TCC Premiums for Employees Hired On or After October 1, 1987
Please Note: The information on this page is valid through December 31, 2022. TCC premium rates for 2022 are available on the TCC Enrollment Form or on our Open Enrollment page and will be updated on this page at the end of the year. Click here for 2021 rates.
Aetna
|
|
Aetna CDHP
|
Aetna HMO
|
Aetna PPO
|
|||
|
Type
|
Enrollment Code
|
Monthly Premium
|
Enrollment Code
|
Monthly Premium
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
HM1
|
$342.39
|
AH1
|
$891.48
|
AP1
|
$868.17
|
|
Self + 1
|
HM2
|
$673.00
|
AH2
|
$1752.37
|
AP2
|
$1706.60
|
|
Family
|
HM3
|
$989.39
|
AH3
|
$2576.15
|
AP3
|
$2508.86
|
Carefirst
|
|
Carefirst HMO
|
Carefirst PPO
|
||
|
Type
|
Enrollment Code
|
Monthly Premium
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
-
|
$765.56
|
-
|
$864.54
|
|
Self + 1
|
-
|
$1508.16
|
-
|
$1651.27
|
|
Family
|
-
|
$2212.48
|
-
|
$2533.09
|
Kaiser Permanente
|
Kaiser Permanente HMO
|
||
|---|---|---|
|
Type
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
KP1
|
$732.25
|
|
Self + 1
|
KP2
|
$1398.59
|
|
Family
|
KP3
|
$2145.42
|
UnitedHealthcare
|
UnitedHealthcare Choice Open Access
|
||
|---|---|---|
|
Type
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
MD1
|
$837.87
|
|
Self + 1
|
MD2
|
$1600.32
|
|
Family
|
MD3
|
$2454.92
|
* TCC rates shown were those provided by the carriers where possible; otherwise they are assumed to equal the active rates with a 2% load.