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Healthcare Plan Information

2019 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 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
HMSA 871 Non-Postal High Self Monthly 151.74
HMSA 872 Non-Postal High Self & Family Monthly 341.11
HMSA 873 Non-Postal High Self Plus One Monthly 332.47
Kaiser Foundation Health Plan of Hawaii 631 Non-Postal High Self Monthly 164.64
Kaiser Foundation Health Plan of Hawaii 632 Non-Postal High Self & Family Monthly 367.16
Kaiser Foundation Health Plan of Hawaii 633 Non-Postal High Self Plus One Monthly 402.04
Kaiser Foundation Health Plan of Hawaii 634 Non-Postal Standard Self Monthly 111.17
Kaiser Foundation Health Plan of Hawaii 635 Non-Postal Standard Self & Family Monthly 247.91
Kaiser Foundation Health Plan of Hawaii 636 Non-Postal Standard Self Plus One Monthly 247.91
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