5/19/2018 2015 Iowa Health Insurance Sample Rates for "Silver" plans by region

1/7

2015 Iowa Individual Silver Premiums Summary -- On and Off Exchange Business (Sorted low to high within region) 27 40

==========================>>>>>>>>> Additional non-tobacco user premiums are shown to the right for ages 27, 40 , 50 and 60

Carrier Plan ID Rating Area Age Non-Tob Metal Level Exchange? Plan Name Age 27 Age 4

Coventry Health Care of Iowa 18973IA0210014 Rating Area 1 21-24 219.71 Silver Yes Coventry Silver $10 Copay UnityPoint Health Des Moines 230.26 280.7

Coventry Health Care of Iowa 18973IA0340031 Rating Area 1 21-24 219.71 Silver No Coventry Silver $10 Copay UnityPoint Health Des Moines PD 230.26 280.7

Coventry Health Care of Iowa 18973IA0210015 Rating Area 1 21-24 230.58 Silver Yes Coventry Silver $5 Copay 2750 UnityPoint Health Des Moines 241.65 294.6

Coventry Health Care of Iowa 18973IA0340039 Rating Area 1 21-24 230.58 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Des Moines PD 241.65 294.6

CoOportunity Health 71268IA0070005 Rating Area 1 21-24 241.46 Silver Yes CoOportunity Preferred HSA UI Health Alliance Silver 253.05 308.5

Coventry Health Care of Iowa 18973IA0250002 Rating Area 1 21-24 258.70 Silver Yes Coventry Silver $10 Copay 271.12 330.6

Coventry Health Care of Iowa 18973IA0340029 Rating Area 1 21-24 258.70 Silver No Coventry Silver $10 Copay PD 271.12 330.6

CoOportunity Health 71268IA0070003 Rating Area 1 21-24 261.75 Silver Yes CoOportunity Preferred UI Health Alliance Silver 274.31 334.5

CoOportunity Health 71268IA0110007 Rating Area 1 21-24 270.77 Silver Yes CoOportunity CorePlus HSA UI Health Alliance Silver 283.77 346.0

Coventry Health Care of Iowa 18973IA0250016 Rating Area 1 21-24 271.07 Silver Yes Coventry Silver $5 Copay 2750 284.08 346.4

Coventry Health Care of Iowa 18973IA0340037 Rating Area 1 21-24 271.07 Silver No Coventry Silver $5 Copay 2750 PD 284.08 346.4

CoOportunity Health 71268IA0050005 Rating Area 1 21-24 274.82 Silver Yes CoOportunity Premier HSA Silver 288.01 351.2

CoOportunity Health 71268IA0110003 Rating Area 1 21-24 281.36 Silver Yes CoOportunity CorePlus UI Health Alliance Silver 294.87 359.5

CoOportunity Health 71268IA0050004 Rating Area 1 21-24 285.65 Silver Yes CoOportunity Premier Silver 299.36 365.0

Coventry Health Care of Iowa 18973IA0250014 Rating Area 1 21-24 311.94 Silver Yes Coventry Marketplace Choice Plan 326.91 398.6

Coventry Health Care of Iowa 18973IA0340025 Rating Area 1 21-24 311.94 Silver No Coventry Marketplace Choice Plan PD 326.91 398.6

Rating Area 1 Average for 10 lowest premiums 246.30 258.13 314.7

Rating Area 1 Average 262.49 275.09 335.4

Rating Area 1 Counties: Boone, Calhoun, Carroll, Greene, Grundy, Hamilton, Hardin, Marshall, Poweshiek, Story, Tama, Webster

5/19/2018 2015 Iowa Health Insurance Sample Rates for "Silver" plans by region

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2015 Iowa Individual Silver Premiums Summary -- On and Off Exchange Business (Sorted low to high within region) 27 40

==========================>>>>>>>>> Additional non-tobacco user premiums are shown to the right for ages 27, 40 , 50 and 60

Carrier Plan ID Rating Area Age Non-Tob Metal Level Exchange? Plan Name Age 27 Age 4

Coventry Health Care of Iowa 18973IA0250015 Rating Area 2 21-24 152.62 Silver Yes Coventry Silver $10 Copay Mercy Des Moines 159.95 195.0

Coventry Health Care of Iowa 18973IA0340026 Rating Area 2 21-24 152.62 Silver No Coventry Silver $10 Copay Mercy Des Moines PD 159.95 195.0

