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2020 Plan Information for Washington
Choose a Location, Employee Type, & Payment Period
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South Carolina
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Texas
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Virginia
Washington
West Virginia
Wisconsin
Wyoming
Nationwide
Non-Postal
Certain Temporary Employees
Annuitant
U.S. Postal Service (Category 1)
Former Spouse Enrollee
Federal Deposit Insurance Corporation
Temporary Continuation of Coverage (TCC)
U.S. Postal Service (Category 2)
Tribal Employee
Biweekly
Every Four Weeks
Semi-Monthly
Monthly
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
G51
Non-Postal
CDHP Self
Monthly
393.66
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
879.08
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
950.45
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
201.89
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
448.35
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
508.11
Kaiser Permanente - Northwest
571
Non-Postal
High Self
Monthly
219.09
Kaiser Permanente - Northwest
572
Non-Postal
High Self & Family
Monthly
464.68
Kaiser Permanente - Northwest
573
Non-Postal
High Self Plus One
Monthly
556.44
Kaiser Permanente - Northwest
574
Non-Postal
Standard Self
Monthly
161.99
Kaiser Permanente - Northwest
575
Non-Postal
Standard Self & Family
Monthly
372.13
Kaiser Permanente - Northwest
576
Non-Postal
Standard Self Plus One
Monthly
396.28
Kaiser Permanente - Washington Core
541
Non-Postal
High Self
Monthly
334.9
Kaiser Permanente - Washington Core
542
Non-Postal
High Self & Family
Monthly
676.63
Kaiser Permanente - Washington Core
543
Non-Postal
High Self Plus One
Monthly
768.39
Kaiser Permanente - Washington Core
544
Non-Postal
Standard Self
Monthly
151.03
Kaiser Permanente - Washington Core
545
Non-Postal
Standard Self & Family
Monthly
347.38
Kaiser Permanente - Washington Core
546
Non-Postal
Standard Self Plus One
Monthly
347.38
Kaiser Permanente Washington Options Federal
L11
Non-Postal
Standard Self
Monthly
217.05
Kaiser Permanente Washington Options Federal
L12
Non-Postal
Standard Self & Family
Monthly
431.88
Kaiser Permanente Washington Options Federal
L13
Non-Postal
Standard Self Plus One
Monthly
523.64
Kaiser Permanente Washington Options Federal
L14
Non-Postal
HDHP Self
Monthly
161.39
Kaiser Permanente Washington Options Federal
L15
Non-Postal
HDHP Self & Family
Monthly
358.28
Kaiser Permanente Washington Options Federal
L16
Non-Postal
HDHP Self Plus One
Monthly
358.28
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
110.96
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
255.21
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
238.57
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT1
Non-Postal
High Self
Monthly
213.93
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT2
Non-Postal
High Self & Family
Monthly
627.88
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT3
Non-Postal
High Self Plus One
Monthly
465.99
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF1
Non-Postal
High Self
Monthly
130.71
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF2
Non-Postal
High Self & Family
Monthly
309.1
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF3
Non-Postal
High Self Plus One
Monthly
281.01
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD1
Non-Postal
High Self
Monthly
130.5
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD2
Non-Postal
High Self & Family
Monthly
308.59
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD3
Non-Postal
High Self Plus One
Monthly
280.56
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service
