Attachment L_Census Data_clean.xlsx

XLSX spreadsheet 2 MB Posted Sep 9, 2025

Attached to: RFP for Medical & Pharmacy Benefits
Solicitation number: S-44300-00014758
Issued by: Marion County, Oregon

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Other files

File	Type	Posted
AttachB_Definitions.pdf	PDF	Sep 9, 2025
AttachE_COBID.pdf	PDF	Sep 9, 2025
PEBB Medical_Rx_MainRFP_clean.pdf	PDF	Sep 9, 2025
AttachA_Questionnaire.pdf	PDF	Sep 9, 2025
Total Revenue Disclosure Statement_Blank.xlsx	XLSX spreadsheet	Sep 9, 2025
Attachment V - Detailed Weight Component Info.pdf	PDF	Sep 9, 2025
AttachI_SampleGrpBenCon_MedRx.pdf	PDF	Sep 9, 2025
AttachI_SampleGrpBenefitsCon_Rx_v4.pdf	PDF	Sep 9, 2025
AttachK_Point Solutions Guidelines.pdf	PDF	Sep 9, 2025
AttachG_FinalSubForm_v2.pdf	PDF	Sep 9, 2025
Attachment M_Medical Claims Data_clean.xlsx	XLSX spreadsheet	Sep 9, 2025
AttachI_SampleGrpBenCon_MedOnly.pdf	PDF	Sep 9, 2025
Attachment N_Provider Disruption Data_clean.xlsx	XLSX spreadsheet	Sep 9, 2025
AddendumFive_clean.pdf	PDF	Sep 9, 2025
AttachC_PlanDesigns.pdf	PDF	Sep 9, 2025
AttachF_RespInquiry.pdf	PDF	Sep 9, 2025
AddendumSix_Final.pdf	PDF	Sep 9, 2025
AttachI_SampleGrpBenCon_MedOnly_v3.pdf	PDF	Sep 9, 2025
Oregon PEBB 2025 Medical and Pharmacy RFP_20251111.pdf	PDF	Sep 9, 2025
Oregon PEBB 2025 Medical and Pharmacy RFP_20251016PT.pdf	PDF	Sep 9, 2025
Attachment A_10032025.pdf	PDF	Sep 9, 2025
Attachment N_Provider Disruption Data updated.xlsx	XLSX spreadsheet	Sep 9, 2025
Amendment 001 - RFI PAD MOUNT XFMR 2025.pdf	PDF	Sep 9, 2025
Attachment Q_Pharmacy Clinical Programs.xlsx	XLSX spreadsheet	Sep 9, 2025
Attachment S_Pharmacy Data Tables.xlsx	XLSX spreadsheet	Sep 9, 2025
AddendumTwo.pdf	PDF	Sep 9, 2025
AttachB_Definitions_v2.pdf	PDF	Sep 9, 2025
Oregon PEBB 2025 Medical and Pharmacy RFP_20251015.pdf	PDF	Sep 9, 2025
AddendumFour~1.pdf	PDF	Sep 9, 2025
Attachment T_Pharmacy Pricing Terms_10132025.xlsx	XLSX spreadsheet	Sep 9, 2025
AttachI_SampleGrpBenCon_MedRx_v3.pdf	PDF	Sep 9, 2025
Attachment U_Pharmacy Claims Data.xlsx	XLSX spreadsheet	Sep 9, 2025
AttachI_SampleGrpBenCon_MedRx_v2.pdf	PDF	Sep 9, 2025
AttachG_FinalSubForm.pdf	PDF	Sep 9, 2025
Attachment R_Pharmacy GeoAccess Analysis Template.xlsx	XLSX spreadsheet	Sep 9, 2025
AddendumThree_20251015_clean.pdf	PDF	Sep 9, 2025
Attachment P_Pharmacy Plan Design Summary.xlsx	XLSX spreadsheet	Sep 9, 2025
AttachI_SampleGrpBenCon_MedOnly_v2.pdf	PDF	Sep 9, 2025
MainRfp_UpdatedByAddenda1-2_20250917.pdf	PDF	Sep 9, 2025
MainRfp_UpdatedByAddenda1-3_20251015~1.pdf	PDF	Sep 9, 2025
AddendumOne~1.pdf	PDF	Sep 9, 2025
Attachment T_Pharmacy Pricing Terms.xlsx	XLSX spreadsheet	Sep 9, 2025
Attachment O_Provider Discount Data_clean.xlsx	XLSX spreadsheet	Sep 9, 2025
MainRfp_UpdatedByAddenda1-6_Final.pdf	PDF	Sep 9, 2025
Attachment S_Pharmacy Data Tables_10132025.xlsx	XLSX spreadsheet	Sep 9, 2025
AttachI_SampleGrpBenefitsCon_Rx_v3.pdf	PDF	Sep 9, 2025
Attachment J_Data Warehouse File Layout_clean.xlsx	XLSX spreadsheet	Sep 9, 2025
GeoAccess Standards for Out of State Providers.xlsx	XLSX spreadsheet	Sep 9, 2025
AttachI_SampleGrpBenefitsCon_Rx.pdf	PDF	Sep 9, 2025
Attachment W_Pharmacy Claims Data Layout.xlsx	XLSX spreadsheet	Sep 9, 2025

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PEBB Census

Gender	ZIP	Medical Plan	Medical Tier	Medical Group	Age as of 7/1/2025
M	98632	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	52
M	97140	Kaiser Traditional High Deductible	Employee & Partner	Active	54
M	97338	Providence Choice High Deductible	Employee & Partner	Active	67
M	83619	Providence Statewide Plan	Employee & Family	Active	52
F	97306	Kaiser Traditional (HMO) Plan	Employee & Family	Active	48
M	97457	Providence Statewide Plan	Employee & Child(ren)	Active	57
F	97303	Providence Statewide Plan	Employee & Partner	Active	54
M	97071	Kaiser Traditional (HMO) Plan	Employee & Family	Active	53
M	97304	MODA Synergy Plan	Employee Only	Active	61
M	97734	Providence Statewide Plan	Employee & Family	Active	51
F	97071	Providence Statewide Plan	Employee & Family	Active	52
M	97355	Providence Choice High Deductible	Employee & Family	Active	46
M	83607	Providence Statewide Plan	Employee & Partner	Active	50
M	97058	Providence Statewide Plan	Employee & Family	Active	60
F	97306	Kaiser Traditional (HMO) Plan	Employee & Family	Active	56
F	97303	Providence Choice	Employee Only	Active	63
M	97302	Providence Statewide Plan	Employee & Partner	Active	63
F	97038	Kaiser Traditional (HMO) Plan	Employee & Family	Active	58
F	97303	Providence Statewide Plan	Employee & Child(ren)	Active	45
M	83661	Providence Statewide Plan	Employee & Partner	Active	56
M	97603	Providence Statewide Plan	Employee & Family	Active	49
F	97212	Providence Choice High Deductible	Employee & Partner	Active	71
M	83661	Providence Choice	Employee & Partner	Active	53
M	97801	Providence Statewide Plan	Employee & Family	Active	53
F	97495	Kaiser Traditional (HMO) Plan	Employee & Family	Active	50
M	97231	Providence Choice High Deductible	Employee & Partner	Active	64
M	97058	MODA Synergy High Deductible	Employee & Family	Active	50
F	97053	Kaiser Deductible Plan	Employee Only	Active	55
M	97304	MODA Synergy Plan	Employee & Family	Active	59
F	97051	Providence Statewide Plan	Employee & Child(ren)	Active	43
M	97302	Providence Choice	Employee Only	Active	65
M	97701	Providence Choice	Employee & Family	Active	55
M	97215	Providence Statewide Plan	Employee Only	Active	59
F	97754	Providence Choice High Deductible	Employee Only	Active	58
M	97411	Providence Choice	Employee Only	Active	63
F	97086	Providence Choice	Employee & Partner	Active	54
F	97338	Providence Statewide High Deductible	Employee Only	Active	51
M	97306	Providence Statewide Plan	Employee & Partner	Active	67
F	97128	Providence Statewide Plan	Employee & Partner	Active	57
F	97305	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	60
F	97701	Providence Choice	Employee & Partner	Active	55
M	97603	Providence Statewide Plan	Employee & Partner	Active	60
F	97113	Providence Statewide Plan	Employee Only	Active	59
F	97479	Providence Statewide Plan	Employee & Family	Active	56
M	97351	Providence Choice	Employee & Family	Active	49
F	97078	Kaiser Traditional (HMO) Plan	Employee & Family	Active	47
M	97914	Providence Statewide Plan	Employee & Family	Active	50
M	86401	Providence Statewide Plan	Employee Only	Active	60
M	97111	Providence Statewide Plan	Employee & Partner	Active	59
F	97303	Providence Choice	Employee & Partner	Active	63
F	97306	Providence Statewide High Deductible	Employee & Partner	Active	64
M	97027	Providence Statewide Plan	Employee & Partner	Active	63
M	98682	Kaiser Traditional High Deductible	Employee & Family	Active	50
M	97918	Providence Statewide High Deductible	Employee & Family	Active	52
M	97322	Providence Statewide Plan	Employee & Family	Active	49
