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| 2008 DCEHBP Retiree Health Premiums
DC Employee Health Benefits (Retired Employees Hired on or After 10/01/1987)
AETNA HEALTHCARE HMO
| Self-Only |
HM1 |
$87.06 |
| Family |
HM2 |
$225.89 |
| Domestic Partner Self |
HM3 |
$87.06 |
| Domestic Partner Family |
HM4 |
$225.89 |
AETNA QUALITY OPEN ACCESS PLAN
| Self-Only |
AP1 |
$119.30 |
| Family |
AP2 |
$311.37 |
| Domestic Partner Self |
AP3 |
$119.30 |
| Domestic Partner Family |
AP4 |
$311.37 |
KAISER PERMANENTE HMO
| Self-Only |
KP1 |
$84.38 |
| Family |
KP2 |
$219.09 |
| Domestic Partner Self |
KP3 |
$84.38 |
| Domestic Partner Family |
KP4 |
$219.09 |
UNITED HEALTHCARE HMO
| Self-Only |
MD1 |
$78.91 |
| Family |
MD2 |
$204.71 |
| Domestic Partner Self |
MD3 |
$78.91 |
| Domestic Partner Family |
MD4 |
$204.71 |
UNITED HEALTHCARE POINT OF SERVICE
| Self-Only |
UP1 |
$81.42 |
| Family |
UP2 |
$211.22 |
| Domestic Partner Self |
UP3 |
$81.42 |
| Domestic Partner Family |
UP4 |
$211.22 |
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