Coventry Health Care of Iowa 18973IA0250017 Rating Area 2 21-24 160.05 Silver Yes Coventry Silver $5 Copay 2750 Mercy Des Moines 167.73 204.5

Coventry Health Care of Iowa 18973IA0340034 Rating Area 2 21-24 160.05 Silver No Coventry Silver $5 Copay 2750 Mercy Des Moines PD 167.73 204.5

Coventry Health Care of Iowa 18973IA0210014 Rating Area 2 21-24 161.43 Silver Yes Coventry Silver $10 Copay UnityPoint Health Des Moines 169.18 206.3

Coventry Health Care of Iowa 18973IA0340031 Rating Area 2 21-24 161.43 Silver No Coventry Silver $10 Copay UnityPoint Health Des Moines PD 169.18 206.3

Coventry Health Care of Iowa 18973IA0210015 Rating Area 2 21-24 169.42 Silver Yes Coventry Silver $5 Copay 2750 UnityPoint Health Des Moines 177.55 216.5

Coventry Health Care of Iowa 18973IA0340039 Rating Area 2 21-24 169.42 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Des Moines PD 177.55 216.5

Coventry Health Care of Iowa 18973IA0250002 Rating Area 2 21-24 190.08 Silver Yes Coventry Silver $10 Copay 199.20 242.9

Coventry Health Care of Iowa 18973IA0340029 Rating Area 2 21-24 190.08 Silver No Coventry Silver $10 Copay PD 199.20 242.9

Coventry Health Care of Iowa 18973IA0250016 Rating Area 2 21-24 199.17 Silver Yes Coventry Silver $5 Copay 2750 208.73 254.5

Coventry Health Care of Iowa 18973IA0340037 Rating Area 2 21-24 199.17 Silver No Coventry Silver $5 Copay 2750 PD 208.73 254.5

CoOportunity Health 71268IA0070005 Rating Area 2 21-24 207.84 Silver Yes CoOportunity Preferred HSA UI Health Alliance Silver 217.82 265.6

CoOportunity Health 71268IA0070003 Rating Area 2 21-24 225.31 Silver Yes CoOportunity Preferred UI Health Alliance Silver 236.12 287.9

Coventry Health Care of Iowa 18973IA0250014 Rating Area 2 21-24 229.20 Silver Yes Coventry Marketplace Choice Plan 240.20 292.9

Coventry Health Care of Iowa 18973IA0340025 Rating Area 2 21-24 229.20 Silver No Coventry Marketplace Choice Plan PD 240.20 292.9

CoOportunity Health 71268IA0110007 Rating Area 2 21-24 233.07 Silver Yes CoOportunity CorePlus HSA UI Health Alliance Silver 244.26 297.8

CoOportunity Health 71268IA0050005 Rating Area 2 21-24 236.56 Silver Yes CoOportunity Premier HSA Silver 247.91 302.3

CoOportunity Health 71268IA0110003 Rating Area 2 21-24 242.19 Silver Yes CoOportunity CorePlus UI Health Alliance Silver 253.82 309.5

CoOportunity Health 71268IA0050004 Rating Area 2 21-24 245.88 Silver Yes CoOportunity Premier Silver 257.68 314.2

Rating Area 2 Average for 10 lowest premiums 166.72 174.72 213.0

Rating Area 2 Average 195.74 205.13 250.1

Rating Area 2 Counties: Dallas, Jasper, Madison, Marion, Polk, Warren

5/19/2018 2015 Iowa Health Insurance Sample Rates for "Silver" plans by region

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2015 Iowa Individual Silver Premiums Summary -- On and Off Exchange Business (Sorted low to high within region) 27 40

==========================>>>>>>>>> Additional non-tobacco user premiums are shown to the right for ages 27, 40 , 50 and 60

Carrier Plan ID Rating Area Age Non-Tob Metal Level Exchange? Plan Name Age 27 Age 4

Coventry Health Care of Iowa 18973IA0190002 Rating Area 3 21-24 193.53 Silver Yes Coventry Silver $10 Copay Patient Preferred 202.82 247.3

Coventry Health Care of Iowa 18973IA0340028 Rating Area 3 21-24 193.53 Silver No Coventry Silver $10 Copay Patient Preferred PD 202.82 247.3

Coventry Health Care of Iowa 18973IA0190011 Rating Area 3 21-24 202.86 Silver Yes Coventry Silver $5 Copay 2750 Patient Preferred 212.60 259.2

Coventry Health Care of Iowa 18973IA0340036 Rating Area 3 21-24 202.86 Silver No Coventry Silver $5 Copay 2750 Patient Preferred PD 212.60 259.2