M	97317	Providence Choice	Employee & Partner	Active	58
M	97308	Providence Choice	Employee & Partner	Active	59
M	83619	Providence Statewide High Deductible	Employee & Partner	Active	57
F	97045	Providence Choice	Employee & Family	Active	54
M	97838	Providence Statewide Plan	Employee & Partner	Active	48
F	97424	MODA Synergy High Deductible	Employee & Partner	Active	51
M	97383	Providence Choice	Employee & Partner	Active	63
F	97702	Providence Statewide Plan	Employee & Partner	Active	52
F	97219	Providence Statewide Plan	Employee & Family	Active	54
M	97302	Kaiser Traditional High Deductible	Employee & Family	Active	49
M	97303	Kaiser Traditional (HMO) Plan	Employee & Family	Active	54
M	83687	Providence Statewide Plan	Employee & Family	Active	54
M	83661	Providence Statewide High Deductible	Employee & Family	Active	55
F	97402	Providence Choice	Employee Only	Active	54
M	98642	Providence Choice High Deductible	Employee & Family	Active	53
M	83619	MODA Synergy Plan	Employee & Partner	Active	57
F	97330	Providence Statewide Plan	Employee & Child(ren)	Active	57
M	97426	MODA Synergy Plan	Employee & Partner	Active	61
M	83669	Providence Statewide High Deductible	Employee & Child(ren)	Active	49
M	97403	Providence Statewide Plan	Employee & Family	Active	53
M	97103	Providence Choice High Deductible	Employee & Partner	Active	58
M	97225	Providence Choice High Deductible	Employee & Family	Active	64
M	97884	Providence Statewide Plan	Employee & Partner	Active	62
M	97338	Providence Statewide Plan	Employee & Partner	Active	55
F	97404	Providence Choice	Employee & Partner	Active	52
F	97034	Kaiser Deductible Plan	Employee & Child(ren)	Active	54
M	97062	Providence Statewide Plan	Employee & Partner	Active	63
M	83619	Providence Statewide Plan	Employee & Family	Active	46
M	97759	Providence Statewide Plan	Employee Only	Active	60
M	97221	Providence Statewide Plan	Employee & Partner	Active	67
M	83651	Providence Statewide Plan	Employee & Family	Active	60
F	97330	Providence Statewide Plan	Employee & Family	Active	52
F	97370	Providence Statewide Plan	Employee & Partner	Active	52
F	97405	Providence Statewide Plan	Employee & Child(ren)	Active	59
M	97232	Providence Statewide Plan	Employee Only	Active	68
M	98683	Providence Statewide Plan	Employee & Partner	Active	52
F	97006	Providence Choice	Employee & Child(ren)	Active	55
F	97321	Providence Statewide Plan	Employee & Family	Active	57
F	97333	Providence Statewide Plan	Employee & Partner	Active	52
M	97351	Providence Choice	Employee & Child(ren)	Active	47
F	97330	Providence Statewide Plan	Employee & Partner	Active	53
M	97351	Providence Statewide Plan	Employee & Child(ren)	Active	57
F	97405	Providence Statewide Plan	Employee Only	Active	71
F	97405	Providence Choice	Employee & Partner	Active	62
M	98629	Providence Choice	Employee & Family	Active	50
F	97370	Providence Statewide Plan	Employee & Partner	Active	59
M	97524	MODA Synergy Plan	Employee Only	Active	60
M	97330	Providence Statewide High Deductible	Employee & Partner	Active	78
F	97405	Providence Statewide Plan	Employee & Family	Active	60
M	97502	Providence Choice	Employee & Family	Active	47
F	97405	Providence Statewide Plan	Employee & Partner	Active	66
F	97321	Providence Statewide Plan	Employee & Partner	Active	70
M	97405	Providence Statewide Plan	Employee & Family	Active	59
F	97227	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	60
F	97520	Providence Statewide Plan	Employee & Partner	Active	62
M	97215	Providence Choice High Deductible	Employee & Child(ren)	Active	59
F	98368	Providence Statewide Plan	Employee & Partner	Active	53
F	97330	Medical Opt Out	n/a	Active	60
M	97477	Providence Choice	Employee & Family	Active	56
F	97321	Providence Statewide Plan	Employee & Partner	Active	75
M	97333	Providence Choice	Employee & Partner	Active	61
F	97408	Providence Statewide Plan	Employee & Partner	Active	66
F	97303	Providence Statewide Plan	Employee Only	Active	62
F	97321	Providence Choice	Employee Only	Active	60
M	97201	Providence Choice	Employee & Child(ren)	Active	58
M	97850	MODA Synergy Plan	Employee & Family	Active	62
M	97405	Providence Statewide High Deductible	Employee & Family	Active	63
F	97408	Providence Statewide High Deductible	Employee & Partner	Active	56
M	97361	Providence Choice	Employee & Partner	Active	66
F	97218	Kaiser Traditional (HMO) Plan	Employee Only	Active	73
F	97402	Providence Statewide Plan	Employee Only	Active	58
F	97013	Providence Statewide Plan	Employee & Partner	Active	67
M	97006	MODA Synergy Plan	Employee & Partner	Active	56
F	97405	Providence Statewide Plan	Employee & Partner	Active	51
M	97405	Providence Statewide Plan	Employee & Family	Active	58
M	97401	Providence Statewide Plan	Employee Only	Active	62
F	97361	Providence Statewide Plan	Employee & Family	Active	49
F	97403	Providence Statewide High Deductible	Employee & Family	Active	60
F	97405	Providence Statewide Plan	Employee & Partner	Active	58
F	97405	Medical Opt Out	n/a	Active	63
F	97520	Medical Opt Out	n/a	Active	64
M	97405	Providence Statewide Plan	Employee & Family	Active	52
F	97215	Providence Statewide Plan	Employee & Family	Active	61
M	97838	Providence Statewide Plan	Employee & Family	Active	62
F	97405	MODA Synergy Plan	Employee & Family	Active	53
F	97330	OSU Federal Employees - Not Eligible	n/a	Active	61
F	97478	Providence Choice	Employee & Family	Active	60
M	97405	Providence Choice	Employee & Family	Active	53
F	97361	Providence Statewide High Deductible	Employee Only	Active	65
M	97330	Providence Statewide Plan	Employee & Family	Active	61
F	97330	Providence Choice	Employee & Family	Active	56
M	97361	Providence Statewide Plan	Employee & Partner	Active	66
F	97223	Kaiser Traditional High Deductible	Employee & Partner	Active	66
F	97403	Providence Statewide Plan	Employee & Partner	Active	72
F	97536	Providence Statewide Plan	Employee & Partner	Active	62
F	97361	Providence Statewide Plan	Employee Only	Active	63
M	97330	MODA Synergy Plan	Employee & Family	Active	54
F	97405	Providence Statewide Plan	Employee & Partner	Active	64
F	97404	Providence Statewide Plan	Employee & Family	Active	54
M	97330	Providence Statewide Plan	Employee & Family	Active	63
M	97330	Medical Opt Out	n/a	Active	65
F	97403	Providence Choice	Employee & Family	Active	51
F	97850	Providence Statewide Plan	Employee & Partner	Active	71
F	97402	Providence Choice	Employee Only	Active	62
M	97405	Providence Statewide Plan	Employee & Partner	Active	60
M	97229	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	66
F	97325	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	61
F	97394	Providence Statewide Plan	Employee Only	Active	67
F	97229	Providence Statewide Plan	Employee Only	Active	56
M	97080	Providence Statewide Plan	Employee & Family	Active	56
F	97070	Providence Statewide Plan	Employee & Partner	Active	61
