per ASOP #8, definition 2.2, the peer review actuary is also a filing actuary, but Oregon is not requesting a signature from that actuary)

Confirm

DEVELOPMENT OF RATE CHANGE OR BASE RATE (Exhibit 1)

OAR 836-053-0473 (2)(d) Please refer to provided template. A document labeled DEVELOPMENT OF RATE CHANGE OR BASE RATE including :

Detailed calculation of how the proposed rate or rate change was determined:

o Base period data appropriate for risk pool o All adjustments from base period claims to projected

claims o Addition of all expenses and margin to costs o All adjustments from base period premiums to current

premiums o Calculation of final required premium and rate increase o Loss ratio demonstrations o Federal MLR calculation

Sufficient detail to allow division to review and determine reasonability and actuarial soundness of assumptions, calculations, and estimates

o Distinguish between data, assumptions, and calculations

o Provide calculated aggregate and PMPM values o Provide all formulas

Cross-reference supporting exhibits: Trend (Exhibit 4), Admin (Exhibit 5)

Confirm

440-4872 (12/14 INS) 11


COVERED BENEFIT OR PLAN DESIGN CHANGES (Exhibit 2)

OAR 836-053-0473 (2)(e) A document labeled COVERED BENEFIT OR PLAN DESIGN CHANGES that:

Explains benefit and administrative changes with rating impact, including:

o Covered benefit level changes o Member cost-sharing changes o Elimination of plans o Implementation of new plan designs o Provider network changes o New utilization or prior authorization programs o Changes to eligibility requirements o Changes to exclusions o Any other change in the plan offerings that impacts

costs or coverage provided o Complete description of plan changes made due to

federal healthcare reform including the total premium percentage increase attributed to these changes and a specific breakdown that shows the benefit change and percentage of rate increase for each benefit

o Percentage rating impact for each item, as well as the total impact

o Members impacted by change

Yes N/A

SUMMARY OF RATE INCREASES (Exhibit 3)

OAR 836-053-0473 (2)(f) Please refer to provided template A document labeled SUMMARY OF RATE INCREASES including:

Table showing the following for all effective dates (quarterly for small group, for example):

o Effective date o Membership count o Requested average annual rate change o Minimum annual rate impact o Maximum annual rate impact o Rate change from prior effective date (if not annual)

If applicable, a table showing a meaningful distribution of rate increases across the entire pool.

Estimate the contributing factors to the rate increase: trend, rating changes, margin changes, benefit changes, other

Yes N/A

440-4872 (12/14 INS) 12


TREND INFORMATION AND PROJECTION (Exhibit 4)

OAR 836-053-0473 (2)(g) A document labeled TREND INFORMATION AND PROJECTION that includes:

Presentation of all significant variables of trend by these categories, if used.

o Utilization trend o Cost trends by major service category, with a

distribution of claims Hospital Physician Pharmacy Other

o Deductible leveraging, if not reflected in the Plan Relativity exhibit

o Technology/intensity o Other factors (please specify)

Cost trends should be supported by known contractual increases in hospital and professional agreements. Support needs to be quantitative and specific.

Quantify savings from the reduction of “bad debt” due to ACA coverage expansion. Show where this savings is reflected in the trend and/or rate development.

Mathematical development of the pricing trend used in the Development of Rate Change

Historical monthly average allowed claim costs for at least the immediately preceding three years when applicable

o This information based on allocated costs if the insurer’s structure doesn’t include claims cost

o Both un-normalized and normalized monthly average claim costs for same period. Claims should be normalized for applicable premium rating factors

o Explanation of normalization method used and discussion of impact on trend

Notes:

Carriers may not include a trend margin, or fluctuation factor in the development of trend.

Effective 1/1/2015, underwriting wear-off no longer applies to individual health plans.

Yes N/A

440-4872 (12/14 INS) 13


STATEMENT OF ADMINISTRATIVE EXPENSES (Exhibit 5)

OAR 836-053-0473 (2)(h) Please refer to provided template. A document labeled STATEMENT OF ADMINISTRATIVE EXPENSES including:

A chart illustrating a breakdown of the insurer’s administrative expenses including:

o 5 years of historical data tying to financials o Projected expenses for the filing effective date

A detailed breakdown of fees and taxes

Target margin for the projected period

Total retention for the base period and projected period

Reports retention on a percentage of premium basis broken down by operating expenses, commissions, state assessments and tax, and profit

Reports retention on a per member per month (PMPM) basis

Identify fixed or variable expenses (or a combination of both)

Reflect actual assessment of fees (Reinsurance assessment, ACA insurer fee, Exchange fees, other). The cost charge to the premium must cover the cost for that period, and not a projection of expected future fees.

A description in plain language of the contributing costs of premium retention

o Explanation of the basis for any proposed premium rate increase or decrease related to changes in the administrative expenses

o Explanation of how administrative expenses for the filed line of business are allocated

o Includes a description of retention – “retention” means the amount to be retained by the insurer to cover all of the insurer’s non-claim costs including expected profit or contribution to surplus for a nonprofit entity

Confirm

PLAN RELATIVITIES (Exhibit 6)

OAR 836-053-0473 (2)(i) Please refer to provided template. A document labeled PLAN RELATIVITIES that:

Explains the presentation of rates for each benefit plan

Explains the methodology used to develop the benefit plan relativities

Confirm

440-4872 (12/14 INS) 14


PLAN RELATIVITIES (Exhibit 6)

OAR 836-053-0473 (2)(i)

CCIIO has provided an Actuarial Value (AV) calculator to be used to determine the metal tier/level of benefits for each plan.

If the AV calculator was not used to determine the metal level for any plan, a supporting exhibit must be included explaining the methodology used to develop the AV.

Most, but not all benefit differences, are expected to be priced based on the AV calculator. If the plan relativities differ from the AV (for example, network differences), identify the factors resulting in the difference.

Demonstrates the comparison and reasonableness of benefits and costs between plans

If a plan includes benefit substitutions that are over 1% of total claims, then data must provide data supporting the calculation.

Compares plan relativities to the last filing, when relativities change, including deductible leveraging

This exhibit should be identical between the plan filing and the rate filing.

The plan name,

issuer plan identification number (HIOS plan ID),

metal level or catastrophic plan,

List of Geographic areas that plan will be offered (1-7)

whether the plan will be sold: o inside the Exchange only, (in) o outside the Exchange only. (out) o both inside and outside the Exchange, or (both)

Whether or not pediatric dental is embedded (yes/no)

INSURER’S FINANCIAL POSITION (Appendix I)

OAR 836-053-0473 (2)(j) A document labeled INSURER’S FINANCIAL POSITION that includes:

Information about the company’s financial position including but not limited to profitability, surplus, reserves, and investment earnings

Discussion of whether the proposed change in the premium rate is necessary to maintain the company’s solvency or to maintain rate stability and prevent excessive rate increases for the line of business in the future

Yes N/A

440-4872 (12/14 INS) 15


INSURER’S FINANCIAL POSITION (Appendix I)

OAR 836-053-0473 (2)(j) Although public documents filed with the department as part of

the annual statement or other requisite filings may be referenced in this item, information about the company’s profitability, surplus, reserves, and investment earnings must still be included in the Insurer’s Financial Position document; if such references are made, include copies of the supporting documents with this filing

Specifically provide the following pages from the Annual Statement:

o Assets, Liabilities, and Revenue (pages 2-4) o Supplemental Healthcare Exhibit (Part 1, both for

business in the State of Oregon and the grant total pages)

The last 5 years of RBC and a statement regarding the need for surplus

Yes N/A

COST CONTAINMENT AND QUALITY IMPROVEMENT EFFORTS (Appendix II)

OAR 836-053-0473 (2)(k) A document labeled COST CONTAINMENT AND QUALITY IMPROVEMENT EFFORTS that:

Identifies new health care cost containment efforts and quality improvement efforts since the last rate filing for the same category of health benefit plan, with estimated savings for the projection period

Describes significant changes to existing health care cost containment initiatives and quality improvement efforts, with estimated savings for the projection period, savings realized over the prior experience period, and a description of how the company is measuring the impact of its initiatives

Includes information about whether the cost containment initiatives reduce costs by eliminating waste, improving efficiency, by improving health outcomes through incentives, or by elimination or reduction of covered services or reduction in the fees paid to providers for services

Confirm

STANDARD REVIEW QUESTIONS (Appendix III)

Please refer to provided template. A document labeled STANDARD REVIEW QUESTIONS that answers the questions provided in the template.

Confirm

440-4872 (12/14 INS) 16


COST AND QUALITY METRICS

OREGON HEALTH POLICY BOARD CFR 45 (A)(B) Part 158 sub part 158.150 ORS 743.018 (5)(f)

Fill out the following information on the provided template. Provide, for public review, the following metrics, as recommended by the Oregon Health Policy Board: Recommendation to Governor Kitzhaber

Utilization per 1,000 members and per member per month costs for

o Inpatient Admissions/Days o Outpatient Visits o Emergency Department Visits o Primary Care Visits o Specialty Care Visits o Rx Scripts o Other Claims

Quality metrics for CY2013, as reported to the following entities o NCQA:

Breast Cancer Screening Comprehensive Diabetes Care: Hemoglobin

A1c (HbA1c) Testing o CCO Metrics:

Follow-Up After Hospitalization for Mental Illness*

Developmental Screening in the First Three Years of Life*

CAHPS: Access to Care*

Confirm

HIOS URRT SUBMISSION

CFR Part 154.200 CFR Part 156.80

All ACA Compliant plans (even off exchange only plans) must be submitted on HIOS when this rate filing is submitted via SERFF.

The filing tracking number should be the Rate Filing SERFF Tracking number.

The URRT must be updated after the rate filing is approved.

Yes N/A

Confirm

http://www.oregon.gov/oha/OHPB/2013MeetingMaterials/OHPB%20draft%20recommendations%20to%20Governor%20Kitzhaber.pdf

440-3894(rev. 3/02/ins)

Department of Consumer & Business Services Oregon Insurance Division - 5

350 Winter St. NE, Rm. 440 Salem, Oregon 97301-3883

Phone (503) 947-7983

CERTIFICATE OF COMPLIANCE

I, the undersigned authorized filer, hereby certify that the filing submitted complies with the applicable Oregon laws, Oregon Administrative Rules, Oregon Insurance Bulletins and applicable filing requirements and product standards set forth on the Insurance Division’s web site and that the filing is not false or misleading in any material respect. I further certify that I am authorized to sign and submit this certificate on behalf of the Company identified below (hereinafter Company). I, the undersigned authorized officer, a duly authorized officer of Company, certify that the undersigned authorized filer is authorized to certify on behalf of Company that this filing complies with the Oregon laws, Oregon Administrative Rules, Oregon Insurance Bulletins and applicable filing requirements and product standards set forth on the Insurance Division’s web site and that the filing is not false or misleading in any material respect. I understand that the Oregon Insurance Division will rely on this certificate and, should it be determined that this filing is materially false or misleading, appropriate corrective and disciplinary action including monetary penalties, as authorized by law, will be taken by the Oregon Insurance Division against the Company. Moda Health Plan, Inc 2015-21-01-OR Name of Company Company’s filing number or the primary form number

for the filing 4/30/2015 Signature of authorized filer Date Jennifer Halttunen, ASA, MAAA 601 SW Second Ave Print name of authorized filer Address of Company or authorized filer Supervisor, Pooled Products and Actuarial Portland, OR 97204-3156 Title City State ZIP 503-265-5733 [email protected] Direct telephone number of authorized filer E-mail address of authorized filer 800-852-5195 503-243-3949 Toll free or collect phone number Fax number of authorized filer 4/30/2015 Signature of authorized officer and title Date Kraig E. Anderson, FSA, MAAA Senior VP, Actuarial and Underwriting Print name of authorized officer and title

Actuarial Memorandum and Certification

Moda Health Plan, Inc.

January 1, 2016 Oregon Small Group Rate Filing

1 | P a g e

General Information

Company Identifying Information

Company Legal Name: Moda Health Plan, Inc.

State: Oregon

HIOS Issuer ID: 39424

Market: Small Group


Company Contact Information

Primary Contact

Name: Henry Stender

Telephone Number: 503-228-6554 x1032

Email Address: [email protected]

Secondary Contact

Name: Jennifer Halttunen, ASA, MAAA

Telephone Number: 503-265-5733


Proposed Rate Increase

The average rate increase for all members is 4.2%. The proposed rate increase varies by

product, plan, and rating area and rates in the filing vary by plan, age, and geographic area. The

federal age factor is used for age rating and the plan rating is detailed in the Plan Adjusted Index

Rate section. Geographic factors are shown in the Geographic Calibration section. The average

rate increase was calculated by comparing the weighted average premium for current members

on the 2015 plans and rates to the weighted average premium for current members on the 2016

plans and rates.

2015 $396.85

2016 $413.60

Rate Change 4.2%

The only adjustments included in the filed rate change is to adjustment from Moda experience

in 2014 to the market experience in 2014 as well as a benefit adjustment applied to the

transitional policies included in the experience period. There is no adjustment for the expansion

of the small group market from 1-50 to 1-100. The adjustments are discussed in more detail

below. The rates also include cost and utilization trends and changes in taxes and fees.

Differences in the rate change between products and plans are driven by an update to projected

paid to allowed ratios for renewing plans and mapping members from discontinued plans to

new plans. All plans impacted and member mapping is shown below. Variations in rate increase




2 | P a g e

by area are the result of implementing new area factors. The change in area factors is a revenue

neutral change.

2015 Plan 2016 Plan

PPO 500 PPO 500

PPO 1000A PPO 1000A

PPO 1000B PPO 1000B

PPO 1500 PPO 1500

PPO 2000 PPO 2500

PPO 3000 PPO 3000

Value 1500 Value 1500





Beneficial 1500 Moda Health Connexus Aspire 2000


Focus 2000 Moda Health Connexus Aspire 2000

Beneficial 3500 Moda Health Connexus Fundamental 3500


Beneficial 4500 Moda Health Connexus Essence 5000


Focus 5000 Moda Health Connexus Essence 5000

HSA 1500 Moda Health Connexus HSA 1500




Moda Health Oregon Standard Gold Moda Health Oregon Standard Gold

Moda Health Oregon Standard Silver Moda Health Oregon Standard Silver

Moda Health Oregon Standard Bronze Moda Health Oregon Standard Bronze

Experience Period Premium and Claims

Experience Period

Market: Oregon Small Group Medical and Prescription Drug plans

Incurred dates: January 1 through December 31, 2014

Paid through date: March 31, 2015

Premiums (net of MLR Rebate) in Experience Period

Earned premiums: $57,940,496

Member Months: 158,254




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MLR rebates refunded: $0

Anticipated MLR rebates: No MLR rebates are anticipated

Allowed and Incurred Claims Incurred During the Experience Period

Incurred paid claims: $42,402,514

Completed incurred paid claims: $43,080,384

Incurred allowed claims: $57,257,471

Completed incurred allowed claims: $58,126,655

Incurred but not paid claims: $677,870

• The experience period contains both single risk pool compliant and non-single risk pool

compliant plans. The only adjustment applies to the non-single risk pool compliant plans

is to account for EHBs that were not covered in the experience period.

• Experience for groups size 51-100 was not included in the experience period per the

2016 Unified Rate Review Instructions.

• Paid and allowed claims come directly from issuer’s claim records.

• IBNR is estimated monthly by the actuarial department and is modeled at the reserve

cell level. Key features distinguishing reserve cells include payer type (Medicare or

Commercial), state, funding type, and segment (group or individual business). The data

used in this analysis is reconciled to other financial reports to ensure validity. The

starting point for the actuarial analysis are completion factors produced by a proprietary

model using historical data. Because the model does not take into account such

important factors as payment cycles, changes in processing speed, or changes in claims

volume, the actuaries generally use the Bornhuetter-Ferguson (BF) method to produce

modified completion factors for recent months. The method for each reserve cell is set

ahead of time unless a one-off issue arises that makes this method inappropriate. The

actuaries then review the estimates for reasonableness and make adjustments using

actuarial judgment. This requires knowledge of changes in internal business practices,

other internal variables, and various calculated measures.

Benefit Categories

Claims are categorized using claim level service code and provider information to the categories

as specified in the 2016 Unified Rate Review Instructions.

Projection Factors

Changes in the Morbidity of the Population Insured: The 7.3% adjustment for the change

in the morbidity of the insured population adjusts from the morbidity of insured population in

the experience period to the morbidity of the 2014 Oregon Small Group market. Both Moda and

market factors were calculated using results from the Wakely National Simulation for all factors

used in the left side of the HHS risk transfer formula.




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The transfer formula compares the difference in actual “morbidity results” between an issuer

and market with the difference in allowable rating factors, adjustment is meant to adjust the

actual experience of the issuer to the market level. Following this reasoning, we have used the

following calculation to compare Moda experience to Market experience:

�� ∑ ��

11.1361.218 � 1.073

The 2014 Moda Health results from the full experience period (January through December) is

used as the base factor. This was compared to the completed 2014 market level results. Market

level results were completed using the assumption that all members were enrolled for the

duration of the year. This is consistent with the assumption that members will be continually

enrolled in future years.

Moving from 2014 to 2016, we do not project a change in the market morbidity factor despite

the expansion of small group from 1-50 to 1-100. Since Oregon is allowed transitional policies

for both 1-50 and 51-100 through October 2016, only the groups that would benefit from the

change will move into the market. Those with better risk (and subsequently lower rates

currently), will renew as transitional and/or early renew prior to October 2016. Overall the 51-

100 market has a lower morbidity factor that the 1-50 market. Considering the above selection,

we project the average morbidity of the groups entering the 2016 Small Group market will be

substantially equal to the 2014 market morbidity factor.

Where: %& � Transferforissuer/ 01222 � StateAveragePremium 0:;<& � Issuer/′splanliabilityriskscore EFG& � Issuer/′sinduceddemandfactor I;G& � Issuer/′sallowableratingfactor IK& � Issuer/′smetallevelactuarialvalue LMG& � Issuer/′sgeographiccostfactor 1& � Issuer/′sshareofStateenrollment, andthedenominatorissummed acrossallissuersintheriskpoolinthemarket + state




5 | P a g e

Changes in Benefits: The only adjustment for benefits is to account for plans that did not

include prescription drug coverage and pediatric vision coverage in the experience period. The

detail for this calculation is in the Development of Benefit Adjustments Exhibit. The total impact

is 0.8%.

Changes in Demographics: An explicit adjustment for changes in demographics has not been

included in this filing. The analysis to adjust to the overall market morbidity includes impacts of

the demographics of both the experience data as well as the projected population in the PLRS

comparison. Including an additional adjustment would be redundant.

Other Adjustments: There are no other adjustments included in the filing.

Trend Factors (cost/utilization): [Development of Trend] Medical cost and utilization trends

are developed from Oregon Commercial group claims. The cost trends have been reviewed for

consistency with recent and anticipated changes in reimbursement rates and points of service.

Moda implements the same medical management techniques for both individual and group

segments corporately; so utilization trends are not expected to vary between these segments.

The annualized 2-year trend (over the last 2 years) is used for the utilization trend projections

for each of the medical service categories. The block of experience used in the analysis has

approximately 48,000 lives.

The Pharmacy cost trend is based on historic cost trends in Moda's Commercial pharmacy

network. The cost trends are broken out by drug type - Specialty, Traditional Generics, and

Traditional Brand. The annualized 2-year trend is used for the Specialty cost trend. Since the cost

data for Traditional drug spending is affected by a network price change starting in mid-2012,

the 2-year annualized trend is not used for traditional drugs. Instead the 1-year 2014/2013 trend

is used as the cost trend for traditional drugs. Traditional and Specialty cost trends are blended

together using current and projected spend levels to get the overall rx cost trend.

The Pharmacy utilization trend is also based on claims and enrollment from Commercial groups.

Moda Health uses the same utilization management techniques (formulary, prior authorization

programs) for group and individual segments corporately. Utilization is also broken out by drug

type - Specialty, Traditional Generics, and Traditional Brand. Annualized 2-year trends are used

to project the utilizations trends in each drug type.

Credibility Manual Rate Development

No manual rates were used.

Credibility of Experience

Due to the size of the block in the experience period, no credibility adjustments were used for

developing rates. Credibility of the medical experience period has been determined based on

the Medicare credibility formula:




6 | P a g e

� �P ��24,000

100% < P158,25424,000

This formula was ultimately chosen as it is it is a published and documented formula. The

formula was developed primarily for use in Medicare Advantage rate filings, which generally

have higher claims volume than a full commercial market. Given the margin by which the

minimum threshold for full credibility is exceeded, however, the difference in claims volume is

more than adequately compensated for.

Paid to Allowed Ratio

The 2014 Milliman Managed Care Rating Model (MCRM) was used as the basis to develop

expected allowed and paid claims for the varying cost sharing designs. Utilization adjustments

included in the model reflect the effect of cost sharing and benefit design. The MCRM was

calibrated to reflect cost and utilization experience of commercial business for Oregon. The

calibrated Rating Model, when populated with a benefit design, produces both projected

allowed and paid claims PMPM for benefit design. The model was run for each of the Moda

Health medical and pharmacy benefit designs.

Paid amounts produced in the MCRM model were adjusted for deductible leveraging using

Milliman factors.

