2019 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 | 164.93 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 363.8 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 360.1 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 139.33 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 351.38 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 305.56 |
| Aetna HealthFund CDHP and Aetna Value Plan | G51 | Non-Postal | CDHP Self | Monthly | 286.42 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 652.69 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 706.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 171.86 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 397.67 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 439.18 |
| Kaiser Permanente - Northwest | 571 | Non-Postal | High Self | Monthly | 207.96 |
| Kaiser Permanente - Northwest | 572 | Non-Postal | High Self & Family | Monthly | 457.97 |
| Kaiser Permanente - Northwest | 573 | Non-Postal | High Self Plus One | Monthly | 529.57 |
| Kaiser Permanente - Northwest | 574 | Non-Postal | Standard Self | Monthly | 155.07 |
| Kaiser Permanente - Northwest | 575 | Non-Postal | Standard Self & Family | Monthly | 356.25 |
| Kaiser Permanente - Northwest | 576 | Non-Postal | Standard Self Plus One | Monthly | 358.41 |
| Kaiser Permanente - Washington Core | 541 | Non-Postal | High Self | Monthly | 316.68 |
| Kaiser Permanente - Washington Core | 542 | Non-Postal | High Self & Family | Monthly | 655.72 |
| Kaiser Permanente - Washington Core | 543 | Non-Postal | High Self Plus One | Monthly | 727.32 |
| Kaiser Permanente - Washington Core | 544 | Non-Postal | Standard Self | Monthly | 146.29 |
| Kaiser Permanente - Washington Core | 545 | Non-Postal | Standard Self & Family | Monthly | 336.48 |
| Kaiser Permanente - Washington Core | 546 | Non-Postal | Standard Self Plus One | Monthly | 336.48 |
| Kaiser Permanente Washington Options Federal | L11 | Non-Postal | Standard Self | Monthly | 199.1 |
| Kaiser Permanente Washington Options Federal | L12 | Non-Postal | Standard Self & Family | Monthly | 410.93 |
| Kaiser Permanente Washington Options Federal | L13 | Non-Postal | Standard Self Plus One | Monthly | 482.53 |
| Kaiser Permanente Washington Options Federal | L14 | Non-Postal | HDHP Self | Monthly | 146.79 |
| Kaiser Permanente Washington Options Federal | L15 | Non-Postal | HDHP Self & Family | Monthly | 325.87 |
| Kaiser Permanente Washington Options Federal | L16 | Non-Postal | HDHP Self Plus One | Monthly | 325.87 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU1 | Non-Postal | HDHP Self | Monthly | 112.58 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU2 | Non-Postal | HDHP Self & Family | Monthly | 258.93 |
| UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) | LU3 | Non-Postal | HDHP Self Plus One | Monthly | 242.05 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT1 | Non-Postal | High Self | Monthly | 180.47 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT2 | Non-Postal | High Self & Family | Monthly | 559.76 |
| UnitedHealthcare Insurance Company, Inc. (Choice Open Access) | KT3 | Non-Postal | High Self Plus One | Monthly | 393.64 |