M	97205	Providence Statewide Plan	Employee & Partner	Active	68
F	97219	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	67
M	97330	Providence Choice	Employee & Family	Active	64
F	97402	Providence Statewide Plan	Employee & Family	Active	54
M	97405	Providence Statewide Plan	Employee & Family	Active	64
F	97401	Medical Opt Out	n/a	Active	49
M	97361	Kaiser Traditional High Deductible	Employee & Family	Active	49
M	97333	Providence Statewide Plan	Employee Only	Active	76
F	97370	Kaiser Traditional High Deductible	Employee & Child(ren)	Active	54
M	97027	Providence Choice High Deductible	Employee & Partner	Active	56
M	97209	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	57
M	97229	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	76
M	98626	Providence Statewide High Deductible	Employee & Partner	Active	62
M	97401	Providence Choice	Employee & Family	Active	42
F	97470	Providence Choice	Employee & Child(ren)	Active	50
M	97306	Kaiser Traditional (HMO) Plan	Employee & Family	Active	54
M	97838	Providence Statewide Plan	Employee & Family	Active	63
F	97330	Medical Opt Out	n/a	Active	61
M	97045	Kaiser Traditional (HMO) Plan	Employee & Family	Active	49
M	97221	MODA Synergy Plan	Employee & Partner	Active	67
M	97211	Kaiser Traditional (HMO) Plan	Employee & Family	Active	60
F	98685	MODA Synergy Plan	Employee Only	Active	51
M	97267	Providence Choice High Deductible	Employee & Child(ren)	Active	45
M	97330	Providence Statewide Plan	Employee & Partner	Active	57
M	97217	Kaiser Traditional High Deductible	Employee & Partner	Active	49
F	97330	Medical Opt Out	n/a	Active	68
F	97330	Providence Choice	Employee Only	Active	44
F	97630	Providence Statewide Plan	Employee & Partner	Active	62
M	97327	Providence Statewide Plan	Employee & Family	Active	42
F	97013	Providence Choice	Employee & Family	Active	43
M	97321	Providence Choice	Employee & Family	Active	59
M	97478	Providence Statewide Plan	Employee & Family	Active	54
M	37620	Providence Statewide Plan	Employee & Family	Active	43
F	97219	Providence Choice	Employee Only	Active	68
M	97055	MODA Synergy Plan	Employee Only	Active	64
F	97383	MODA Synergy Plan	Employee & Partner	Active	55
M	97267	Kaiser Traditional (HMO) Plan	Employee & Family	Active	50
F	97914	Providence Statewide Plan	Employee & Partner	Active	66
M	97225	Providence Choice	Employee & Family	Active	47
F	97520	Providence Statewide High Deductible	Employee & Partner	Active	63
F	97217	Providence Statewide Plan	Employee & Partner	Active	54
F	97236	Providence Statewide Plan	Employee & Family	Active	47
F	97220	Kaiser Traditional (HMO) Plan	Employee & Family	Active	43
M	97823	Providence Choice	Employee & Child(ren)	Active	50
M	97361	Providence Choice	Employee & Family	Active	44
M	97403	Medical Waive	n/a	Active	51
M	97401	Providence Statewide Plan	Employee & Family	Active	51
M	97403	Providence Statewide Plan	Employee & Family	Active	59
F	97330	Providence Statewide Plan	Employee & Family	Active	48
F	97304	Kaiser Traditional (HMO) Plan	Employee Only	Active	65
M	97211	Providence Choice	Employee & Family	Active	54
M	97701	Providence Choice	Employee & Family	Active	42
M	97330	Providence Statewide Plan	Employee & Partner	Active	56
F	97404	Providence Choice	Employee & Partner	Active	52
M	97211	Providence Choice	Employee Only	Active	62
M	97838	Providence Statewide Plan	Employee & Family	Active	53
M	97321	Providence Choice	Employee & Partner	Active	70
M	97306	Kaiser Traditional High Deductible	Employee & Family	Active	56
F	97301	Providence Choice - Part-Time - Retiree	Employee Only	Retiree	64
F	97317	Providence Choice	Employee & Partner	Active	54
F	97321	Providence Statewide Plan	Employee & Partner	Active	52
F	97444	MODA Synergy Plan	Employee & Partner	Active	65
M	83619	Providence Statewide Plan	Employee & Family	Active	57
F	97302	Kaiser Deductible Plan	Employee & Family	Active	48
M	97007	Providence Statewide Plan	Employee & Family	Active	68
M	97361	Providence Statewide High Deductible	Employee Only	Active	63
M	97321	MODA Synergy Plan	Employee & Family	Active	47
F	97431	Providence Statewide Plan	Employee Only	Active	61
F	97404	Kaiser Traditional (HMO) Plan	Employee Only	Active	45
M	97401	Providence Statewide Plan	Employee & Family	Active	56
F	97330	BHS Medical - Not Enrolled	n/a	Retiree	64
F	97330	Providence Choice	Employee & Partner	Active	54
F	97321	Providence Choice	Employee & Partner	Active	59
M	97306	Providence Statewide Plan	Employee & Family	Active	47
F	97201	Providence Statewide Plan	Employee Only	Active	63
F	97303	Providence Statewide Plan	Employee & Family	Active	48
F	97405	Providence Statewide Plan	Employee Only	Active	65
M	97741	Providence Choice	Employee & Partner	Active	63
F	97078	Providence Choice	Employee & Partner	Active	55
F	97333	Providence Statewide Plan	Employee Only	Active	57
M	97008	Providence Choice	Employee Only	Active	61
M	97338	MODA Synergy Plan	Employee & Family	Active	42
M	97801	Providence Statewide Plan	Employee & Partner	Active	57
M	97206	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	58
M	97402	Providence Choice	Employee & Family	Active	44
M	97843	Providence Statewide High Deductible	Employee & Family	Active	43
M	97355	Providence Choice	Employee & Family	Active	59
M	97424	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	51
M	97601	Providence Statewide High Deductible	Employee & Partner	Active	63
F	97206	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	51
F	97225	MODA Synergy Plan	Employee Only	Active	65
F	97303	Providence Choice	Employee & Family	Active	42
M	97838	Providence Statewide Plan	Employee & Family	Active	43
F	97303	Providence Statewide Plan	Employee & Family	Active	56
M	97404	Providence Choice	Employee & Family	Active	44
M	97801	Providence Statewide Plan	Employee & Partner	Active	65
F	97756	Providence Statewide Plan	Employee & Partner	Active	44
M	97303	Providence Statewide Plan	Employee & Family	Active	58
F	97402	Providence Choice	Employee & Family	Active	47
M	97305	Kaiser Traditional (HMO) Plan	Employee Only	Active	54
F	97321	Providence Statewide Plan	Employee Only	Active	56
M	97070	Providence Statewide High Deductible	Employee Only	Active	52
M	97331	Providence Statewide Plan	Employee & Child(ren)	Active	54
M	97358	Kaiser Deductible Plan	Employee & Family	Active	55
F	97801	Providence Statewide Plan	Employee & Partner	Active	63
M	97338	MODA Synergy Plan	Employee & Family	Active	40
F	97367	Providence Statewide High Deductible	Employee & Partner	Active	63
F	97303	Kaiser Traditional (HMO) Plan	Employee & Family	Active	55
M	97115	Providence Statewide Plan	Employee & Family	Active	67
F	97603	MODA Synergy Plan	Employee & Family	Active	44
M	97101	MODA Synergy - Semi Independent	Employee Only	Semi-Independent	61
M	97338	Providence Choice High Deductible	Employee & Family	Active	46
F	97601	MODA Synergy Plan	Employee & Family	Active	45
