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Healthcare Plan Information

2017 Plan Information for Hawaii

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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 138.7
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 305.95
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 299.95
Aetna Direct N61 Non-Postal CDHP Self Monthly 120.05
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 302.77
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 263.29
Aetna HealthFund CDHP and Aetna Value Plan JS1 Non-Postal CDHP Self Monthly 485.2
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1106.22
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1148.2
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 218.24
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 500.05
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 548.01
HMSA 871 Non-Postal High Self Monthly 151.74
HMSA 872 Non-Postal High Self & Family Monthly 341.11
HMSA 873 Non-Postal High Self Plus One Monthly 332.47
Kaiser Permanente - Hawaii 631 Non-Postal High Self Monthly 162.43
Kaiser Permanente - Hawaii 632 Non-Postal High Self & Family Monthly 358.32
Kaiser Permanente - Hawaii 633 Non-Postal High Self Plus One Monthly 402.39
Kaiser Permanente - Hawaii 634 Non-Postal Standard Self Monthly 110.16
Kaiser Permanente - Hawaii 635 Non-Postal Standard Self & Family Monthly 245.65
Kaiser Permanente - Hawaii 636 Non-Postal Standard Self Plus One Monthly 245.65
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