2018 Plan Information for California
Choose a Location, Employee Type, & Payment Period
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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 | 151.86 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 334.98 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 328.41 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 131.92 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 332.67 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 289.29 |
Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 546.24 |
Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1247.37 |
Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1290.12 |
Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 267.63 |
Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 614.79 |
Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 663.78 |
Aetna Open Access | 2X1 | Non-Postal | High Self | Monthly | 254.69 |
Aetna Open Access | 2X2 | Non-Postal | High Self & Family | Monthly | 633.9 |
Aetna Open Access | 2X3 | Non-Postal | High Self Plus One | Monthly | 665.58 |
Anthem Blue Cross Select HMO | B31 | Non-Postal | High Self | Monthly | 281.67 |
Anthem Blue Cross Select HMO | B32 | Non-Postal | High Self & Family | Monthly | 574.54 |
Anthem Blue Cross Select HMO | B33 | Non-Postal | High Self Plus One | Monthly | 531.83 |
Blue Shield of California Access+ HMO | SI1 | Non-Postal | High Self | Monthly | 245.46 |
Blue Shield of California Access+ HMO | SI2 | Non-Postal | High Self & Family | Monthly | 576.94 |
Blue Shield of California Access+ HMO | SI3 | Non-Postal | High Self Plus One | Monthly | 568.97 |
Health Net of California | LB1 | Non-Postal | High Self | Monthly | 886.86 |
Health Net of California | LB2 | Non-Postal | High Self & Family | Monthly | 2190.46 |
Health Net of California | LB3 | Non-Postal | High Self Plus One | Monthly | 1980.03 |
Health Net of California | LB4 | Non-Postal | Standard Self | Monthly | 809.7 |
Health Net of California | LB5 | Non-Postal | Standard Self & Family | Monthly | 2005.32 |
Health Net of California | LB6 | Non-Postal | Standard Self Plus One | Monthly | 1810.3 |
Health Net of California | LP1 | Non-Postal | High Self | Monthly | 416.84 |
Health Net of California | LP2 | Non-Postal | High Self & Family | Monthly | 1062.4 |
Health Net of California | LP3 | Non-Postal | High Self Plus One | Monthly | 945.97 |
Health Net of California | LP4 | Non-Postal | Standard Self | Monthly | 378.84 |
Health Net of California | LP5 | Non-Postal | Standard Self & Family | Monthly | 971.27 |
Health Net of California | LP6 | Non-Postal | Standard Self Plus One | Monthly | 862.4 |
Health Net of California | P61 | Non-Postal | Basic Self | Monthly | 76.6 |
Health Net of California | P62 | Non-Postal | Basic Self & Family | Monthly | 183.85 |
Health Net of California | P63 | Non-Postal | Basic Self Plus One | Monthly | 168.53 |
Health Net of California | T41 | Non-Postal | Basic Self | Monthly | 290.46 |
Health Net of California | T42 | Non-Postal | Basic Self & Family | Monthly | 759.14 |
Health Net of California | T43 | Non-Postal | Basic Self Plus One | Monthly | 667.94 |
Kaiser Permanente - Fresno California | NZ1 | Non-Postal | High Self | Monthly | 217.1 |
Kaiser Permanente - Fresno California | NZ2 | Non-Postal | High Self & Family | Monthly | 519.7 |
Kaiser Permanente - Fresno California | NZ3 | Non-Postal | High Self Plus One | Monthly | 585.96 |
Kaiser Permanente - Fresno California | NZ4 | Non-Postal | Standard Self | Monthly | 127.91 |
Kaiser Permanente - Fresno California | NZ5 | Non-Postal | Standard Self & Family | Monthly | 295.62 |
Kaiser Permanente - Fresno California | NZ6 | Non-Postal | Standard Self Plus One | Monthly | 295.62 |
Kaiser Permanente - Northern California | 591 | Non-Postal | High Self | Monthly | 423.78 |
Kaiser Permanente - Northern California | 592 | Non-Postal | High Self & Family | Monthly | 1067.24 |
Kaiser Permanente - Northern California | 593 | Non-Postal | High Self Plus One | Monthly | 1133.5 |
Kaiser Permanente - Northern California | 594 | Non-Postal | Standard Self | Monthly | 262.6 |
Kaiser Permanente - Northern California | 595 | Non-Postal | Standard Self & Family | Monthly | 646.71 |
Kaiser Permanente - Northern California | 596 | Non-Postal | Standard Self Plus One | Monthly | 712.97 |
Kaiser Permanente - Northern California | KC1 | Non-Postal | Basic Self | Monthly | 161.35 |
Kaiser Permanente - Northern California | KC2 | Non-Postal | Basic Self & Family | Monthly | 380.12 |
Kaiser Permanente - Northern California | KC3 | Non-Postal | Basic Self Plus One | Monthly | 446.38 |
Kaiser Permanente - Southern California | 621 | Non-Postal | High Self | Monthly | 164.54 |
Kaiser Permanente - Southern California | 622 | Non-Postal | High Self & Family | Monthly | 391.06 |
Kaiser Permanente - Southern California | 623 | Non-Postal | High Self Plus One | Monthly | 457.32 |
Kaiser Permanente - Southern California | 624 | Non-Postal | Standard Self | Monthly | 103.94 |
Kaiser Permanente - Southern California | 625 | Non-Postal | Standard Self & Family | Monthly | 240.26 |
Kaiser Permanente - Southern California | 626 | Non-Postal | Standard Self Plus One | Monthly | 240.26 |
UnitedHealthcare of California | CY1 | Non-Postal | High Self | Monthly | 217.42 |
UnitedHealthcare of California | CY2 | Non-Postal | High Self & Family | Monthly | 872.24 |
UnitedHealthcare of California | CY3 | Non-Postal | High Self Plus One | Monthly | 348.65 |
UnitedHealthcare of California | CY4 | Non-Postal | Standard Self | Monthly | 167.31 |
UnitedHealthcare of California | CY5 | Non-Postal | Standard Self & Family | Monthly | 731.81 |
UnitedHealthcare of California | CY6 | Non-Postal | Standard Self Plus One | Monthly | 324.2 |