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Healthcare

2021 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 262.6
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 515.62
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 578.72
Aetna Direct N61 Non-Postal CDHP Self Monthly 153.96
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 388.27
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 337.64
Aetna Direct Z24 Non-Postal Advantage Self Monthly 125
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 331.25
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 275
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 486.51
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1083.94
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1158.17
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 571.16
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 1280.59
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 1352.91
Aetna Open Access 2X1 Non-Postal High Self Monthly 413.25
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 980.81
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 1034.74
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 250.71
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 550.7
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 520
Blue Shield of California Access+ HMO SI1 Non-Postal Access + HMO Self Monthly 335.45
Blue Shield of California Access+ HMO SI2 Non-Postal Access + HMO Self & Family Monthly 757.18
Blue Shield of California Access+ HMO SI3 Non-Postal Access + HMO Self Plus One Monthly 768.33
Health Net of California LB1 Non-Postal High Self Monthly 1027.22
Health Net of California LB2 Non-Postal High Self & Family Monthly 2503.28
Health Net of California LB3 Non-Postal High Self Plus One Monthly 2290.19
Health Net of California LB4 Non-Postal Standard Self Monthly 942.72
Health Net of California LB5 Non-Postal Standard Self & Family Monthly 2300.5
Health Net of California LB6 Non-Postal Standard Self Plus One Monthly 2104.34
Health Net of California LP1 Non-Postal High Self Monthly 489.56
Health Net of California LP2 Non-Postal High Self & Family Monthly 1212.96
Health Net of California LP3 Non-Postal High Self Plus One Monthly 1107.41
Health Net of California P61 Non-Postal Basic Self Monthly 91.01
Health Net of California P62 Non-Postal Basic Self & Family Monthly 218.43
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 200.23
Health Net of California T41 Non-Postal Basic Self Monthly 370.76
Health Net of California T42 Non-Postal Basic Self & Family Monthly 927.83
Health Net of California T43 Non-Postal Basic Self Plus One Monthly 846.04
Kaiser Permanente - Fresno California NZ1 Non-Postal High Self Monthly 279.57
Kaiser Permanente - Fresno California NZ2 Non-Postal High Self & Family Monthly 637.65
Kaiser Permanente - Fresno California NZ3 Non-Postal High Self Plus One Monthly 734.7
Kaiser Permanente - Fresno California NZ4 Non-Postal Standard Self Monthly 147.53
Kaiser Permanente - Fresno California NZ5 Non-Postal Standard Self & Family Monthly 340.97
Kaiser Permanente - Fresno California NZ6 Non-Postal Standard Self Plus One Monthly 340.97
Kaiser Permanente - Northern California 591 Non-Postal High Self Monthly 491.12
Kaiser Permanente - Northern California 592 Non-Postal High Self & Family Monthly 1203.65
Kaiser Permanente - Northern California 593 Non-Postal High Self Plus One Monthly 1300.7
Kaiser Permanente - Northern California 594 Non-Postal Standard Self Monthly 299.26
Kaiser Permanente - Northern California 595 Non-Postal Standard Self & Family Monthly 706.9
Kaiser Permanente - Northern California 596 Non-Postal Standard Self Plus One Monthly 803.95
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 404.69
Kaiser Permanente - Southern California 621 Non-Postal High Self Monthly 226.77
Kaiser Permanente - Southern California 622 Non-Postal High Self & Family Monthly 515.62
Kaiser Permanente - Southern California 623 Non-Postal High Self Plus One Monthly 612.67
Kaiser Permanente - Southern California 624 Non-Postal Standard Self Monthly 118.36
Kaiser Permanente - Southern California 625 Non-Postal Standard Self & Family Monthly 273.55
Kaiser Permanente - Southern California 626 Non-Postal Standard Self Plus One Monthly 273.55
UnitedHealthcare Advantage Plan Y51 Non-Postal High Self Monthly 102.93
UnitedHealthcare Advantage Plan Y52 Non-Postal High Self & Family Monthly 272.77
UnitedHealthcare Advantage Plan Y53 Non-Postal High Self Plus One Monthly 226.45
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