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Healthcare Plan Information

2016 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 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 Foundation Health Plan of Hawaii 631 Non-Postal High Self Monthly 142.97
Kaiser Foundation Health Plan of Hawaii 632 Non-Postal High Self & Family Monthly 318.83
Kaiser Foundation Health Plan of Hawaii 633 Non-Postal High Self Plus One Monthly 318.83
Kaiser Foundation Health Plan of Hawaii 634 Non-Postal Standard Self Monthly 98.15
Kaiser Foundation Health Plan of Hawaii 635 Non-Postal Standard Self & Family Monthly 218.88
Kaiser Foundation Health Plan of Hawaii 636 Non-Postal Standard Self Plus One Monthly 218.88
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