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2024 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
272.61
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
498.46
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
590.61
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
160.8
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
405.51
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
352.64
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
G51
Non-Postal
CDHP Self
Monthly
733.39
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
1614.27
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
1713.77
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
342.42
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
731.12
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
818.68
Kaiser Permanente - Northwest
571
Non-Postal
High Self
Monthly
260.8
Kaiser Permanente - Northwest
572
Non-Postal
High Self & Family
Monthly
517.31
Kaiser Permanente - Northwest
573
Non-Postal
High Self Plus One
Monthly
646.62
Kaiser Permanente - Northwest
574
Non-Postal
Standard Self
Monthly
187.75
Kaiser Permanente - Northwest
575
Non-Postal
Standard Self & Family
Monthly
431.33
Kaiser Permanente - Northwest
576
Non-Postal
Standard Self Plus One
Monthly
454.57
Kaiser Permanente - Northwest
AM1
Non-Postal
Prosper Self
Monthly
109.77
Kaiser Permanente - Northwest
AM2
Non-Postal
Prosper Self & Family
Monthly
272.24
Kaiser Permanente - Northwest
AM3
Non-Postal
Prosper Self Plus One
Monthly
236.01
Kaiser Permanente - Washington Core
541
Non-Postal
High Self
Monthly
370.22
Kaiser Permanente - Washington Core
542
Non-Postal
High Self & Family
Monthly
708.26
Kaiser Permanente - Washington Core
543
Non-Postal
High Self Plus One
Monthly
837.57
Kaiser Permanente - Washington Core
544
Non-Postal
Standard Self
Monthly
177.88
Kaiser Permanente - Washington Core
545
Non-Postal
Standard Self & Family
Monthly
409.14
Kaiser Permanente - Washington Core
546
Non-Postal
Standard Self Plus One
Monthly
409.14
Kaiser Permanente - Washington Core
PT4
Non-Postal
Prosper Self
Monthly
99.45
Kaiser Permanente - Washington Core
PT5
Non-Postal
Prosper Self & Family
Monthly
278.47
Kaiser Permanente - Washington Core
PT6
Non-Postal
Prosper Self Plus One
Monthly
240.9
Kaiser Permanente Washington Options Federal
L11
Non-Postal
Standard Self
Monthly
172.32
Kaiser Permanente Washington Options Federal
L12
Non-Postal
Standard Self & Family
Monthly
382.56
Kaiser Permanente Washington Options Federal
L13
Non-Postal
Standard Self Plus One
Monthly
382.56
Kaiser Permanente Washington Options Federal
L14
Non-Postal
HDHP Self
Monthly
182.12
Kaiser Permanente Washington Options Federal
L15
Non-Postal
HDHP Self & Family
Monthly
404.29
Kaiser Permanente Washington Options Federal
L16
Non-Postal
HDHP Self Plus One
Monthly
404.29
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
195.61
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
449.89
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
420.54
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT1
Non-Postal
High Self
Monthly
485.18
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT2
Non-Postal
High Self & Family
Monthly
1283.16
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT3
Non-Postal
High Self Plus One
Monthly
1036.82
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF1
Non-Postal
High Self
Monthly
203.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF2
Non-Postal
High Self & Family
Monthly
472.61
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF3
Non-Postal
High Self Plus One
Monthly
431.67
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD1
Non-Postal
High Self
Monthly
194.6
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD2
Non-Postal
High Self & Family
Monthly
460.23
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD3
Non-Postal
High Self Plus One
Monthly
418.39
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service