TCC Premiums for Employees Hired On or After October 1, 1987
Please Note: The information on this page is valid through December 31, 2023. Click here for 2022 rates.
Aetna
|
|
Aetna CDHP
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Aetna HMO
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Aetna PPO
|
|||
|
Type
|
Enrollment Code
|
Monthly Premium
|
Enrollment Code
|
Monthly Premium
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
HM1
|
$378.00
|
AH1
|
$993.10
|
AP1
|
$929.81
|
|
Self + 1
|
HM2
|
$742.99
|
AH2
|
$1952.14
|
AP2
|
$1827.77
|
|
Family
|
HM3
|
$1092.29
|
AH3
|
$2869.83
|
AP3
|
$2687.00
|
Carefirst
|
|
Carefirst HMO
|
Carefirst PPO
|
||
|
Type
|
Enrollment Code
|
Monthly Premium
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
-
|
$832.34
|
-
|
$925.17
|
|
Self + 1
|
-
|
$1639.73
|
-
|
$1767.07
|
|
Family
|
-
|
$2405.49
|
-
|
$2710.72
|
Kaiser Permanente
|
Kaiser Permanente HMO
|
||
|---|---|---|
|
Type
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
KP1
|
$738.74
|
|
Self + 1
|
KP2
|
$1411.15
|
|
Family
|
KP3
|
$2164.59
|
UnitedHealthcare
|
UnitedHealthcare Choice Open Access
|
||
|---|---|---|
|
Type
|
Enrollment Code
|
Monthly Premium
|
|
Self Only
|
MD1
|
$912.44
|
|
Self + 1
|
MD2
|
$1742.75
|
|
Family
|
MD3
|
$2673.41
|
* TCC rates shown were those provided by the carriers where possible; otherwise they are assumed to equal the active rates with a 2% load.