F	97361	Providence Choice	Employee & Family	Active	61
M	97219	Providence Statewide Plan	Employee Only	Active	66
F	97330	Providence Statewide Plan	Employee & Family	Active	57
M	97355	Providence Choice	Employee Only	Active	64
M	97317	Providence Choice High Deductible	Employee Only	Active	56
F	97365	Kaiser Traditional (HMO) Plan	Employee Only	Active	53
F	97914	Providence Statewide Plan	Employee & Child(ren)	Active	53
M	98604	Providence Statewide Plan	Employee & Partner	Active	55
F	97004	Kaiser Traditional High Deductible	Employee & Family	Active	54
F	97321	Providence Statewide Plan	Employee & Family	Active	48
M	97055	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	52
F	97045	Providence Statewide Plan	Employee Only	Active	52
F	97212	Providence Choice	Employee & Partner	Active	57
F	97303	Providence Statewide Plan	Employee Only	Active	47
F	97375	Kaiser Traditional (HMO) Plan	Employee Only	Active	74
M	97333	Providence Statewide Plan	Employee & Family	Active	55
M	97330	Providence Statewide Plan	Employee & Family	Active	50
F	97301	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	59
M	97403	Providence Statewide High Deductible	Employee & Partner	Active	73
F	97325	Providence Statewide Plan	Employee & Family	Active	51
M	97478	Providence Statewide Plan	Employee Only	Active	61
F	97003	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	50
F	97801	Medical Opt Out	n/a	Active	48
M	97401	Providence Choice	Employee & Child(ren)	Active	48
M	97405	MODA Synergy High Deductible	Employee Only	Active	52
F	97045	Providence Choice	Employee & Family	Active	45
F	97301	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	47
F	97402	Providence Statewide Plan	Employee Only	Active	46
M	97338	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	55
M	97401	Providence Choice	Employee & Family	Active	56
M	97850	Medical Opt Out	n/a	Active	66
F	97005	Kaiser Traditional (HMO) Plan	Employee & Family	Active	49
M	97211	Kaiser Traditional (HMO) Plan	Employee Only	Active	49
M	97031	MODA Synergy Plan	Employee & Family	Active	48
M	97401	Providence Statewide Plan	Employee Only	Active	62
F	97324	Providence Statewide High Deductible	Employee & Family	Active	54
F	97403	Providence Choice	Employee & Partner	Active	58
M	97413	Providence Statewide Plan	Employee Only	Active	54
F	97218	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	54
F	97478	Providence Statewide Plan	Employee & Family	Active	49
F	97206	MODA Synergy Plan	Employee Only	Active	55
M	97756	Providence Choice High Deductible	Employee & Partner	Active	60
M	94010	Providence Statewide Plan	Employee & Family	Active	51
M	97471	Providence Choice	Employee & Family	Active	43
F	98665	Providence Choice	Employee & Partner	Active	64
M	97603	MODA Synergy Plan	Employee & Family	Active	41
F	97222	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	61
F	97221	Providence Choice	Employee Only	Active	39
M	97801	Providence Statewide Plan	Employee & Family	Active	45
F	97361	Providence Choice	Employee & Family	Active	43
F	97801	Providence Choice	Employee & Child(ren)	Active	56
F	97535	Providence Statewide Plan	Employee & Family	Active	49
M	97405	Medical Opt Out	n/a	Active	73
M	97206	MODA Synergy Plan	Employee & Family	Active	62
F	12550	Providence Statewide Plan - Part-Time	Employee & Family	Active	48
F	97086	Kaiser Traditional (HMO) Plan	Employee & Family	Active	50
M	97330	Medical Opt Out	n/a	Active	67
M	97402	Providence Choice	Employee & Family	Active	55
M	97203	MODA Synergy Plan	Employee Only	Active	38
M	97317	Providence Statewide Plan	Employee & Child(ren)	Active	50
M	97801	Providence Statewide Plan	Employee & Partner	Active	61
F	97734	Providence Statewide High Deductible	Employee Only	Active	46
F	97227	MODA Synergy Plan	Employee Only	Active	51
F	97402	MODA Synergy Plan	Employee & Family	Active	50
M	97304	Kaiser Traditional (HMO) Plan	Employee Only	Active	65
F	97381	Providence Statewide Plan	Employee & Child(ren)	Active	58
M	97405	Providence Choice	Employee & Family	Active	47
F	97321	Providence Statewide High Deductible	Employee & Family	Active	54
F	97219	Providence Choice	Employee & Family	Active	37
F	97304	Providence Choice	Employee & Family	Active	53
M	97304	Providence Statewide Plan	Employee & Family	Active	55
F	97914	Providence Statewide Plan	Employee Only	Active	43
M	97913	MODA Synergy Plan	Employee & Family	Active	37
M	97330	Providence Choice	Employee & Family	Active	42
M	97801	MODA Synergy Plan	Employee & Family	Active	40
M	97405	Providence Choice	Employee Only	Active	55
M	97333	Providence Statewide Plan	Employee & Family	Active	61
F	97080	Providence Statewide Plan	Employee Only	Active	66
M	97031	Providence Statewide Plan	Employee & Family	Active	45
M	97520	Providence Choice	Employee & Family	Active	48
F	97321	Providence Choice	Employee & Family	Active	50
M	97302	Providence Choice	Employee & Family	Active	43
M	97212	MODA Synergy High Deductible	Employee & Child(ren)	Active	58
M	97330	Providence Statewide Plan	Employee & Family	Active	54
F	97321	Providence Choice	Employee Only	Active	62
F	97322	MODA Synergy Plan	Employee Only	Active	69
M	97403	Providence Statewide Plan	Employee & Family	Active	39
F	97330	Providence Choice	Employee & Partner	Active	62
M	97123	Providence Statewide High Deductible	Employee Only	Active	40
M	97304	Providence Statewide Plan	Employee & Partner	Active	66
M	97405	Providence Choice	Employee & Family	Active	44
F	97801	Providence Statewide Plan	Employee & Partner	Active	54
M	97305	Kaiser Traditional (HMO) Plan	Employee & Family	Active	48
M	97405	Providence Choice	Employee & Family	Active	53
M	97212	Providence Choice	Employee & Family	Active	53
M	97520	Providence Statewide Plan	Employee & Partner	Active	70
M	97303	Providence Statewide High Deductible	Employee & Child(ren)	Active	51
M	97801	Providence Statewide Plan	Employee & Family	Active	56
F	98661	Kaiser Traditional (HMO) Plan	Employee & Family	Active	48
M	83661	Providence Statewide Plan	Employee & Family	Active	43
M	97404	MODA Synergy Plan	Employee & Family	Active	44
F	97403	Providence Choice	Employee & Family	Active	41
M	97330	Providence Statewide Plan	Employee & Child(ren)	Active	56
M	97520	Providence Statewide High Deductible	Employee & Family	Active	52
F	97304	Providence Choice	Employee & Family	Active	57
M	97045	Providence Choice High Deductible	Employee & Partner	Active	38
M	97405	Providence Statewide Plan	Employee & Partner	Active	44
F	97403	Providence Choice	Employee & Child(ren)	Active	40
M	97361	Providence Choice	Employee & Family	Active	49
M	97302	MODA Synergy Plan	Employee & Family	Active	40
F	97071	Providence Choice High Deductible	Employee & Child(ren)	Active	56
F	97123	Medical Opt Out	n/a	Active	51
M	97321	Providence Statewide Plan	Employee Only	Active	68
M	97213	Providence Choice High Deductible	Employee & Partner	Active	55
