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Healthcare Plan Information

2019 Plan Information for California

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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 JS1 Non-Postal CDHP Self Monthly 550.32
Aetna HealthFund CDHP and Aetna Value Plan JS2 Non-Postal CDHP Self & Family Monthly 1253.16
Aetna HealthFund CDHP and Aetna Value Plan JS3 Non-Postal CDHP Self Plus One Monthly 1301.1
Aetna HealthFund CDHP and Aetna Value Plan JS4 Non-Postal Value Self Monthly 305.27
Aetna HealthFund CDHP and Aetna Value Plan JS5 Non-Postal Value Self & Family Monthly 697.22
Aetna HealthFund CDHP and Aetna Value Plan JS6 Non-Postal Value Self Plus One Monthly 750.66
Aetna Open Access 2X1 Non-Postal High Self Monthly 265.2
Aetna Open Access 2X2 Non-Postal High Self & Family Monthly 655.25
Aetna Open Access 2X3 Non-Postal High Self Plus One Monthly 691.68
Anthem Blue Cross Select HMO B31 Non-Postal High Self Monthly 271.57
Anthem Blue Cross Select HMO B32 Non-Postal High Self & Family Monthly 594.99
Anthem Blue Cross Select HMO B33 Non-Postal High Self Plus One Monthly 543.35
Blue Shield of California Access+ HMO SI1 Non-Postal High Self Monthly 280.57
Blue Shield of California Access+ HMO SI2 Non-Postal High Self & Family Monthly 654.21
Blue Shield of California Access+ HMO SI3 Non-Postal High Self Plus One Monthly 647.85
Blue Shield of California Access+ HMO SI4 Non-Postal Standard Self Monthly 206.36
Blue Shield of California Access+ HMO SI5 Non-Postal Standard Self & Family Monthly 483.5
Blue Shield of California Access+ HMO SI6 Non-Postal Standard Self Plus One Monthly 484.59
Health Net of California LB1 Non-Postal High Self Monthly 862.68
Health Net of California LB2 Non-Postal High Self & Family Monthly 2129.19
Health Net of California LB3 Non-Postal High Self Plus One Monthly 1928.5
Health Net of California LB4 Non-Postal Standard Self Monthly 790.69
Health Net of California LB5 Non-Postal Standard Self & Family Monthly 1956.4
Health Net of California LB6 Non-Postal Standard Self Plus One Monthly 1770.12
Health Net of California LP1 Non-Postal High Self Monthly 494.33
Health Net of California LP2 Non-Postal High Self & Family Monthly 1245.14
Health Net of California LP3 Non-Postal High Self Plus One Monthly 1118.13
Health Net of California LP4 Non-Postal Standard Self Monthly 446.92
Health Net of California LP5 Non-Postal Standard Self & Family Monthly 1131.35
Health Net of California LP6 Non-Postal Standard Self Plus One Monthly 1013.82
Health Net of California P61 Non-Postal Basic Self Monthly 83.09
Health Net of California P62 Non-Postal Basic Self & Family Monthly 199.42
Health Net of California P63 Non-Postal Basic Self Plus One Monthly 182.81
Health Net of California T41 Non-Postal Basic Self Monthly 291.57
Health Net of California T42 Non-Postal Basic Self & Family Monthly 758.51
Health Net of California T43 Non-Postal Basic Self Plus One Monthly 672.03
Kaiser Permanente - Fresno California NZ1 Non-Postal High Self Monthly 232.31
Kaiser Permanente - Fresno California NZ2 Non-Postal High Self & Family Monthly 551.36
Kaiser Permanente - Fresno California NZ3 Non-Postal High Self Plus One Monthly 622.96
Kaiser Permanente - Fresno California NZ4 Non-Postal Standard Self Monthly 133.67
Kaiser Permanente - Fresno California NZ5 Non-Postal Standard Self & Family Monthly 308.93
Kaiser Permanente - Fresno California NZ6 Non-Postal Standard Self Plus One Monthly 308.93
Kaiser Permanente - Northern California 591 Non-Postal High Self Monthly 493.77
Kaiser Permanente - Northern California 592 Non-Postal High Self & Family Monthly 1230.95
Kaiser Permanente - Northern California 593 Non-Postal High Self Plus One Monthly 1302.55
Kaiser Permanente - Northern California 594 Non-Postal Standard Self Monthly 298.85
Kaiser Permanente - Northern California 595 Non-Postal Standard Self & Family Monthly 728.09
Kaiser Permanente - Northern California 596 Non-Postal Standard Self Plus One Monthly 799.69
Kaiser Permanente - Northern California KC1 Non-Postal Basic Self Monthly 160.2
Kaiser Permanente - Northern California KC2 Non-Postal Basic Self & Family Monthly 374.86
Kaiser Permanente - Northern California KC3 Non-Postal Basic Self Plus One Monthly 432.85
Kaiser Permanente - Southern California 621 Non-Postal High Self Monthly 188.48
Kaiser Permanente - Southern California 622 Non-Postal High Self & Family Monthly 450.06
Kaiser Permanente - Southern California 623 Non-Postal High Self Plus One Monthly 521.66
Kaiser Permanente - Southern California 624 Non-Postal Standard Self Monthly 107.84
Kaiser Permanente - Southern California 625 Non-Postal Standard Self & Family Monthly 249.23
Kaiser Permanente - Southern California 626 Non-Postal Standard Self Plus One Monthly 249.23
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