Plan Name

Projected

Membership

Projected

Allowed

Projected

Paid

Deductible

Leveraging

Factor

Plan

Specific

Paid to

Allowed

PPO Platinum 250 145 $448.71 $416.01 1.006 93.2%

PPO Platinum 500 145 $448.71 $409.86 1.008 92.0%

PPO 500 2,895 $442.69 $382.31 1.008 87.0%

PPO 1000A 2,316 $442.69 $370.46 1.010 84.6%

PPO 1000B 1,737 $441.27 $368.58 1.010 84.4%

PPO 1500 2,200 $442.69 $359.93 1.012 82.3%

PPO 2500 2,605 $433.29 $315.42 1.016 74.0%

PPO 3000 869 $433.29 $309.50 1.016 72.6%

PPO 3000 (Portland) 579 $433.29 $309.50 1.016 72.6%

Value 1500 1,158 $438.91 $320.41 1.012 73.9%

Value 2000 1,447 $438.91 $308.76 1.014 71.4%

Value 2000 (Rose City) 58 $412.21 $286.43 1.014 70.5%




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Value 2500 579 $438.91 $299.96 1.016 69.4%

Value 3000 1,737 $438.91 $292.63 1.016 67.8%

Value 3500 290 $438.91 $285.96 1.016 66.2%

Value 5000 290 $438.91 $268.85 1.022 62.6%

Moda Health Connexus

Aspire 2000 2,026 $439.94 $307.33 1.014 70.9%


Aspire 2500 579 $439.94 $297.86 1.016 68.8%


Fundamental 3500 1,158 $446.16 $263.40 1.016 60.0%


Fundamental 5000 145 $446.16 $242.41 1.022 55.5%


HSA 1500 290 $448.00 $332.71 1.012 75.2%


HSA 2000 290 $448.00 $317.33 1.014 71.8%


HSA 2500 290 $448.00 $304.85 1.016 69.1%


HSA 3250 290 $446.16 $267.25 1.016 60.9%


Essence 5000 869 $442.98 $241.24 1.022 55.7%

Moda Health Rose City

Essence 5000 58 $416.28 $222.74 1.022 54.7%


Essence 6000 290 $442.98 $239.78 1.022 55.3%


Basic 6500 145 $446.16 $242.05 1.022 55.4%


Basic 6500 145 $446.16 $242.05 1.022 55.4%

Moda Health Synergy

Exclusive 2000 145 $408.82 $279.97 1.014 69.5%

Moda Health Summit

Exclusive 2000 145 $400.26 $273.31 1.014 69.3%

Moda Health Synergy

Exclusive 5000 145 $412.86 $219.67 1.022 54.4%

Moda Health Summit

Exclusive 5000 145 $404.22 $213.97 1.022 54.1%

PPO Platinum Synergy

Exclusive 250 145 $418.62 $386.68 1.006 92.9%

PPO Platinum Summit

Exclusive 250 145 $410.35 $378.72 1.006 92.8%

PPO Synergy Exclusive

1000A 145 $412.87 $343.41 1.010 84.0%

PPO Summit Exclusive 145 $404.60 $336.11 1.010 83.9%




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1000A

Moda Health Oregon

Standard Gold 579 $446.09 $365.78 1.010 82.9%

Moda Health Oregon

Standard Silver 1,447 $441.79 $302.18 1.016 69.5%

Moda Health Oregon

Standard Bronze 145 $446.16 $246.44 1.022 56.4%

Risk Adjustment and Reinsurance

Experience Period Risk Adjustment and Reinsurance Adjustment PMPM:

For the experience period, the overall Risk Adjustment PMPM was estimated using the results of

the Wakely National Simulation for January through December and the HHS risk transfer

formula. The estimated risk adjustment payable is $3.73 PMPM for 2014.

Reinsurance does not apply to the Small Group market.

Projected Risk Adjustments PMPM

Moda Health has developed the rates for this risk pool assuming the projected insured

population morbidity is equivalent to the market average morbidity. No risk adjustments are

projected, only the Risk Adjustment user fee is included in this section of the URRT. Below is the

development of the market wide adjustment for Risk Adjustment in the development of the

Market Average Index Rate.

Risk Adjustment

(A) Risk Adjustment Program Fee, PMPM $0.15

(B) Projected Risk Adjustment recoveries/payments $0.00

(C) Recoveries net of premium, PMPM [B-A] -$0.15

(D) Paid to Allowed Ratio 74.5%

(E) Risk Adjustment (market-wide) [C/D] -$0.20

Projected ACA Reinsurance Recoveries Net of Reinsurance Premium (Individual

Market Only)

Below is the development of the market wide adjustment for the Reinsurance assessment in the

development of the Market Average Index Rate [Development of Market Adjusted Index Rate].

Federal Reinsurance

(A) Federal Reinsurance Program Premium -$2.25




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(B) Recoveries net of Premium $0.00

(C) Paid to Allowed Ratio 74.5%

(D) Program Adjustment (market-wide) [B/C] -$3.02

Non-Benefit Expenses and Profit & Risk

Administrative Expense Load

[Exhibit 5] Administrative expenses are allocated based on total enrollment, with individual and

small group lines of business receiving higher weights than large group to account for the higher

costs of administering the policy versus a large group policy. The projected expenses for 2016

are $39.55 PMPM. Commissions are paid at 4.0% of premium and utilization of agents is

assumed to be 100%.

Profit (or Contribution to Surplus) & Risk Margin

Moda Health has built in a 2.5% margin and contribution to reserves, consistent with corporate

practice. In order to maintain solvency and adequate risk based capital levels, we believe it is

prudent for us to make a reasonable contribution to capital as we grow in the Oregon market. A

margin contribution of 2.5% of premium is reasonable and ensures that we are able to meet our

future financial obligations to our policyholders.

Taxes and Fees

Federal transitional reinsurance program and risk adjustment fees have not been included in

this section.

• Moda’s health insurer fee for 2016 was estimated from the ground up using internally

forecasted 2015 premium, the total national assessment of $11,300,000,000, and

estimated 2015 national premium base per an updated study from Oliver Wyman. To

arrive at Moda’s share of the assessment, the first $25,000,000 in premium and 50% of

the next $25,000,000 in premium was excluded as prescribed by law, and then divided

by the estimated national premium base. Moda’s total payable amount was then

calculated by multiplying the national assessment by Moda’s share of the national

assessment. To calculate the amount that must be collected, this amount was then

divided by .58 to account for 35% federal tax and 7% state tax. This final figure was

divided by internally forecasted 2016 premium to arrive at the percent of premium

charged to each policy in 2016.

• The PCORI fee is set by the Federal government.

PMPM % of premium

ACA issuer’s fee 3.5%

PCORI $0.20




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• The Exchange User fee for Oregon is $9.66 PMPM. The assessment for members

enrolled through and exchange must be charged consistently for the inside and outside

market plans. Moda Health has estimated that 5% of the enrollment will come through

an exchange in 2016. The resulting $0.48 PMPM is included in premium. Below is the

development of the market wide adjustment for the exchange fee in the development

of the Market Average Index Rate [Development of Market Adjusted Index Rate].

Exchange User Fee Adjustment

(A) Exchange User Fee $9.66

(B) Exchange Enrollment Projection 5%


(D) Exchange User Fee Adjustment (market-wide) [A*B/C] $0.65

Projected Loss Ratio

The projected loss ratio has been calculated using projected incurred claims net of risk

adjustment and reinsurance.

The projected MLR has been calculated using the methodology below.

MLR Calculation

(A) Incurred Claims $327.35

(B) Admin $39.55

(C) Commission $16.44

(D) Insurer Fee $14.39

(E) HCR - Funding of Patient-Centered Outcomes Research Fee $0.20

(F) Exchange User Fee $0.48

(G) Reinsurance Assessment $2.25

(H) Risk Adjustment User Fee $0.15

(I) Contribution to Overhead $10.28

(J) Total Premium Rate $411.09

MLR = A / (J-D-E-F-G-H)

MLR: 83.2%

Incurred Claims $327.35

Projected Premium $411.09

Projected Loss Ratio 79.6%




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Single Risk Pool

In accordance with 45 CFR part 156, §156.80(d), the index rate that is effective January 1, 2016

for the Oregon Small Group market is based on the total allowed claims costs for providing

essential health benefits within the single risk pool of that market. The index rate shown on the

URRT is the weighted average of index rate for each quarter since Moda Health includes trend in

our rating. The weighted average index rate has been adjusted on a market-wide basis for the

state based on the total expected market-wide payments and charges under the risk adjustment

and reinsurance programs, and exchange user fees. The premium rate for all of the Moda Health

Oregon small group benefit plans use the applicable plan adjusted index rate, subject only to the

plan-level adjustments permitted. Premium rates for a particular plan may vary from its index

rate for a relevant market based only on the following actuarially justified plan-specific factors:

Plan-specific factors allowed and used in this filing

• The actuarial value and cost-sharing design of the plan.

• Administrative costs, excluding Exchange user fees.

• The plan's provider network, delivery system characteristics, and utilization

management practices.

• The benefits provided under the plan that are in addition to the essential health

benefits. These additional benefits must be pooled with similar benefits within the

single risk pool and the claims experience from those benefits must be utilized to

determine rate variations for plans that offer those benefits in addition to essential

health benefits.

Plan-specific factors allowed but not used in this filing

• With respect to catastrophic plans, the expected impact of the specific eligibility

categories for those plans.

Index Rate

Moda Health has developed a market-wide index rate for the Oregon small group market in

accordance with 45 CFR part 156, §156.80(d)(1). The following table shows the numerical

development of the index rate for the first quarter.

Index Rate Development Total

PMPM

(A) Experience Period Allowed Claims $ 361.81

(B-1) Completed Experience Period Allowed Claims $ 367.30

(B-2) Non-EHB Allowed Claims $ 5.56

(B) Experience Period Index Rate $ 361.74

(C) Trend 5.2%

(D) Trend Factor (1+C)^2 1.106




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(E) Adjustment to Market Morbidity 1.073

(F) Benefits Adjustments 1.008

(G) Projected 2016 Market Allowed Claims

(A*C*D*F) $ 439.36

(H) Projected % Non-EHB Claims 0.03%

(I) Projection Period Index Rate [H/(1-I)] $ 437.89

Weighted Average Index Rate Development

(A) Annual Trend 5.2%

(B) Quarterly Trend Factor 1.013

(C) Q1 Index Rate $ 437.89

(D) Q2 Index Rate $ 443.47

(E) Q3 Index Rate $ 449.11

(F) Q4 Index Rate $ 454.82

(G) Weighted Average Index Rate $ 446.32

Experience Period Index Rate: The experience period index rate is equal to 98.5% of allowed

claims for the experience period. There are a limited number of non-single risk pool compliant

plans included in the experience period, but these plans cover substantially similar benefits to

the single risk pool compliant plans. The only non-EHB benefits included in the experience

period are for alternative care services.

Projection Period Index Rate: All adjustments to get from the experience period allowed claims

to the projected 2016 allowed claims have been previously discussed in the Projection Factors

section of this document. The only non-EHB benefits included in the projection period are for

alternative care services. Membership is assumed to be distributed through the year equally.

This assumption is used to calculate the weighted average index rate for the year above.

Moda Health does not provide any transitional or grand-fathered policies. The index rate will

change at uniform 3 month intervals and is applied uniformly to all products/plan combinations

in the single risk pool.

Market Adjusted Index Rate

[Market Adjusted Index Rates] The Market Adjusted Index Rate is calculated as the Index Rate

adjusted for the federal reinsurance program, risk adjustment, and exchange user fees. Since

the Market Adjusted Index Rate is based on allowed claims, the three market modifiers have

been applied at an allowed claims rate. The calculations of these adjustments are detailed in the

respective sections of this document.





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Index Rate $446.32

Federal Reinsurance Program Adjustment $3.02

Risk Adjustment $0.20

Exchange User Fee Adjustment $5.60

Market Adjusted Index Rate $450.19

Plan Adjusted Index Rates

[Plan Adjusted Index Rates] The Plan Adjusted Index Rates may vary from the Market Adjusted

Index Rate based on limited allowable plan level modifiers in accordance with 45 CFR part 156,

§156.80(d)(2). All adjustments were developed uniformly and consistently for all plans, using

the same methods and calculations. The allowable adjustments are:

• Actuarial value and cost sharing: As discussed in the Paid to Allowed Ratio section of

this document, relative allowed and paid claims were developed for each plan based on

actuarial value and cost sharing.

• Provider network, delivery system and utilization management: There are four

provider networks included in this filing. Since the experience period data is based on a

Connexus centered portfolio, those plans have a factor of 1. The Rose City network

factors have not changed from 2015 and factors were developed for Synergy and

Summit.

• Benefits in addition to the EHB’s: The only benefits in addition to EHB are alternative

care benefits. These are projected to be a small portion of the actual claims for the plans

where these are included.

• Distribution and administrative costs: Based on the projected membership distributions

to be discussed in the Membership Projections section, non-benefit expenses were

converted to a fixed percentage of expected paid claims, to be applied uniformly across

all plans. The resulting plan adjusted index rates represent the average demographic of

the Oregon Small Group single risk pool.

Plan Name Paid to

Allowed

Network Non-

EHBs

Catastrophic

Plan

Administrative

Costs

Plan

Adjusted

Index

Rate

PPO Platinum 250 93.24% 1.000 1.000 1.000 1.247 $523.31

PPO Platinum 500 92.04% 1.000 1.000 1.000 1.247 $516.55

PPO 500 87.02% 1.000 1.000 1.000 1.247 $488.38

PPO 1000A 84.56% 1.000 1.000 1.000 1.247 $474.59




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PPO 1000B 84.40% 1.000 1.000 1.000 1.247 $473.70

PPO 1500 82.31% 1.000 1.000 1.000 1.247 $461.97

PPO 2500 73.98% 1.000 1.000 1.000 1.247 $415.18

PPO 3000 72.59% 1.000 1.000 1.000 1.247 $407.39

PPO 3000 (Portland) 72.59% 1.000 1.000 1.000 1.247 $407.39

Value 1500 73.90% 1.000 1.000 1.000 1.247 $414.78

Value 2000 71.35% 1.000 1.000 1.000 1.247 $400.46

Value 2000 (Rose City) 70.48% 0.935 1.000 1.000 1.247 $369.89

Value 2500 69.45% 1.000 1.000 1.000 1.247 $389.77

Value 3000 67.75% 1.000 1.000 1.000 1.247 $380.25

Value 3500 66.21% 1.000 1.000 1.000 1.247 $371.58

Value 5000 62.60% 1.000 1.000 1.000 1.247 $351.32


Aspire 2000

70.85% 1.000 1.000 1.000 1.247 $397.66


Aspire 2500

68.80% 1.000 1.000 1.000 1.247 $386.14


Fundamental 3500

59.99% 1.000 1.000 1.000 1.247 $336.71


Fundamental 5000

55.52% 1.000 1.000 1.000 1.247 $311.63


HSA 1500

75.18% 1.000 1.000 1.000 1.247 $421.97


HSA 2000

71.85% 1.000 1.000 1.000 1.247 $403.23


HSA 2500

69.15% 1.000 1.000 1.000 1.247 $388.09


HSA 3250

60.87% 1.000 1.000 1.000 1.247 $341.64


Essence 5000

55.65% 1.000 1.000 1.000 1.247 $312.35


Essence 5000

54.68% 0.935 1.000 1.000 1.247 $286.97


Essence 6000

55.32% 1.000 1.000 1.000 1.247 $310.46


Basic 6500

55.44% 1.000 1.000 1.000 1.247 $311.17


Basic 6500

55.44% 1.000 1.000 1.000 1.247 $311.17

Moda Health Synergy

Exclusive 2000

69.46% 0.911 1.000 1.000 1.247 $354.95

Moda Health Summit

Exclusive 2000

69.26% 0.944 1.000 1.000 1.247 $367.06

Moda Health Synergy

Exclusive 5000

54.37% 0.911 1.000 1.000 1.247 $277.86




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Moda Health Summit

Exclusive 5000

54.10% 0.944 1.000 1.000 1.247 $286.70


Exclusive 250

92.90% 0.911 1.000 1.000 1.247 $474.72

PPO Platinum Summit

Exclusive 250

92.82% 0.944 1.000 1.000 1.247 $491.92


1000A

84.05% 0.911 1.000 1.000 1.247 $429.50

PPO Summit Exclusive

1000A

83.94% 0.944 1.000 1.000 1.247 $444.88

Moda Health Oregon

Standard Gold

82.85% 1.000 1.000 1.000 1.247 $465.02

Moda Health Oregon

Standard Silver

69.51% 1.000 1.000 1.000 1.247 $390.11

Moda Health Oregon

Standard Bronze

56.45% 1.000 1.000 1.000 1.247 $316.81

Calibration

Age Curve Calibration

[Projected Age Distribution] The mandatory Federal age curve has been used to calibrate the

plan adjusted index rates. A projected age distribution for the projection period is applied to

the Federal age curve, giving projected average age factor of 1.420 which has been applied

uniformly across all plans. The projected age distribution is equal to the market age distribution

as reported in the Wakely National Simulation.

Age Band

Federal Age

Factor

Projection Period

Membership

Distribution

0-20 0.635 20.8%

21 1.000 1.1%

22 1.000 1.3%

23 1.000 1.5%

24 1.000 1.5%

25 1.004 1.4%

26 1.024 1.7%

27 1.048 1.8%

28 1.087 1.8%

29 1.119 1.8%

30 1.135 1.9%

31 1.159 2.0%

32 1.183 1.9%




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33 1.198 2.0%

34 1.214 2.0%

35 1.222 2.0%

36 1.230 1.9%

37 1.238 1.9%

38 1.246 1.9%

39 1.262 1.9%

40 1.278 2.0%

41 1.302 1.9%

42 1.325 2.0%

43 1.357 2.1%

44 1.397 2.1%

45 1.444 2.1%

46 1.500 1.8%

47 1.563 1.9%

48 1.635 1.8%

49 1.706 1.8%

50 1.786 2.0%

51 1.865 1.9%

52 1.952 2.0%

53 2.040 2.0%

54 2.135 1.9%

55 2.230 2.0%

56 2.333 1.8%

57 2.437 1.7%

58 2.548 1.7%

59 2.603 1.7%

60 2.714 1.8%

61 2.810 1.6%

62 2.873 1.3%

63 2.952 1.2%

64+ 3.000 1.9%

Geographic Factor Calibration

With recent growth, Moda Health has calculated different geographic factors for each rating

region. Area factors were calculated by comparing 2014 claims costs between each region for

the Commercial and Individual segments. The above factors reflect only a slight adjustment

from the 2015 Small Group area factors.




17 | P a g e

Region Area

Factor

Percent of Membership

Region 1 1.000 32.2%

Region 2 0.965 22.8%

Region 3 0.965 11.8%

Region 4 1.040 11.5%

Region 5 1.000 8.7%

Region 6 1.030 6.7%

Region 7 1.040 6.3%

Weighted Average

(Calibration Factor) 0.997

The weighted average of the above factors is used to calibrate the Plan Adjusted Index Rates.

The membership distribution is the distribution of Moda Health Small Group members during

the experience period.

Consumer Adjusted Premium Rate Development

To arrive at the consumer adjusted premium rate, the Plan Adjusted Index Rate is divided by the

Age Curve Calibration Factor and the Geographic Calibration Factor and multiplied by the

Federal Age Factor, Region Area Factor, and adjustment for quarterly trend. Quarterly trend

adjustments are show in the table below. Since the Plan Adjusted Index rate is calculated from

the weighted average index rate, the adjustment for the first two quarters will be less than one.

Q1 Trend Adjustment 0.981




See the sample calculation below for a 40 year old on the PPO 500 in Region 1 for Q2. Please

note that rates for each group member are developed using the calculations below. Group

premiums are billed on a composite basis follow state guidance.

(A) Plan Adjusted Index Rate $488.38

(B) Age Curve Calibration Factor 1.420

(C) Geographic Calibration Factor 0.997

(D) Calibrated Plan Adjusted Index Rate

(A/(B*C)) $344.85

(E) Area Factor (Region 1) 1.000




18 | P a g e

(F) Age Factor (Age 40) 1.278

(G) Quarter Adjustment (Q2) 0.994

(H) Consumer Adjusted Premium Rate

(D*E*F) $437.92

AV Metal Values

The AV Metal Values included in Worksheet 2 of the Part I Unified Rate Review Template are

entirely based on the Federal AV Calculator.

Plan Name Metal tier AV Metal Value

PPO Platinum 250 Platinum 88.2%


PPO 500 Gold 81.6%

PPO 1000A Gold 79.8%

PPO 1000B Gold 78.8%

PPO 1500 Gold 78.5%

PPO 2500 Silver 72.0%


PPO 3000 (Portland) Silver 71.7%

Value 1500 Silver 71.7%


Value 2000 (Rose City) Silver 71.0%





Moda Health Connexus Aspire 2000 Silver 71.9%


Moda Health Connexus Fundamental

3500 Bronze 61.2%


5000 Bronze 59.6%

Moda Health Connexus HSA 1500 Silver 72.0%



Moda Health Connexus HSA 3250 Bronze 61.9%

Moda Health Connexus Essence 5000 Bronze 62.0%

Moda Health Rose City Essence 5000 Bronze 62.0%





19 | P a g e

Moda Health Connexus Basic 6500 Bronze 61.9%


Moda Health Synergy Exclusive 2000 Silver 71.0%

Moda Health Summit Exclusive 2000 Silver 71.0%

Moda Health Synergy Exclusive 5000 Bronze 62.0%

Moda Health Summit Exclusive 5000 Bronze 62.0%

PPO Platinum Synergy Exclusive 250 Platinum 88.2%

PPO Platinum Summit Exclusive 250 Platinum 88.2%

PPO Synergy Exclusive 1000A Gold 79.8%

PPO Summit Exclusive 1000A Gold 79.8%

Moda Health Oregon Standard Gold Gold 78.4%

Moda Health Oregon Standard Silver Silver 69.7%

Moda Health Oregon Standard Bronze Bronze 61.6%

AV Pricing Values

[Plan Adjusted Index Rate] Differences in the AV Pricing Values are based entirely on the

differences in cost-sharing designs of the plans, as allowed by 45 CFR part 156, §156.80(d).

