2018 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 | 151.86 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 334.98 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 328.41 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 131.92 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 332.67 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 289.29 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 253.56 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 581.25 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 630.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 137.4 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 314.68 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 308.52 |
| Kaiser Permanente - Northwest | 571 | Non-Postal | High Self | Monthly | 195.37 |
| Kaiser Permanente - Northwest | 572 | Non-Postal | High Self & Family | Monthly | 433.05 |
| Kaiser Permanente - Northwest | 573 | Non-Postal | High Self Plus One | Monthly | 499.31 |
| Kaiser Permanente - Northwest | 574 | Non-Postal | Standard Self | Monthly | 150.06 |
| Kaiser Permanente - Northwest | 575 | Non-Postal | Standard Self & Family | Monthly | 344.74 |
| Kaiser Permanente - Northwest | 576 | Non-Postal | Standard Self Plus One | Monthly | 344.74 |
| Kaiser Permanente - Washington Core | 541 | Non-Postal | High Self | Monthly | 328.88 |
| Kaiser Permanente - Washington Core | 542 | Non-Postal | High Self & Family | Monthly | 686.23 |
| Kaiser Permanente - Washington Core | 543 | Non-Postal | High Self Plus One | Monthly | 752.49 |
| Kaiser Permanente - Washington Core | 544 | Non-Postal | Standard Self | Monthly | 152.25 |
| Kaiser Permanente - Washington Core | 545 | Non-Postal | Standard Self & Family | Monthly | 350.16 |
| Kaiser Permanente - Washington Core | 546 | Non-Postal | Standard Self Plus One | Monthly | 350.16 |
| Kaiser Permanente - Washington Core | PT1 | Non-Postal | HDHP Self | Monthly | 126.84 |
| Kaiser Permanente - Washington Core | PT2 | Non-Postal | HDHP Self & Family | Monthly | 291.73 |
| Kaiser Permanente - Washington Core | PT3 | Non-Postal | HDHP Self Plus One | Monthly | 291.73 |
| Kaiser Permanente Washington Options Federal | L11 | Non-Postal | Standard Self | Monthly | 167.85 |
| Kaiser Permanente Washington Options Federal | L12 | Non-Postal | Standard Self & Family | Monthly | 368.83 |
| Kaiser Permanente Washington Options Federal | L13 | Non-Postal | Standard Self Plus One | Monthly | 411.48 |
| Kaiser Permanente Washington Options Federal | L14 | Non-Postal | HDHP Self | Monthly | 131.45 |
| Kaiser Permanente Washington Options Federal | L15 | Non-Postal | HDHP Self & Family | Monthly | 291.81 |
| Kaiser Permanente Washington Options Federal | L16 | Non-Postal | HDHP Self Plus One | Monthly | 291.81 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 120.73 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 301.81 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 259.56 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 152.67 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 396.61 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 328.24 |