Coventry Health Care of Iowa 18973IA0250002 Rating Area 3 21-24 221.82 Silver Yes Coventry Silver $10 Copay 232.47 283.4

Coventry Health Care of Iowa 18973IA0340029 Rating Area 3 21-24 221.82 Silver No Coventry Silver $10 Copay PD 232.47 283.4

Coventry Health Care of Iowa 18973IA0250016 Rating Area 3 21-24 232.43 Silver Yes Coventry Silver $5 Copay 2750 243.59 297.0

Coventry Health Care of Iowa 18973IA0340037 Rating Area 3 21-24 232.43 Silver No Coventry Silver $5 Copay 2750 PD 243.59 297.0

CoOportunity Health 71268IA0070005 Rating Area 3 21-24 246.90 Silver Yes CoOportunity Preferred HSA UI Health Alliance Silver 258.75 315.5

Coventry Health Care of Iowa 18973IA0250014 Rating Area 3 21-24 267.48 Silver Yes Coventry Marketplace Choice Plan 280.32 341.8

Coventry Health Care of Iowa 18973IA0340025 Rating Area 3 21-24 267.48 Silver No Coventry Marketplace Choice Plan PD 280.32 341.8

CoOportunity Health 71268IA0070003 Rating Area 3 21-24 267.65 Silver Yes CoOportunity Preferred UI Health Alliance Silver 280.50 342.0

CoOportunity Health 71268IA0110007 Rating Area 3 21-24 276.87 Silver Yes CoOportunity CorePlus HSA UI Health Alliance Silver 290.16 353.8

Avera Health Plans, Inc. 74980IA0020006 Rating Area 3 21-24 278.13 Silver Yes Avera MyPlan $3,500 291.48 355.4

CoOportunity Health 71268IA0050005 Rating Area 3 21-24 281.02 Silver Yes CoOportunity Premier HSA Silver 294.51 359.1

CoOportunity Health 71268IA0110003 Rating Area 3 21-24 287.71 Silver Yes CoOportunity CorePlus UI Health Alliance Silver 301.52 367.6

CoOportunity Health 71268IA0050004 Rating Area 3 21-24 292.09 Silver Yes CoOportunity Premier Silver 306.11 373.2

Avera Health Plans, Inc. 74980IA0020016 Rating Area 3 21-24 293.49 Silver Yes A vera M yP la n $ 3, 00 0 / 3 0% C oi nsu ra nc e 3 07 .5 8 3 75 .0

Avera Health Plans, Inc. 74980IA0020004 Rating Area 3 21-24 293.74 Silver Yes Avera MyPlan $2,500 / $6,350 Out-of-Pocket 307.84 375.4

Avera Health Plans, Inc. 74980IA0020014 Rating Area 3 21-24 293.75 Silver Yes Avera MyPlan $2,000 / 30% Coinsurance 307.85 375.4

Avera Health Plans, Inc. 74980IA0020017 Rating Area 3 21-24 298.93 Silver Yes Avera MyPlan $3,000 / 30% Coinsurance, Pediatric Dental 313.28 382.0

Avera Health Plans, Inc. 74980IA0020008 Rating Area 3 21-24 300.41 Silver Yes Avera MyPlan $2,500 / $5,500 Out-of-Pocket 314.83 383.9

Avera Health Plans, Inc. 74980IA0020005 Rating Area 3 21-24 302.02 Silver Yes Avera MyPlan $2,500 / $6,350 Out-of-Pocket, Pediatric Dental 316.52 385.9

Avera Health Plans, Inc. 74980IA0020009 Rating Area 3 21-24 308.69 Silver Yes Avera MyPlan $2,500 / $5,500 Out-of-Pocket, Pediatric Dental 323.51 394.5

Rating Area 3 Average for 10 lowest premiums 221.57 232.20 283.1

Rating Area 3 Average 260.74 273.25 333.2

Rate Area 3 Counties: Buena Vista, Cherokee, Clay, Crawford, Dickinson, Ida, Lyon, Monona, OBrien , Osceola, Palo Alto, Plymouth,

Pocahontas, Sac, Sioux, Woodbury

5/19/2018 2015 Iowa Health Insurance Sample Rates for "Silver" plans by region

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2015 Iowa Individual Silver Premiums Summary -- On and Off Exchange Business (Sorted low to high within region) 27 40

==========================>>>>>>>>> Additional non-tobacco user premiums are shown to the right for ages 27, 40 , 50 and 60