Assumed differences in utilization are based on differences in the relative projected allowed as

developed within the Milliman pricing model. The model projects utilization patterns based on

historic, nationwide data, and is based primarily on differences in deductible level. No plan

specific adjustments have been made to account for health status. The AV Pricing Value

represents the cumulative effects of adjustments to move from the Market Adjusted Index Rate

to the Plan adjusted Index rate. The AV Pricing Values are calculated by dividing the Plan

Adjusted Index Rate by the Market Adjusted Index rate.

Plan Name

AV

Pricing

Value

PPO Platinum 250 1.162


PPO 500 1.085

PPO 1000A 1.054

PPO 1000B 1.052

PPO 1500 1.026

PPO 2500 0.922

PPO 3000 0.905

PPO 3000 (Portland) 0.905

Value 1500 0.921

Value 2000 0.890

Value 2000 (Rose City) 0.822




20 | P a g e

Value 2500 0.866

Value 3000 0.845

Value 3500 0.825

Value 5000 0.780

Moda Health Connexus Aspire 2000 0.883



3500 0.748


5000 0.692

Moda Health Connexus HSA 1500 0.937




Moda Health Connexus Essence 5000 0.694

Moda Health Rose City Essence 5000 0.637


Moda Health Connexus Basic 6500 0.691


Moda Health Synergy Exclusive 2000 0.788

Moda Health Summit Exclusive 2000 0.815



PPO Platinum Synergy Exclusive 250 1.054

PPO Platinum Summit Exclusive 250 1.093

PPO Synergy Exclusive 1000A 0.954

PPO Summit Exclusive 1000A 0.988

Moda Health Oregon Standard Gold 1.033

Moda Health Oregon Standard Silver 0.867

Moda Health Oregon Standard Bronze 0.704

Membership Projections

Membership projections are based on emerging 2015 Moda Health experience. The projection

includes assumptions that members currently on the 2015 Moda Health plans that will be

discontinued will move to the replacements for those plans and any new membership will have

the same distribution as members in early 2015.

Plan Name Members

PPO Platinum 250 145





21 | P a g e

PPO 500 2,895

PPO 1000A 2,316

PPO 1000B 1,737

PPO 1500 2,200

PPO 2500 2,605

PPO 3000 869

PPO 3000 (Portland) 579

Value 1500 1,158

Value 2000 1,447

Value 2000 (Rose City) 58

Value 2500 579

Value 3000 1,737

Value 3500 290

Value 5000 290

Moda Health Connexus Aspire 2000 2,026

Moda Health Connexus Aspire 2500 579


3500 1,158


5000 145

Moda Health Connexus HSA 1500 290




Moda Health Connexus Essence 5000 869

Moda Health Rose City Essence 5000 58


Moda Health Connexus Basic 6500 145


Moda Health Synergy Exclusive 2000 145

Moda Health Summit Exclusive 2000 145



PPO Platinum Synergy Exclusive 250 145

PPO Platinum Summit Exclusive 250 145

PPO Synergy Exclusive 1000A 145

PPO Summit Exclusive 1000A 145

Moda Health Oregon Standard Gold 579

Moda Health Oregon Standard Silver 1,447

Moda Health Oregon Standard Bronze 145




22 | P a g e

Terminated Products

The following plans were available in 2014 but were terminated for 2015:

PPO 500B

PPO 500C

PPO 1000C

The following plans were available in 2015, but will be terminated prior to 2016:

Beneficial 1500

Beneficial 2000

Beneficial 3500

Beneficial 4000

Beneficial 4500

Beneficial 5000

HSA 1500

HSA 2000

HSA 3000

HSA 4000

HSA 5000

Focus 2000

Focus 5000

Focus – Rose City 2000


Mapping of plans between 2015 and 2016 is shown below. This is the mapping used to

categorize experience on Worksheet 2 of the URRT as well as calculate the anticipated rate

increase.

2015 Plan 2016 Plan

PPO 500 PPO 500

PPO 1000A PPO 1000A

PPO 1000B PPO 1000B

PPO 1500 PPO 1500

PPO 2000 PPO 2500

PPO 3000 PPO 3000










23 | P a g e















Plan Type

Most plans for the 2015 plan year are listed in Worksheet 2, Section I of the Part I Unified Rate

Review Template as “PPO”. Synergy and Summit plans most resemble a “POS” plan type.

Risk Corridor Demonstration

Please see the attached Risk Corridor Demonstration Exhibit for a detailed demonstration that

the projected rates yield a projected risk corridor receivable/payment of zero.

Peer Review Actuary Contact

Kirsten Staveland, ASA, MAAA

503-265-2976

[email protected]

Warning Alerts

None

Reliance

All data and assumptions, except those otherwise noted throughout this document, were

prepared by a team of Moda Health employees which includes the certifying actuary.

Actuarial Certification

I, Jennifer Halttunen, am an employee of Moda Health Plan, Inc. and am a member in good

standing of the American Academy of Actuaries.




24 | P a g e

I have reviewed this rate filing and certify that the projected index rate is:

• In compliance with all applicable Oregon State and Federal Statutes and Regulations (45

CFR part 156, §156.80(d)(1))

• Developed in compliance with the applicable Actuarial Standards of Practice

• Reasonable in relation to the benefits provided and the population anticipated to be

covered

• Neither excessive nor deficient

I further certify that:

• The index rate and only allowable modifiers as described in 45 CFR part 156,

§156.80(d)(1) and 45 CFR part 156, §156.80(d)(2) were used to generate plan level rates

• The percent of total premium that represents essential health benefits included in

Worksheet 2, Sections III and IV were calculated in accordance with actuarial standards

of practice.

• The Federal AV Calculator was used to determine the AV Metal Values shown in

Worksheet 2 of the Part I Unified Rate Review Template for all plans.

All rates, calculations and values were developed accordance with generally accepted actuarial

principles and methodologies and in accordance with the Code of Professional Conduct and the

following Actuarial Standards of Practice:

• ASOP No. 5, Incurred Health and Disability Claims

• ASOP No. 8, Regulatory Filings for Health Plan Entities

• ASOP No. 12, Risk Classification

• ASOP No. 23, Data Quality

• ASOP No. 25, Credibility Procedures Applicable to Accident and Health, Group Term Life,

and Property/Casualty Coverages

• ASOP No. 26, Compliance with Statutory and Regulatory Requirements for the Actuarial

Certification of Small Employer Health Benefit Plans

• ASOP No. 41, Actuarial Communications

I meet the Academy qualification standards to render this opinion and am familiar with the

specific requirements of Oregon State and Federal Statutes and Regulations regarding the rating

and underwriting of small group health benefit plans.

_________________________________ __4/30/2015___

Signature Date

Jennifer Halttunen, ASA, MAAA

Supervisor – Pooled Products and Actuarial





25 | P a g e

601 SW Second Ave.

Portland, OR 97204-3156

503-265-5733




1 | P a g e

General Information



State: Oregon


Market: Small Group



Primary Contact

Name: Henry Stender



Secondary Contact











plans and rates.

2015 $396.85

2016 $413.60

Rate Change 4.2%












2 | P a g e


neutral change.

2015 Plan 2016 Plan

PPO 500 PPO 500

PPO 1000A PPO 1000A

PPO 1000B PPO 1000B

PPO 1500 PPO 1500

PPO 2000 PPO 2500

PPO 3000 PPO 3000






















Experience Period










3 | P a g e




























Benefit Categories



Projection Factors









4 | P a g e





�� ∑ ��

11.1361.218 � 1.073


















5 | P a g e




is 0.8%.



































6 | P a g e

� =P ��24,000

100% < P158,25424,000















Milliman factors.

Plan Name

Projected

Membership

Projected

Allowed

Projected

Paid

Deductible

Leveraging

Factor

Plan

Specific

Paid to

Allowed

PPO Platinum 250 145 $448.71 $416.01 1.006 93.2%

PPO Platinum 500 145 $448.71 $409.86 1.008 92.0%

PPO 500 2,895 $442.69 $382.31 1.008 87.0%

PPO 1000A 2,316 $442.69 $370.46 1.010 84.6%

PPO 1000B 1,737 $441.27 $368.58 1.010 84.4%

PPO 1500 2,200 $442.69 $359.93 1.012 82.3%

PPO 2500 2,605 $433.29 $315.42 1.016 74.0%

PPO 3000 869 $433.29 $309.50 1.016 72.6%

PPO 3000 (Portland) 579 $433.29 $309.50 1.016 72.6%

Value 1500 1,158 $438.91 $320.41 1.012 73.9%

Value 2000 1,447 $438.91 $308.76 1.014 71.4%

Value 2000 (Rose City) 58 $412.21 $286.43 1.014 70.5%




7 | P a g e

Value 2500 579 $438.91 $299.96 1.016 69.4%

Value 3000 1,737 $438.91 $292.63 1.016 67.8%

Value 3500 290 $438.91 $285.96 1.016 66.2%

Value 5000 290 $438.91 $268.85 1.022 62.6%


Aspire 2000 2,026 $439.94 $307.33 1.014 70.9%


Aspire 2500 579 $439.94 $297.86 1.016 68.8%


Fundamental 3500 1,158 $446.16 $263.40 1.016 60.0%


Fundamental 5000 145 $446.16 $242.41 1.022 55.5%


HSA 1500 290 $448.00 $332.71 1.012 75.2%


HSA 2000 290 $448.00 $317.33 1.014 71.8%


HSA 2500 290 $448.00 $304.85 1.016 69.1%


HSA 3250 290 $446.16 $267.25 1.016 60.9%


Essence 5000 869 $442.98 $241.24 1.022 55.7%


Essence 5000 58 $416.28 $222.74 1.022 54.7%


Essence 6000 290 $442.98 $239.78 1.022 55.3%


Basic 6500 145 $446.16 $242.05 1.022 55.4%


Basic 6500 145 $446.16 $242.05 1.022 55.4%

Moda Health Synergy

Exclusive 2000 145 $408.82 $279.97 1.014 69.5%

Moda Health Summit

Exclusive 2000 145 $400.26 $273.31 1.014 69.3%

Moda Health Synergy

Exclusive 5000 145 $412.86 $219.67 1.022 54.4%

Moda Health Summit

Exclusive 5000 145 $404.22 $213.97 1.022 54.1%


Exclusive 250 145 $418.62 $386.68 1.006 92.9%

PPO Platinum Summit

Exclusive 250 145 $410.35 $378.72 1.006 92.8%


1000A 145 $412.87 $343.41 1.010 84.0%





8 | P a g e

1000A

Moda Health Oregon

Standard Gold 579 $446.09 $365.78 1.010 82.9%

Moda Health Oregon

Standard Silver 1,447 $441.79 $302.18 1.016 69.5%

Moda Health Oregon

Standard Bronze 145 $446.16 $246.44 1.022 56.4%













Risk Adjustment







Market Only)



Federal Reinsurance





9 | P a g e










assumed to be 100%.







Taxes and Fees


this section.













PMPM % of premium


PCORI $0.20




10 | P a g e
















MLR Calculation


(B) Admin $39.55










MLR: 83.2%







11 | P a g e

Single Risk Pool




















health benefits.




Index Rate





PMPM





(C) Trend 5.2%





12 | P a g e




(A*C*D*F) $ 439.36


































13 | P a g e

Index Rate $446.32

















Summit.









Plan Name Paid to

Allowed

Network Non-

EHBs

Catastrophic

Plan

Administrative

Costs

Plan

Adjusted

Index

Rate

PPO Platinum 250 93.24% 1.000 1.000 1.000 1.247 $523.31

PPO Platinum 500 92.04% 1.000 1.000 1.000 1.247 $516.55

PPO 500 87.02% 1.000 1.000 1.000 1.247 $488.38

PPO 1000A 84.56% 1.000 1.000 1.000 1.247 $474.59




14 | P a g e

PPO 1000B 84.40% 1.000 1.000 1.000 1.247 $473.70

PPO 1500 82.31% 1.000 1.000 1.000 1.247 $461.97

PPO 2500 73.98% 1.000 1.000 1.000 1.247 $415.18

PPO 3000 72.59% 1.000 1.000 1.000 1.247 $407.39

PPO 3000 (Portland) 72.59% 1.000 1.000 1.000 1.247 $407.39

Value 1500 73.90% 1.000 1.000 1.000 1.247 $414.78

Value 2000 71.35% 1.000 1.000 1.000 1.247 $400.46

Value 2000 (Rose City) 70.48% 0.935 1.000 1.000 1.247 $369.89

Value 2500 69.45% 1.000 1.000 1.000 1.247 $389.77

Value 3000 67.75% 1.000 1.000 1.000 1.247 $380.25

Value 3500 66.21% 1.000 1.000 1.000 1.247 $371.58

Value 5000 62.60% 1.000 1.000 1.000 1.247 $351.32


Aspire 2000

70.85% 1.000 1.000 1.000 1.247 $397.66


Aspire 2500

68.80% 1.000 1.000 1.000 1.247 $386.14


Fundamental 3500

59.99% 1.000 1.000 1.000 1.247 $336.71


Fundamental 5000

55.52% 1.000 1.000 1.000 1.247 $311.63


HSA 1500

75.18% 1.000 1.000 1.000 1.247 $421.97


HSA 2000

71.85% 1.000 1.000 1.000 1.247 $403.23


HSA 2500

69.15% 1.000 1.000 1.000 1.247 $388.09


HSA 3250

60.87% 1.000 1.000 1.000 1.247 $341.64


Essence 5000

55.65% 1.000 1.000 1.000 1.247 $312.35


Essence 5000

54.68% 0.935 1.000 1.000 1.247 $286.97


Essence 6000

55.32% 1.000 1.000 1.000 1.247 $310.46


Basic 6500

55.44% 1.000 1.000 1.000 1.247 $311.17


Basic 6500

55.44% 1.000 1.000 1.000 1.247 $311.17

Moda Health Synergy

Exclusive 2000

69.46% 0.911 1.000 1.000 1.247 $354.95

Moda Health Summit

Exclusive 2000

69.26% 0.944 1.000 1.000 1.247 $367.06

Moda Health Synergy

Exclusive 5000

54.37% 0.911 1.000 1.000 1.247 $277.86




15 | P a g e

Moda Health Summit

Exclusive 5000

54.10% 0.944 1.000 1.000 1.247 $286.70


Exclusive 250

92.90% 0.911 1.000 1.000 1.247 $474.72

PPO Platinum Summit

Exclusive 250

92.82% 0.944 1.000 1.000 1.247 $491.92


1000A

84.05% 0.911 1.000 1.000 1.247 $429.50


1000A

83.94% 0.944 1.000 1.000 1.247 $444.88

Moda Health Oregon

Standard Gold

82.85% 1.000 1.000 1.000 1.247 $465.02

Moda Health Oregon

Standard Silver

69.51% 1.000 1.000 1.000 1.247 $390.11

Moda Health Oregon

Standard Bronze

56.45% 1.000 1.000 1.000 1.247 $316.81

Calibration







Age Band

Federal Age

Factor

Projection Period

Membership

Distribution

0-20 0.635 20.8%

21 1.000 1.1%

22 1.000 1.3%

23 1.000 1.5%

24 1.000 1.5%

25 1.004 1.4%

26 1.024 1.7%

27 1.048 1.8%

28 1.087 1.8%

29 1.119 1.8%

30 1.135 1.9%

31 1.159 2.0%

32 1.183 1.9%




16 | P a g e

33 1.198 2.0%

34 1.214 2.0%

35 1.222 2.0%

36 1.230 1.9%

37 1.238 1.9%

38 1.246 1.9%

39 1.262 1.9%

40 1.278 2.0%

41 1.302 1.9%

42 1.325 2.0%

43 1.357 2.1%

44 1.397 2.1%

45 1.444 2.1%

46 1.500 1.8%

47 1.563 1.9%

48 1.635 1.8%

49 1.706 1.8%

50 1.786 2.0%

51 1.865 1.9%

52 1.952 2.0%

53 2.040 2.0%

54 2.135 1.9%

55 2.230 2.0%

56 2.333 1.8%

57 2.437 1.7%

58 2.548 1.7%

59 2.603 1.7%

60 2.714 1.8%

61 2.810 1.6%

62 2.873 1.3%

63 2.952 1.2%

64+ 3.000 1.9%









17 | P a g e

Region Area

Factor


Region 1 1.000 32.2%

Region 2 0.965 22.8%

Region 3 0.965 11.8%

Region 4 1.040 11.5%

Region 5 1.000 8.7%

Region 6 1.030 6.7%

Region 7 1.040 6.3%

Weighted Average






















(A/(B*C)) $344.85





18 | P a g e




(D*E*F) $437.92

AV Metal Values






PPO 500 Gold 81.6%



PPO 1500 Gold 78.5%














3500 Bronze 61.2%


5000 Bronze 59.6%











19 | P a g e














AV Pricing Values










Plan Name

AV

Pricing

Value



PPO 500 1.085

PPO 1000A 1.054

PPO 1000B 1.052

PPO 1500 1.026

PPO 2500 0.922

PPO 3000 0.905


Value 1500 0.921

Value 2000 0.890





20 | P a g e

Value 2500 0.866

Value 3000 0.845

Value 3500 0.825

Value 5000 0.780




3500 0.748


5000 0.692


























Plan Name Members






21 | P a g e

PPO 500 2,895

PPO 1000A 2,316

PPO 1000B 1,737

PPO 1500 2,200

PPO 2500 2,605

PPO 3000 869


Value 1500 1,158

Value 2000 1,447


Value 2500 579

Value 3000 1,737

Value 3500 290

Value 5000 290




3500 1,158


5000 145
























22 | P a g e

Terminated Products


PPO 500B

PPO 500C

PPO 1000C


Beneficial 1500

Beneficial 2000

Beneficial 3500

Beneficial 4000

Beneficial 4500

Beneficial 5000

HSA 1500

HSA 2000

HSA 3000

HSA 4000

HSA 5000

Focus 2000

Focus 5000





increase.

2015 Plan 2016 Plan

PPO 500 PPO 500

PPO 1000A PPO 1000A

PPO 1000B PPO 1000B

PPO 1500 PPO 1500

PPO 2000 PPO 2500

PPO 3000 PPO 3000










23 | P a g e















Plan Type








503-265-2976

[email protected]

Warning Alerts

None

Reliance









24 | P a g e



CFR part 156, §156.80(d)(1))



covered







of practice.


















_________________________________ __4/30/2015___

Signature Date







25 | P a g e

601 SW Second Ave.


503-265-5733




1 | P a g e

General Information



State: Oregon


Market: Small Group



Primary Contact

Name: Henry Stender



Secondary Contact











plans and rates.

2015 $396.85

2016 $413.60

Rate Change 4.2%












2 | P a g e


neutral change.

2015 Plan 2016 Plan

PPO 500 PPO 500

PPO 1000A PPO 1000A

PPO 1000B PPO 1000B

PPO 1500 PPO 1500

PPO 2000 PPO 2500

PPO 3000 PPO 3000






















Experience Period










3 | P a g e




























Benefit Categories



Projection Factors









4 | P a g e





�� ∑ ��

11.1361.218 � 1.073


















5 | P a g e




is 0.8%.



































6 | P a g e

� =P ��24,000

100% < P158,25424,000















Milliman factors.

