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2022 Plan Information for Washington
Choose a Location, Employee Type, & Payment Period
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Nationwide
Federal & U.S. Postal Service Employee
Certain Temporary Employees
Annuitant
Former Spouse Enrollee
Federal Deposit Insurance Corporation
Temporary Continuation of Coverage (TCC)
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
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
G51
Non-Postal
CDHP Self
Monthly
604.57
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
1345.26
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
1426.9
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
303.85
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
667.12
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
736.93
Kaiser Permanente - Northwest
571
Non-Postal
High Self
Monthly
227.13
Kaiser Permanente - Northwest
572
Non-Postal
High Self & Family
Monthly
467.39
Kaiser Permanente - Northwest
573
Non-Postal
High Self Plus One
Monthly
574.64
Kaiser Permanente - Northwest
574
Non-Postal
Standard Self
Monthly
167.22
Kaiser Permanente - Northwest
575
Non-Postal
Standard Self & Family
Monthly
384.16
Kaiser Permanente - Northwest
576
Non-Postal
Standard Self Plus One
Monthly
399.94
Kaiser Permanente - Northwest
AM1
Non-Postal
Prosper Self
Monthly
97.94
Kaiser Permanente - Northwest
AM2
Non-Postal
Prosper Self & Family
Monthly
242.91
Kaiser Permanente - Northwest
AM3
Non-Postal
Prosper Self Plus One
Monthly
210.57
Kaiser Permanente - Washington Core
541
Non-Postal
High Self
Monthly
339
Kaiser Permanente - Washington Core
542
Non-Postal
High Self & Family
Monthly
668.98
Kaiser Permanente - Washington Core
543
Non-Postal
High Self Plus One
Monthly
776.23
Kaiser Permanente - Washington Core
544
Non-Postal
Standard Self
Monthly
156.3
Kaiser Permanente - Washington Core
545
Non-Postal
Standard Self & Family
Monthly
359.5
Kaiser Permanente - Washington Core
546
Non-Postal
Standard Self Plus One
Monthly
359.5
Kaiser Permanente - Washington Core
PT4
Non-Postal
Prosper Self
Monthly
97.5
Kaiser Permanente - Washington Core
PT5
Non-Postal
Prosper Self & Family
Monthly
272.99
Kaiser Permanente - Washington Core
PT6
Non-Postal
Prosper Self Plus One
Monthly
236.17
Kaiser Permanente Washington Options Federal
L11
Non-Postal
Standard Self
Monthly
227.52
Kaiser Permanente Washington Options Federal
L12
Non-Postal
Standard Self & Family
Monthly
438.88
Kaiser Permanente Washington Options Federal
L13
Non-Postal
Standard Self Plus One
Monthly
546.13
Kaiser Permanente Washington Options Federal
L14
Non-Postal
HDHP Self
Monthly
168.79
Kaiser Permanente Washington Options Federal
L15
Non-Postal
HDHP Self & Family
Monthly
374.71
Kaiser Permanente Washington Options Federal
L16
Non-Postal
HDHP Self Plus One
Monthly
374.71
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
168.02
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
386.46
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
361.26
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT1
Non-Postal
High Self
Monthly
334.34
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT2
Non-Postal
High Self & Family
Monthly
918.21
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT3
Non-Postal
High Self Plus One
Monthly
722.76
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF1
Non-Postal
High Self
Monthly
167.11
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF2
Non-Postal
High Self & Family
Monthly
395.23
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF3
Non-Postal
High Self Plus One
Monthly
359.29
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD1
Non-Postal
High Self
Monthly
164.41
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD2
Non-Postal
High Self & Family
Monthly
388.85
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD3
Non-Postal
High Self Plus One
Monthly
353.49