2020 Plan Information for Hawaii
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 |
| HMSA | 871 | Non-Postal | High Self | Monthly | 157.81 |
| HMSA | 872 | Non-Postal | High Self & Family | Monthly | 354.75 |
| HMSA | 873 | Non-Postal | High Self Plus One | Monthly | 345.77 |
| HMSA | 874 | Non-Postal | Standard Self | Monthly | 107.74 |
| HMSA | 875 | Non-Postal | Standard Self & Family | Monthly | 242.21 |
| HMSA | 876 | Non-Postal | Standard Self Plus One | Monthly | 236.06 |
| Kaiser Permanente - Hawaii | 631 | Non-Postal | High Self | Monthly | 168.89 |
| Kaiser Permanente - Hawaii | 632 | Non-Postal | High Self & Family | Monthly | 376.63 |
| Kaiser Permanente - Hawaii | 633 | Non-Postal | High Self Plus One | Monthly | 414.25 |
| Kaiser Permanente - Hawaii | 634 | Non-Postal | Standard Self | Monthly | 120.29 |
| Kaiser Permanente - Hawaii | 635 | Non-Postal | Standard Self & Family | Monthly | 268.24 |
| Kaiser Permanente - Hawaii | 636 | Non-Postal | Standard Self Plus One | Monthly | 268.24 |