Plan Name

Projected

Membership

Projected

Allowed

Projected

Paid

Deductible

Leveraging

Factor

Plan

Specific

Paid to

Allowed

PPO Platinum 250 145 $448.71 $416.01 1.006 93.2%

PPO Platinum 500 145 $448.71 $409.86 1.008 92.0%

PPO 500 2,895 $442.69 $382.31 1.008 87.0%

PPO 1000A 2,316 $442.69 $370.46 1.010 84.6%

PPO 1000B 1,737 $441.27 $368.58 1.010 84.4%

PPO 1500 2,200 $442.69 $359.93 1.012 82.3%

PPO 2500 2,605 $433.29 $315.42 1.016 74.0%

PPO 3000 869 $433.29 $309.50 1.016 72.6%

PPO 3000 (Portland) 579 $433.29 $309.50 1.016 72.6%

Value 1500 1,158 $438.91 $320.41 1.012 73.9%

Value 2000 1,447 $438.91 $308.76 1.014 71.4%

Value 2000 (Rose City) 58 $412.21 $286.43 1.014 70.5%




7 | P a g e

Value 2500 579 $438.91 $299.96 1.016 69.4%

Value 3000 1,737 $438.91 $292.63 1.016 67.8%

Value 3500 290 $438.91 $285.96 1.016 66.2%

Value 5000 290 $438.91 $268.85 1.022 62.6%


Aspire 2000 2,026 $439.94 $307.33 1.014 70.9%


Aspire 2500 579 $439.94 $297.86 1.016 68.8%


Fundamental 3500 1,158 $446.16 $263.40 1.016 60.0%


Fundamental 5000 145 $446.16 $242.41 1.022 55.5%


HSA 1500 290 $448.00 $332.71 1.012 75.2%


HSA 2000 290 $448.00 $317.33 1.014 71.8%


HSA 2500 290 $448.00 $304.85 1.016 69.1%


HSA 3250 290 $446.16 $267.25 1.016 60.9%


Essence 5000 869 $442.98 $241.24 1.022 55.7%


Essence 5000 58 $416.28 $222.74 1.022 54.7%


Essence 6000 290 $442.98 $239.78 1.022 55.3%


Basic 6500 145 $446.16 $242.05 1.022 55.4%


Basic 6500 145 $446.16 $242.05 1.022 55.4%

Moda Health Synergy

Exclusive 2000 145 $408.82 $279.97 1.014 69.5%

Moda Health Summit

Exclusive 2000 145 $400.26 $273.31 1.014 69.3%

Moda Health Synergy

Exclusive 5000 145 $412.86 $219.67 1.022 54.4%

Moda Health Summit

Exclusive 5000 145 $404.22 $213.97 1.022 54.1%


Exclusive 250 145 $418.62 $386.68 1.006 92.9%

PPO Platinum Summit

Exclusive 250 145 $410.35 $378.72 1.006 92.8%


1000A 145 $412.87 $343.41 1.010 84.0%





8 | P a g e

1000A

Moda Health Oregon

Standard Gold 579 $446.09 $365.78 1.010 82.9%

Moda Health Oregon

Standard Silver 1,447 $441.79 $302.18 1.016 69.5%

Moda Health Oregon

Standard Bronze 145 $446.16 $246.44 1.022 56.4%













Risk Adjustment







Market Only)



Federal Reinsurance





9 | P a g e










assumed to be 100%.







Taxes and Fees


this section.













PMPM % of premium


PCORI $0.20




10 | P a g e
















MLR Calculation


(B) Admin $39.55










MLR: 83.2%







11 | P a g e

Single Risk Pool




















health benefits.




Index Rate





PMPM





(C) Trend 5.2%





12 | P a g e




(A*C*D*F) $ 439.36


































13 | P a g e

Index Rate $446.32

















Summit.









Plan Name Paid to

Allowed

Network Non-

EHBs

Catastrophic

Plan

Administrative

Costs

Plan

Adjusted

Index

Rate

PPO Platinum 250 93.24% 1.000 1.000 1.000 1.247 $523.31

PPO Platinum 500 92.04% 1.000 1.000 1.000 1.247 $516.55

PPO 500 87.02% 1.000 1.000 1.000 1.247 $488.38

PPO 1000A 84.56% 1.000 1.000 1.000 1.247 $474.59




14 | P a g e

PPO 1000B 84.40% 1.000 1.000 1.000 1.247 $473.70

PPO 1500 82.31% 1.000 1.000 1.000 1.247 $461.97

PPO 2500 73.98% 1.000 1.000 1.000 1.247 $415.18

PPO 3000 72.59% 1.000 1.000 1.000 1.247 $407.39

PPO 3000 (Portland) 72.59% 1.000 1.000 1.000 1.247 $407.39

Value 1500 73.90% 1.000 1.000 1.000 1.247 $414.78

Value 2000 71.35% 1.000 1.000 1.000 1.247 $400.46

Value 2000 (Rose City) 70.48% 0.935 1.000 1.000 1.247 $369.89

Value 2500 69.45% 1.000 1.000 1.000 1.247 $389.77

Value 3000 67.75% 1.000 1.000 1.000 1.247 $380.25

Value 3500 66.21% 1.000 1.000 1.000 1.247 $371.58

Value 5000 62.60% 1.000 1.000 1.000 1.247 $351.32


Aspire 2000

70.85% 1.000 1.000 1.000 1.247 $397.66


Aspire 2500

68.80% 1.000 1.000 1.000 1.247 $386.14


Fundamental 3500

59.99% 1.000 1.000 1.000 1.247 $336.71


Fundamental 5000

55.52% 1.000 1.000 1.000 1.247 $311.63


HSA 1500

75.18% 1.000 1.000 1.000 1.247 $421.97


HSA 2000

71.85% 1.000 1.000 1.000 1.247 $403.23


HSA 2500

69.15% 1.000 1.000 1.000 1.247 $388.09


HSA 3250

60.87% 1.000 1.000 1.000 1.247 $341.64


Essence 5000

55.65% 1.000 1.000 1.000 1.247 $312.35


Essence 5000

54.68% 0.935 1.000 1.000 1.247 $286.97


Essence 6000

55.32% 1.000 1.000 1.000 1.247 $310.46


Basic 6500

55.44% 1.000 1.000 1.000 1.247 $311.17


Basic 6500

55.44% 1.000 1.000 1.000 1.247 $311.17

Moda Health Synergy

Exclusive 2000

69.46% 0.911 1.000 1.000 1.247 $354.95

Moda Health Summit

Exclusive 2000

69.26% 0.944 1.000 1.000 1.247 $367.06

Moda Health Synergy

Exclusive 5000

54.37% 0.911 1.000 1.000 1.247 $277.86




15 | P a g e

Moda Health Summit

Exclusive 5000

54.10% 0.944 1.000 1.000 1.247 $286.70


Exclusive 250

92.90% 0.911 1.000 1.000 1.247 $474.72

PPO Platinum Summit

Exclusive 250

92.82% 0.944 1.000 1.000 1.247 $491.92


1000A

84.05% 0.911 1.000 1.000 1.247 $429.50


1000A

83.94% 0.944 1.000 1.000 1.247 $444.88

Moda Health Oregon

Standard Gold

82.85% 1.000 1.000 1.000 1.247 $465.02

Moda Health Oregon

Standard Silver

69.51% 1.000 1.000 1.000 1.247 $390.11

Moda Health Oregon

Standard Bronze

56.45% 1.000 1.000 1.000 1.247 $316.81

Calibration







Age Band

Federal Age

Factor

Projection Period

Membership

Distribution

0-20 0.635 20.8%

21 1.000 1.1%

22 1.000 1.3%

23 1.000 1.5%

24 1.000 1.5%

25 1.004 1.4%

26 1.024 1.7%

27 1.048 1.8%

28 1.087 1.8%

29 1.119 1.8%

30 1.135 1.9%

31 1.159 2.0%

32 1.183 1.9%




16 | P a g e

33 1.198 2.0%

34 1.214 2.0%

35 1.222 2.0%

36 1.230 1.9%

37 1.238 1.9%

38 1.246 1.9%

39 1.262 1.9%

40 1.278 2.0%

41 1.302 1.9%

42 1.325 2.0%

43 1.357 2.1%

44 1.397 2.1%

45 1.444 2.1%

46 1.500 1.8%

47 1.563 1.9%

48 1.635 1.8%

49 1.706 1.8%

50 1.786 2.0%

51 1.865 1.9%

52 1.952 2.0%

53 2.040 2.0%

54 2.135 1.9%

55 2.230 2.0%

56 2.333 1.8%

57 2.437 1.7%

58 2.548 1.7%

59 2.603 1.7%

60 2.714 1.8%

61 2.810 1.6%

62 2.873 1.3%

63 2.952 1.2%

64+ 3.000 1.9%









17 | P a g e

Region Area

Factor


Region 1 1.000 32.2%

Region 2 0.965 22.8%

Region 3 0.965 11.8%

Region 4 1.040 11.5%

Region 5 1.000 8.7%

Region 6 1.030 6.7%

Region 7 1.040 6.3%

Weighted Average






















(A/(B*C)) $344.85





18 | P a g e




(D*E*F) $437.92

AV Metal Values






PPO 500 Gold 81.6%



PPO 1500 Gold 78.5%














3500 Bronze 61.2%


5000 Bronze 59.6%











19 | P a g e














AV Pricing Values










Plan Name

AV

Pricing

Value



PPO 500 1.085

PPO 1000A 1.054

PPO 1000B 1.052

PPO 1500 1.026

PPO 2500 0.922

PPO 3000 0.905


Value 1500 0.921

Value 2000 0.890





20 | P a g e

Value 2500 0.866

Value 3000 0.845

Value 3500 0.825

Value 5000 0.780




3500 0.748


5000 0.692


























Plan Name Members






21 | P a g e

PPO 500 2,895

PPO 1000A 2,316

PPO 1000B 1,737

PPO 1500 2,200

PPO 2500 2,605

PPO 3000 869


Value 1500 1,158

Value 2000 1,447


Value 2500 579

Value 3000 1,737

Value 3500 290

Value 5000 290




3500 1,158


5000 145
























22 | P a g e

Terminated Products


PPO 500B

PPO 500C

PPO 1000C


Beneficial 1500

Beneficial 2000

Beneficial 3500

Beneficial 4000

Beneficial 4500

Beneficial 5000

HSA 1500

HSA 2000

HSA 3000

HSA 4000

HSA 5000

Focus 2000

Focus 5000





increase.

2015 Plan 2016 Plan

PPO 500 PPO 500

PPO 1000A PPO 1000A

PPO 1000B PPO 1000B

PPO 1500 PPO 1500

PPO 2000 PPO 2500

PPO 3000 PPO 3000










23 | P a g e















Plan Type








503-265-2976

[email protected]

Warning Alerts

None

Reliance









24 | P a g e



CFR part 156, §156.80(d)(1))



covered







of practice.


















_________________________________ __4/30/2015___

Signature Date







25 | P a g e

601 SW Second Ave.


503-265-5733

Rating Assumption Moda Health Plan, Inc.

Starting Point 2014 Small Group experience

Projected Member Months 347,391

Morbidity Changes 7.3%

Market Merger Impact 0.0%

Pent-up Demand 0.0%

Bad Debt Adjustments 0.0%

Net State & Federal Reinsurance Impact 0.0%

Risk Adjustment/Average Market Risk Impact 0.0%

Risk Corridor Impact 0.0%

2015 Net Paid Claims PMPM (prior filing) $303.17

2016 Net Paid Claims PMPM $329.75

Average Annual Rate Change 4.2%

Summary of Filed Rating Assumptions 2016 Non-Grandfathered, ACA Compliant Plans

Risk Corridor Calculation 2016 Projections Notes

Incurred Claims 113,717,789$ From Wkst 1

- Risk adjustment receivable (52,109)$ Assumed Market Avg

- Pharmacy rebates -$ Included above

Claims Costs 113,665,680$

Claims Costs 113,665,680$

+ Quality and HIT expenses 568,328$ As a percent based on 2014

Allowable Costs 114,234,009$

Premium 142,809,010$ From Wkst 1

- Allowable Costs (114,234,009)$

- Tax Liabilities 5,235,583$ From Wkst 1

- Administrative Costs 19,451,674$ From Wkst 1

Pre-Tax Profits 53,262,260$

Premium 142,809,010$

- Federal Income Tax (18,641,791)$

- Tax Liabilities 5,235,583$

After-tax premium earned 129,402,803$

Profit 34,620,469$

Profit Floor 6,470,140$

Calculated Profits 34,620,469$

Administrative Cost + Commission (19,451,674)$

Calculated Profits 34,620,469$

Administrative Cost Ceiling 28,468,617$

Calculated Administrative Costs 15,168,794$

Calculated Administrative Costs 15,168,794$

+ Tax Liabilities (5,235,583)$

+ Federal Income Tax 18,641,791$

Allowable Administrative Costs 28,575,002$

Target Amount 114,234,009$

Allowable Costs 114,234,009$

Risk Corridors Ratio 100.00%

Risk Corridors Recovery Percent 0.00%

Risk Corridors Receipt/(Payment) -$

DEVELOPMENT OF RATE CHANGES OR BASE RATE


Market: Small Group


Experience Period (from January 1, 2014 to December 31, 2014)

Rating Period (January 1, 2016 to December 31, 2016)

Experience: Total PMPM % of Revenue

( A ) Experience Period Member Months 158,254

( B ) Expected Member Months in the Rating Period 347,391

( C ) Experience Period Premium $57,940,496 $366.12 100.0%

( D ) Experience Period Completed Incurred Claims $43,080,384 $272.22 74.4%

( E ) Experience Period Completed Allowed Claims $58,126,655 $367.30

( F ) Adjustments (Explain) $0

( G ) Adjusted Allowed Claims $58,126,655 $367.30

Experience Period Medical Loss Ratio ( D/C ) 74.4%

Claims development: Total PMPM

Adjusted Allowed Claims ( E ) $58,126,655 $367.30

( H ) Benefit Adjustment (Exhibit 7.2) 1.008

( I ) Network Adjustment 1.000

( J ) Average Market Risk Adjustment 1.073

( K ) Change in Market Morbidity Adjustment 1.000

( L ) Pricing Trend (Exhibit 4) 5.2%

( M ) Months of Trend 24

( N ) Trend Factor 1.106

( O ) Reinsurance Recoveries: State 1.000

( P ) Reinsurance Recoveries: Federal 1.000

( Q ) Plan Adjustment (Exhibit 9) 0.745

( R ) Projected Incurred Claims (E*H*I*J*K*N*O*P*Q) $51,804,149 $327.35

Admin Development (See Exhibit 5) Total PMPM % of Revenue

( S ) Administrative Expenses $13,739,314 $39.55 9.6%

( T ) Commissions $5,712,360 $16.44 4.0%

( U ) Taxes and Fees $6,069,322 $17.47 4.2%

( V ) Total Administrative Costs $25,520,996 $73.46 17.9%

Premium development Total PMPM

( W ) Experience Period Premium ( C ) $57,940,496 $366.12

( X ) Adjustments for Approved Rate Changes 1.130

( Y ) Adjusted Earned Premium $65,453,925 $413.60

Proposed Base Rate Development: Total PMPM % of Revenue

( Z ) Projected Incurred Claims $113,717,789 $327.35 79.6%

( AA ) Total Administrative Costs $25,520,996 $73.46 17.9%

( AB ) Margin $3,570,225 $10.28 2.5%

( AC ) Required Revenue $142,809,010 $411.09 100.0%

( AD ) Requested Base Rate $142,809,010 $411.09 100.0%

( AE ) Requested Rate Increase 4.2%

Target Medical Loss Ratio 79.6%

Federal MLR Calculation 83.2%

COVERED BENEFIT OR PLAN DESIGN CHANGES


Market: Small Group


Covered benefit level changes

None

Member cost sharing changes

Plan Changes

Moda Health Oregon Standard Gold Deductible changed from $1,300 to $1,250

PPO 2500 Deductible changed from $2,000 to $2,500

PPO 500, PPO 1000A, PPO 1000B, PPO 1500 Out of Pocket Max Changed from $4,000 to $5,000

PPO 2500, PPO 3000, Value 1500, Value 2000, Value 2500, Value 3000, Value

3500

Out of Pocket Max Changed from $6,600 to $6,850

PPO 2500, PPO 3000 Plan coinsurance changed from 20% to 25%

PPO 500, PPO 1000A, PPO 1000B, PPO 1500, PPO 2500, PPO 3000, Value

1500, Value 2000, Value 2500, Value 3000, Value 3500

Emergency Room copay amount changed from $200 to $250

PPO 2500, PPO 3000 Emergency Room coinsurance amount changed form 20% to 25%

PPO 500, PPO 1000A, PPO 1000B, PPO 1500 Primary Care, Urgent Care, Alternative Care, Mental Health Office Visit changed from $15 to $20

PPO 2500, PPO 3000 Primary Care, Urgent Care, Alternative Care, Mental Health Office Visit changed from $25 to $30

PPO 500, PPO 1000A, PPO 1000B, PPO 1500 Specialist and Therapist copay changed from $30 to $40

PPO 2500, PPO 3000 Specialist and Therapist visits changed from $45 to $50

PPO 2500, PPO 3000, Value 1500, Value 2000, Value 2500, Value 3000, Value

3500

Generic drugs copay changed from $15 to $20

Elimination of plans

The following plans are considered eliminated:

Beneficial 1500

Beneficial 2000

Beneficial 3500

Beneficial 4000

Beneficial 4500

Beneficial 5000

HSA 1500

HSA 2000

HSA 3000

HSA 4000

HSA 5000

Focus 2000

Focus 5000

Focus - Rose City 2000

Focus - Rose City 5000

COVERED BENEFIT OR PLAN DESIGN CHANGES


Market: Small Group


Implementation of new plan designs

The following plans are considered new:

PPO Platinum 250

PPO Platinum 500

PPO 3000

Value 2000 (Rose City)

Value 5000

Moda Health Connexus Aspire 2000

Moda Health Connexus Aspire 2500

Moda Health Connexus Fundamental 3500

Moda Health Connexus Fundamental 5000

Moda Health Connexus HSA 1500




Moda Health Connexus Essence 5000

Moda Health Rose City Essence 5000

Moda Health Connexus Essence 6000

Moda Health Connexus Basic 6500

Moda Health Connexus Basic 6500

Moda Health Synergy Exclusive 2000

Moda Health Summit Exclusive 2000

Moda Health Synergy Exclusive 5000

Moda Health Summit Exclusive 5000

PPO Platinum Synergy Exclusive 250

PPO Platinum Summit Exclusive 250

PPO Synergy Exclusive 1000A

PPO Summit Exclusive 1000A

Provider network changes

Synergy and Summit are new networks that will be offered in 2016.

New utilization of prior authorization programs

There have been no updates to utilization or prior authorization programs.

Changes to eligibility requirements

No changes

Changes to exclusions

No changes

Any other change in the plan offerings that impact costs or coverage provided

There are no other changes that impact costs or coverage provided.

All cost sharing changes were incorporated into the updated plan relativity modeling and specific impacts are not available. Updated plan relativities are detailed in Exhibit 6.

SUMMARY OF RATE INCREASES


Market: Small Group


2016 Rate Effective Date

Requested Annual

Rate Change From

Last Effective Date

Minimum

Rate Change

Maximum

Rate Change

Renewing

Members

January 4.9% 0.5% 24.3% 5,705

April (small group only) 4.8% 0.4% 24.2% 3,499

July (small group only) 4.7% 0.3% 24.1% 3,230

October (small group only) 4.6% 0.2% 24.0% 3,703

Total 4.9% 0.2% 24.3% 16,137

Distribution of rate changes (across all effective dates)

Rate increase Distribution Members

0-3% 44% 7,116

3-5% 26% 4,220

5-7% 11% 1,819

7-11% 4% 687

11-15% 6% 986

15-20% 6% 992

20-25% 2% 317

Total 100% 16,137

Estimate of Contributing Factors in Rate Request

Contributing Factors Magnitude of Impact

Trend 5.2%

Experience -0.9%

Administrative expenses -0.3%

Contribution to Overhead 0.0%

Change in Benefit Assumptions 0.3%

Change in age/area distribution 0.0%

Mandates 0.0%

Change in Fees and Taxes 0.0%

Morbidity 0.0%

Total 4.2%

The calculated 2016 effective rate of 4.9% show above will not reconcile with the effective rate of 4.2% below. The first

rate is weighted by member months while the latter is weighted premium.

TREND INFORMATION AND PROJECTION


Market: Small Group



Utilization

Category

Average 12 month

Trend

Claim

WeightsInpatient 0.4% 25.4%Physician 0.4% 31.8%Other -0.3% 30.6%Rx 0.5% 12.2%

0.2%

Cost Trend

Category

Average 12 month

Trend

Claim

WeightsInpatient 5.0% 25.5%Physician 1.6% 32.0%Other 6.5% 30.3%Rx 10.0% 12.3%

5.0%Total Annual Trend

Utilization 100.2%Cost 105.0%Total 105.2%

Moda’s primary effort to identify and realize reductions in uncompensated care is the

development of the Beacon Network. This network is designed specifically as a statewide

network for Oregon Individual plans. With the reduction in the number of uninsured and the

expansion of the Individual market, Moda is focusing the potential savings in that market to

manage the costs. As such, there is no adjustment included in this filing.

