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2018 DCEHBP Temporary Continuation of Coverage (TCC) Premiums

Please Note: The information on this page is valid for December 1-31, 2018.
 
 
Aetna CDHP
Aetna PPO
Aetna HMO
Type
Enrollment Code
2018 Monthly Premium
Enrollment Code
2018 Monthly Premium
Enrollment Code
2018 Monthly Premium
Self Only
HM1
$441.20
AH1
$791.90
AP1
$773.73
Self + 1
HM2
$867.27
AH2
$1,556.64
AP2
$1,520.91
Family
HM3
$1,274.98
AH3
$2,288.41
AP3
$2,235.89
 
Kaiser Permanente
Type
Enrollment Code
2018 Monthly Premium
Self Only
KP1
$603.95
Self + 1
KP2
$1,153.67
Family
KP3
$1,769.64
 
UnitedHealthcare Choice
Type
Enrollment Code
2018 Monthly Premium
Self Only
MD1
$721.38
Self + 1
MD2
$1,377.84
Family
MD3
$2,113.62
*TCC rates shown were provided by the carriers where possible; otherwise, they are assumed to equal active rates with a 2% load.