F	97267	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	67
F	97401	Providence Choice	Employee Only	Active	51
M	97703	Providence Statewide Plan	Employee & Partner	Active	61
M	97223	MODA Synergy Plan	Employee & Child(ren)	Active	45
M	97325	Providence Choice	Employee & Partner	Active	61
M	97358	Providence Choice	Employee & Family	Active	41
F	97302	Providence Choice	Employee & Family	Active	54
M	97630	Providence Statewide Plan	Employee & Partner	Active	62
M	97229	Providence Choice	Employee & Partner	Active	56
M	97801	Providence Choice	Employee & Family	Active	45
M	97330	Providence Statewide Plan	Employee & Partner	Active	61
F	97487	Providence Choice	Employee & Family	Active	42
M	97330	Providence Choice	Employee & Family	Active	41
F	97206	Providence Choice	Employee Only	Active	43
M	97266	Kaiser Traditional High Deductible	Employee & Partner	Active	41
M	97405	Providence Choice	Employee & Family	Active	48
M	97201	Providence Choice High Deductible	Employee Only	Active	65
F	97303	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	63
F	97338	Kaiser Traditional (HMO) Plan	Employee & Family	Active	44
M	97215	Providence Choice	Employee & Family	Active	58
M	97306	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	60
M	97330	Providence Choice	Employee Only	Active	43
M	97330	Providence Statewide High Deductible	Employee Only	Active	51
M	97603	Providence Statewide Plan	Employee Only	Active	55
F	97330	Providence Choice	Employee Only	Active	38
M	97305	Providence Choice	Employee & Child(ren)	Active	48
F	97304	Medical Opt Out	n/a	Active	60
F	97140	Providence Choice	Employee & Family	Active	50
F	97734	Providence Statewide Plan	Employee & Family	Active	51
M	97003	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	66
F	97478	MODA Synergy Plan	Employee & Family	Active	40
M	97365	Providence Choice	Employee & Family	Active	57
F	97404	Providence Choice	Employee Only	Active	42
F	97333	Providence Statewide Plan	Employee Only	Active	43
M	97330	MODA Synergy Plan	Employee & Family	Active	53
F	97351	Providence Choice	Employee & Family	Active	35
M	97348	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	54
M	83619	Providence Statewide Plan	Employee & Family	Active	38
M	97138	Providence Statewide Plan	Employee & Family	Active	51
F	97850	Medical Opt Out	n/a	Active	35
F	97333	Providence Choice	Employee & Partner	Active	43
M	97520	Providence Choice	Employee & Family	Active	44
F	97420	Providence Choice	Employee & Family	Active	44
F	97408	Providence Choice	Employee Only	Active	52
M	97850	Providence Statewide Plan	Employee & Family	Active	47
F	97355	Providence Choice	Employee Only	Active	58
M	97338	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	65
F	97302	MODA Synergy High Deductible	Employee Only	Active	44
M	97330	Providence Choice High Deductible	Employee & Partner	Active	48
M	97405	Providence Statewide Plan	Employee & Partner	Active	57
M	97213	Providence Statewide Plan	Employee & Family	Active	62
F	97304	Kaiser Traditional (HMO) Plan	Employee & Family	Active	41
F	97080	Kaiser Deductible Plan	Employee & Family	Active	58
F	97333	Providence Choice	Employee & Family	Active	39
M	97114	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	54
M	97330	Providence Choice	Employee & Child(ren)	Active	45
F	97603	Providence Statewide Plan	Employee & Family	Active	55
F	97330	MODA Synergy Plan	Employee & Family	Active	43
F	97330	Medical Opt Out	n/a	Active	48
M	97756	Providence Statewide Plan	Employee & Family	Active	49
F	97035	Providence Choice	Employee Only	Active	53
F	97230	Providence Choice	Employee & Family	Active	44
M	97302	Providence Statewide High Deductible	Employee & Partner	Active	59
M	97537	Providence Statewide Plan	Employee & Family	Active	52
M	97525	Providence Choice	Employee & Partner	Active	56
M	97034	Providence Choice	Employee & Family	Active	54
M	97305	Providence Statewide Plan	Employee & Family	Active	42
M	97824	Providence Statewide Plan	Employee & Family	Active	45
F	97913	Providence Statewide Plan	Employee & Partner	Active	40
F	97394	Providence Choice	Employee & Family	Active	53
F	97838	Providence Statewide Plan	Employee & Partner	Active	64
M	97317	Providence Choice	Employee & Family	Active	54
M	97470	Providence Statewide Plan	Employee Only	Active	49
F	97437	Providence Choice	Employee & Child(ren)	Active	50
M	97330	Providence Choice	Employee & Child(ren)	Active	52
F	97392	Providence Choice	Employee & Child(ren)	Active	47
M	97914	Providence Statewide Plan	Employee & Family	Active	45
F	97303	Providence Statewide Plan	Employee & Family	Active	51
M	97370	Providence Statewide High Deductible	Employee & Family	Active	45
F	97462	MODA Synergy Plan	Employee & Family	Active	46
F	97322	Providence Statewide Plan	Employee Only	Active	54
M	97339	Providence Choice	Employee & Family	Active	52
M	97405	Providence Statewide Plan	Employee & Family	Active	50
M	97302	Medical Opt Out	n/a	Active	49
F	97448	MODA Synergy Plan	Employee Only	Active	51
F	97504	MODA Synergy Plan	Employee & Family	Active	47
F	97304	Providence Choice	Employee & Child(ren)	Active	46
M	97305	Providence Choice	Employee & Partner	Active	54
F	97230	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	37
M	97211	Kaiser Deductible Plan	Employee Only	Active	60
M	97302	Providence Choice	Employee & Family	Active	43
M	97212	Kaiser Traditional (HMO) Plan	Employee & Family	Active	56
M	97405	Providence Choice	Employee Only	Active	60
M	97701	Providence Choice	Employee & Family	Active	51
F	97477	MODA Synergy Plan	Employee & Family	Active	48
F	97233	Providence Choice	Employee & Partner	Active	44
M	97845	MODA Synergy Plan	Employee & Partner	Active	61
F	97801	Providence Statewide Plan	Employee Only	Active	35
F	97361	Providence Choice	Employee & Family	Active	58
M	97330	Providence Choice	Employee & Partner	Active	63
M	97306	Kaiser Traditional (HMO) Plan	Employee Only	Active	78
M	98683	Kaiser Traditional High Deductible	Employee & Partner	Active	59
F	97302	Providence Statewide Plan	Employee Only	Active	61
M	97741	Providence Choice	Employee & Family	Active	44
F	97333	MODA Synergy Plan	Employee & Family	Active	38
F	97440	Providence Statewide Plan	Employee Only	Active	56
F	97030	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	69
M	97325	Providence Statewide Plan	Employee & Child(ren)	Active	54
M	97603	Providence Statewide Plan	Employee & Family	Active	55
F	97370	Providence Choice	Employee & Partner	Active	43
F	97401	Providence Choice	Employee & Child(ren)	Active	44
F	97405	Providence Statewide Plan	Employee & Family	Active	53
F	97333	Medical Opt Out	n/a	Active	44
F	97219	Providence Choice High Deductible	Employee Only	Active	45
F	97306	MODA Synergy Plan	Employee & Family	Active	54
M	97007	MODA Synergy Plan	Employee Only	Active	34
F	83619	Providence Statewide Plan	Employee & Family	Active	42