TREND INFORMATION AND PROJECTION


Market: Small Group


Month

Completed

Allowed Claims

PMPM

Normalized

Completed

Allowed Claims

PMPM

Rolling 12-Month

Average Normalized

Completed Allowed

PMPM

Historic Annual

Trend

2012-01 $302.51 $249.52

2012-02 $270.04 $222.92

2012-03 $352.09 $290.37

2012-04 $336.86 $277.85

2012-05 $320.64 $263.60

2012-06 $280.20 $230.70

2012-07 $271.43 $220.84

2012-08 $306.96 $246.73

2012-09 $245.33 $194.19

2012-10 $334.15 $262.21

2012-11 $306.95 $238.94

2012-12 $289.33 $222.84 $242.66

2013-01 $290.01 $218.78 $239.62

2013-02 $339.32 $254.50 $242.44

2013-03 $342.64 $256.66 $240.29

2013-04 $354.77 $264.27 $239.99

2013-05 $335.19 $248.88 $239.26

2013-06 $333.10 $246.52 $240.47

2013-07 $362.52 $266.47 $244.08

2013-08 $349.46 $256.05 $244.93

2013-09 $321.10 $234.71 $247.64

2013-10 $372.03 $271.87 $248.55

2013-11 $362.44 $264.21 $250.56

2013-12 $417.61 $304.88 $257.26 6.0%

2014-01 $363.35 $262.37 $260.95 8.9%

2014-02 $296.25 $212.50 $256.48 5.8%

2014-03 $315.35 $225.90 $253.20 5.4%

2014-04 $396.94 $284.56 $255.75 6.6%

2014-05 $375.60 $268.04 $257.58 7.7%

2014-06 $305.22 $216.23 $253.76 5.5%

2014-07 $358.90 $254.30 $252.96 3.6%

2014-08 $385.12 $273.11 $254.98 4.1%

2014-09 $407.14 $288.69 $259.83 4.9%

2014-10 $396.67 $280.66 $261.34 5.1%

2014-11 $348.81 $245.80 $259.61 3.6%

2014-12 $404.93 $284.16 $259.72 1.0%

Average Annual Trend 5.2%

STATEMENT OF ADMINISTRATIVE EXPENSES


Market: Small Group


Expenses 2010 2011 2012 2013 2014 Fixed or Fixed or

PMPM PMPM PMPM PMPM PMPM Variable PMPM % of Premium Variable PMPM % of Premium

Salaries, Wages, Employment Taxes & Other Benefits $24.14 $25.50 $26.77 $26.76 $27.35 Variable $24.61 6.3% Variable $25.71 6.3%

Cost Depreciation: equipment, software, furniture, etc. $2.85 $2.85 $3.00 $3.39 $2.36 Fixed $2.12 0.5% Fixed $2.22 0.5%

Rent (Occupancy) $1.39 $1.33 $1.23 $2.54 $2.10 Fixed $1.89 0.5% Fixed $1.98 0.5%

Marketing & Advertising $0.23 $0.26 $0.37 $0.74 $1.93 Fixed $1.74 0.4% Fixed $1.82 0.4%

General Office Expenses: sundries, supplies, telephone, printing,

postage, etc. $1.49 $1.38 $1.23 $1.27 $3.93 Mostly Variable $3.54 0.9% Mostly Variable $3.70 0.9%

Third Party Administration Expenses or Fees or Other Group

Service Expense or Fees $1.01 $0.98 $0.99 $0.95 $1.03 Fixed $0.92 0.2% Fixed $0.97 0.2%

Legal Fees and Expenses & Other Professional or Consulting

Fees $0.49 $0.46 $0.53 $0.71 $2.95 Mostly Variable $2.65 0.7% Mostly Variable $2.77 0.7%Traveling Expenses $0.26 $0.32 $0.33 $0.38 $0.42 Variable $0.38 0.1% Variable $0.39 0.1%

Total Expenses Incurred $31.86 $33.08 $34.45 $36.75 $42.07 $37.86 9.7% $39.55 9.6%

Premium Retention 2010 2011 2012 2013 2014 Fixed or Fixed or

PMPM PMPM PMPM PMPM PMPM Variable PMPM % of Premium Variable PMPM % of Premium

Expenses (from above table) $31.86 $33.08 $34.45 $36.75 $42.07 $37.86 9.7% $39.55 9.6%

Commissions $141.80 $12.30 $13.37 $14.90 $16.49 Variable $17.51 4.5% Variable $16.44 4.0%

Insurer Fee $0.00 $0.00 $0.00 $0.00 $11.65 Variable 0.0% Variable $14.39 3.5%

Risk Adjustment Program Fee $0.00 $0.00 $0.00 $0.00 $0.08 Variable $0.15 0.0% Variable $0.15 0.0%

Oregon Supplemental Reinsurance program fee $0.00 $0.00 $0.00 $0.00 $3.86 Variable $3.50 0.9% Variable $0.00 0.0%

HCR - Funding of Patient-Centered Outcomes Research Fee $0.00 $0.00 $0.00 $0.00 $0.17 Variable $0.19 0.0% Variable $0.20 0.0%

ACA Federal Reinsurance Fee $0.00 $0.00 $0.00 $0.00 $5.25 Variable $3.67 0.9% Variable $2.25 0.5%

Oregon Exchange Fee $0.00 Variable $0.00 0.0% Variable $0.48 0.1%

Profit/Margin $10.28 2.5%

Total Premium Retention $173.66 $45.38 $47.82 $51.65 $79.57 $62.89 16.2% $83.74 20.4%

2015 Current Filing period

2015 Current Filing period

PLAN RELATIVITIES


Market: Small Group


Plan ID Marketing Name Metal Tier

Plan

Actuarial

Value

AV

Calculator

Used

Previous

Filing Plan

Relativity

Plan Relativity

% change

in plan

relativity

Identify

quarter

and year

Benefit

Substitution(s)

Exchange

StatusGeographic Areas Offered

Pediatric

Dental

Embedded

1 39424OR1160007 PPO Platinum 250 Platinum 88.2% Yes N/A 1.162 N/A Q1 2016 No Both Statewide No

2 39424OR1160008 PPO Platinum 500 Platinum 88.0% Yes N/A 1.147 N/A Q1 2016 No Both Statewide No

3 39424OR1160001 PPO 500 Gold 81.6% Yes 1.065 1.085 1.9% Q1 2016 No Both Statewide No

4 39424OR1160002 PPO 1000A Gold 79.8% Yes 1.033 1.054 2.0% Q1 2016 No Both Statewide No

5 39424OR1160003 PPO 1000B Gold 78.8% Yes 1.027 1.052 2.5% Q1 2016 No Out Statewide No

6 39424OR1160004 PPO 1500 Gold 78.5% Yes 1.006 1.026 2.0% Q1 2016 No Both Statewide No

7 39424OR1160005 PPO 2500 Silver 72.0% Yes 0.926 0.922 -0.4% Q1 2016 No Out Statewide No

8 39424OR1160006 PPO 3000 Silver 71.7% Yes 0.884 0.905 2.4% Q1 2016 No Both 2,3,4,5,6,7 No

9 39424OR1160009 PPO 3000 Silver 71.7% Yes N/A 0.905 N/A Q1 2016 No Out 1 No

10 39424OR1170001 Value 1500 Silver 71.7% Yes 0.896 0.921 2.8% Q1 2016 No Out Statewide No


12 39424OR1170007 Value 2000 (Rose City) Silver 71.0% Yes N/A 0.822 N/A Q1 2016 No In 1 No



15 39424OR1170005 Value 3500 Silver 70.3% Yes 0.826 0.825 -0.1% Q1 2016 No Out Statewide No

16 39424OR1170006 Value 5000 Silver 69.0% Yes N/A 0.780 N/A Q1 2016 No Out Statewide No

17 39424OR1340001 Moda Health Connexus Aspire 2000 Silver 71.9% Yes N/A 0.883 N/A Q1 2016 No Out Statewide No

18 39424OR1340002 Moda Health Connexus Aspire 2500 Silver 71.4% Yes N/A 0.858 N/A Q1 2016 No Both Statewide No

19 39424OR1360001 Moda Health Connexus Fundamental 3500 Bronze 61.2% Yes N/A 0.748 N/A Q1 2016 No Both Statewide No

20 39424OR1360002 Moda Health Connexus Fundamental 5000 Bronze 59.6% Yes N/A 0.692 N/A Q1 2016 No Out Statewide No

21 39424OR1520001 Moda Health Connexus HSA 1500 Silver 72.0% Yes N/A 0.937 N/A Q1 2016 No Both Statewide No

22 39424OR1520002 Moda Health Connexus HSA 2000 Silver 69.7% Yes N/A 0.896 N/A Q1 2016 No Out Statewide No

23 39424OR1520003 Moda Health Connexus HSA 2500 Silver 68.1% Yes N/A 0.862 N/A Q1 2016 No Out Statewide No

24 39424OR1510001 Moda Health Connexus HSA 3250 Bronze 61.9% Yes N/A 0.759 N/A Q1 2016 No Both Statewide No

25 39424OR1410001 Moda Health Connexus Essence 5000 Bronze 62.0% Yes N/A 0.694 N/A Q1 2016 No Out Statewide No

26 39424OR1410002 Moda Health Rose City Essence 5000 Bronze 62.0% Yes N/A 0.637 N/A Q1 2016 No In 1 No

27 39424OR1410003 Moda Health Connexus Essence 6000 Bronze 61.4% Yes N/A 0.690 N/A Q1 2016 No Out Statewide No

28 39424OR1450001 Moda Health Connexus Basic 6500 Bronze 61.9% Yes N/A 0.691 N/A Q1 2016 No Both 2,3,4,5,6,7 No

29 39424OR1450002 Moda Health Connexus Basic 6500 Bronze 61.9% Yes N/A 0.691 N/A Q1 2016 No Out 1 No

30 39424OR1550001 Moda Health Synergy Exclusive 2000 Silver 71.0% Yes N/A 0.788 N/A Q1 2016 No Both 1,2,3,4 (partial), 5, 6 (partial), 7 No

31 39424OR1550002 Moda Health Summit Exclusive 2000 Silver 71.0% Yes N/A 0.815 N/A Q1 2016 No Both 4 (partial) and 6 (partial) No

32 39424OR1530001 Moda Health Synergy Exclusive 5000 Bronze 62.0% Yes N/A 0.617 N/A Q1 2016 No Both 1,2,3,4 (partial), 5, 6 (partial), 7 No

33 39424OR1530002 Moda Health Summit Exclusive 5000 Bronze 62.0% Yes N/A 0.637 N/A Q1 2016 No Both 4 (partial) and 6 (partial) No

34 39424OR1540001 PPO Platinum Synergy Exclusive 250 Platinum 88.2% Yes N/A 1.054 N/A Q1 2016 No Both 1,2,3,4 (partial), 5, 6 (partial), 7 No

35 39424OR1540002 PPO Platinum Summit Exclusive 250 Platinum 88.2% Yes N/A 1.093 N/A Q1 2016 No Both 4 (partial) and 6 (partial) No

36 39424OR1540003 PPO Synergy Exclusive 1000A Gold 79.8% Yes N/A 0.954 N/A Q1 2016 No Both 1,2,3,4 (partial), 5, 6 (partial), 7 No

37 39424OR1540004 PPO Summit Exclusive 1000A Gold 79.8% Yes N/A 0.988 N/A Q1 2016 No Both 4 (partial) and 6 (partial) No

38 39424OR1220001 Moda Health Oregon Standard Gold Gold 78.4% Yes 1.021 1.033 1.2% Q1 2016 No Both Statewide No

39 39424OR1220002 Moda Health Oregon Standard Silver Silver 69.7% Yes 0.867 0.867 0.0% Q1 2016 No Both Statewide No

40 39424OR1230001 Moda Health Oregon Standard Bronze Bronze 61.6% Yes 0.637 0.704 10.4% Q1 2016 No Both Statewide No

Plan relativities for 2016 include modeling updates, deductible leveraging, and cost sharing changes. Since benefit modifications were included in the updated modeling, specific impacts are not broken out. A summary of benefit

changes is available in Exhibit 2.

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE Moda Health Plan, Inc.

ASSETSCurrent Year Prior Year

1

Assets

2

Nonadmitted Assets

3Net Admitted Assets

(Cols. 1 - 2)

4Net Admitted

Assets

1. Bonds (Schedule D) ��

2. Stocks (Schedule D):

2.1 Preferred stocks

2.2 Common stocks ��

3. Mortgage loans on real estate (Schedule B):

3.1 First liens

3.2 Other than first liens

4. Real estate (Schedule A):

4.1 Properties occupied by the company (less $

encumbrances)

4.2 Properties held for the production of income (less

$ encumbrances)

4.3 Properties held for sale (less $

encumbrances)

5. Cash ($ �� , Schedule E - Part 1), cash equivalents

($ , Schedule E - Part 2) and short-term

investments ($ �� , Schedule DA) ��

6. Contract loans, (including $ premium notes)

7. Derivatives (Schedule DB)

8. Other invested assets (Schedule BA) ��

9. Receivables for securities ��

10. Securities lending reinvested collateral assets (Schedule DL)

11. Aggregate write-ins for invested assets

12. Subtotals, cash and invested assets (Lines 1 to 11) ��

13. Title plants less $ charged off (for Title insurers

only)

14. Investment income due and accrued ��

15. Premiums and considerations:

15.1 Uncollected premiums and agents' balances in the course of collection ��

15.2 Deferred premiums, agents' balances and installments booked but

deferred and not yet due (including $

earned but unbilled premiums)

15.3 Accrued retrospective premiums ��

16. Reinsurance:

16.1 Amounts recoverable from reinsurers ��

16.2 Funds held by or deposited with reinsured companies

16.3 Other amounts receivable under reinsurance contracts

17. Amounts receivable relating to uninsured plans ��

18.1 Current federal and foreign income tax recoverable and interest thereon

18.2 Net deferred tax asset ��

19. Guaranty funds receivable or on deposit

20. Electronic data processing equipment and software ��

21. Furniture and equipment, including health care delivery assets

($ )

22. Net adjustment in assets and liabilities due to foreign exchange rates

23. Receivables from parent, subsidiaries and affiliates ��

24. Health care ($ �� ) and other amounts receivable ��

25. Aggregate write-ins for other than invested assets ��

26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) ��

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts

28. Total (Lines 26 and 27) ��

DETAILS OF WRITE-INS

1101.

1102.

1103.

1198. Summary of remaining write-ins for Line 11 from overflow page

1199. Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)

2501. ��

2502. �� !�"��

2503. ��#$�%��&�� !�"��

2598. Summary of remaining write-ins for Line 25 from overflow page

2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) ��

2


LIABILITIES, CAPITAL AND SURPLUSCurrent Year Prior Year

1

Covered

2

Uncovered

3

Total

4

Total

1. Claims unpaid (less $ �� reinsurance ceded) ��

2. Accrued medical incentive pool and bonus amounts � � � �

3. Unpaid claims adjustment expenses ��

4. Aggregate health policy reserves, including the liability of

$ � for medical loss ratio rebate per the Public

Health Service Act ��

5. Aggregate life policy reserves � � � �

6. Property/casualty unearned premium reserves � � � �

7. Aggregate health claim reserves � � � �

8. Premiums received in advance ��

9. General expenses due or accrued ��

10.1 Current federal and foreign income tax payable and interest thereon

(including $ �� on realized capital gains (losses)) ��

10.2 Net deferred tax liability � � � ��

11. Ceded reinsurance premiums payable ��

12. Amounts withheld or retained for the account of others ��

13. Remittances and items not allocated � � � �

14. Borrowed money (including $ � current) and

interest thereon $ � (including

$ � current) � � � �

15. Amounts due to parent, subsidiaries and affiliates ��

16. Derivatives � � � �

17. Payable for securities ��

18. Payable for securities lending � � � �

19. Funds held under reinsurance treaties (with $ �

authorized reinsurers, $ � unauthorized

reinsurers and $ � certified reinsurers) � � � �

20. Reinsurance in unauthorized and certified ($ �

companies � � � �

21. Net adjustments in assets and liabilities due to foreign exchange rates � � � �

22. Liability for amounts held under uninsured plans ��

23. Aggregate write-ins for other liabilities (including $ �

current) ��

24. Total liabilities (Lines 1 to 23) ��

25. Aggregate write-ins for special surplus funds XXX XXX ��

26. Common capital stock XXX XXX ��

27. Preferred capital stock XXX XXX � �

28. Gross paid in and contributed surplus XXX XXX ��

29. Surplus notes XXX XXX ��

30. Aggregate write-ins for other than special surplus funds XXX XXX � �

31. Unassigned funds (surplus) XXX XXX ��

32. Less treasury stock, at cost:

32.1 � shares common (value included in Line 26

$ � ) XXX XXX � �

32.2 � shares preferred (value included in Line 27

$ � ) XXX XXX � �

33. Total capital and surplus (Lines 25 to 31 minus Line 32) XXX XXX ��

34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX ��


2301. ��

2302. �� !�"#��$��

2303. � � � � �

2398. Summary of remaining write-ins for Line 23 from overflow page � � � �

2399. Totals (Lines 2301 thru 2303 plus 2398)(Line 23 above) ��

2501. %#��#��&��'(�!'!�%��)�� XXX XXX ��

2502. � XXX XXX � �

2503. � XXX XXX � �

2598. Summary of remaining write-ins for Line 25 from overflow page XXX XXX � �

2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) XXX XXX ��

3001. � XXX XXX � �

3002. � XXX XXX � �

3003. � XXX XXX � �

3098. Summary of remaining write-ins for Line 30 from overflow page XXX XXX � �

3099. Totals (Lines 3001 thru 3003 plus 3098)(Line 30 above) XXX XXX � �

3


STATEMENT OF REVENUE AND EXPENSES Current Year Prior Year

1Uncovered

2Total

3Total

1. Member Months XXX ��

2. Net premium income ( including $ � non-health premium income) XXX ��

3. Change in unearned premium reserves and reserve for rate credits XXX ��

4. Fee-for-service (net of $ � medical expenses) XXX � �

5. Risk revenue XXX � �

6. Aggregate write-ins for other health care related revenues XXX � �

7. Aggregate write-ins for other non-health revenues XXX � �

8. Total revenues (Lines 2 to 7) XXX ��

Hospital and Medical:

9. Hospital/medical benefits � ��

10. Other professional services � ��

11. Outside referrals � ��

12. Emergency room and out-of-area � ��

13. Prescription drugs � ��

14. Aggregate write-ins for other hospital and medical � � �

15. Incentive pool, withhold adjustments and bonus amounts � � �

16. Subtotal (Lines 9 to 15) � ��

Less:

17. Net reinsurance recoveries � ��

18. Total hospital and medical (Lines 16 minus 17) � ��

19. Non-health claims (net) � � �

20. Claims adjustment expenses, including $ �� cost containment expenses � ��

21. General administrative expenses � ��

22. Increase in reserves for life and accident and health contracts (including $ �

increase in reserves for life only) � � �

23. Total underwriting deductions (Lines 18 through 22) � ��

24. Net underwriting gain or (loss) (Lines 8 minus 23) XXX ��

25. Net investment income earned (Exhibit of Net Investment Income, Line 17) � ��

26. Net realized capital gains (losses) less capital gains tax of $ ��

27. Net investment gains (losses) (Lines 25 plus 26) � ��

28. Net gain or (loss) from agents’ or premium balances charged off [(amount recovered

$ � ) (amount charged off $ � )] � � �

29. Aggregate write-ins for other income or expenses � ��

30. Net income or (loss) after capital gains tax and before all other federal income taxes (Lines 24 plus 27 plus 28 plus 29) XXX ��

31. Federal and foreign income taxes incurred XXX ��

32. Net income (loss) (Lines 30 minus 31) XXX ��


0601. � XXX � �

0602. � XXX � �

0603 � XXX � �

0698. Summary of remaining write-ins for Line 6 from overflow page XXX � �

0699. Totals (Lines 0601 thru 0603 plus 0698)(Line 6 above) XXX � �

0701. � XXX � �

0702. � XXX � �

0703 � XXX � �

0798. Summary of remaining write-ins for Line 7 from overflow page XXX � �

0799. Totals (Lines 0701 thru 0703 plus 0798)(Line 7 above) XXX � �

1401. � � � �

1402. � � � �

1403. � � � �

1498. Summary of remaining write-ins for Line 14 from overflow page � � �

1499. Totals (Lines 1401 thru 1403 plus 1498)(Line 14 above) � � �

2901. ��

2902. ��

2903 � � � �

2998. Summary of remaining write-ins for Line 29 from overflow page � � �

2999. Totals (Lines 2901 thru 2903 plus 2998)(Line 29 above) � ��

4

��SUPPLEMENT FOR THE YEAR 2014 OF THE Moda Health Plan, Inc.