Carrier Plan ID Rating Area Age Non-Tob Metal Level Exchange? Plan Name Age 27 Age 4

Coventry Health Care of Iowa 18973IA0180002 Rating Area 4 21-24 163.28 Silver Yes Coventry Silver $10 Copay Alegent Creighton Health 171.12 208.6

Coventry Health Care of Iowa 18973IA0350011 Rating Area 4 21-24 163.28 Silver No Coventry Silver $10 Copay Alegent Creighton Health PD 171.12 208.6

Coventry Health Care of Iowa 18973IA0180011 Rating Area 4 21-24 171.77 Silver Yes Coventry Silver $5 Copay 2750 Alegent Creighton Health 180.01 219.5

Coventry Health Care of Iowa 18973IA0350014 Rating Area 4 21-24 171.77 Silver No Coventry Silver $5 Copay 2750 Alegent Creighton Health PD 180.01 219.5

Coventry Health Care of Iowa 18973IA0160002 Rating Area 4 21-24 183.41 Silver Yes Coventry Silver $10 Copay Methodist Health Partners 192.21 234.4

Coventry Health Care of Iowa 18973IA0350012 Rating Area 4 21-24 183.41 Silver No Coventry Silver $10 Copay Methodist Health Partners PD 192.21 234.4

Coventry Health Care of Iowa 18973IA0170002 Rating Area 4 21-24 187.50 Silver Yes Coventry Silver $10 Copay MIPPA 196.50 239.6

Coventry Health Care of Iowa 18973IA0340027 Rating Area 4 21-24 187.50 Silver No Coventry Silver $10 Copay MIPPA PD 196.50 239.6

Coventry Health Care of Iowa 18973IA0160011 Rating Area 4 21-24 192.85 Silver Yes Coventry Silver $5 Copay 2750 Methodist Health Partners 202.11 246.4

Coventry Health Care of Iowa 18973IA0350015 Rating Area 4 21-24 192.85 Silver No Coventry Silver $5 Copay 2750 Methodist Health Partners PD 202.11 246.4

Coventry Health Care of Iowa 18973IA0350010 Rating Area 4 21-24 194.11 Silver No Coventry Silver $10 Copay Accountable Care Alliance PD 203.43 248.0

Coventry Health Care of Iowa 18973IA0360004 Rating Area 4 21-24 194.11 Silver Yes Coventry Silver $10 Copay Accountable Care Alliance 203.43 248.0

Coventry Health Care of Iowa 18973IA0170011 Rating Area 4 21-24 197.25 Silver Yes Coventry Silver $5 Copay 2750 MIPPA 206.72 252.0

Coventry Health Care of Iowa 18973IA0340035 Rating Area 4 21-24 197.25 Silver No Coventry Silver $5 Copay 2750 MIPPA PD 206.72 252.0

Coventry Health Care of Iowa 18973IA0350013 Rating Area 4 21-24 204.17 Silver No Coventry Silver $5 Copay 2750 Accountable Care Alliance PD 213.97 260.9

Coventry Health Care of Iowa 18973IA0360005 Rating Area 4 21-24 204.17 Silver Yes Coventry Silver $5 Copay 2750 Accountable Care Alliance 213.97 260.9

Coventry Health Care of Iowa 18973IA0250002 Rating Area 4 21-24 217.07 Silver Yes Coventry Silver $10 Copay 227.49 277.4

Coventry Health Care of Iowa 18973IA0340029 Rating Area 4 21-24 217.07 Silver No Coventry Silver $10 Copay PD 227.49 277.4

Coventry Health Care of Iowa 18973IA0250016 Rating Area 4 21-24 227.45 Silver Yes Coventry Silver $5 Copay 2750 238.37 290.6

Coventry Health Care of Iowa 18973IA0340037 Rating Area 4 21-24 227.45 Silver No Coventry Silver $5 Copay 2750 PD 238.37 290.6

CoOportunity Health 71268IA0070005 Rating Area 4 21-24 255.19 Silver Yes CoOportunity Preferred HSA UI Health Alliance Silver 267.44 326.1

Coventry Health Care of Iowa 18973IA0250014 Rating Area 4 21-24 261.75 Silver Yes Coventry Marketplace Choice Plan 274.31 334.5

Coventry Health Care of Iowa 18973IA0340025 Rating Area 4 21-24 261.75 Silver No Coventry Marketplace Choice Plan PD 274.31 334.5

CoOportunity Health 71268IA0070003 Rating Area 4 21-24 276.63 Silver Yes CoOportunity Preferred UI Health Alliance Silver 289.91 353.5

