2020 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 | 217.96 |
Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 423.58 |
Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 483.84 |
Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.16 |
Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 386.25 |
Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 335.89 |
Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 115.96 |
Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 307.29 |
Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 255.11 |
Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 493.15 |
Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1104.63 |
Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1173.73 |
Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 562.64 |
Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1266.57 |
Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1334.06 |
Aetna Open Access | 2X1 | Non-Postal | High Self | Monthly | 369.69 |
Aetna Open Access | 2X2 | Non-Postal | High Self & Family | Monthly | 883.22 |
Aetna Open Access | 2X3 | Non-Postal | High Self Plus One | Monthly | 934.44 |
Anthem Blue Cross Select HMO | B31 | Non-Postal | High Self | Monthly | 263.29 |
Anthem Blue Cross Select HMO | B32 | Non-Postal | High Self & Family | Monthly | 584.89 |
Anthem Blue Cross Select HMO | B33 | Non-Postal | High Self Plus One | Monthly | 548.9 |
Blue Shield of California Access+ HMO | SI1 | Non-Postal | Access + HMO Self | Monthly | 323 |
Blue Shield of California Access+ HMO | SI2 | Non-Postal | Access + HMO Self & Family | Monthly | 733.83 |
Blue Shield of California Access+ HMO | SI3 | Non-Postal | Access + HMO Self Plus One | Monthly | 742.19 |
Blue Shield of California Access+ HMO | SI4 | Non-Postal | TRIO HMO Self | Monthly | 229.49 |
Blue Shield of California Access+ HMO | SI5 | Non-Postal | TRIO HMO Self & Family | Monthly | 518.74 |
Blue Shield of California Access+ HMO | SI6 | Non-Postal | TRIO HMO Self Plus One | Monthly | 536.47 |
Health Net of California | LB1 | Non-Postal | High Self | Monthly | 999.72 |
Health Net of California | LB2 | Non-Postal | High Self & Family | Monthly | 2441.36 |
Health Net of California | LB3 | Non-Postal | High Self Plus One | Monthly | 2231 |
Health Net of California | LB4 | Non-Postal | Standard Self | Monthly | 829.7 |
Health Net of California | LB5 | Non-Postal | Standard Self & Family | Monthly | 2033.26 |
Health Net of California | LB6 | Non-Postal | Standard Self Plus One | Monthly | 1856.92 |
Health Net of California | LP1 | Non-Postal | High Self | Monthly | 537.52 |
Health Net of California | LP2 | Non-Postal | High Self & Family | Monthly | 1332.04 |
Health Net of California | LP3 | Non-Postal | High Self Plus One | Monthly | 1214.14 |
Health Net of California | LP4 | Non-Postal | Standard Self | Monthly | 502.47 |
Health Net of California | LP5 | Non-Postal | Standard Self & Family | Monthly | 1247.93 |
Health Net of California | LP6 | Non-Postal | Standard Self Plus One | Monthly | 1137.02 |
Health Net of California | P61 | Non-Postal | Basic Self | Monthly | 81.09 |
Health Net of California | P62 | Non-Postal | Basic Self & Family | Monthly | 194.61 |
Health Net of California | P63 | Non-Postal | Basic Self Plus One | Monthly | 178.4 |
Health Net of California | T41 | Non-Postal | Basic Self | Monthly | 370.99 |
Health Net of California | T42 | Non-Postal | Basic Self & Family | Monthly | 932.38 |
Health Net of California | T43 | Non-Postal | Basic Self Plus One | Monthly | 847.8 |
Kaiser Permanente - Fresno California | NZ1 | Non-Postal | High Self | Monthly | 266.08 |
Kaiser Permanente - Fresno California | NZ2 | Non-Postal | High Self & Family | Monthly | 611.65 |
Kaiser Permanente - Fresno California | NZ3 | Non-Postal | High Self Plus One | Monthly | 703.41 |
Kaiser Permanente - Fresno California | NZ4 | Non-Postal | Standard Self | Monthly | 141.7 |
Kaiser Permanente - Fresno California | NZ5 | Non-Postal | Standard Self & Family | Monthly | 327.49 |
Kaiser Permanente - Fresno California | NZ6 | Non-Postal | Standard Self Plus One | Monthly | 327.49 |
Kaiser Permanente - Northern California | 591 | Non-Postal | High Self | Monthly | 489.62 |
Kaiser Permanente - Northern California | 592 | Non-Postal | High Self & Family | Monthly | 1204.19 |
Kaiser Permanente - Northern California | 593 | Non-Postal | High Self Plus One | Monthly | 1295.95 |
Kaiser Permanente - Northern California | 594 | Non-Postal | Standard Self | Monthly | 299.04 |
Kaiser Permanente - Northern California | 595 | Non-Postal | Standard Self & Family | Monthly | 711.06 |
Kaiser Permanente - Northern California | 596 | Non-Postal | Standard Self Plus One | Monthly | 802.82 |
Kaiser Permanente - Northern California | KC1 | Non-Postal | Basic Self | Monthly | 163.02 |
Kaiser Permanente - Northern California | KC2 | Non-Postal | Basic Self & Family | Monthly | 381.46 |
Kaiser Permanente - Northern California | KC3 | Non-Postal | Basic Self Plus One | Monthly | 433.59 |
Kaiser Permanente - Southern California | 621 | Non-Postal | High Self | Monthly | 224.57 |
Kaiser Permanente - Southern California | 622 | Non-Postal | High Self & Family | Monthly | 515.64 |
Kaiser Permanente - Southern California | 623 | Non-Postal | High Self Plus One | Monthly | 607.4 |
Kaiser Permanente - Southern California | 624 | Non-Postal | Standard Self | Monthly | 116.58 |
Kaiser Permanente - Southern California | 625 | Non-Postal | Standard Self & Family | Monthly | 269.42 |
Kaiser Permanente - Southern California | 626 | Non-Postal | Standard Self Plus One | Monthly | 269.42 |