M	97365	Providence Statewide Plan	Employee & Partner	Active	70
M	97221	Kaiser Traditional High Deductible	Employee & Family	Active	49
F	97330	MODA Synergy Plan	Employee & Family	Active	45
M	97013	Providence Choice	Employee & Partner	Active	64
F	97330	Medical Opt Out	n/a	Active	54
M	97370	Providence Choice	Employee & Family	Active	49
M	97405	Providence Choice High Deductible	Employee Only	Active	50
F	97232	MODA Synergy Plan	Employee & Family	Active	44
F	97325	Medical Opt Out	n/a	Semi-Independent	58
F	97365	Providence Statewide Plan	Employee & Family	Active	49
F	97914	Medical Opt Out	n/a	Active	55
F	97304	Providence Choice	Employee & Family	Active	49
F	97304	Kaiser Traditional (HMO) Plan	Employee & Family	Active	37
M	97321	Providence Choice	Employee & Partner	Active	55
F	99336	Providence Statewide Plan	Employee & Child(ren)	Active	44
M	97882	Providence Statewide Plan	Employee & Partner	Active	55
F	97901	Providence Statewide Plan	Employee & Child(ren)	Active	53
F	83661	Providence Statewide Plan	Employee & Partner	Active	63
M	97401	Providence Statewide Plan	Employee Only	Active	42
F	97401	Providence Statewide Plan	Employee Only	Active	48
M	83661	MODA Synergy High Deductible	Employee & Family	Active	44
M	97201	Providence Choice	Employee Only	Active	55
M	97306	Providence Choice	Employee & Partner	Active	74
M	99336	Providence Statewide Plan	Employee Only	Active	35
F	97365	Providence Choice	Employee & Family	Active	48
F	97038	Kaiser Traditional (HMO) Plan	Employee & Family	Active	36
F	97301	Providence Statewide Plan	Employee & Partner	Active	66
F	97211	Providence Choice	Employee Only	Active	47
F	97013	Providence Choice	Employee & Family	Active	51
F	97504	Providence Choice	Employee & Partner	Active	55
M	97303	Kaiser Traditional (HMO) Plan	Employee & Family	Active	44
M	97520	Providence Statewide High Deductible	Employee Only	Active	38
F	97301	Providence Statewide Plan	Employee Only	Active	60
M	97301	Providence Choice	Employee & Partner	Active	55
F	97002	Providence Choice	Employee Only	Active	41
F	97448	Providence Statewide Plan	Employee Only	Active	68
M	97504	Providence Choice	Employee & Family	Active	57
M	97302	MODA Synergy Plan	Employee & Family	Active	59
F	97470	Providence Choice	Employee & Partner	Active	53
F	97214	Providence Choice	Employee & Family	Active	52
F	97330	MODA Synergy Plan	Employee Only	Active	54
F	97056	Providence Choice	Employee & Child(ren)	Active	49
F	97383	Providence Statewide Plan	Employee & Partner	Active	50
F	97333	Providence Statewide Plan	Employee & Child(ren)	Active	37
F	97206	Kaiser Deductible Plan	Employee & Partner	Active	42
F	97355	Providence Choice	Employee & Family	Active	46
M	97360	Providence Choice	Employee & Family	Active	52
M	97883	MODA Synergy Plan	Employee & Family	Active	48
F	97008	Providence Statewide Plan	Employee & Family	Active	48
F	97741	Providence Statewide Plan	Employee Only	Active	62
F	97322	Providence Choice	Employee & Partner	Active	55
F	97702	Providence Statewide Plan	Employee & Partner	Active	60
F	97305	Kaiser Traditional High Deductible	Employee Only	Active	69
F	97385	Providence Statewide Plan	Employee & Partner	Active	52
F	97224	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	56
M	97338	Providence Statewide Plan	Employee & Child(ren)	Active	50
F	97478	Providence Statewide Plan	Employee Only	Active	61
M	97305	Providence Choice	Employee & Family	Active	43
F	97530	Providence Choice	Employee & Family	Active	45
M	97214	Providence Choice	Employee & Partner	Active	55
M	97401	Providence Choice	Employee & Family	Active	42
F	97003	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	64
F	97321	Providence Choice	Employee & Family	Active	41
F	97404	Providence Statewide Plan	Employee & Partner	Active	64
M	97303	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	40
M	97009	MODA Synergy Plan	Employee & Family	Active	39
F	97385	Providence Statewide Plan	Employee & Partner	Active	80
F	97850	Providence Choice	Employee & Child(ren)	Active	40
M	97068	Providence Choice	Employee & Family	Active	44
F	97403	MODA Synergy Plan	Employee Only	Active	51
F	97302	Kaiser Traditional (HMO) Plan	Employee & Family	Active	46
F	97330	Providence Choice	Employee & Family	Active	50
M	97304	Providence Statewide Plan	Employee & Family	Active	40
M	97333	Providence Statewide Plan	Employee Only	Active	45
F	97408	Providence Statewide Plan	Employee & Partner	Active	54
M	97424	Providence Statewide High Deductible	Employee & Partner	Active	64
M	97405	Providence Choice	Employee & Family	Active	45
M	97045	Providence Choice	Employee & Partner	Active	37
F	97217	Providence Choice	Employee & Partner	Active	45
F	97520	Providence Statewide Plan	Employee & Family	Active	49
F	97477	Providence Choice	Employee & Family	Active	38
F	97814	Providence Statewide Plan	Employee Only	Active	55
F	97306	Providence Statewide Plan	Employee & Family	Active	44
F	97380	Providence Choice	Employee Only	Active	43
F	97838	Providence Statewide Plan	Employee & Child(ren)	Active	50
M	97330	Providence Choice	Employee & Partner	Active	46
F	97317	Providence Choice	Employee & Partner	Active	64
M	97386	Providence Statewide Plan	Employee & Family	Active	51
F	97304	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	47
F	97385	Providence Statewide Plan	Employee & Family	Active	55
M	97303	Providence Statewide Plan	Employee & Partner	Active	56
F	97217	Kaiser Traditional (HMO) Plan	Employee Only	Active	52
F	97520	Providence Choice	Employee Only	Active	47
F	97045	Providence Choice	Employee & Child(ren)	Active	43
F	97330	Medical Opt Out	n/a	Active	47
F	97381	Providence Choice	Employee & Family	Active	52
F	97301	Providence Choice	Employee Only	Active	34
F	97386	MODA Synergy Plan	Employee & Partner	Active	53
M	97321	MODA Synergy Plan	Employee & Family	Active	56
M	97756	Providence Choice	Employee & Child(ren)	Active	49
M	97303	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	56
F	97303	Providence Statewide Plan	Employee & Partner	Active	51
F	97370	Providence Choice	Employee & Family	Active	56
F	97202	Providence Choice	Employee Only	Active	64
M	97824	MODA Synergy Plan	Employee & Family	Active	49
F	97386	Providence Choice	Employee & Partner	Active	52
F	97333	Providence Statewide Plan	Employee Only	Active	66
M	97322	MODA Synergy Plan	Employee & Family	Active	60
M	97333	Providence Choice High Deductible	Employee & Child(ren)	Active	52
M	97330	Medical Opt Out	n/a	Active	43
F	97304	Providence Choice High Deductible	Employee & Partner	Active	56
F	97305	Kaiser Traditional (HMO) Plan	Employee & Family	Active	43
F	97401	MODA Synergy Plan	Employee & Family	Active	46
M	97385	Providence Choice	Employee & Family	Active	55
M	97322	MODA Synergy Plan	Employee & Partner	Active	48
M	97333	Providence Choice	Employee & Family	Active	41
F	97448	Providence Choice	Employee & Family	Active	43
