2019 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 | 164.93 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 363.8 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 360.1 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 139.33 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 351.38 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 305.56 |
Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 550.32 |
Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1253.16 |
Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1301.1 |
Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 305.27 |
Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 697.22 |
Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 750.66 |
Aetna Open Access | 2X1 | Non-Postal | High Self | Monthly | 265.2 |
Aetna Open Access | 2X2 | Non-Postal | High Self & Family | Monthly | 655.25 |
Aetna Open Access | 2X3 | Non-Postal | High Self Plus One | Monthly | 691.68 |
Anthem Blue Cross Select HMO | B31 | Non-Postal | High Self | Monthly | 271.57 |
Anthem Blue Cross Select HMO | B32 | Non-Postal | High Self & Family | Monthly | 594.99 |
Anthem Blue Cross Select HMO | B33 | Non-Postal | High Self Plus One | Monthly | 543.35 |
Blue Shield of California Access+ HMO | SI1 | Non-Postal | High Self | Monthly | 280.57 |
Blue Shield of California Access+ HMO | SI2 | Non-Postal | High Self & Family | Monthly | 654.21 |
Blue Shield of California Access+ HMO | SI3 | Non-Postal | High Self Plus One | Monthly | 647.85 |
Blue Shield of California Access+ HMO | SI4 | Non-Postal | Standard Self | Monthly | 206.36 |
Blue Shield of California Access+ HMO | SI5 | Non-Postal | Standard Self & Family | Monthly | 483.5 |
Blue Shield of California Access+ HMO | SI6 | Non-Postal | Standard Self Plus One | Monthly | 484.59 |
Health Net of California | LB1 | Non-Postal | High Self | Monthly | 862.68 |
Health Net of California | LB2 | Non-Postal | High Self & Family | Monthly | 2129.19 |
Health Net of California | LB3 | Non-Postal | High Self Plus One | Monthly | 1928.5 |
Health Net of California | LB4 | Non-Postal | Standard Self | Monthly | 790.69 |
Health Net of California | LB5 | Non-Postal | Standard Self & Family | Monthly | 1956.4 |
Health Net of California | LB6 | Non-Postal | Standard Self Plus One | Monthly | 1770.12 |
Health Net of California | LP1 | Non-Postal | High Self | Monthly | 494.33 |
Health Net of California | LP2 | Non-Postal | High Self & Family | Monthly | 1245.14 |
Health Net of California | LP3 | Non-Postal | High Self Plus One | Monthly | 1118.13 |
Health Net of California | LP4 | Non-Postal | Standard Self | Monthly | 446.92 |
Health Net of California | LP5 | Non-Postal | Standard Self & Family | Monthly | 1131.35 |
Health Net of California | LP6 | Non-Postal | Standard Self Plus One | Monthly | 1013.82 |
Health Net of California | P61 | Non-Postal | Basic Self | Monthly | 83.09 |
Health Net of California | P62 | Non-Postal | Basic Self & Family | Monthly | 199.42 |
Health Net of California | P63 | Non-Postal | Basic Self Plus One | Monthly | 182.81 |
Health Net of California | T41 | Non-Postal | Basic Self | Monthly | 291.57 |
Health Net of California | T42 | Non-Postal | Basic Self & Family | Monthly | 758.51 |
Health Net of California | T43 | Non-Postal | Basic Self Plus One | Monthly | 672.03 |
Kaiser Permanente - Fresno California | NZ1 | Non-Postal | High Self | Monthly | 232.31 |
Kaiser Permanente - Fresno California | NZ2 | Non-Postal | High Self & Family | Monthly | 551.36 |
Kaiser Permanente - Fresno California | NZ3 | Non-Postal | High Self Plus One | Monthly | 622.96 |
Kaiser Permanente - Fresno California | NZ4 | Non-Postal | Standard Self | Monthly | 133.67 |
Kaiser Permanente - Fresno California | NZ5 | Non-Postal | Standard Self & Family | Monthly | 308.93 |
Kaiser Permanente - Fresno California | NZ6 | Non-Postal | Standard Self Plus One | Monthly | 308.93 |
Kaiser Permanente - Northern California | 591 | Non-Postal | High Self | Monthly | 493.77 |
Kaiser Permanente - Northern California | 592 | Non-Postal | High Self & Family | Monthly | 1230.95 |
Kaiser Permanente - Northern California | 593 | Non-Postal | High Self Plus One | Monthly | 1302.55 |
Kaiser Permanente - Northern California | 594 | Non-Postal | Standard Self | Monthly | 298.85 |
Kaiser Permanente - Northern California | 595 | Non-Postal | Standard Self & Family | Monthly | 728.09 |
Kaiser Permanente - Northern California | 596 | Non-Postal | Standard Self Plus One | Monthly | 799.69 |
Kaiser Permanente - Northern California | KC1 | Non-Postal | Basic Self | Monthly | 160.2 |
Kaiser Permanente - Northern California | KC2 | Non-Postal | Basic Self & Family | Monthly | 374.86 |
Kaiser Permanente - Northern California | KC3 | Non-Postal | Basic Self Plus One | Monthly | 432.85 |
Kaiser Permanente - Southern California | 621 | Non-Postal | High Self | Monthly | 188.48 |
Kaiser Permanente - Southern California | 622 | Non-Postal | High Self & Family | Monthly | 450.06 |
Kaiser Permanente - Southern California | 623 | Non-Postal | High Self Plus One | Monthly | 521.66 |
Kaiser Permanente - Southern California | 624 | Non-Postal | Standard Self | Monthly | 107.84 |
Kaiser Permanente - Southern California | 625 | Non-Postal | Standard Self & Family | Monthly | 249.23 |
Kaiser Permanente - Southern California | 626 | Non-Postal | Standard Self Plus One | Monthly | 249.23 |