2016 Plan Information for Washington
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 | 130.08 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 286.94 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 281.31 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 118.33 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 298.42 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 259.5 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 234.89 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 531.83 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 575.62 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 133.71 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 306.25 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 300.24 |
| Aetna Open Access | C31 | Non-Postal | High Self | Monthly | 198.58 |
| Aetna Open Access | C32 | Non-Postal | High Self & Family | Monthly | 753.76 |
| Aetna Open Access | C33 | Non-Postal | High Self Plus One | Monthly | 795.36 |
| Kaiser Permanente - Northwest | 571 | Non-Postal | High Self | Monthly | 185.4 |
| Kaiser Permanente - Northwest | 572 | Non-Postal | High Self & Family | Monthly | 404.54 |
| Kaiser Permanente - Northwest | 573 | Non-Postal | High Self Plus One | Monthly | 464.08 |
| Kaiser Permanente - Northwest | 574 | Non-Postal | Standard Self | Monthly | 141.49 |
| Kaiser Permanente - Northwest | 575 | Non-Postal | Standard Self & Family | Monthly | 325.05 |
| Kaiser Permanente - Northwest | 576 | Non-Postal | Standard Self Plus One | Monthly | 325.05 |
| Kaiser Permanente - Washington Core | 541 | Non-Postal | High Self | Monthly | 246.48 |
| Kaiser Permanente - Washington Core | 542 | Non-Postal | High Self & Family | Monthly | 855.27 |
| Kaiser Permanente - Washington Core | 543 | Non-Postal | High Self Plus One | Monthly | 418.66 |
| Kaiser Permanente - Washington Core | 544 | Non-Postal | Standard Self | Monthly | 126.79 |
| Kaiser Permanente - Washington Core | 545 | Non-Postal | Standard Self & Family | Monthly | 342.34 |
| Kaiser Permanente - Washington Core | 546 | Non-Postal | Standard Self Plus One | Monthly | 253.58 |
| Kaiser Permanente - Washington Core | PT1 | Non-Postal | HDHP Self | Monthly | 118.46 |
| Kaiser Permanente - Washington Core | PT2 | Non-Postal | HDHP Self & Family | Monthly | 319.85 |
| Kaiser Permanente - Washington Core | PT3 | Non-Postal | HDHP Self Plus One | Monthly | 236.92 |
| Kaiser Permanente Washington Options Federal | L11 | Non-Postal | Standard Self | Monthly | 155.92 |
| Kaiser Permanente Washington Options Federal | L12 | Non-Postal | Standard Self & Family | Monthly | 425.31 |
| Kaiser Permanente Washington Options Federal | L13 | Non-Postal | Standard Self Plus One | Monthly | 324.57 |
| Kaiser Permanente Washington Options Federal | L14 | Non-Postal | HDHP Self | Monthly | 121.77 |
| Kaiser Permanente Washington Options Federal | L15 | Non-Postal | HDHP Self & Family | Monthly | 285.34 |
| Kaiser Permanente Washington Options Federal | L16 | Non-Postal | HDHP Self Plus One | Monthly | 254 |
| Kaiser Permanente Washington Options Federal | VT1 | Non-Postal | High Self | Monthly | 394.6 |
| Kaiser Permanente Washington Options Federal | VT2 | Non-Postal | High Self & Family | Monthly | 998.12 |
| Kaiser Permanente Washington Options Federal | VT3 | Non-Postal | High Self Plus One | Monthly | 800.58 |