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2013 DCEHBP Temporary Continuation of Coverage (TCC) Premiums

DC Employee Health Benefits (Employees Hired on or After 10/01/1987)        
  Enrollment Code 2013 Monthly Premium Administrative Fee Total
Aetna HMO        
Self HM1 $550.89 $11.02 $561.91
Self+1 HM2 $1,082,88 $21.66 $1,104.54
Family HM3 $1,591.94 $31.84 $1,623.78
         
Aetna PPO        
Self AP1 $565.99 $11.32 $577.31
Self+1 AP2 $1,112.57 $22.25 $1,134.82
Family AP3 $1,635.60 $32.71 $1,668,31
         
Kaiser Permanente        
Self KP1 $492.89 $9.86 $502.75
Self+1 KP2 $941.42 $18.83 $960.25
Family KP3 $1,444.16 $28.88 $1,473.04
         
United Healthcare Choice        
Self MD1 $502.49 $10.05 $512.54
Self+1 MD2 $959.75 $19.20 $978.95
Family MD3 $1,472.28 $29.45 $1,501.73