CoOportunity Health 71268IA0110007 Rating Area 4 21-24 286.16 Silver Yes CoOportunity CorePlus HSA UI Health Alliance Silver 299.90 365.7

CoOportunity Health 71268IA0050005 Rating Area 4 21-24 290.45 Silver Yes CoOportunity Premier HSA Silver 304.39 371.2

CoOportunity Health 71268IA0110003 Rating Area 4 21-24 297.36 Silver Yes CoOportunity CorePlus UI Health Alliance Silver 311.63 380.0

CoOportunity Health 71268IA0050004 Rating Area 4 21-24 301.89 Silver Yes CoOportunity Premier Silver 316.38 385.8

Rating Area 4 Average for 10 lowest premiums 179.76 188.39 229.7

Rating Area 4 Average 218.18 228.65 278.8

Rating Area 4 Counties: Adair, Adams, Audubon, Cass, Clarke, Decatur, Fremont, Guthrie, Harrison, Mills, Montgomery, Page,

Pottawattamie, Ringgold, Shelby, Taylor, Union

5/19/2018 2015 Iowa Health Insurance Sample Rates for "Silver" plans by region

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2015 Iowa Individual Silver Premiums Summary -- On and Off Exchange Business (Sorted low to high within region) 27 40

==========================>>>>>>>>> Additional non-tobacco user premiums are shown to the right for ages 27, 40 , 50 and 60

Carrier Plan ID Rating Area Age Non-Tob Metal Level Exchange? Plan Name Age 27 Age 4

Coventry Health Care of Iowa 18973IA0220020 Rating Area 5 21-24 184.83 Silver Yes Coventry Silver $10 Copay UnityPoint Health Cedar Rapids 193.70 236.2

Coventry Health Care of Iowa 18973IA0220021 Rating Area 5 21-24 184.83 Silver Yes Coventry Silver $10 Copay UnityPoi nt Health Quad Cities Muscatine 193.70 236.2

Coventry Health Care of Iowa 18973IA0340030 Rating Area 5 21-24 184.83 Silver No Coventry Silver $10 Copay UnityPoint Health Cedar Rapids PD 193.70 236.2

Coventry Health Care of Iowa 18973IA0340032 Rating Area 5 21-24 184.83 Silver No Coventry Silver $10 Copay UnityPoint Health Quad Cities Muscatine PD 193.70 236.2

Coventry Health Care of Iowa 18973IA0220023 Rating Area 5 21-24 194.54 Silver Yes Coventry Silver $5 Copay 2750 UnityPoint Health Cedar Rapids 203.88 248.6

Coventry Health Care of Iowa 18973IA0220024 Rating Area 5 21-24 194.54 Silver Yes C ov ent ry Si lve r $ 5 C opa y 2 75 0 Uni ty Po in t Hea lt h Qua d C it ies Mus cat in e 2 03 .8 8 2 48 .6

Coventry Health Care of Iowa 18973IA0340038 Rating Area 5 21-24 194.54 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Cedar Rapids PD 203.88 248.6

Coventry Health Care of Iowa 18973IA0340040 Rating Area 5 21-24 194.54 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Quad Cities Muscatine PD 203.88 248.6

Coventry Health Care of Iowa 18973IA0250002 Rating Area 5 21-24 223.35 Silver Yes Coventry Silver $10 Copay 234.07 285.4

Coventry Health Care of Iowa 18973IA0340029 Rating Area 5 21-24 223.35 Silver No Coventry Silver $10 Copay PD 234.07 285.4

Coventry Health Care of Iowa 18973IA0250016 Rating Area 5 21-24 234.03 Silver Yes Coventry Silver $5 Copay 2750 245.26 299.0

Coventry Health Care of Iowa 18973IA0340037 Rating Area 5 21-24 234.03 Silver No Coventry Silver $5 Copay 2750 PD 245.26 299.0

CoOportunity Health 71268IA0070005 Rating Area 5 21-24 245.96 Silver Yes CoOportunity Preferred HSA UI Health Alliance Silver 257.77 314.3

CoOportunity Health 71268IA0070003 Rating Area 5 21-24 266.62 Silver Yes CoOportunity Preferred UI Health Alliance Silver 279.42 340.7

Coventry Health Care of Iowa 18973IA0250014 Rating Area 5 21-24 269.31 Silver Yes Coventry Marketplace Choice Plan 282.24 344.1

