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Healthcare

2016 Plan Information for California

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 130.08
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 286.94
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 281.31
Aetna Direct N61 Non-Postal CDHP Self Monthly 118.33
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 298.42
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 259.5
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 412.06
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 934.7
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 974.5
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Basic Self Monthly 190.54
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Basic Self & Family Monthly 431.94
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Basic Self Plus One Monthly 476.71
Aetna Open Access 2X1 Non-Postal High Self Monthly 163.02
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 409.61
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 440.37
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 268.02
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 492.11
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 461.91
Blue Shield of California Access+ HMO SI1 Non-Postal High Self Monthly 255.65
Blue Shield of California Access+ HMO SI2 Non-Postal High Self & Family Monthly 556.98
Blue Shield of California Access+ HMO SI3 Non-Postal High Self Plus One Monthly 580.62
Health Net of California LB1 Non-Postal High Self Monthly 839
Health Net of California LB2 Non-Postal High Self & Family Monthly 2064.72
Health Net of California LB3 Non-Postal High Self Plus One Monthly 1864
Health Net of California LB4 Non-Postal Standard Self Monthly 773.63
Health Net of California LB5 Non-Postal Standard Self & Family Monthly 1907.83
Health Net of California LB6 Non-Postal Standard Self Plus One Monthly 1720.18
Health Net of California LP1 Non-Postal High Self Monthly 296.51
Health Net of California LP2 Non-Postal High Self & Family Monthly 762.71
Health Net of California LP3 Non-Postal High Self Plus One Monthly 670.47
Health Net of California LP4 Non-Postal Standard Self Monthly 257.47
Health Net of California LP5 Non-Postal Standard Self & Family Monthly 669.06
Health Net of California LP6 Non-Postal Standard Self Plus One Monthly 584.63
Health Net of California P61 Non-Postal Basic Self Monthly 71.94
Health Net of California P62 Non-Postal Basic Self & Family Monthly 172.64
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 158.26
Kaiser Permanente - Fresno California NZ1 Non-Postal High Self Monthly 151.34
Kaiser Permanente - Fresno California NZ2 Non-Postal High Self & Family Monthly 349.77
Kaiser Permanente - Fresno California NZ3 Non-Postal High Self Plus One Monthly 400.2
Kaiser Permanente - Fresno California NZ4 Non-Postal Standard Self Monthly 98.18
Kaiser Permanente - Fresno California NZ5 Non-Postal Standard Self & Family Monthly 226.92
Kaiser Permanente - Fresno California NZ6 Non-Postal Standard Self Plus One Monthly 226.92
Kaiser Permanente - Northern California 591 Non-Postal High Self Monthly 355.03
Kaiser Permanente - Northern California 592 Non-Postal High Self & Family Monthly 892.66
Kaiser Permanente - Northern California 593 Non-Postal High Self Plus One Monthly 952.2
Kaiser Permanente - Northern California 594 Non-Postal Standard Self Monthly 220.87
Kaiser Permanente - Northern California 595 Non-Postal Standard Self & Family Monthly 540.21
Kaiser Permanente - Northern California 596 Non-Postal Standard Self Plus One Monthly 599.75
Kaiser Permanente - Northern California KC1 Non-Postal Basic Self Monthly 152.39
Kaiser Permanente - Northern California KC2 Non-Postal Basic Self & Family Monthly 367.92
Kaiser Permanente - Northern California KC3 Non-Postal Basic Self Plus One Monthly 427.46
Kaiser Permanente - Southern California 621 Non-Postal High Self Monthly 149.43
Kaiser Permanente - Southern California 622 Non-Postal High Self & Family Monthly 345.37
Kaiser Permanente - Southern California 623 Non-Postal High Self Plus One Monthly 382.61
Kaiser Permanente - Southern California 624 Non-Postal Standard Self Monthly 96.91
Kaiser Permanente - Southern California 625 Non-Postal Standard Self & Family Monthly 223.98
Kaiser Permanente - Southern California 626 Non-Postal Standard Self Plus One Monthly 223.98
UnitedHealthcare of California CY1 Non-Postal High Self Monthly 158.1
UnitedHealthcare of California CY2 Non-Postal High Self & Family Monthly 681.15
UnitedHealthcare of California CY3 Non-Postal High Self Plus One Monthly 302.9
UnitedHealthcare of California CY4 Non-Postal Standard Self Monthly 139.46
UnitedHealthcare of California CY5 Non-Postal Standard Self & Family Monthly 505.85
UnitedHealthcare of California CY6 Non-Postal Standard Self Plus One Monthly 272.38
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