2024 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 | 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 | JS1 | Non-Postal | CDHP Self | Monthly | 720.5 |
Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1582.96 |
Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1682.72 |
Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 582.66 |
Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1272.61 |
Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1375.53 |
Aetna Open Access | 2X1 | Non-Postal | High Self | Monthly | 627.1 |
Aetna Open Access | 2X2 | Non-Postal | High Self & Family | Monthly | 1452.81 |
Aetna Open Access | 2X3 | Non-Postal | High Self Plus One | Monthly | 1526.22 |
Anthem Blue Cross Select HMO | B31 | Non-Postal | High Self | Monthly | 216.51 |
Anthem Blue Cross Select HMO | B32 | Non-Postal | High Self & Family | Monthly | 466.2 |
Anthem Blue Cross Select HMO | B33 | Non-Postal | High Self Plus One | Monthly | 436.82 |
Blue Shield of California Access+ HMO | SI1 | Non-Postal | Access + HMO Self | Monthly | 458.05 |
Blue Shield of California Access+ HMO | SI2 | Non-Postal | Access + HMO Self & Family | Monthly | 1006.11 |
Blue Shield of California Access+ HMO | SI3 | Non-Postal | Access + HMO Self Plus One | Monthly | 1030.84 |
Health Net of California | LB1 | Non-Postal | High Self | Monthly | 1192.34 |
Health Net of California | LB2 | Non-Postal | High Self & Family | Monthly | 2873 |
Health Net of California | LB3 | Non-Postal | High Self Plus One | Monthly | 2646.19 |
Health Net of California | LP1 | Non-Postal | High Self | Monthly | 551.89 |
Health Net of California | LP2 | Non-Postal | High Self & Family | Monthly | 1335.92 |
Health Net of California | LP3 | Non-Postal | High Self Plus One | Monthly | 1237.21 |
Health Net of California | P61 | Non-Postal | Basic Self | Monthly | 115.36 |
Health Net of California | P62 | Non-Postal | Basic Self & Family | Monthly | 276.87 |
Health Net of California | P63 | Non-Postal | Basic Self Plus One | Monthly | 253.8 |
Health Net of California | P64 | Non-Postal | Standard Self | Monthly | 196.02 |
Health Net of California | P65 | Non-Postal | Standard Self & Family | Monthly | 481.71 |
Health Net of California | P66 | Non-Postal | Standard Self Plus One | Monthly | 454.2 |
Health Net of California | T41 | Non-Postal | Basic Self | Monthly | 410.76 |
Health Net of California | T42 | Non-Postal | Basic Self & Family | Monthly | 997.23 |
Health Net of California | T43 | Non-Postal | Basic Self Plus One | Monthly | 926.75 |
Kaiser Permanente - Fresno California | NZ1 | Non-Postal | High Self | Monthly | 269.9 |
Kaiser Permanente - Fresno California | NZ2 | Non-Postal | High Self & Family | Monthly | 582.98 |
Kaiser Permanente - Fresno California | NZ3 | Non-Postal | High Self Plus One | Monthly | 712.29 |
Kaiser Permanente - Fresno California | NZ4 | Non-Postal | Standard Self | Monthly | 162.14 |
Kaiser Permanente - Fresno California | NZ5 | Non-Postal | Standard Self & Family | Monthly | 374.73 |
Kaiser Permanente - Fresno California | NZ6 | Non-Postal | Standard Self Plus One | Monthly | 374.73 |
Kaiser Permanente - Northern California | 591 | Non-Postal | High Self | Monthly | 444.01 |
Kaiser Permanente - Northern California | 592 | Non-Postal | High Self & Family | Monthly | 1063.77 |
Kaiser Permanente - Northern California | 593 | Non-Postal | High Self Plus One | Monthly | 1193.08 |
Kaiser Permanente - Northern California | 594 | Non-Postal | Standard Self | Monthly | 258.81 |
Kaiser Permanente - Northern California | 595 | Non-Postal | Standard Self & Family | Monthly | 581.73 |
Kaiser Permanente - Northern California | 596 | Non-Postal | Standard Self Plus One | Monthly | 711.04 |
Kaiser Permanente - Northern California | KC1 | Non-Postal | Prosper Self | Monthly | 171.75 |
Kaiser Permanente - Northern California | KC2 | Non-Postal | Prosper Self & Family | Monthly | 401.89 |
Kaiser Permanente - Northern California | KC3 | Non-Postal | Prosper Self Plus One | Monthly | 401.89 |
Kaiser Permanente - Southern California | 621 | Non-Postal | High Self | Monthly | 278.22 |
Kaiser Permanente - Southern California | 622 | Non-Postal | High Self & Family | Monthly | 602.2 |
Kaiser Permanente - Southern California | 623 | Non-Postal | High Self Plus One | Monthly | 731.51 |
Kaiser Permanente - Southern California | 624 | Non-Postal | Standard Self | Monthly | 148.24 |
Kaiser Permanente - Southern California | 625 | Non-Postal | Standard Self & Family | Monthly | 342.62 |
Kaiser Permanente - Southern California | 626 | Non-Postal | Standard Self Plus One | Monthly | 342.62 |
Kaiser Permanente - Southern California | FL1 | Non-Postal | Prosper Self | Monthly | 99.79 |
Kaiser Permanente - Southern California | FL2 | Non-Postal | Prosper Self & Family | Monthly | 279.41 |
Kaiser Permanente - Southern California | FL3 | Non-Postal | Prosper Self Plus One | Monthly | 229.52 |