Coventry Health Care of Iowa 18973IA0340025 Rating Area 5 21-24 269.31 Silver No Coventry Marketplace Choice Plan PD 282.24 344.1

CoOportunity Health 71268IA0110007 Rating Area 5 21-24 275.81 Silver Yes CoOportunity CorePlus HSA UI Health Alliance Silver 289.05 352.4

CoOportunity Health 71268IA0050005 Rating Area 5 21-24 279.94 Silver Yes CoOportunity Premier HSA Silver 293.38 357.7

CoOportunity Health 71268IA0110003 Rating Area 5 21-24 286.60 Silver Yes CoOportunity CorePlus UI Health Alliance Silver 300.36 366.2

CoOportunity Health 71268IA0050004 Rating Area 5 21-24 290.97 Silver Yes CoOportunity Premier Silver 304.94 371.8

Rating Area 5 Average for 10 lowest premiums 196.42 205.85 251.0

Rating Area 5 Average 230.84 241.92 295.0

Rating Area 5 Counties: Appanoose, Davis, Des Moines, Henry, Jefferson, Keokuk, Lee, Louisa, Lucas, Mahaska, Monroe, Muscatine,

Van Buren, Wapello, Washington, Wayne

5/19/2018 2015 Iowa Health Insurance Sample Rates for "Silver" plans by region

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2015 Iowa Individual Silver Premiums Summary -- On and Off Exchange Business (Sorted low to high within region) 27 40

==========================>>>>>>>>> Additional non-tobacco user premiums are shown to the right for ages 27, 40 , 50 and 60

Carrier Plan ID Rating Area Age Non-Tob Metal Level Exchange? Plan Name Age 27 Age 4

Coventry Health Care of Iowa 18973IA0220020 Rating Area 6 21-24 183.10 Silver Yes Coventry Silver $10 Copay UnityPoint Health Cedar Rapids 191.89 234.0

Coventry Health Care of Iowa 18973IA0220021 Rating Area 6 21-24 183.10 Silver Yes Coventry Silver $10 Copay UnityPoi nt Health Quad Cities Muscatine 191.89 234.0

Coventry Health Care of Iowa 18973IA0220022 Rating Area 6 21-24 183.10 Silver Yes Coventry Silver $10 Copay UnityPoint Health Waterloo 191.89 234.0

Coventry Health Care of Iowa 18973IA0340030 Rating Area 6 21-24 183.10 Silver No Coventry Silver $10 Copay UnityPoint Health Cedar Rapids PD 191.89 234.0

Coventry Health Care of Iowa 18973IA0340032 Rating Area 6 21-24 183.10 Silver No Coventry Silver $10 Copay UnityPoint Health Quad Cities Muscatine PD 191.89 234.0

Coventry Health Care of Iowa 18973IA0340033 Rating Area 6 21-24 183.10 Silver No Coventry Silver $10 Copay UnityPoint Health Waterloo PD 191.89 234.0

Coventry Health Care of Iowa 18973IA0220023 Rating Area 6 21-24 192.72 Silver Yes Coventry Silver $5 Copay 2750 UnityPoint Health Cedar Rapids 201.97 246.3

Coventry Health Care of Iowa 18973IA0220024 Rating Area 6 21-24 192.72 Silver Yes C ove nt ry Si lve r $ 5 C opa y 2 75 0 Uni ty Po in t Hea lt h Qua d C it ies Mu sc ati ne 2 01. 97 2 46 .3

Coventry Health Care of Iowa 18973IA0220025 Rating Area 6 21-24 192.72 Silver Yes Coventry Silver $5 Copay 2750 UnityPoint Health Waterloo 201.97 246.3

Coventry Health Care of Iowa 18973IA0340038 Rating Area 6 21-24 192.72 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Cedar Rapids PD 201.97 246.3

Coventry Health Care of Iowa 18973IA0340040 Rating Area 6 21-24 192.72 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Quad Cities Muscatine PD 201.97 246.3

Coventry Health Care of Iowa 18973IA0340041 Rating Area 6 21-24 192.72 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Waterloo PD 201.97 246.3

Coventry Health Care of Iowa 18973IA0250002 Rating Area 6 21-24 221.25 Silver Yes Coventry Silver $10 Copay 231.87 282.7

Coventry Health Care of Iowa 18973IA0340029 Rating Area 6 21-24 221.25 Silver No Coventry Silver $10 Copay PD 231.87 282.7

Coventry Health Care of Iowa 18973IA0250016 Rating Area 6 21-24 231.84 Silver Yes Coventry Silver $5 Copay 2750 242.97 296.2