SUPPLEMENTAL HEALTH CARE EXHIBIT - PART 1(To Be Filed by April 1 - Not for Rebate Purposes)

REPORT FOR: 1. CORPORATION Moda Health Plan, Inc. 2. 601 SW Second Ave Portland, OR 97204 (LOCATION)

NAIC Group Code 1313 BUSINESS IN THE STATE OF Oregon DURING THE YEAR 2014 NAIC Company Code 47098 Business Subject to MLR 10 11 12 13 14 15

Comprehensive Health Coverage Mini-Med Plans Expatriate Plans 91

Individual

2SmallGroup

Employer

3LargeGroup

Employer

4

Individual

5SmallGroup

Employer

6LargeGroup

Employer

7

SmallGroup

8

LargeGroup

StudentHealthPlans

GovernmentBusiness

(excluded by statute)

OtherHealth

BusinessAggregate(2% rule)

Subtotal(Cols. 1

through 12)Uninsured

PlansTotal

13 + 14

1. Premium:

1.1 Health premiums earned (From Part 2, Line 1.11) �� XXX ��

1.2 Federal high risk pools � � � � � � � � � � � � � XXX �

1.3 State high risk pools � � � � � � � � � � � � � XXX �

1.4 Premiums earned including state and federal high risk programs (Lines 1.1 + 1.2 + 1.3) �� XXX ��

1.5 Federal taxes and federal assessments ��

1.6 State insurance, premium and other taxes (Similar local taxes of

$ � ) ��

1.6a Community Benefit Expenditures (informational only) � � � � � � � � � � � � � � �

1.7 Regulatory authority licenses and fees ��

1.8 Adjusted Premiums Earned (Lines 1.4 - 1.5 - 1.6 - 1.7) �� XXX ��

1.9 Net Assumed less Ceded reinsurance premiums earned �� XXX ��

1.10 Other Adjustments due to MLR calculations - Premiums � � � � � � � � � � � � � XXX �

1.11 Risk Revenue � � � � � � � � � � � � � XXX �

1.12 Net adjusted premiums earned after reinsurance (Lines 1.8 + 1.9 + 1.10 + 1.11) �� XXX ��

2. Claims:

2.1 Incurred claims excluding prescription drugs �� XXX ��

2.2 Prescription drugs �� XXX ��

2.3 Pharmaceutical rebates �� XXX ��

2.4 State stop loss, market stabilization and claim/census based assessments (informational only) � � � � � � � � � � � � � XXX �

3. Incurred medical incentive pools and bonuses � � � � � � � � � � � � � XXX �

4. Deductible Fraud and Abuse Detection/Recovery Expenses (for MLR use only) � � � � � � � � � � � � � � �

5. 5.0 Total Incurred Claims (Lines 2.1 + 2.2 - 2.3 + 3) (From Part 2, Line 2.15) �� XXX ��

5.1 Net Assumed less Ceded reinsurance claims incurred �� XXX ��

5.2 Other Adjustments due to MLR calculations - Claims � � � � � � � � � � � � � XXX �

5.3 Rebates paid � � � � � � � � � XXX XXX XXX � XXX �

5.4 Estimated rebates unpaid prior year � � � � � � � � � XXX XXX XXX � XXX �

5.5 Estimated rebates unpaid current year � � � � � � � � � XXX XXX XXX � XXX �

5.6 Fee for service and co-pay revenue � � � � � � � � � � � � � XXX �

5.7 Net incurred claims after reinsurance (Lines 5.0 + 5.1 + 5.2 + 5.3 - 5.4 + 5.5 - 5.6) �� XXX ��

216-1

.OR

SUPPLEMENT FOR THE YEAR 2014 OF THE Moda Health Plan, Inc.

SUPPLEMENTAL HEALTH CARE EXHIBIT - PART 1 (Continued)Business Subject to MLR 10 11 12 13 14 15

Comprehensive Health Coverage Mini-Med Plans Expatriate Plans 91

Individual

2SmallGroup

Employer

3LargeGroup

Employer

4

Individual

5SmallGroup

Employer

6LargeGroup

Employer

7

SmallGroup

8

LargeGroup

StudentHealthPlans

GovernmentBusiness


OtherHealth

BusinessAggregate(2% rule)

Subtotal(Cols. 1

through 12)Uninsured

PlansTotal

13 + 14

6. Improving Health Care Quality Expenses Incurred:

6.1 Improve health outcomes ��

6.2 Activities to prevent hospital readmissions ��

6.3 Improve patient safety and reduce medical errors ��

6.4 Wellness and health promotion activities ��

6.5 Health Information Technology expenses related to health improvement ��

6.6 Total of Defined Expenses Incurred for Improving Health Care Quality (Lines 6.1+6.2+6.3+6.4+6.5) ��

7. Preliminary Medical Loss Ratio: MLR ((Lines 4 + 5.0 + 6.6)/Line 1.8 � �� XXX XXX XXX XXX XXX XXX

8. Claims Adjustment Expenses:

8.1 Cost containment expenses not included in quality of care expenses in Line 6.6 ��

8.2 All other claims adjustment expenses ��

8.3 Total claims adjustment expenses (Lines 8.1 + 8.2) ��

9. Claims Adjustment Expense Ratio (Line 8.3/Line 1.8) � �� XXX XXX XXX

10. General and Administrative (G&A) Expenses:

10.1 Direct sales salaries and benefits ��

10.2 Agents and brokers fees and commissions ��

10.3 Other taxes (excluding taxes on Lines 1.5 through 1.7 and Line 14 below) ��

10.4 Other general and administrative expenses ��

10.4a Community Benefit Expenditures (informational only) � � � � � � � � � � � � � � �

10.5 Total general and administrative (Lines 10.1 +10.2 + 10.3 + 10.4) ��

11. Underwriting Gain/(Loss) (Lines 1.12 - 5.7 - 6.6 - 8.3 - 10.5) �� XXX ��

12. Income from fees of uninsured plans XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX ��

13. Net investment and other gain/(loss) XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX �� XXX ��

14. Federal income taxes (excluding taxes on Line 1.5 above) XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX �� XXX ��

15. Net gain or (loss) (Lines 11 + 12 + 13 - 14) XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX �� XXX ��

16. ICD-10 Implementation Expenses (informational only; already included in general expenses and line 6.5) ��

16. 16a ICD-10 Implementation Expenses (informational only; already included in line 6.5) � � � � � � � � � � � � � � �

OTHER INDICATORS:

1. Number of certificates/policies ��

2. Number of Covered Lives ��

3. Number of Groups XXX �� XXX � � � � � � � � ��

4. Member Months ��

Is run off business reported in Columns 1 through 9? �� If yes, show the amount of premiums and claims included. Premiums $ � Claims $ �

216-2

.OR



REPORT FOR: 1. CORPORATION Moda Health Plan, Inc. 2. 601 SW Second Ave Portland, OR 97204 (LOCATION)

NAIC Group Code 1313 BUSINESS IN THE STATE OF Oregon DURING THE YEAR 2014 NAIC Company Code 47098 Business Subject to MLR 10 11 12 13

Comprehensive Health Coverage Mini-Med Plans Expatriate Plans: 91

Individual

2SmallGroup

Employer

3LargeGroup

Employer

4

Individual

5SmallGroup

Employer

6LargeGroup

Employer

7

SmallGroup

8

LargeGroup

StudentHealthPlans

GovernmentBusiness


OtherHealth

Business

Aggregate

(2% rule)Total(a)

1. Health Premiums Earned:1.1 Direct premiums written ��

1.2 Unearned premium prior year ��

1.3 Unearned premium current year � � � � � � � � � � � � �

1.4 Change in unearned premium (Lines 1.2 - 1.3) ��

1.5 Paid rate credits � � � � � � � � � � � � �

1.6 Reserve for rate credits current year � � � � � � � � � � � � �

1.7 Reserve for rate credits prior year � � � � � � � � � � � � �

1.8 Change in reserve for rate credits (Lines 1.6 - 1.7) � � � � � � � � � � � � �

1.9 Premium balances written off � � � � � � � � � � � � �

1.10 Group conversion charge � � � � � � � � � � � � �

1.11 Total direct premiums earned (Lines 1.1 + 1.4 - 1.9 + 1.10) ��

1.12 Assumed premiums earned from non-affiliates � � � � � � � � � � � � �

1.13 Net Assumed less Ceded premiums earned from affiliates � � � � � � � � � � � � �

1.14 Ceded premiums earned to non-affiliates ��

1.15 Other Adjustments due to MLR calculation - Premiums � � � � � � � � � � � � �

1.16 Net premiums earned (Lines 1.11 - 1.5 - 1.8 + 1.12 + 1.13 - 1.14 + 1.15) ��

2. Direct Claims Incurred:2.1 Paid claims during the year ��

2.2 Direct claim liability current year ��

2.3 Direct claim liability prior year ��

2.4 Direct claim reserves current year � � � � � � � � � � � � �

2.5 Direct claim reserves prior year � � � � � � � � � � � � �

2.6 Direct contract reserves current year � � � � � � � � � � � � �

2.7 Direct contract reserves prior year � � � � � � � � � � � � �

2.8 Paid rate credits � � � � � � � � � � � � �

2.9 Reserve for rate credits current year � � � � � � � � � � � � �

2.10 Reserve for rate credits prior year � � � � � � � � � � � � �

2.11 Incurred medical incentive pools and bonuses (Lines 2.11a + 2.11b - 2.11c) � � � � � � � � � � � � �

2.11a Paid medical incentive pools and bonuses current year � � � � � � � � � � � � �

2.11b Accrued medical incentive pools and bonuses current year � � � � � � � � � � � � �

2.11c Accrued medical incentive pools and bonuses prior year � � � � � � � � � � � � �

2.12 Net healthcare receivables (Lines 2.12a - 2.12b) � � � � � � � � � � � � �

2.12a Healthcare receivables current year � � � � � � � � � � � � �

2.12b Healthcare receivables prior year � � � � � � � � � � � � �

2.13 Group conversion charge � � � � � � � � � � � � �

2.14 Multi-option coverage blended rate adjustment � � � � � � � � � � � � �

2.15 Total incurred claims (Lines 2.1 + 2.2 - 2.3 + 2.4 - 2.5 + 2.6 - 2.7 + 2.8 + 2.9 - 2.10 + 2.11 - 2.12 + 2.13 + 2.14) ��

2.16 Assumed incurred claims from non-affiliates � � � � � � � � � � � � �

2.17 Net assumed less ceded incurred claims from affiliates � � � � � � � � � � � � �

2.18 Ceded incurred claims to non-affiliates ��

2.19 Other adjustments due to MLR calculation - Claims � � � � � � � � � � � � �

2.20 Net Incurred Claims (Lines 2.15 - 2.8 - 2.9 + 2.10 + 2.16 + 2.17 - 2.18 + 2.19) ��

3. Fraud and Abuse Recoveries that Reduced PAID Claims in Line 2.1 above (informational only) � � � � � � � � � � � � �

(a) Column 13, Line 1.1 includes direct written premium of $ � for stand-alone dental and $ � for stand-alone vision policies.

216-3

.OR



REPORT FOR: 1. CORPORATION Moda Health Plan, Inc. 2. 601 SW Second Ave Portland, OR 97204

(LOCATION)NAIC Group Code 1313 BUSINESS IN THE STATE OF Oregon DURING THE YEAR 2014 NAIC Company Code 47098

All Expenses Improving Health Care Quality Expenses Claims Adjustment Expenses 9 101

ImproveHealth

Outcomes

2Activities to

PreventHospital

Readmissions

3Improve

Patient Safety and Reduce

Medical Errors

4Wellness &

HealthPromotion Activities

5

HITExpenses

6

Total(1 to 5)

7

CostContainment

Expenses

8Other

ClaimsAdjustmentExpenses

GeneralAdministrative

Expenses

TotalExpenses

(6 to 9)

1. Individual Comprehensive Coverage Expenses:

1.1 Salaries (including $ � for affiliated services) ��

1.2 Outsourced Services � � � � � � ��

1.3 EDP Equipment and Software (incl $ � for affiliated services) � � � � ��

1.4 Other Equipment (excl. EDP) (incl $ � for affiliated services) ��

1.5 Accreditation and Certification (incl $ � for affiliated services) � XXX XXX XXX XXX � � � � �

1.6 Other Expenses (incl $ � for affiliated services) ��

1.7 Subtotal before Reimbursements and Taxes (Lines 1.1 to 1.6) ��

1.8 Reimbursements by uninsured plans and fiscal intermediaries � � � � � � ��

1.9 Taxes, Licenses and Fees (in total, for tying purposes) XXX XXX XXX XXX XXX XXX XXX XXX ��

1.10 Total (1.7 to 1.9) ��

1.11 Total Fraud and Abuse Detection/Recovery Expenses included in Column 7 (informational only) � � � � � � ��

2. Small Group Comprehensive Coverage Expenses:










2.10 Total (2.7 to 2.9) ��


3. Large Group Comprehensive Coverage Expenses:










3.10 Total (3.7 to 3.9) ��


216-4

.OR


SUPPLEMENTAL HEALTH CARE EXHIBIT - PART 3 (Continued)All Expenses Improving Health Care Quality Expenses Claims Adjustment Expenses 9 10

1

ImproveHealth

Outcomes

2Activities to

PreventHospital

Readmissions

3Improve


Medical Errors

4Wellness &


5

HITExpenses

6

Total(1 to 5)

7

CostContainment

Expenses

8Other



Expenses

TotalExpenses

(6 to 9)

4. Individual Mini-Med Plans Expenses:

4.1 Salaries (including $ � for affiliated services) � � � � � � � � � �

4.2 Outsourced Services � � � � � � � � � �

4.3 EDP Equipment and Software (incl $ � for affiliated services) � � � � � � � � � �

4.4 Other Equipment (excl. EDP) (incl $ � for affiliated services) � � � � � � � � � �


4.6 Other Expenses (incl $ � for affiliated services) � � � � � � � � � �

4.7 Subtotal before Reimbursements and Taxes (Lines 4.1 to 4.6) � � � � � � � � � �

4.8 Reimbursements by uninsured plans and fiscal intermediaries � � � � � � � � � �

4.9 Taxes, Licenses and Fees (in total, for tying purposes) XXX XXX XXX XXX XXX XXX XXX XXX � �

4.10 Total (4.7 to 4.9) � � � � � � � � � �

4.11 Total Fraud and Abuse Detection/Recovery Expenses included in Column 7 (informational only) � � � � � � � � � �

5. Small Group Mini-Med Plans Expenses:










5.10 Total (5.7 to 5.9) � � � � � � � � � �


6. Large Group Mini-Med Plans Expenses:










6.10 Total (6.7 to 6.9) � � � � � � � � � �


216-5

.OR


SUPPLEMENTAL HEALTH CARE EXHIBIT - PART 3 (Continued)All Expenses Improving Health Care Quality Expenses Claims Adjustment Expenses 9 10

1

ImproveHealth

Outcomes

2Activities to

PreventHospital

Readmissions

3Improve


Medical Errors

4Wellness &


5

HITExpenses

6

Total(1 to 5)

7

CostContainment

Expenses

8Other



Expenses

TotalExpenses

(6 to 9)

7. Small Group Expatriate Plans Expenses:










7.10 Total (7.7 to 7.9) � � � � � � � � � �


8. Large Group Expatriate Plans Expenses:










8.10 Total (8.7 to 8.9) � � � � � � � � � �


9. Student Health Plans Expenses:










9.10 Total (9.7 to 9.9) � � � � � � � � � �


216-6

.OR

Insurer’s Financial Position Appendix I


Market: Small Group


As of December 31, 2014, the Company had total admitted assets of $353.7 million and capital and

surplus of $121.1 million. For the year ended December 31, 2014, the Company had a net loss of $5.2

million comprised of an underwriting loss of $11.0 million, $7.5 million in investment earnings and

income taxes and other expenses of $1.7 million. Reserves for 2014 were $93.5 million up from $33.4

million in 2013. For more details on our financial position, profitability, surplus, reserves and investment

earnings, please see attached excerpts from our annual statement filing.

Over the past five years, the Company’s cumulative net income is a cumulative gain of $17.1 million

($3.6 million gain in 2010, $5.9 million gain in 2011, $5.3 million gain in 2012, $7.5 million gain in 2013

and $5.2 million loss in 2014).

The requested change in the premium rate for this filing is necessary to cover increasing hospital and

medical expenses as well as to maintain adequate surplus levels and prevent significant rate increases

on this segment of our business in future filings. We have included 2.5% margin in this rate filing.

Risk Based Capital for the Last 5 Years

2010 731%

2011 756%

2012 661%

2013 582%

2014 454%



Market: Small Group


1 | P a g e

Moda Health strives to manage costs while providing the highest quality service and care for our members. Our

programs help members meet their health care needs through prevention, wellness and condition specific

programs. We are continually looking for opportunities to help members maximize the effectiveness of their

health care dollars. Here are a few examples of ongoing cost containment and quality improvement efforts at

Moda Health.

Medical Quality Improvement Committee (MQIC) –Comprised of representatives from multiple departments that

oversees Moda Health quality improvement programs. This committee monitors and evaluates the health care

services provided to Moda Health members in Oregon, Washington, and Alaska to ensure that they meet current

medical practice and service standards. The MQIC meets at least six times per year and facilitates communication

among Moda Health departments, providers, employer groups and members to ensure the delivery of healthcare

services in an efficient management of resources.

Pharmacy and Therapeutics Committee – Chaired by a Moda Health medical director, this robust multi-

department committee oversees drug formulary decisions to ensure the availability of safe and effective drug

choices by: promoting evidence-based standards in the formulary decision-making process to ensure clinical

efficacy, patient safety, and cost-effective medication options; establishing policies and procedures to educate and

inform health care providers, members and clients about drug products and appropriate use; as well as developing

protocols and procedures for the ease of and access to non-formulary drugs.

Case Management and Care Coordination - Our programs use evidence-based medicine and best practice clinical

care guidelines. The guidelines are used when prior authorizing inpatient and surgical admissions, durable medical

equipment, outpatient therapies and chiropractic care, acupuncture and massage therapy. In addition, evidence

based-guidelines are used to assign initial length of stay, continued stay, and to confirm the appropriate level of

care for inpatient, acute rehabilitation and skilled nursing facility admissions.

Care coordination nurses follow members through preauthorization of an inpatient admission, inpatient

concurrent review, discharge planning, and the recovery phase of an acute condition, when coordination of

additional services is needed. The care management programs use nationally recognized clinical care guidelines

developed through evidence-based medicine and best practice. This approach supports our readmission

prevention program.

Moda Health has ongoing quality improvement projects for congestive heart failure (CHF), inpatient readmissions,

depression screening, and hospice utilization. These efforts also include communication among case managers,

health coaches, and behavioral healthcare coordinators to ensure the members receive the appropriate level of

care with the appropriate provider.

To ensure quality centers of excellence are available for transplant care, specialized cancer care that is not

available locally, kidney dialysis, and complex neonatal case management.

Utilization management delegation – In an effort to reduce costs and improve efficiencies and quality, Moda

Health delegates some utilization management activities to other entities who are experts in their fields. The

Medical Management Delegation Committee meets quarterly to review utilization and denial reports and other

information submitted by the delegated entity. For Oregon, Moda Health delegates utilization management

activities for advanced imaging and specialty oncology drugs. Using delegated utilization management programs

continues to reduce unwarranted variation and high utilization. This arrangement also provides peer-to-peer

communication with providers.

Advanced Imaging Review – Driven by high-tech services such as CT, MRI, Nuclear Medicine, and PET, outpatient

diagnostic imaging has become the fastest growing medical expenditure in the United States. Imaging services per



Market: Small Group


2 | P a g e

Medicare beneficiary increased by 62% between 1999 and 2004. The increase in imaging use has also caused an

equally dramatic increase in the amount of radiation exposure associated with these studies.

At Moda Health our focus is to improve patient safety, enhance quality of health care and facilitate cost effective

evidence-based care. Image management allows these goals to be achieved. The program promotes the

appropriate use of diagnostic imaging through the application of widely accepted clinical guidelines. This leads to

improved clinical quality and appropriate cost management in diagnostic imaging. Utilization of advanced imaging

has decreased ~4% since the implementation of this program without any evidence of compromising the quality of

patient care.

Length of stay review - assignment of initial length of stay days, and concurrent review of hospital, inpatient

rehabilitation and skilled nursing facility stays for extension of the length of stay days, based on evidence based,

best practice targets. This initiative has decreased the average length of stay ~.3%

Inpatient Care Coordination RNs are assigned to facilities, by regions in the states of Oregon, Washington and

Alaska, to review inpatient admission length of stay. The same nurse following hospital admissions in a particular

region of Oregon is also assigned network hospitals regionally that are contiguous to the areas assigned. The

regions are as follows:

• Portland Metro

• North Coast

• Valley

• South Coast/Southwest Oregon

• Central Oregon/ Gorge

• Eastern/South Central Oregon

• Clark County

Advantages to assigning by facility and region:

• Positive provider relationships: The facility nurse knows which nurse to call at Moda Health

• Reduced inpatient length of stay and correct level of care: The facility nurse calls the Moda Health nurse

directly to expedite authorization and transition to a skilled facility, rehabilitation facility, or to home

care, when assistance with discharge planning is needed

• Smooth transitions of care: The same Moda Health nurse follows the member when a transfer to a

neighboring facility in a border state is required for a specialized, or higher, level of care.

Health Promotion and Engagement - Health Promotion and Engagement designs a comprehensive and integrated

suite of programs and services for members at all stages of life and health aimed at improving population health,

as well as members’ experience of care, all while reducing costs. These programs and services assist members in

making informed decisions and promote a wide array of key health promotion and wellness activities including:

• Research/implementation of quality initiatives

• Wellness consulting

• Disease management and health coaching

• Community events

One-on-one disease management and health coaching - Our multidisciplinary team of clinicians, including

registered nurses, registered dieticians, social workers and dental hygienists, provides Moda Health members with

one-on-one support in the following nine health areas: Cardiac care, Dental Care, Depression Care, Respiratory

Care, Women’s Health and Maternity Care, Weight Care, Spine & Joint Care, and Lifestyle Coaching. The purpose

of one-on-one disease management and health coaching is to assist members with self-management of their

condition, prevent development and progression of complications, and improve adherence to their medical care

regime.



Market: Small Group


3 | P a g e

Moda Health Post-hospitalization care management - Care coordination nurses follow all members with post

hospital needs (home health, home infusion, palliative and hospice care) and refer to case management if

additional long term or complex needs are identified. Cases are referred to health coaching programs when post

hospital discharge needs are complete and member requires follow up for chronic illness, depression care, or

lifestyle coaching

• All Mental Health hospitalizations and chemical dependency facility discharges trigger both a seven and

thirty day follow up by Moda Health Behavioral Health to assure the member has an outpatient follow up

appointment, before leaving the facility. Behavioral health contacts the member to remind them of the

appointment and confirms with the provider that the member kept the appointment. This is augmented

by trigger diagnosis, internal case review hospital follow up, care coordination and case management

referral, Co-morbid diagnosis and medical management review committee.

