Click here to skip navigation
Skip Navigation

In This Section

Healthcare Plan Information

2017 Plan Information for California

Choose a Location, Employee Type, & Payment Period  

Click to view Plan Information for this state

Location Specific Rates

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
Aetna Open Access 2X1 Non-Postal High Self Monthly 198.9
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 499.81
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 532.33
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 275.66
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 541.97
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 503.68
Blue Shield of California Access+ HMO and TRIO HMO SI1 Non-Postal High Self Monthly 261.88
Blue Shield of California Access+ HMO and TRIO HMO SI2 Non-Postal High Self & Family Monthly 612.39
Blue Shield of California Access+ HMO and TRIO HMO SI3 Non-Postal High Self Plus One Monthly 601.92
Health Net of California LB1 Non-Postal High Self Monthly 877.43
Health Net of California LB2 Non-Postal High Self & Family Monthly 2163.85
Health Net of California LB3 Non-Postal High Self Plus One Monthly 1956.09
Health Net of California LB4 Non-Postal Standard Self Monthly 809.14
Health Net of California LB5 Non-Postal Standard Self & Family Monthly 1999.97
Health Net of California LB6 Non-Postal Standard Self Plus One Monthly 1805.87
Health Net of California LP1 Non-Postal High Self Monthly 343.07
Health Net of California LP2 Non-Postal High Self & Family Monthly 881.38
Health Net of California LP3 Non-Postal High Self Plus One Monthly 780.45
Health Net of California LP4 Non-Postal Standard Self Monthly 303.42
Health Net of California LP5 Non-Postal Standard Self & Family Monthly 786.27
Health Net of California LP6 Non-Postal Standard Self Plus One Monthly 693.29
Health Net of California P61 Non-Postal Basic Self Monthly 76.58
Health Net of California P62 Non-Postal Basic Self & Family Monthly 183.79
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 168.47
Kaiser Foundation Health Plan of California 591 Non-Postal High Self Monthly 378.69
Kaiser Foundation Health Plan of California 592 Non-Postal High Self & Family Monthly 955.81
Kaiser Foundation Health Plan of California 593 Non-Postal High Self Plus One Monthly 1019.57
Kaiser Foundation Health Plan of California 594 Non-Postal Standard Self Monthly 238.55
Kaiser Foundation Health Plan of California 595 Non-Postal Standard Self & Family Monthly 587.47
Kaiser Foundation Health Plan of California 596 Non-Postal Standard Self Plus One Monthly 651.23
Kaiser Foundation Health Plan of California 621 Non-Postal High Self Monthly 157.81
Kaiser Foundation Health Plan of California 622 Non-Postal High Self & Family Monthly 364.75
Kaiser Foundation Health Plan of California 623 Non-Postal High Self Plus One Monthly 428.11
Kaiser Foundation Health Plan of California 624 Non-Postal Standard Self Monthly 101.49
Kaiser Foundation Health Plan of California 625 Non-Postal Standard Self & Family Monthly 234.56
Kaiser Foundation Health Plan of California 626 Non-Postal Standard Self Plus One Monthly 234.56
Kaiser Foundation Health Plan of California KC1 Non-Postal Basic Self Monthly 160.46
Kaiser Foundation Health Plan of California KC2 Non-Postal Basic Self & Family Monthly 404.72
Kaiser Foundation Health Plan of California KC3 Non-Postal Basic Self Plus One Monthly 468.48
Kaiser Foundation Health Plan of California NZ1 Non-Postal High Self Monthly 195.86
Kaiser Foundation Health Plan of California NZ2 Non-Postal High Self & Family Monthly 468.09
Kaiser Foundation Health Plan of California NZ3 Non-Postal High Self Plus One Monthly 531.85
Kaiser Foundation Health Plan of California NZ4 Non-Postal Standard Self Monthly 117.45
Kaiser Foundation Health Plan of California NZ5 Non-Postal Standard Self & Family Monthly 271.45
Kaiser Foundation Health Plan of California NZ6 Non-Postal Standard Self Plus One Monthly 271.45
UnitedHealthcare of California CY1 Non-Postal High Self Monthly 177.77
UnitedHealthcare of California CY2 Non-Postal High Self & Family Monthly 750.47
UnitedHealthcare of California CY3 Non-Postal High Self Plus One Monthly 321.28
UnitedHealthcare of California CY4 Non-Postal Standard Self Monthly 153.27
UnitedHealthcare of California CY5 Non-Postal Standard Self & Family Monthly 624.48
UnitedHealthcare of California CY6 Non-Postal Standard Self Plus One Monthly 299.35
Control Panel