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 CDHP
|
Type |
Enrollment Code |
Monthly Premium |
|---|---|---|
|
Self Only |
HM1 |
$378.00 |
|
Self +1 |
HM2 |
$742.99 |
|
Family |
HM3 |
$1092.29 |
Aetna HMO
|
Type |
Enrollment Code |
Monthly Premium |
|---|---|---|
|
Self Only |
AH1 |
$993.10 |
|
Self +1 |
AH2 |
$1952.14 |
|
Family |
AH3 |
$2869.83 |
Aetna PPO
|
Type |
Enrollment Code |
Monthly Premium |
|---|---|---|
|
Self Only |
AP1 |
$929.81 |
|
Self +1 |
AP2 |
$1827.77 |
|
Family |
AP3 |
$2687.00 |
Carefirst HMO
|
Type |
Enrollment Code |
Monthly Premium |
|---|---|---|
|
Self Only |
- |
$832.34 |
|
Self +1 |
- |
$1639.73 |
|
Family |
- |
$2405.49 |
Carefirst PPO
|
Type |
Enrollment Code |
Monthly Premium |
|---|---|---|
|
Self Only |
- |
$925.17 |
|
Self +1 |
- |
$1767.07 |
|
Family |
- |
$2710.72 |
Kaiser Permanente HMO
|
Type |
Enrollment Code |
Monthly Premium |
|---|---|---|
|
Self Only |
KP1 |
$738.74 |
|
Self +1 |
KP2 |
$1411.15 |
|
Family |
KP3 |
$2164.59 |
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.