F	97206	Providence Statewide Plan	Employee & Partner	Active	48
F	97471	Providence Choice	Employee & Partner	Active	60
M	97305	Providence Statewide Plan	Employee & Partner	Active	64
M	97404	Providence Statewide Plan	Employee & Child(ren)	Active	54
M	97030	Providence Choice	Employee & Partner	Active	61
F	97322	Providence Choice	Employee Only	Active	57
M	97305	MODA Synergy Plan	Employee & Partner	Active	61
F	97206	Providence Choice	Employee Only	Active	49
M	97101	Providence Statewide High Deductible	Employee & Family	Active	51
F	97424	Providence Statewide Plan	Employee & Family	Active	48
F	97761	Providence Choice	Employee & Family	Active	58
F	77433	Providence Statewide Plan	Employee & Child(ren)	Active	38
M	97303	Providence Statewide Plan	Employee & Family	Active	49
F	97114	Not Enrolled	n/a	Active	42
F	97302	Providence Choice	Employee & Family	Active	49
M	97355	Providence Choice	Employee & Partner	Active	45
M	97477	Providence Choice High Deductible	Employee & Family	Active	50
F	97086	Kaiser Traditional High Deductible	Employee & Partner	Active	54
F	97304	Providence Statewide Plan	Employee & Family	Active	42
M	97304	Providence Choice	Employee & Family	Active	36
M	97330	MODA Synergy High Deductible	Employee & Family	Active	49
F	98684	Kaiser Traditional (HMO) Plan	Employee Only	Active	56
F	97015	Providence Choice	Employee & Child(ren)	Active	51
F	97330	Providence Choice	Employee Only	Active	35
M	97403	Providence Statewide Plan	Employee & Family	Active	60
M	97405	Providence Choice High Deductible	Employee & Child(ren)	Active	46
M	97703	Providence Statewide Plan	Employee & Family	Active	57
M	97220	Providence Choice	Employee Only	Active	65
M	97217	Kaiser Deductible High Deductible	Employee Only	Active	45
M	97479	Providence Choice	Employee & Family	Active	47
M	97223	Providence Choice	Employee Only	Active	40
M	97424	Medical Opt Out	n/a	Active	53
M	98604	Providence Statewide Plan	Employee & Partner	Active	55
M	97408	Providence Choice	Employee & Family	Active	57
M	97339	Providence Statewide Plan	Employee & Partner	Active	74
F	97355	Providence Choice	Employee Only	Active	58
F	97827	Providence Statewide Plan	Employee & Partner	Active	57
M	97321	Providence Statewide Plan	Employee Only	Active	42
M	97305	Kaiser Traditional High Deductible	Employee & Family	Active	53
M	97361	Providence Choice	Employee & Family	Active	35
M	97361	Kaiser Traditional High Deductible	Employee Only	Active	43
M	97478	Providence Statewide High Deductible	Employee & Partner	Active	53
F	97304	Providence Choice	Employee & Child(ren)	Active	41
M	97301	Kaiser Traditional (HMO) Plan	Employee & Family	Active	48
F	97213	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	62
M	97322	Providence Statewide High Deductible	Employee & Partner	Active	62
F	97306	Providence Statewide Plan	Employee & Family	Active	59
F	97303	Providence Choice	Employee & Family	Active	52
M	97370	Providence Choice High Deductible	Employee & Child(ren)	Active	49
M	97526	MODA Synergy Plan	Employee & Family	Active	32
F	97401	Providence Statewide Plan	Employee & Family	Active	61
F	97301	Providence Choice	Employee Only	Active	58
F	97322	Providence Choice	Employee & Family	Active	43
F	97338	Providence Choice	Employee & Partner	Active	57
M	97346	Providence Statewide High Deductible	Employee & Partner	Active	46
M	98662	Kaiser Traditional High Deductible	Employee & Family	Active	50
F	97754	Providence Statewide Plan	Employee & Partner	Active	48
M	97306	Providence Choice	Employee Only	Active	62
M	97701	MODA Synergy High Deductible	Employee & Family	Active	42
M	97124	Providence Statewide Plan	Employee & Family	Active	47
M	97630	Providence Statewide High Deductible	Employee & Partner	Active	56
F	97128	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	54
M	97850	Providence Statewide Plan	Employee & Family	Active	47
F	97405	Providence Statewide Plan - Part-Time	Employee & Child(ren)	Active	59
F	97124	Providence Choice	Employee & Family	Active	45
F	97298	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	34
M	83644	Providence Statewide Plan	Employee & Family	Active	48
F	97206	Providence Choice	Employee Only	Active	36
F	97330	Providence Choice	Employee & Family	Active	44
M	97322	Providence Choice	Employee & Partner	Active	65
F	97206	Providence Statewide Plan	Employee & Family	Active	47
M	97212	Providence Statewide Plan	Employee Only	Active	40
F	97404	Providence Statewide Plan	Employee & Family	Active	44
F	97401	Providence Statewide Plan	Employee & Family	Active	46
M	97701	Providence Statewide Plan	Employee & Child(ren)	Active	34
F	97503	MODA Synergy Plan	Employee & Child(ren)	Active	47
M	97850	MODA Synergy High Deductible	Employee & Family	Active	36
M	97477	Providence Statewide Plan	Employee & Partner	Active	42
M	97352	Providence Statewide Plan	Employee & Family	Active	44
M	97306	Providence Statewide Plan	Employee & Family	Active	54
F	97402	Providence Choice	Employee & Family	Active	37
F	97489	Providence Choice	Employee & Partner	Active	59
F	97330	Providence Statewide Plan	Employee & Family	Active	53
M	97210	Kaiser Traditional High Deductible	Employee & Family	Active	50
M	97630	Providence Statewide Plan	Employee Only	Active	37
M	98660	Kaiser Traditional High Deductible	Employee & Family	Active	53
M	54115	Providence Statewide Plan	Employee Only	Active	41
F	97405	Providence Choice	Employee & Partner	Active	47
M	97405	Providence Choice	Employee & Family	Active	50
M	97401	Kaiser Deductible Plan	Employee Only	Active	38
M	97124	MODA Synergy Plan	Employee & Family	Active	50
F	97524	Providence Statewide Plan	Employee & Family	Active	47
M	97330	Providence Choice	Employee & Family	Active	52
F	97301	Providence Choice - Part-Time	Employee Only	Active	62
M	97330	MODA Synergy Plan	Employee & Family	Active	42
F	97365	Providence Statewide High Deductible	Employee & Partner	Active	57
M	97303	MODA Synergy High Deductible	Employee & Family	Active	42
M	97060	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	38
F	97306	Providence Choice	Employee & Child(ren)	Active	54
M	97303	Kaiser Traditional (HMO) Plan	Employee & Family	Active	41
F	97322	Providence Choice	Employee & Child(ren)	Active	35
M	97703	Providence Choice	Employee & Family	Active	45
F	97214	Providence Choice	Employee Only	Active	35
M	97229	Providence Choice	Employee & Child(ren)	Active	45
M	97374	MODA Synergy Plan	Employee & Partner	Active	64
F	97103	Providence Choice High Deductible	Employee & Family	Active	61
M	98642	Kaiser Deductible High Deductible	Employee & Child(ren)	Active	53
F	97214	Providence Choice	Employee & Partner	Active	64
M	97330	Providence Choice	Employee Only	Active	36
M	97321	Providence Choice	Employee & Family	Active	39
M	97370	Providence Choice	Employee & Family	Active	33
F	97338	Providence Choice	Employee Only	Active	65
