2022 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 | 293.78 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 574.3 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 645.93 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 157.07 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 396.12 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 344.47 |
| 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 | 506.81 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1120.71 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1204.54 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 563.98 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1254.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1337.24 |
| 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 | 113.46 |
| HMSA | 875 | Non-Postal | Standard Self & Family | Monthly | 255.04 |
| HMSA | 876 | Non-Postal | Standard Self Plus One | Monthly | 248.57 |
| 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 | 376.63 |
| Kaiser Permanente - Hawaii | 634 | Non-Postal | Standard Self | Monthly | 121.34 |
| Kaiser Permanente - Hawaii | 635 | Non-Postal | Standard Self & Family | Monthly | 270.59 |
| Kaiser Permanente - Hawaii | 636 | Non-Postal | Standard Self Plus One | Monthly | 270.59 |