• All congestive heart failure (CHF) hospitalizations trigger a follow-up within seven days by Medical

Management & Health Coaching. This is augmented by trigger Diagnosis, internal Case Review- hospital

follow up, Care coordination and Case Management referral, Co-morbid diagnosis and medical

management review committee.

Standard Review Questions


Market: Small Group


1. What is the greatest financial loss and gain that the company believes is conceivable in 2015? 2016?

a. Please describe the nature, extent, and results of stress testing performed in developing the

proposed rates. b. How have these projections changed since last year’s filing?

For 2015, we believe that the loss/gain will likely be between 3% and -2%. With the consistent

performance of the market and limited changes in the transitional policies, there is much less

uncertainty than other years. Similar to individual, we reviewed the assumptions market morbidity

changes and Moda specific mix of membership. Results from 2014 are showing that these factors

will be the most influential in the potential gains and losses for this segment. For the 2016 filing, the

assumptions chosen reflect our best estimates of the change in market morbidity and reflect an

average market risk. Testing the reasonable range of values for these factors, the potential financial

gains and losses would fall between +2% to -3%. The primary driver of this range is the uncertainty

in selection from transitional policies and the market expansion. This testing does not incorporate

any impact of risk corridor. This range is consistent with the results from last year’s filing. The dollar

magnitude of gains and losses will depend on the membership and subsequent premiums.

2. What adjustments have been made to reflect the inclusion, if any, of association business in the

single risk pool?

Moda Health does not have significant association plan membership that is expected to enter the

small group market in 2016. We believe that this transition would have been made in 2014, if at all.

No adjustments have been made to reflect the inclusion of current association plan members.

3. What was the average age factor for 2014 premiums? What are the initial age factors for 2015

premiums?

The average factor for our 2014 experience was 1.421. The initial age factor for 2015 is 1.441.

4. Describe the steps your company takes to ensure adequate access to care.

In the Oregon state service area, Moda Health sets and negotiates reimbursement rates and

contract terms consistent with the goals of maintaining a robust network of providers that meets

both national and Moda Health standards for availability and access. This ensures that members’

clinical needs can be met within the provider network while optimizing the affordability of

healthcare coverage and services.

As part of our ongoing quality improvement efforts, Moda Health monitors these standards for

availability of participating primary care practitioners (PCP) and high-volume specialty care

practitioners (SCP). Moda Health conducts annual provider access evaluations to identify areas of

improvement. We used the results of these evaluations and recommendations to develop an

improvement plan. We are investing in new software resources and hiring additional team members

to increase the emphasis in this area.



Market: Small Group


For primary care, the Moda Health standards are the greater of 1:500 physician-to-member ratio or

50 percent of available providers in a geographical area. This exceeds the generally accepted

national standard of a 1:1,000 ratio and results in a standard of three PCP’s per 500 members in a

geographical area or six times greater availability than national standards require. In 2013, we

identified that four counties did not meet Moda Health’s highest standards for primary care access

in the Internal Medicine category and that six counties did not meet the standards in the Pediatrics

category. Additional providers are available in the specific provider categories reviewed in these

counties, thus allowing for potential access improvement.

For specialty care, Moda Health’s highest standard is to have a specialist to member ratio of 1:2,000.

Or, in cases where the ratio is less than the standard, the goal is to have at least 50 percent of

available specialty care physicians in the network for the 11 high-volume specialties we have

identified. All 36 Oregon counties meet or exceed the national standards.

5. Describe the steps your company takes to measure and improve quality of care.

We use the Healthcare Effectiveness Data and Information Set (HEDIS) to measure the quality of

care and service provided to our commercial members in Oregon, Washington and Alaska for

preventative health, early diagnosis and management of chronic disease. We also use the

Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which asks members

about their experience and satisfaction with their healthcare. HEDIS and CAHPS measures were

developed by the National Committee for Quality Assurance and are used to help health plans

measure performance in a broach range of important aspects of care and service. We use HEDIS to

identify improvement opportunities, measure the effectiveness of quality improvement projects for

member care, and provide purchasers and consumers with the information they need to make

reliable comparisons of health plan performance.

Internally, Moda Health has a 19-member Medical Quality Improvement Committee comprised of

medical directors and decision-making representatives and operational leaders from 16 key

departments and service areas. In 2013, we added a representative from the Medial Informatics

team. The Committee meets at least six times a year and on an as needed basis. Additionally, Moda

Health has a Quality Council comprised of three community-based clinical practitioners, our medial

directors, and leadership from five Moda Health departments or divisions.

In 2014, many of our practitioners were engaged in our quality programs. Here are some key areas

in which Moda Health collaborated with providers:

• Five of our quality committees include community based practitioners.

• The majority of our quality improvement projects to improve member care included both

member and provider components. For example, we sent members’ PCPs information

regarding needed screenings, routine care and medication adherence information via letter

and individual chart-ready patient reports.



Market: Small Group


• In our voluntary health coaching programs, we notified providers about member

enrollment, communicated action plans, set six-month and annual updates, and

documented physician feedback and information in the members’ records.

• Through our utilization management program, we provided our practitioners with the

option to reconsider an initial denial by consulting with our medical directors or an

independent reviewer, when indicated.

• Our quarterly provider newsletter effectively communicates with providers and obtains

feedback on an ongoing basis.

• We sent our providers notification about our quality improvement program, clinical care

guidelines, medical, behavioral health and pharmaceutical utilization management

procedures, and members’ rights and responsibilities that are posted on our provider

website.

One-on-one Health Coaching Impact

Clinical outcomes for our Cardiac Care, Depression Care and Diabetes Care health coaching

programs were more favorable for Moda Health members who participated in health coaching. For

example, 73percent of Moda Health members who participated in health coaching had an anti-

hypertension medication possession ratio (MPR) greater than 0.8, compared with 68 percent of

Moda Health members who did not contact a health coach. In addition, 68 percent of members

who participated in our Depression Care program had an MPR greater than 0.8, compared with 59

percent of members who did not contact a health coach; and 43 percent of members enrolled in our

Diabetes care program received a dilated eye exam, compared to 25 percent of those not enrolled.

Care4Life

Starting in August 2013, Moda Health partnered with Voxiva, Inc. to offer the Care4Life program to

all Moda Health members. Care4Life is an educational program for individuals with type 2 diabetes

that delivers a series of text messages designed to educate, empower, and support participants.

The program is based on the National Diabetes Education Program and the American Association of

Diabetes Educators Seven Step Program. Our Health Coaching, Case Management and Customer

Services teams promote Care4Life to members they work with on a daily basis.

Weight Care Program

The goals of the Weight Care program are for members to have a 5 percent and 10 percent

reduction in weight within six to 12 months of program enrollment. Health coaches collect the

member’s weight upon program enrollment and then again every one to two months. In 2014,

program participants saw an average weight loss of 12.2 pounds, representing an average loss of 6

percent, meeting the program goal.

In 2014, Moda Health will continue to dedicate significant energy and resources to monitoring

processes, improving quality and demonstrating health plan best practices in Oregon, Washington

and Alaska. Our commitment to quality will continue to differentiate us in the marketplace. Our



Market: Small Group


quality initiatives are supported plan-wide, and our goal remains consistent to: provide better care

that is cost-effective to ensure the health of our members and the communities we serve.

6. How have members on discontinued plans been mapped to available plans?

The members are mapping using the following crosswalk.

2015 Plan 2016 Plan

PPO 500 PPO 500

PPO 1000A PPO 1000A

PPO 1000B PPO 1000B

PPO 1500 PPO 1500

PPO 2000 PPO 2500

PPO 3000 PPO 3000





















7. Identify all products in the Supplemental Healthcare Exhibit subtotal appropriate for this

Individual/Small Group filing. If you are using company historical data for your experience, please

reconcile the premium and claim totals reported in the development of rate change with the

corresponding totals in the Supplemental Health Care Exhibit, Part 1.



Market: Small Group


The products included in the experience period are consistent with those in the Supplemental

Healthcare Exhibit subtotal.

Premiums: The premium in the base experience data reflects solely the premiums earned in 2014 as of

March 31, 2015. The Supplemental Healthcare Exhibit (SHCE) reflects earned premium as of December

31, 2014, risk adjustment, and risk corridor. A direct comparison shows a difference of 1.5%. This is

within a reasonable margin considering the different time periods for the underlying earned premium

data.

Premium $57,940,496

Risk Corridor -$108,192

Risk Adjustment -$175,937

Total $57,656,367

SHCE Premium $58,520,603

Percent Difference 1.5%

Claims: Both claims in the experience data and claims on the SHCE include paid claims, pharmacy

rebates, and estimates for incurred but not reported claims. The experience data is calculated as of

March 31, 2015 and the SHCE data is as of December 31, 2014. The difference is due to improved

estimates of 2014 liabilities with the additional run-out.

SHCE Claims

$43,069,475

Claims $43,080,384

Percent Difference 0.03%

8. Identify which cost and quality measures are contributing to changes in reported costs on the

Supplemental Healthcare Exhibit over the last 2 years.

The only changes in programs that are included in the reports costs for cost and quality

measures are outlined below:

Expense Change Description

Oncology Initiative Removed

Implement oncology management of specific drugs,

including prior authorization

ICD 10 Conversion Removed Implement ICD 10 diagnostic codes

Social Wellth Added

Digital health experiences ;leveraging mobile health

technologies for consumers

Medical Home with Risk Reporting Added

Utilization and financial reporting for provider

participating in shared risk payment models



Market: Small Group


Magellan Added

Implement management of specialty drugs,

including prior authorizations

9. Research continues to support the claim that uncompensated care has dropped significantly. Please

see the recent research completed by OHSU here: http://annfammed.org/content/13/1/10.full

List the company’s efforts to identify reductions in uncompensated care as a result of the Medicaid

expansion and the individual mandate. What has the company done to reduce the burden of

uncompensated care on the commercial market? Describe the result of these efforts.

Moda’s primary effort to identify and realize reductions in uncompensated care is the

development of the Beacon Network. This network is designed specifically as a statewide network for

Oregon Individual plans. With the reduction in the number of uninsured and the expansion of the

Individual market, Moda is focusing the potential savings in that market to manage the costs. As such,

there is no adjustment included in this filing.

The hepatitis C drug Sovaldi has received national attention as a major contributor to health costs in

2014. Questions 10-11 identify the cost drivers related to this drug in Oregon.

10. What is/are the company’s coverage/limitations on the drug?

For All Plans the combined medical and pharmacy out-of-pocket max applies and Sovaldi must

be accessed through an exclusive specialty pharmacy.

Platinum/Gold/Silver: Covered at 50% / deductible waived

Bronze: Covered at 50% / deductible applies

Catastrophic: Covered at 100% / deductible applies

11. In the base period, what is the pmpm cost associated with the drug?

Moving forward, concern about costs associated with Sovaldi has declined in relation to costs

associated with Harvoni, a new higher cost treatment for Hepatitis C.

Allowed PMPM Sovaldi

OR SMGR $1.07

ACA only $1.63

Paid

OR SMGR $1.01



Market: Small Group


ACA only $1.54

12. What percentage of base period claims is prescription drug claims?

11.8% of allowed claims in the experience period are for prescription drugs.

13. What is the estimated risk corridor payment for the base period?

The estimate risk corridor payable for the base period is $108,192.

Small Group:

16. Confirm whether transitional plans will be continued or discontinued. Identify how this rate filing

reflects adjustments for any changes.

Moda Health does not currently offer any transitional policies to the 1-50 market. The filing does not

adjust for a change in market morbidity since transitional policies will likely continue to renew through

October or renew early such that a morbidity change will not be reflected in the projection period.

17. Identify the following aggregate information regarding groups sized 51-100 that has been included

in the base experience of this filing?

a. # of groups

b. # of members

c. completed, incurred claims

d. premium

e. If part of this experience is included on another filing, the percentage of total membership for

groups sized 51-100 included on this filing.

Experience for the groups 51-99 was not included in the base experience for this filing per the 2016

Unified Rate Review Instructions. The expansion of this market was considered when preparing this rate

filing.

Moda Health 2014 experience for groups sized 51-99 is as follows:

a. Number of groups: 144

b. Medical member months: 108490

c. Completed, incurred claims (Medical and Rx): $33,876,856.54

d. Premium (Medical and Rx): $37,146,335.69

1

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3839

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A B C D E F G H I J K L M N O P Q R S T U V W X Y

Unified Rate Review v2.0.4

Company Legal Name: Moda Health Plan, Inc State: OR

HIOS Issuer ID: 39424 Market: Small Group

Effective Date of Rate Change(s): 1/1/2016

Market Level Calculations (Same for all Plans)

Section I: Experience period data

Experience Period: 1/1/2014 to 12/31/2014

Experience Period

Aggregate Amount PMPM % of Prem

Premiums (net of MLR Rebate) in Experience Period: $57,940,496 $366.12 100.00%

Incurred Claims in Experience Period $43,080,384 272.22 74.35%

Allowed Claims: $58,126,655 367.30 100.32%

Index Rate of Experience Period 361.74

Experience Period Member Months 158,254

Section II: Allowed Claims, PMPM basis

Experience Period Projection Period: 1/1/2016 to 12/31/2016 Mid-point to Mid-point, Experience to Projection: 24 months

on Actual Experience Allowed

Adj't. from Experience to

Projection Period Projections, before credibility Adjustment Credibility Manual

Benefit Category

Utilization

Description

Utilization per

1,000

Average

Cost/Service PMPM

Pop'l risk

Morbidity Other Cost Util

Utilization per

1,000

Average

Cost/Service PMPM

Utilization

per 1,000

Average

Cost/Service PMPM

Inpatient Hospital Services 5,822.79 $187.12 $90.80 1.073 1.008 1.050 1.002 6,272.87 $207.95 $108.70 0.00 $0.00 $0.00

Outpatient Hospital Services 12,166.14 108.06 109.56 1.073 1.008 1.050 1.002 13,106.54 120.09 131.16 0.00 0.00 0.00

Professional Services 19,269.50 70.98 113.98 1.073 1.008 1.050 1.002 20,758.96 78.88 136.46 0.00 0.00 0.00

Other Medical Services 0.00 0.00 0.00 1.073 1.008 1.050 1.002 0.00 0.00 0.00 0.00 0.00 0.00

Capitation Services 873.84 128.98 9.39 1.073 1.008 1.050 1.002 941.38 143.34 11.24 0.00 0.00 0.00

Prescription Drug Prescriptions 8,916.63 58.65 43.58 1.073 1.008 1.050 1.002 9,605.85 65.18 52.17 0.00 0.00 0.00

Total $367.30 $439.74 $0.00

After Credibility Projected Period Totals

Section III: Projected Experience: Projected Allowed Experience Claims PMPM (w/applied credibility if applicable) 100.00% 0.00% $439.74 $152,763,219

Paid to Allowed Average Factor in Projection Period 0.745

Projected Incurred Claims, before ACA rein & Risk Adj't, PMPM $327.63 $113,816,603

Projected Risk Adjustments PMPM -0.15 (52,109)

Projected Incurred Claims, before reinsurance recoveries, net of rein prem, PMPM $327.78 $113,868,712

Projected ACA reinsurance recoveries, net of rein prem, PMPM -2.25 (781,630)

Projected Incurred Claims $330.03 $114,650,341

Administrative Expense Load 13.6% 56.04 19,468,438

Profit & Risk Load 2.5% 10.29 3,573,305

Taxes & Fees 3.7% 15.08 5,240,099

Single Risk Pool Gross Premium Avg. Rate, PMPM $411.44 $142,932,183

Index Rate for Projection Period 437.89

% increase over Experience Period 12.38%

% Increase, annualized: 6.01%

Projected Member Months 347,391

Information Not Releasable to the Public Unless Authorized by Law: This information has not been publically disclosed and may be privileged and confidential. It is for internal government use only and must not be

disseminated, distributed, or copied to persons not authorized to receive the information. Unauthorized disclosure may result in prosecution to the full extent of the law.

Annualized Trend

Factors

1 of 3

Product-Plan Data Collection

Company Legal Name: Moda Health Plan, Inc State: OR

HIOS Issuer ID: 39424 Market: Small Group

Effective Date of Rate Change(s):

Product/Plan Level Calculations

Section I: General Product and Plan Information

Product

Product ID:

Metal: Platinum Platinum Gold Gold Gold Gold Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Silver Bronze Bronze Silver

AV Metal Value 0.882 0.880 0.816 0.798 0.788 0.785 0.720 0.717 0.717 0.717 0.711 0.710 0.706 0.705 0.703 0.690 0.719 0.714 0.612 0.596 0.720

AV Pricing Value 1.162 1.147 1.085 1.054 1.052 1.026 0.922 0.905 0.905 0.921 0.890 0.822 0.866 0.845 0.825 0.780 0.883 0.858 0.748 0.692 0.937

Plan Type: PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO PPO

Plan Name

PPO Platinum 250 PPO Platinum 500 PPO 500 PPO 1000A PPO 1000B PPO 1500 PPO 2500 PPO 3000 PPO 3000 Value 1500 Value 2000

Value 2000 (Rose

City) Value 2500 Value 3000 Value 3500 Value 5000

Moda Health

Connexus Aspire

2000

Moda Health

Connexus Aspire

2500

Connexus

Fundamental

3500

Connexus

Fundamental

5000

Moda Health

Connexus HSA

1500

Plan ID (Standard Component ID): 39424OR1160007 39424OR1160008 39424OR1160001 39424OR1160002 39424OR1160003 39424OR1160004 39424OR1160005 39424OR1160006 39424OR1160009 39424OR1170001 39424OR1170002 39424OR1170007 39424OR1170003 39424OR1170004 39424OR1170005 39424OR1170006 39424OR1340001 39424OR1340002 39424OR1360001 39424OR1360002 39424OR1520001

Exchange Plan? Yes Yes Yes Yes No Yes No Yes No No No Yes No No No No No Yes Yes No Yes

Historical Rate Increase - Calendar Year - 2 0.00% 0.00% 0.00% 0.00% 0.00%

Historical Rate Increase - Calendar Year - 1 0.00% 0.00% 0.00% 0.00% 0.00%

Historical Rate Increase - Calendar Year 0 0.00% 0.00% 0.00% 0.00% 0.00%

Effective Date of Proposed Rates 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016 1/1/2016

Rate Change % (over prior filing) 0.00% 0.00% 0.18% 0.33% 1.57% 0.26% 1.41% 4.28% 0.00% 6.16% 4.67% 0.00% 4.02% 3.57% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Cum'tive Rate Change % (over 12 mos prior) 0.00% 0.00% 0.18% 0.33% 1.57% 0.26% 1.41% 4.28% 0.00% 6.16% 4.67% 0.00% 4.02% 3.57% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Proj'd Per Rate Change % (over Exper. Period) 2.28% 2.72% 4.06% 2.85% 4.89% 8.06% 7.86% 6.35% 5.59% 4.91% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Product Threshold Rate Increase %

Section II: Components of Premium Increase (PMPM Dollar Amount above Current Average Rate PMPM)

Plan ID (Standard Component ID): Total 39424OR1160007 39424OR1160008 39424OR1160001 39424OR1160002 39424OR1160003 39424OR1160004 39424OR1160005 39424OR1160006 39424OR1160009 39424OR1170001 39424OR1170002 39424OR1170007 39424OR1170003 39424OR1170004 39424OR1170005 39424OR1170006 39424OR1340001 39424OR1340002 39424OR1360001 39424OR1360002 39424OR1520001

Inpatient $0.92 $0.00 $0.00 $4.50 $2.43 $9.51 -$3.96 -$0.13 $5.84 $0.00 $2.27 $4.25 $0.00 $3.68 -$1.97 -$5.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Outpatient $1.11 $0.00 $0.00 $5.42 $2.93 $11.47 -$4.78 -$0.16 $7.04 $0.00 $2.74 $5.12 $0.00 $4.44 -$2.38 -$6.12 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Professional $1.16 $0.00 $0.00 $5.64 $3.05 $11.94 -$4.97 -$0.16 $7.33 $0.00 $2.85 $5.33 $0.00 $4.62 -$2.48 -$6.37 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Prescription Drug $0.44 $0.00 $0.00 $2.16 $1.17 $4.56 -$1.90 -$0.06 $2.80 $0.00 $1.09 $2.04 $0.00 $1.77 -$0.95 -$2.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other $0.10 $0.00 $0.00 $0.47 $0.25 $0.98 -$0.41 -$0.01 $0.60 $0.00 $0.24 $0.44 $0.00 $0.38 -$0.20 -$0.52 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Capitation $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Administration $0.63 $0.00 $0.00 $3.09 $1.67 $6.53 -$2.72 -$0.09 $4.01 $0.00 $1.56 $2.92 $0.00 $2.53 -$1.36 -$3.48 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Taxes & Fees $0.17 $0.00 $0.00 $0.83 $0.45 $1.76 -$0.73 -$0.02 $1.08 $0.00 $0.42 $0.79 $0.00 $0.68 -$0.37 -$0.94 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Risk & Profit Charge $0.12 $0.00 $0.00 $0.57 $0.31 $1.20 -$0.50 -$0.02 $0.74 $0.00 $0.29 $0.54 $0.00 $0.46 -$0.25 -$0.64 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Rate Increase $4.66 $0.00 $0.00 $22.68 $12.26 $47.95 -$19.97 -$0.65 $29.44 $11.46 $21.43 $18.56 -$9.96 -$25.58 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Member Cost Share Increase $0.92 $0.00 $0.00 $2.64 $1.75 $6.93 -$3.36 -$0.18 $8.69 $0.00 $3.16 $6.72 $0.00 $6.39 -$3.70 -$10.21 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Average Current Rate PMPM $294.58 $465.71 $462.34 $425.75 $481.95 $415.83 $377.95 $403.32 $379.05 $371.20 $390.21 $397.16