Coventry Health Care of Iowa 18973IA0340037 Rating Area 6 21-24 231.84 Silver No Coventry Silver $5 Copay 2750 PD 242.97 296.2

CoOportunity Health 71268IA0070005 Rating Area 6 21-24 240.98 Silver Yes CoOportunity Preferred HSA UI Health Alliance Silver 252.55 307.9

CoOportunity Health 71268IA0070003 Rating Area 6 21-24 261.23 Silver Yes CoOportunity Preferred UI Health Alliance Silver 273.77 333.8

Coventry Health Care of Iowa 18973IA0250014 Rating Area 6 21-24 266.79 Silver Yes Coventry Marketplace Choice Plan 279.60 340.9

Coventry Health Care of Iowa 18973IA0340025 Rating Area 6 21-24 266.79 Silver No Coventry Marketplace Choice Plan PD 279.60 340.9

CoOportunity Health 71268IA0110007 Rating Area 6 21-24 270.24 Silver Yes CoOportunity CorePlus HSA UI Health Alliance Silver 283.21 345.3

CoOportunity Health 71268IA0050005 Rating Area 6 21-24 274.29 Silver Yes CoOportunity Premier HSA Silver 287.46 350.5

CoOportunity Health 71268IA0110003 Rating Area 6 21-24 280.81 Silver Yes CoOportunity CorePlus UI Health Alliance Silver 294.29 358.8

CoOportunity Health 71268IA0050004 Rating Area 6 21-24 285.09 Silver Yes CoOportunity Premier Silver 298.77 364.3

Gundersen Health Plan, Inc. 27651IA0060002 Rating Area 6 21-24 289.40 Silver Yes Silver HSA $2000 - 50% 303.29 369.8

Gundersen Health Plan, Inc. 27651IA0060001 Rating Area 6 21-24 298.92 Silver Yes Silver HSA $3500 - 0% 313.27 382.0

Gundersen Health Plan, Inc. 27651IA0050005 Rating Area 6 21-24 317.40 Silver Yes Silver $3500 - 20% 332.64 405.6

Gundersen Health Plan, Inc. 27651IA0050006 Rating Area 6 21-24 327.49 Silver Yes Silver $2500 - 50% 343.21 418.5

Gundersen Health Plan, Inc. 27651IA0050007 Rating Area 6 21-24 332.13 Silver Yes Silver $2500 - 20% 348.07 424.4

Rating Area 6 Average for 10 lowest premiums 186.95 195.92 238.9

Rating Area 6 Average 236.99 248.36 302.8

Rating Area 6 Counties: Benton, Black Hawk, Buchanan, Cedar, Clayton, Clinton, Delaware, Dubuque, Iowa, Jackson, Johnson, Jones, Linn, Scott

5/19/2018 2015 Iowa Health Insurance Sample Rates for "Silver" plans by region

7/7

2015 Iowa Individual Silver Premiums Summary -- On and Off Exchange Business (Sorted low to high within region) 27 40

==========================>>>>>>>>> Additional non-tobacco user premiums are shown to the right for ages 27, 40 , 50 and 60

Carrier Plan ID Rating Area Age Non-Tob Metal Level Exchange? Plan Name Age 27 Age 4

Coventry Health Care of Iowa 18973IA0220022 Rating Area 7 21-24 194.11 Silver Yes Coventry Silver $10 Copay UnityPoint Health Waterloo 203.43 248.0

Coventry Health Care of Iowa 18973IA0340033 Rating Area 7 21-24 194.11 Silver No Coventry Silver $10 Copay UnityPoint Health Waterloo PD 203.43 248.0

Coventry Health Care of Iowa 18973IA0220025 Rating Area 7 21-24 204.31 Silver Yes Coventry Silver $5 Copay 2750 UnityPoint Health Waterloo 214.12 261.1

Coventry Health Care of Iowa 18973IA0340041 Rating Area 7 21-24 204.31 Silver No Coventry Silver $5 Copay 2750 UnityPoint Health Waterloo PD 214.12 261.1

Coventry Health Care of Iowa 18973IA0250002 Rating Area 7 21-24 234.56 Silver Yes Coventry Silver $10 Copay 245.82 299.7

Coventry Health Care of Iowa 18973IA0340029 Rating Area 7 21-24 234.56 Silver No Coventry Silver $10 Copay PD 245.82 299.7

CoOportunity Health 71268IA0070005 Rating Area 7 21-24 242.17 Silver Yes CoOportunity Preferred HSA UI Health Alliance Silver 253.79 309.4

