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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, 2018. Click here for 2017 rates.
 
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.