Healthcare

2016 Plan Information for Hawaii

Choose a Location, Employee Type, & Payment Period

State

Employee Type

Payment Period

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	JS1	Non-Postal	CDHP Self	Monthly	412.06
Aetna HealthFund CDHP and Aetna Value Plan	JS2	Non-Postal	CDHP Self & Family	Monthly	934.7
Aetna HealthFund CDHP and Aetna Value Plan	JS3	Non-Postal	CDHP Self Plus One	Monthly	974.5
Aetna HealthFund CDHP and Aetna Value Plan	JS4	Non-Postal	Basic Self	Monthly	190.54
Aetna HealthFund CDHP and Aetna Value Plan	JS5	Non-Postal	Basic Self & Family	Monthly	431.94
Aetna HealthFund CDHP and Aetna Value Plan	JS6	Non-Postal	Basic Self Plus One	Monthly	476.71
HMSA	871	Non-Postal	High Self	Monthly	140.5
HMSA	872	Non-Postal	High Self & Family	Monthly	315.84
HMSA	873	Non-Postal	High Self Plus One	Monthly	307.84
Kaiser Permanente - Hawaii	631	Non-Postal	High Self	Monthly	142.97
Kaiser Permanente - Hawaii	632	Non-Postal	High Self & Family	Monthly	318.83
Kaiser Permanente - Hawaii	633	Non-Postal	High Self Plus One	Monthly	318.83
Kaiser Permanente - Hawaii	634	Non-Postal	Standard Self	Monthly	98.15
Kaiser Permanente - Hawaii	635	Non-Postal	Standard Self & Family	Monthly	218.88
Kaiser Permanente - Hawaii	636	Non-Postal	Standard Self Plus One	Monthly	218.88