Coventry Health Care of Iowa 18973IA0250016 Rating Area 7 21-24 245.78 Silver Yes Coventry Silver $5 Copay 2750 257.58 314.1

Coventry Health Care of Iowa 18973IA0340037 Rating Area 7 21-24 245.78 Silver No Coventry Silver $5 Copay 2750 PD 257.58 314.1

CoOportunity Health 71268IA0070003 Rating Area 7 21-24 262.52 Silver Yes CoOportunity Preferred UI Health Alliance Silver 275.12 335.5

CoOportunity Health 71268IA0110007 Rating Area 7 21-24 271.56 Silver Yes CoOportunity CorePlus HSA UI Health Alliance Silver 284.59 347.0

CoOportunity Health 71268IA0050005 Rating Area 7 21-24 275.63 Silver Yes CoOportunity Premier HSA Silver 288.86 352.2

Avera Health Plans, Inc. 74980IA0020006 Rating Area 7 21-24 278.13 Silver Yes Avera MyPlan $3,500 291.48 355.4

CoOportunity Health 71268IA0110003 Rating Area 7 21-24 282.19 Silver Yes CoOportunity CorePlus UI Health Alliance Silver 295.74 360.6

Coventry Health Care of Iowa 18973IA0250014 Rating Area 7 21-24 282.83 Silver Yes Coventry Marketplace Choice Plan 296.41 361.4

Coventry Health Care of Iowa 18973IA0340025 Rating Area 7 21-24 282.83 Silver No Coventry Marketplace Choice Plan PD 296.41 361.4

CoOportunity Health 71268IA0050004 Rating Area 7 21-24 286.49 Silver Yes CoOportunity Premier Silver 300.24 366.1

Gundersen Health Plan, Inc. 27651IA0060002 Rating Area 7 21-24 289.40 Silver Yes Silver HSA $2000 - 50% 303.29 369.8

Avera Health Plans, Inc. 74980IA0020016 Rating Area 7 21-24 293.49 Silver Yes A vera M yP la n $ 3, 00 0 / 3 0% C oi nsu ra nc e 3 07 .5 8 3 75 .0

Avera Health Plans, Inc. 74980IA0020004 Rating Area 7 21-24 293.74 Silver Yes Avera MyPlan $2,500 / $6,350 Out-of-Pocket 307.84 375.4

Avera Health Plans, Inc. 74980IA0020014 Rating Area 7 21-24 293.75 Silver Yes Avera MyPlan $2,000 / 30% Coinsurance 307.85 375.4

Gundersen Health Plan, Inc. 27651IA0060001 Rating Area 7 21-24 298.92 Silver Yes Silver HSA $3500 - 0% 313.27 382.0

Avera Health Plans, Inc. 74980IA0020017 Rating Area 7 21-24 298.93 Silver Yes Avera MyPlan $3,000 / 30% Coinsurance, Pediatric Dental 313.28 382.0

Avera Health Plans, Inc. 74980IA0020008 Rating Area 7 21-24 300.41 Silver Yes Avera MyPlan $2,500 / $5,500 Out-of-Pocket 314.83 383.9

Avera Health Plans, Inc. 74980IA0020005 Rating Area 7 21-24 302.02 Silver Yes Avera MyPlan $2,500 / $6,350 Out-of-Pocket, Pediatric Dental 316.52 385.9

Avera Health Plans, Inc. 74980IA0020009 Rating Area 7 21-24 308.69 Silver Yes Avera MyPlan $2,500 / $5,500 Out-of-Pocket, Pediatric Dental 323.51 394.5

Gundersen Health Plan, Inc. 27651IA0050005 Rating Area 7 21-24 317.40 Silver Yes Silver $3500 - 20% 332.64 405.6

Gundersen Health Plan, Inc. 27651IA0050006 Rating Area 7 21-24 327.49 Silver Yes Silver $2500 - 50% 343.21 418.5

Gundersen Health Plan, Inc. 27651IA0050007 Rating Area 7 21-24 332.13 Silver Yes Silver $2500 - 20% 348.07 424.4

Rating Area 7 Average for 10 lowest premiums 226.22 237.08 289.1

Rating Area 7 Average 271.66 284.70 347.1

Rating Area 7 Counties: Allamakee, Bremer, Butler, Cerro Gordo, Chickasaw, Emmet, Fayette, Floyd, Franklin, Hancock, Howard, Humboldt,Kossuth, Mitchell, Winnebago, Winneshiek, Worth, Wright