2017 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 | 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 | G51 | Non-Postal | CDHP Self | Monthly | 218.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | G52 | Non-Postal | CDHP Self & Family | Monthly | 499.44 |
| Aetna HealthFund CDHP and Aetna Value Plan | G53 | Non-Postal | CDHP Self Plus One | Monthly | 547.43 |
| Aetna HealthFund CDHP and Aetna Value Plan | G54 | Non-Postal | Value Self | Monthly | 133.71 |
| Aetna HealthFund CDHP and Aetna Value Plan | G55 | Non-Postal | Value Self & Family | Monthly | 306.25 |
| Aetna HealthFund CDHP and Aetna Value Plan | G56 | Non-Postal | Value Self Plus One | Monthly | 300.24 |
| Aetna Open Access | C31 | Non-Postal | High Self | Monthly | 377.52 |
| Aetna Open Access | C32 | Non-Postal | High Self & Family | Monthly | 1257.52 |
| Aetna Open Access | C33 | Non-Postal | High Self Plus One | Monthly | 1297.98 |
| Kaiser Permanente - Northwest | 571 | Non-Postal | High Self | Monthly | 206.63 |
| Kaiser Permanente - Northwest | 572 | Non-Postal | High Self & Family | Monthly | 456.95 |
| Kaiser Permanente - Northwest | 573 | Non-Postal | High Self Plus One | Monthly | 520.71 |
| Kaiser Permanente - Northwest | 574 | Non-Postal | Standard Self | Monthly | 148.46 |
| Kaiser Permanente - Northwest | 575 | Non-Postal | Standard Self & Family | Monthly | 341.05 |
| Kaiser Permanente - Northwest | 576 | Non-Postal | Standard Self Plus One | Monthly | 341.05 |
| Kaiser Permanente - Washington Core | 541 | Non-Postal | High Self | Monthly | 276.87 |
| Kaiser Permanente - Washington Core | 542 | Non-Postal | High Self & Family | Monthly | 873.97 |
| Kaiser Permanente - Washington Core | 543 | Non-Postal | High Self Plus One | Monthly | 521.28 |
| Kaiser Permanente - Washington Core | 544 | Non-Postal | Standard Self | Monthly | 142.21 |
| Kaiser Permanente - Washington Core | 545 | Non-Postal | Standard Self & Family | Monthly | 384.31 |
| Kaiser Permanente - Washington Core | 546 | Non-Postal | Standard Self Plus One | Monthly | 291.52 |
| Kaiser Permanente - Washington Core | PT1 | Non-Postal | HDHP Self | Monthly | 126.5 |
| Kaiser Permanente - Washington Core | PT2 | Non-Postal | HDHP Self & Family | Monthly | 328.91 |
| Kaiser Permanente - Washington Core | PT3 | Non-Postal | HDHP Self Plus One | Monthly | 259.33 |
| Kaiser Permanente Washington Options Federal | L11 | Non-Postal | Standard Self | Monthly | 159.56 |
| Kaiser Permanente Washington Options Federal | L12 | Non-Postal | Standard Self & Family | Monthly | 437.15 |
| Kaiser Permanente Washington Options Federal | L13 | Non-Postal | Standard Self Plus One | Monthly | 335.08 |
| Kaiser Permanente Washington Options Federal | L14 | Non-Postal | HDHP Self | Monthly | 128.18 |
| Kaiser Permanente Washington Options Federal | L15 | Non-Postal | HDHP Self & Family | Monthly | 300.38 |
| Kaiser Permanente Washington Options Federal | L16 | Non-Postal | HDHP Self Plus One | Monthly | 267.38 |
| Kaiser Permanente Washington Options Federal | VT1 | Non-Postal | High Self | Monthly | 440.87 |
| Kaiser Permanente Washington Options Federal | VT2 | Non-Postal | High Self & Family | Monthly | 1116.12 |
| Kaiser Permanente Washington Options Federal | VT3 | Non-Postal | High Self Plus One | Monthly | 903.52 |