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2025 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
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
G51
Non-Postal
CDHP Self
Monthly
712.1
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
1549.9
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
1658.46
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
386.6
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
817.07
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
909.94
Kaiser Permanente - Northwest
571
Non-Postal
High Self
Monthly
287.08
Kaiser Permanente - Northwest
572
Non-Postal
High Self & Family
Monthly
559.69
Kaiser Permanente - Northwest
573
Non-Postal
High Self Plus One
Monthly
698.86
Kaiser Permanente - Northwest
574
Non-Postal
Standard Self
Monthly
209.01
Kaiser Permanente - Northwest
575
Non-Postal
Standard Self & Family
Monthly
480.16
Kaiser Permanente - Northwest
576
Non-Postal
Standard Self Plus One
Monthly
512.31
Kaiser Permanente - Northwest
AM1
Non-Postal
Prosper Self
Monthly
115.33
Kaiser Permanente - Northwest
AM2
Non-Postal
Prosper Self & Family
Monthly
286.02
Kaiser Permanente - Northwest
AM3
Non-Postal
Prosper Self Plus One
Monthly
247.95
Kaiser Permanente - Washington Core
541
Non-Postal
High Self
Monthly
452.25
Kaiser Permanente - Washington Core
542
Non-Postal
High Self & Family
Monthly
868.31
Kaiser Permanente - Washington Core
543
Non-Postal
High Self Plus One
Monthly
1007.48
Kaiser Permanente - Washington Core
544
Non-Postal
Standard Self
Monthly
208.56
Kaiser Permanente - Washington Core
545
Non-Postal
Standard Self & Family
Monthly
479.7
Kaiser Permanente - Washington Core
546
Non-Postal
Standard Self Plus One
Monthly
510.49
Kaiser Permanente - Washington Core
PT4
Non-Postal
Prosper Self
Monthly
103.06
Kaiser Permanente - Washington Core
PT5
Non-Postal
Prosper Self & Family
Monthly
288.58
Kaiser Permanente - Washington Core
PT6
Non-Postal
Prosper Self Plus One
Monthly
249.64
Kaiser Permanente Washington Options Federal
L11
Non-Postal
Standard Self
Monthly
188.63
Kaiser Permanente Washington Options Federal
L12
Non-Postal
Standard Self & Family
Monthly
418.76
Kaiser Permanente Washington Options Federal
L13
Non-Postal
Standard Self Plus One
Monthly
418.76
Kaiser Permanente Washington Options Federal
L14
Non-Postal
HDHP Self
Monthly
197.65
Kaiser Permanente Washington Options Federal
L15
Non-Postal
HDHP Self & Family
Monthly
438.77
Kaiser Permanente Washington Options Federal
L16
Non-Postal
HDHP Self Plus One
Monthly
438.77
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
212.97
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
489.83
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
457.89
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF1
Non-Postal
High Self
Monthly
195.24
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF2
Non-Postal
High Self & Family
Monthly
461.75
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF3
Non-Postal
High Self Plus One
Monthly
419.77
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD1
Non-Postal
High Self
Monthly
192.84
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD2
Non-Postal
High Self & Family
Monthly
456.08
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD3
Non-Postal
High Self Plus One
Monthly
414.61
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service