Projected Member Months 347,391 1,737 1,737 34,739 27,791 20,843 26,401 31,265 10,422 6,948 13,896 17,369 695 6,948 20,843 3,474 3,474 24,317 6,948 13,896 1,737 3,474

Section III: Experience Period Information


Plan Adjusted Index Rate $366.12 $477.49 $462.01 $455.24 $449.18 $395.85 $377.01 $384.57 $376.56 $369.13 $362.45

Member Months 158,254 9,428 9,157 5,757 6,149 10,437 4,558 3,606 4,495 1,650 6,124

Total Premium (TP) $58,231,158 $0 $0 $4,501,776 $4,048,309 $2,407,314 $2,641,053 $4,218,139 $1,732,995 $0 $1,316,403 $1,782,523 $0 $640,654 $2,293,520 $0 $0 $0 $0 $0 $0 $0

EHB Percent of TP, [see instructions] 98.49% 98.82% 98.81% 97.34% 98.57% 98.76% 99.16% 99.02% 98.45% 98.73% 98.47%

state mandated benefits portion of TP that are other

than EHB 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Other benefits portion of TP 1.51% 100.00% 100.00% 1.18% 1.19% 2.66% 1.43% 1.24% 0.84% 100.00% 0.98% 1.55% 100.00% 1.27% 1.53% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

Total Allowed Claims (TAC) $58,105,105 $3,634,955 $4,929,776 $2,322,759 $3,415,186 $4,028,311 $1,904,771 $1,773,039 $3,058,528 $283,445 $1,600,439

EHB Percent of TAC, [see instructions] 98.50% 98.82% 98.81% 97.34% 98.57% 98.76% 99.16% 99.02% 98.45% 98.73% 98.47% state mandated benefits portion of TAC that are

other than EHB 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Other benefits portion of TAC 1.50% 100.00% 100.00% 1.18% 1.19% 2.66% 1.43% 1.24% 0.84% 100.00% 0.98% 1.55% 100.00% 1.27% 1.53% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

Allowed Claims which are not the issuer's obligation: $15,037,634 $643,797 $855,306 $543,421 $760,847 $1,052,421 $390,800 $452,367 $537,799 $89,901 $530,808Portion of above payable by HHS's funds on

behalf of insured person, in dollars $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0Portion of above payable by HHS on behalf of

insured person, as % 0.00% #DIV/0! #DIV/0! 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% #DIV/0! 0.00% 0.00% #DIV/0! 0.00% 0.00% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! Total Incurred claims, payable with issuer funds $43,067,472 $0 $0 $2,991,158 $4,074,471 $1,779,338 $2,654,339 $2,975,890 $1,513,972 $0 $1,320,672 $2,520,728 $0 $193,544 $1,069,631 $0 $0 $0 $0 $0 $0 $0

Net Amt of Rein $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Net Amt of Risk Adj -$590,644.41 $167,668.16 $1,034,990.55 $26,040.52 $653,486.45 $186,045.88 $206,155.38 $232,960.70 $431,573.00 -$243,621.68 -$553,097.23

Incurred Claims PMPM $272.14 #DIV/0! #DIV/0! $317.26 $444.96 $309.07 $431.67 $285.13 $332.16 #DIV/0! $366.24 $560.78 #DIV/0! $117.30 $174.66 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Allowed Claims PMPM $367.16 #DIV/0! #DIV/0! $385.55 $538.36 $403.47 $555.41 $385.96 $417.90 #DIV/0! $491.69 $680.43 #DIV/0! $171.78 $261.34 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

EHB portion of Allowed Claims, PMPM $361.65 #DIV/0! #DIV/0! $381.00 $531.95 $392.73 $547.46 $381.18 $414.39 #DIV/0! $486.87 $669.88 #DIV/0! $169.60 $257.34 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Section IV: Projected (12 months following effective date)


Plan Adjusted Index Rate $416.79 $523.31 $516.55 $488.38 $474.59 $473.70 $461.97 $415.18 $407.39 $407.39 $414.78 $400.46 $369.89 $389.77 $380.25 $371.58 $351.32 $397.66 $386.14 $336.71 $311.63 $421.97

Member Months 347,391 1,737 1,737 34,739 27,791 20,843 26,401 31,265 10,422 6,948 13,896 17,369 695 6,948 20,843 3,474 3,474 24,317 6,948 13,896 1,737 3,474

Total Premium (TP) $144,788,774 $908,982 $897,243 $16,965,870 $13,189,380 $9,873,402 $12,196,408 $12,980,707 $4,245,790 $2,830,526 $5,763,779 $6,955,570 $257,072 $2,708,139 $7,925,606 $1,290,867 $1,220,499 $9,670,005 $2,682,928 $4,678,985 $541,303 $1,465,918

EHB Percent of TP, [see instructions] 99.53% 99.40% 99.40% 99.38% 99.38% 99.59% 99.37% 99.58% 99.34% 99.59% 99.58% 99.59% 99.29% 99.59% 99.59% 99.59% 99.59% 99.59% 99.33% 99.70% 100.00% 99.35%

state mandated benefits portion of TP that are other

than EHB 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Other benefits portion of TP 0.47% 0.60% 0.60% 0.62% 0.62% 0.41% 0.63% 0.42% 0.66% 0.41% 0.42% 0.41% 0.71% 0.41% 0.41% 0.41% 0.41% 0.41% 0.67% 0.30% 0.00% 0.65%

Total Allowed Claims (TAC) $152,630,762 $779,416 $779,416 $15,378,628 $12,302,814 $9,197,400 $11,687,474 $13,546,893 $4,515,775 $3,010,517 $6,099,158 $7,623,509 $286,484 $3,049,579 $9,148,299 $1,524,790 $1,524,790 $10,698,074 $3,056,718 $6,199,803 $774,975 $1,556,335

EHB Percent of TAC, [see instructions] 99.55% 99.40% 99.40% 99.38% 99.38% 99.59% 99.37% 99.58% 99.34% 99.59% 99.58% 99.59% 99.29% 99.59% 99.59% 99.59% 99.59% 99.59% 99.33% 99.70% 100.00% 99.35%

state mandated benefits portion of TAC that are

other than EHB 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Other benefits portion of TAC 0.45% 0.60% 0.60% 0.62% 0.62% 0.41% 0.63% 0.42% 0.66% 0.41% 0.42% 0.41% 0.71% 0.41% 0.41% 0.41% 0.41% 0.41% 0.67% 0.30% 0.00% 0.65%

Allowed Claims which are not the issuer's obligation $38,131,345 $48,781 $58,166 $1,918,414 $1,836,989 $1,387,712 $2,007,996 $3,455,205 $1,214,499 $809,666 $1,560,413 $2,144,927 $83,006 $916,086 $2,903,298 $507,470 $562,500 $3,063,372 $938,029 $2,449,025 $340,764 $378,402

Portion of above payable by HHS's funds on

behalf of insured person, in dollars $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Portion of above payable by HHS on behalf of

insured person, as % 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Total Incurred claims, payable with issuer funds $114,499,422 $730,635 $721,250 $13,460,214 $10,465,825 $7,809,688 $9,679,478 $10,091,688 $3,301,276 $2,200,851 $4,538,745 $5,478,582 $203,478 $2,133,494 $6,245,000 $1,017,320 $962,290 $7,634,702 $2,118,689 $3,750,778 $434,212 $1,177,934

Net Amt of Rein -$781,631 -$3,908 -$3,908 -$78,163 -$62,530 -$46,897 -$59,402 -$70,346 -$23,450 -$15,633 -$31,266 -$39,080 -$1,564 -$15,633 -$46,897 -$7,817 -$7,817 -$54,713 -$15,633 -$31,266 -$3,908 -$7,817

1/1/2016

PPO

39424OR116

0.00%

0.00%

0.00%

#VALUE! 4.31%

New Beneficial 2000

39424OR134

#DIV/0!

Value

39424OR117

0.00%

0.00%

0.00%

#DIV/0!

New Beneficial 3500

39424OR136

Net Amt of Risk Adj $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

Description

21-year-old, single, non-tobacco user $219.51









Standard Silver Plan

Standard Gold Plan

Portland Area Proposed Rates Examples2016 Small Group Non-Grandfathered Plans

Standard Bronze Plan

Clackamas, Multnomah, Washington, Yamhill Counties

Description











Standard Gold Plan


Eugene Area Proposed Rate Examples2016 Small Group Non-Grandfathered Plans

Benton, Lane, Linn Counties

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Standard Gold Plan


Salem Area Proposed Rate Examples2016 Small Group Non-Grandfathered Plans

Marion, Polk Counties

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Standard Gold Plan


Bend Area Proposed Rate Examples2016 Small Group Non-Grandfathered Plans

Deschutes, Klamath, Lake Counties

Description











Standard Gold Plan


North Coast Proposed Rate Examples2016 Small Group Non-Grandfathered Plans

Clatsop, Columbia, Coos, Curry, Lincoln, Tillamook Counties

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Standard Gold Plan


Pendleton-Hermiston Area Proposed Rate Examples2016 Small Group Non-Grandfathered Plans

Baker, Crook, Gilliam, Grant, Harney, Hood River, Jefferson, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, Wasco, Wheeler Counties

Description











Standard Gold Plan


Medford Area Proposed Rate Examples2016 Small Group Non-Grandfathered Plans

Douglas, Jackson, Josephine Counties

Development of Benefit AdjustmentsModa Health Plan, Inc.

Pediatric Vision

Member Months 158,254

Member months that cover pediactric vision 103,830

Member months that do not cover pediatric vision 54,424

Total Pediatric vision Allowed Costs $65,572

Pediatric vision Allowed Cost PMPM $0.63

Increase in Pediatric Vision Allowed Costs $34,370

PMPM $0.22

Total Allowed Costs PMPM $367.30

% increase for Pediatric Vision 0.06%

Rx Coverage

Member Months total

Member months that cover rx 149,305

Member months that do not cover rx 8,949

Total Rx Allowed Costs $6,896,832

rx Allowed Cost PMPM $46.19

Increase in rx Allowed Costs $413,380

PMPM $2.61

Total Allowed Costs PMPM $367.30

% increase for rx 0.71%

Development of Market Adjusted Index RateModa Health Plan, Inc.

Adjustment for Trend

Quarter 1 Index Rate $437.89

Annual Trend 1.052

Quarter 1 Trend 1.000




Weighted Average Index Rate $446.32

Adjustment for Risk Adjustment

Risk Adjustment Fee PMPM $0.15

Paid to Allowed Ratio 0.745

Adjustment to Market Index Rate $0.20

Adjustment for Reinsurance

Projected Premium PMPM $2.25

Projected Recoveries PMPM $0.00



Adjustment for Exchange User Fee

State QHP Assessment $9.66

Exchange Enrollment Projection 5%




Weighted Average Index Rate $446.32

Adjustment for Risk Adjustment $0.20

Adjustment for Reinsurance $3.02

Adjustment for Exchange User Fee $0.65


Calculation of Trend Adjustment

Index

Rate

Risk

Adjustment Reinsurance

Exchange

User Fee

Market

Adjusted

Index

Rate

Factor to

Weighted

Average Market

Adjusted Index

Rate

Q1 $437.89 $0.20 $3.02 $0.65 $441.76 0.981

Q2 $443.47 $0.20 $3.02 $0.65 $447.34 0.994

Q3 $449.11 $0.20 $3.02 $0.65 $452.98 1.006

Q4 $454.82 $0.20 $3.02 $0.65 $458.69 1.019

Plan Adjusted Index RateModa Health Plan, Inc.

Market Adjusted Index Rate 450.19

Plan Name

Projected

Membership Metal tier

AV Metal

Value**

Paid to

Allowed Network Non-EHBs

Catastrophi

c Plan

Administrat

ive Costs

Plan Adjusted

Index Rate Pricing AV Age Calibration

Geographic

Calibration

Tobacco

Calibration

Calibrated Plan

Adjusted Index

Rate

PPO Platinum 250 1,737 Platinum 88.21% 93.24% 1.000 1.000 1.000 1.247 $523.31 1.16 1.42 0.997 1.00 $369.51

PPO Platinum 500 1,737 Platinum 88.02% 92.04% 1.000 1.000 1.000 1.247 $516.55 1.15 1.42 0.997 1.00 $364.74

PPO 500 34,739 Gold 81.62% 87.02% 1.000 1.000 1.000 1.247 $488.38 1.08 1.42 0.997 1.00 $344.85

PPO 1000A 27,791 Gold 79.78% 84.56% 1.000 1.000 1.000 1.247 $474.59 1.05 1.42 0.997 1.00 $335.12

PPO 1000B 20,843 Gold 78.79% 84.40% 1.000 1.000 1.000 1.247 $473.70 1.05 1.42 0.997 1.00 $334.49

PPO 1500 26,401 Gold 78.49% 82.31% 1.000 1.000 1.000 1.247 $461.97 1.03 1.42 0.997 1.00 $326.20

PPO 2500 31,265 Silver 72.00% 73.98% 1.000 1.000 1.000 1.247 $415.18 0.92 1.42 0.997 1.00 $293.17

PPO 3000 10,422 Silver 71.74% 72.59% 1.000 1.000 1.000 1.247 $407.39 0.90 1.42 0.997 1.00 $287.66

PPO 3000 10,422 Silver 71.74% 72.59% 1.000 1.000 1.000 1.247 $407.39 0.90 1.42 0.997 1.00 $287.66

Value 1500 13,896 Silver 71.74% 73.90% 1.000 1.000 1.000 1.247 $414.78 0.92 1.42 0.997 1.00 $292.88

Value 2000 17,369 Silver 71.10% 71.35% 1.000 1.000 1.000 1.247 $400.46 0.89 1.42 0.997 1.00 $282.77

Value 2000 (Rose City) 695 Silver 70.97% 70.48% 0.935 1.000 1.000 1.247 $369.89 0.82 1.42 0.997 1.00 $261.18

Value 2500 6,948 Silver 70.63% 69.45% 1.000 1.000 1.000 1.247 $389.77 0.87 1.42 0.997 1.00 $275.22

Value 3000 20,843 Silver 70.51% 67.75% 1.000 1.000 1.000 1.247 $380.25 0.84 1.42 0.997 1.00 $268.50

Value 3500 3,474 Silver 70.33% 66.21% 1.000 1.000 1.000 1.247 $371.58 0.83 1.42 0.997 1.00 $262.38

Value 5000 3,474 Silver 68.97% 62.60% 1.000 1.000 1.000 1.247 $351.32 0.78 1.42 0.997 1.00 $248.07

Moda Health Connexus Aspire 2000 24,317 Silver 71.93% 70.85% 1.000 1.000 1.000 1.247 $397.66 0.88 1.42 0.997 1.00 $280.80

Moda Health Connexus Aspire 2500 6,948 Silver 71.37% 68.80% 1.000 1.000 1.000 1.247 $386.14 0.86 1.42 0.997 1.00 $272.66

Moda Health Connexus Fundamental 3500 13,896 Bronze 61.18% 59.99% 1.000 1.000 1.000 1.247 $336.71 0.75 1.42 0.997 1.00 $237.76

Moda Health Connexus Fundamental 5000 1,737 Bronze 59.61% 55.52% 1.000 1.000 1.000 1.247 $311.63 0.69 1.42 0.997 1.00 $220.05

Moda Health Connexus HSA 1500 3,474 Silver 71.98% 75.18% 1.000 1.000 1.000 1.247 $421.97 0.94 1.42 0.997 1.00 $297.96



Moda Health Connexus HSA 3250 3,474 Bronze 61.89% 60.87% 1.000 1.000 1.000 1.247 $341.64 0.76 1.42 0.997 1.00 $241.23

Moda Health Connexus Essence 5000 10,422 Bronze 61.97% 55.65% 1.000 1.000 1.000 1.247 $312.35 0.69 1.42 0.997 1.00 $220.55

Moda Health Rose City Essence 5000 695 Bronze 61.97% 54.68% 0.935 1.000 1.000 1.247 $286.97 0.64 1.42 0.997 1.00 $202.63

Moda Health Connexus Essence 6000 3,474 Bronze 61.43% 55.32% 1.000 1.000 1.000 1.247 $310.46 0.69 1.42 0.997 1.00 $219.22

Moda Health Connexus Basic 6500 1,737 Bronze 61.85% 55.44% 1.000 1.000 1.000 1.247 $311.17 0.69 1.42 0.997 1.00 $219.72

Moda Health Connexus Basic 6500 1,737 Bronze 61.85% 55.44% 1.000 1.000 1.000 1.247 $311.17 0.69 1.42 0.997 1.00 $219.72

Moda Health Synergy Exclusive 2000 1,737 Silver 70.97% 69.46% 0.911 1.000 1.000 1.247 $354.95 0.79 1.42 0.997 1.00 $250.63

Moda Health Summit Exclusive 2000 1,737 Silver 70.97% 69.26% 0.944 1.000 1.000 1.247 $367.06 0.82 1.42 0.997 1.00 $259.18

Moda Health Synergy Exclusive 5000 1,737 Bronze 61.97% 54.37% 0.911 1.000 1.000 1.247 $277.86 0.62 1.42 0.997 1.00 $196.20

Moda Health Summit Exclusive 5000 1,737 Bronze 61.97% 54.10% 0.944 1.000 1.000 1.247 $286.70 0.64 1.42 0.997 1.00 $202.44

PPO Platinum Synergy Exclusive 250 1,737 Platinum 88.21% 92.90% 0.911 1.000 1.000 1.247 $474.72 1.05 1.42 0.997 1.00 $335.21

PPO Platinum Summit Exclusive 250 1,737 Platinum 88.21% 92.82% 0.944 1.000 1.000 1.247 $491.92 1.09 1.42 0.997 1.00 $347.35

PPO Synergy Exclusive 1000A 1,737 Gold 79.78% 84.05% 0.911 1.000 1.000 1.247 $429.50 0.95 1.42 0.997 1.00 $303.27

PPO Summit Exclusive 1000A 1,737 Gold 79.78% 83.94% 0.944 1.000 1.000 1.247 $444.88 0.99 1.42 0.997 1.00 $314.14

Moda Health Oregon Standard Gold 6,948 Gold 78.36% 82.85% 1.000 1.000 1.000 1.247 $465.02 1.03 1.42 0.997 1.00 $328.35

Moda Health Oregon Standard Silver 17,369 Silver 69.69% 69.51% 1.000 1.000 1.000 1.247 $390.11 0.87 1.42 0.997 1.00 $275.46

Moda Health Oregon Standard Bronze 1,737 Bronze 61.64% 56.45% 1.000 1.000 1.000 1.247 $316.81 0.70 1.42 0.997 1.00 $223.70

** Calculated using the Federal Actuarial Value Calculator

Projected Age DistributionModa Health Plan, Inc.

Age Band

Federal Age

Factor

Experience Period

Membership Distribution

Projection Period

Membership Distribution

0-20 0.635 22.8% 20.8%

21 1.000 1.3% 1.1%

22 1.000 1.4% 1.3%

23 1.000 1.4% 1.5%

24 1.000 1.7% 1.5%

25 1.004 1.8% 1.4%

26 1.024 1.3% 1.7%

27 1.048 1.4% 1.8%

28 1.087 1.5% 1.8%

29 1.119 1.6% 1.8%

30 1.135 1.6% 1.9%

31 1.159 1.9% 2.0%

32 1.183 1.9% 1.9%

33 1.198 1.7% 2.0%

34 1.214 1.7% 2.0%

35 1.222 1.7% 2.0%

36 1.230 1.7% 1.9%

37 1.238 1.9% 1.9%

38 1.246 1.8% 1.9%

39 1.262 1.9% 1.9%

40 1.278 1.9% 2.0%

41 1.302 1.9% 1.9%

42 1.325 1.7% 2.0%

43 1.357 2.1% 2.1%

44 1.397 1.9% 2.1%

45 1.444 2.0% 2.1%

46 1.500 1.9% 1.8%

47 1.563 1.8% 1.9%

48 1.635 1.7% 1.8%

49 1.706 1.8% 1.8%

50 1.786 2.0% 2.0%

51 1.865 1.9% 1.9%

52 1.952 2.0% 2.0%

53 2.040 2.1% 2.0%

54 2.135 1.9% 1.9%

55 2.230 2.1% 2.0%

56 2.333 1.8% 1.8%

57 2.437 1.9% 1.7%

58 2.548 1.6% 1.7%

59 2.603 1.6% 1.7%

60 2.714 1.7% 1.8%

61 2.810 1.7% 1.6%

62 2.873 1.4% 1.3%

63 2.952 1.3% 1.2%

64+ 3.000 2.2% 1.9%

Weighted Average 1.421 1.420

Documents

Bridging the gap between healthcare and health policy - …stateofreform.com/wp-content/uploads/2015/05/Moda-2016... · 2016-12-18 · FILING DESCRIPTION Company Name: Moda Health