2025 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 | 292.93 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 523.23 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 621.86 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 166.53 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 419.96 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 365.21 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 115.34 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 305.63 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 253.74 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 757.16 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1650.7 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1758.19 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 702.52 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1530.58 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1639.37 |
| Aetna Open Access | 2X1 | Non-Postal | High Self | Monthly | 724.56 |
| Aetna Open Access | 2X2 | Non-Postal | High Self & Family | Monthly | 1669.68 |
| Aetna Open Access | 2X3 | Non-Postal | High Self Plus One | Monthly | 1745.82 |
| Anthem Blue Cross Select HMO | B31 | Non-Postal | High Self | Monthly | 204.68 |
| Anthem Blue Cross Select HMO | B32 | Non-Postal | High Self & Family | Monthly | 487.35 |
| Anthem Blue Cross Select HMO | B33 | Non-Postal | High Self Plus One | Monthly | 442.31 |
| Health Net of California | LB1 | Non-Postal | High Self | Monthly | 1366 |
| Health Net of California | LB2 | Non-Postal | High Self & Family | Monthly | 3280.92 |
| Health Net of California | LB3 | Non-Postal | High Self Plus One | Monthly | 3017.74 |
| Health Net of California | LP1 | Non-Postal | High Self | Monthly | 841.21 |
| Health Net of California | LP2 | Non-Postal | High Self & Family | Monthly | 2021.37 |
| Health Net of California | LP3 | Non-Postal | High Self Plus One | Monthly | 1863.12 |
| Health Net of California | P61 | Non-Postal | Basic Self | Monthly | 143.33 |
| Health Net of California | P62 | Non-Postal | Basic Self & Family | Monthly | 344.01 |
| Health Net of California | P63 | Non-Postal | Basic Self Plus One | Monthly | 315.33 |
| Health Net of California | P64 | Non-Postal | Standard Self | Monthly | 277.53 |
| Health Net of California | P65 | Non-Postal | Standard Self & Family | Monthly | 668.59 |
| Health Net of California | P66 | Non-Postal | Standard Self Plus One | Monthly | 623.09 |
| Kaiser Permanente - Fresno California | NZ1 | Non-Postal | High Self | Monthly | 343.11 |
| Kaiser Permanente - Fresno California | NZ2 | Non-Postal | High Self & Family | Monthly | 738.18 |
| Kaiser Permanente - Fresno California | NZ3 | Non-Postal | High Self Plus One | Monthly | 877.35 |
| Kaiser Permanente - Fresno California | NZ4 | Non-Postal | Standard Self | Monthly | 186.87 |
| Kaiser Permanente - Fresno California | NZ5 | Non-Postal | Standard Self & Family | Monthly | 431.9 |
| Kaiser Permanente - Fresno California | NZ6 | Non-Postal | Standard Self Plus One | Monthly | 431.9 |
| Kaiser Permanente - Northern California | 591 | Non-Postal | High Self | Monthly | 421.87 |
| Kaiser Permanente - Northern California | 592 | Non-Postal | High Self & Family | Monthly | 1001.24 |
| Kaiser Permanente - Northern California | 593 | Non-Postal | High Self Plus One | Monthly | 1140.41 |
| Kaiser Permanente - Northern California | 594 | Non-Postal | Standard Self | Monthly | 234.87 |
| Kaiser Permanente - Northern California | 595 | Non-Postal | Standard Self & Family | Monthly | 515.22 |
| Kaiser Permanente - Northern California | 596 | Non-Postal | Standard Self Plus One | Monthly | 652.54 |
| Kaiser Permanente - Northern California | KC1 | Non-Postal | Prosper Self | Monthly | 172.55 |
| Kaiser Permanente - Northern California | KC2 | Non-Postal | Prosper Self & Family | Monthly | 403.76 |
| Kaiser Permanente - Northern California | KC3 | Non-Postal | Prosper Self Plus One | Monthly | 403.76 |
| Kaiser Permanente - Southern California | 621 | Non-Postal | High Self | Monthly | 278.55 |
| Kaiser Permanente - Southern California | 622 | Non-Postal | High Self & Family | Monthly | 588.99 |
| Kaiser Permanente - Southern California | 623 | Non-Postal | High Self Plus One | Monthly | 728.16 |
| Kaiser Permanente - Southern California | 624 | Non-Postal | Standard Self | Monthly | 155.71 |
| Kaiser Permanente - Southern California | 625 | Non-Postal | Standard Self & Family | Monthly | 359.85 |
| Kaiser Permanente - Southern California | 626 | Non-Postal | Standard Self Plus One | Monthly | 359.85 |
| Kaiser Permanente - Southern California | FL1 | Non-Postal | Prosper Self | Monthly | 103.16 |
| Kaiser Permanente - Southern California | FL2 | Non-Postal | Prosper Self & Family | Monthly | 288.85 |
| Kaiser Permanente - Southern California | FL3 | Non-Postal | Prosper Self Plus One | Monthly | 237.27 |
| Sharp Health Plan | YJ4 | Non-Postal | Standard Self | Monthly | 177.18 |
| Sharp Health Plan | YJ5 | Non-Postal | Standard Self & Family | Monthly | 425.23 |
| Sharp Health Plan | YJ6 | Non-Postal | Standard Self Plus One | Monthly | 389.8 |
| Western Health Advantage | W51 | Non-Postal | High Self | Monthly | 230.3 |
| Western Health Advantage | W52 | Non-Postal | High Self & Family | Monthly | 555.25 |
| Western Health Advantage | W53 | Non-Postal | High Self Plus One | Monthly | 694.42 |