Healthcare

2017 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	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