dchr

Department of Human Resources
 

DC Agency Top Menu


Cold Emergency Activated: Additional services and supports are available for residents experiencing homelessness.
If you see someone in need of shelter, call 311 or (202) 399-7093.
If someone is in immediate danger, call 911.

-A +A
Bookmark and Share

DCEHBP Temporary Continuation of Coverage (TCC) Premiums

TCC Premiums for Employees Hired On or After October 1, 1987

Please Note: The information on this page is valid through December 31, 2019. Click here for 2018 rates.
 
Aetna CDHP
Aetna PPO
Aetna HMO
Type
Enrollment Code
2019 Monthly Premium
Enrollment Code
2019 Monthly Premium
Enrollment Code
2019 Monthly Premium
Self Only
HM1
$393.04
AH1
$849.71
AP1
$838.73
Self + 1
HM2
$772.59
AH2
$1670.28
AP2
$1648.67
Family
HM3
$1135.80
AH3
$2455.48
AP3
$2423.70
 
Kaiser Permanente
Type
Enrollment Code
2019 Monthly Premium
Self Only
KP1
$649.04
Self + 1
KP2
$1239.79
Family
KP3
$1901.74
 
UnitedHealthcare Choice
Type
Enrollment Code
2019 Monthly Premium
Self Only
MD1
$785.95
Self + 1
MD2
$1501.15
Family
MD3
$2302.80
* TCC rates shown were those provided by the carriers where possible; otherwise they are assumed to equal the active rates with a 2% load.