F	97317	Kaiser Traditional (HMO) Plan	Employee & Family	Active	40
F	97303	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	35
M	97302	BHS Medical - Not Enrolled	n/a	Retiree	61
F	97236	MODA Synergy Plan	Employee & Family	Active	42
F	97231	Providence Choice	Employee & Family	Active	66
F	97201	Kaiser Deductible High Deductible	Employee & Partner	Active	48
M	97304	Providence Choice	Employee & Partner	Active	62
M	97217	MODA Synergy Plan	Employee & Family	Active	45
M	97338	Providence Statewide Plan	Employee & Partner	Active	69
M	97056	Providence Choice	Employee & Family	Active	60
F	97068	Medical Opt Out	n/a	Active	50
M	97124	Providence Choice	Employee & Family	Active	45
M	97338	Providence Statewide Plan	Employee & Partner	Active	65
F	97392	Providence Choice	Employee & Partner	Active	52
M	97302	Kaiser Traditional High Deductible	Employee & Family	Active	55
F	97333	Providence Choice	Employee Only	Active	40
F	97404	MODA Synergy Plan	Employee Only	Active	36
M	97321	Providence Statewide Plan	Employee & Partner	Active	62
F	97305	Kaiser Traditional (HMO) Plan	Employee Only	Active	48
M	97520	Providence Choice	Employee Only	Active	40
F	97375	Providence Statewide Plan	Employee & Partner	Active	56
F	97304	Kaiser Traditional High Deductible	Employee & Partner	Active	64
F	97405	MODA Synergy Plan	Employee Only	Active	52
M	97302	Providence Statewide Plan	Employee & Partner	Active	62
F	97523	Providence Statewide Plan	Employee Only	Active	58
M	97213	MODA Synergy High Deductible	Employee Only	Active	49
M	97405	Providence Choice	Employee & Child(ren)	Active	38
F	97206	Providence Choice	Employee & Family	Active	58
M	97304	Providence Choice	Employee & Family	Active	54
F	97007	Kaiser Traditional (HMO) Plan	Employee Only	Active	56
F	97206	MODA Synergy Plan	Employee & Family	Active	42
M	97756	Providence Choice	Employee Only	Active	46
F	97229	Kaiser Traditional (HMO) Plan	Employee Only	Active	58
M	97850	Providence Choice	Employee & Family	Active	44
F	97236	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	61
F	97236	Providence Choice	Employee & Child(ren)	Active	44
F	97457	Providence Statewide Plan	Employee & Partner	Active	52
M	97850	Providence Choice	Employee Only	Active	40
F	97304	Providence Choice	Employee Only	Active	61
F	97301	Providence Choice	Employee & Partner	Active	53
F	97862	Providence Choice	Employee Only	Active	62
M	97524	Providence Statewide High Deductible	Employee & Partner	Active	53
M	97702	Providence Choice	Employee & Partner	Active	43
M	97603	MODA Synergy Plan	Employee & Family	Active	36
M	97301	MODA Synergy Plan	Employee & Family	Active	64
F	97016	Kaiser Traditional (HMO) Plan	Employee Only	Active	61
F	98665	Providence Statewide Plan	Employee Only	Active	45
M	97321	Providence Choice High Deductible	Employee & Family	Active	48
M	97132	Providence Choice	Employee & Family	Active	68
M	97501	Providence Statewide Plan	Employee & Family	Active	59
F	97501	Providence Statewide Plan	Employee Only	Active	79
M	97738	MODA Synergy High Deductible	Employee Only	Active	58
F	97306	Providence Choice	Employee & Child(ren)	Active	39
F	97367	Providence Choice - Retiree	Employee Only	Retiree	63
F	97302	Kaiser Traditional (HMO) Plan	Employee Only	Active	63
F	97404	Providence Choice	Employee Only	Active	36
F	97322	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	55
F	97024	Kaiser Traditional (HMO) Plan	Employee Only	Active	34
F	97009	Providence Choice	Employee & Child(ren)	Active	48
F	97321	Providence Choice	Employee Only	Active	42
F	97267	Providence Choice High Deductible	Employee Only	Active	44
M	83402	Providence Statewide Plan	Employee Only	Active	39
M	97028	MODA Synergy Plan	Employee & Family	Active	55
F	97401	Providence Choice	Employee & Partner	Active	55
M	97030	Providence Choice	Employee & Partner	Active	71
M	97303	Kaiser Traditional High Deductible	Employee Only	Active	63
F	97223	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	53
F	97376	Providence Statewide Plan	Employee & Partner	Active	63
M	97302	Providence Statewide Plan	Employee & Partner	Active	62
F	97401	MODA Synergy Plan	Employee & Family	Active	53
M	97301	Kaiser Traditional (HMO) Plan	Employee & Child(ren)	Active	44
F	97302	Providence Choice	Employee & Family	Active	62
F	97844	Providence Statewide Plan	Employee Only	Active	50
M	97068	Providence Choice	Employee & Partner	Active	79
F	97603	Providence Statewide Plan	Employee & Family	Active	62
F	65041	Providence Statewide Plan	Employee & Child(ren)	Active	46
F	97317	Providence Choice	Employee & Child(ren)	Active	42
M	97305	Kaiser Traditional (HMO) Plan	Employee & Family	Active	36
F	97838	MODA Synergy Plan	Employee Only	Active	58
M	97325	Kaiser Traditional (HMO) Plan	Employee & Family	Active	35
F	97702	Providence Statewide Plan	Employee Only	Active	61
M	97306	Providence Statewide Plan	Employee & Partner	Active	66
M	97027	Providence Choice	Employee Only	Active	45
M	97420	Providence Choice	Employee & Family	Active	54
F	97302	Kaiser Traditional High Deductible	Employee Only	Active	51
M	97303	Providence Choice	Employee & Family	Active	62
M	97211	Providence Choice High Deductible	Employee & Child(ren)	Active	54
M	97301	Kaiser Traditional (HMO) Plan	Employee & Family	Active	59
M	97306	Providence Statewide Plan	Employee & Family	Active	42
M	97303	MODA Synergy Plan	Employee & Partner	Active	65
M	97322	Kaiser Traditional (HMO) Plan	Employee & Partner	Active	60
F	97303	MODA Synergy Plan	Employee Only	Active	51
M	97859	Providence Choice	Employee & Family	Active	39
F	97202	MODA Synergy Plan	Employee & Family	Active	60
F	97070	Providence Choice	Employee & Family	Active	55
M	97041	Providence Statewide Plan	Employee & Partner	Active	64
F	97132	Providence Statewide Plan	Employee & Family	Active	36
F	98620	Providence Statewide Plan	Employee Only	Active	50
M	97358	Providence Statewide Plan	Employee & Family	Active	56
M	97392	Providence Choice	Employee & Partner	Active	62
F	97424	Kaiser Traditional High Deductible	Employee & Child(ren)	Active	45
F	97306	Providence Statewide Plan	Employee & Family	Active	43
M	97058	Providence Statewide Plan	Employee & Child(ren)	Active	57
F	97850	Providence Statewide Plan	Employee & Partner	Active	53
F	97501	Providence Choice	Employee & Family	Active	56
F	97007	Providence Choice	Employee & Partner	Active	55
M	97358	Providence Choice	Employee & Family	Active	57
F	97302	Providence Choice	Employee Only	Active	63
F	97303	MODA Synergy Plan	Employee & Partner	Active	61
M	97306	Providence Choice	Employee & Child(ren)	Active	56
M	97301	Kaiser Traditional High Deductible	Employee & Family	Active	57
F	97603	Providence Statewide High Deductible	Employee & Child(ren)	Active	43
M	97365	Providence Statewide Plan	Employee Only	Active	61
M	97459	MODA Synergy Plan	Employee & Family	Active	48

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Sep 10, 2025.