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2023 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
269.92
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
511.92
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
586.26
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
160.35
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
404.39
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
351.67
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
589.68
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
1303.9
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
1388.18
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
311.33
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
677.2
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
748.24
Kaiser Permanente - Northwest
571
Non-Postal
High Self
Monthly
235.49
Kaiser Permanente - Northwest
572
Non-Postal
High Self & Family
Monthly
478.17
Kaiser Permanente - Northwest
573
Non-Postal
High Self Plus One
Monthly
588.45
Kaiser Permanente - Northwest
574
Non-Postal
Standard Self
Monthly
173.84
Kaiser Permanente - Northwest
575
Non-Postal
Standard Self & Family
Monthly
399.37
Kaiser Permanente - Northwest
576
Non-Postal
Standard Self Plus One
Monthly
399.37
Kaiser Permanente - Northwest
AM1
Non-Postal
Prosper Self
Monthly
102.66
Kaiser Permanente - Northwest
AM2
Non-Postal
Prosper Self & Family
Monthly
254.59
Kaiser Permanente - Northwest
AM3
Non-Postal
Prosper Self Plus One
Monthly
220.7
Kaiser Permanente - Washington Core
541
Non-Postal
High Self
Monthly
340.06
Kaiser Permanente - Washington Core
542
Non-Postal
High Self & Family
Monthly
661.38
Kaiser Permanente - Washington Core
543
Non-Postal
High Self Plus One
Monthly
771.66
Kaiser Permanente - Washington Core
544
Non-Postal
Standard Self
Monthly
160.21
Kaiser Permanente - Washington Core
545
Non-Postal
Standard Self & Family
Monthly
368.48
Kaiser Permanente - Washington Core
546
Non-Postal
Standard Self Plus One
Monthly
368.48
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
169
Kaiser Permanente Washington Options Federal
L12
Non-Postal
Standard Self & Family
Monthly
375.17
Kaiser Permanente Washington Options Federal
L13
Non-Postal
Standard Self Plus One
Monthly
375.17
Kaiser Permanente Washington Options Federal
L14
Non-Postal
HDHP Self
Monthly
179.99
Kaiser Permanente Washington Options Federal
L15
Non-Postal
HDHP Self & Family
Monthly
399.56
Kaiser Permanente Washington Options Federal
L16
Non-Postal
HDHP Self Plus One
Monthly
399.56
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
177.16
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
407.44
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
380.88
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT1
Non-Postal
High Self
Monthly
400.72
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT2
Non-Postal
High Self & Family
Monthly
1083.88
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT3
Non-Postal
High Self Plus One
Monthly
856.94
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF1
Non-Postal
High Self
Monthly
177.43
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF2
Non-Postal
High Self & Family
Monthly
419.62
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF3
Non-Postal
High Self Plus One
Monthly
381.47
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD1
Non-Postal
High Self
Monthly
158.58
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD2
Non-Postal
High Self & Family
Monthly
375.04
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD3
Non-Postal
High Self Plus One
Monthly
340.95
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service