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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, 2020. Click here for 2019 rates.
 

Aetna

 
Aetna CDHP
Aetna HMO
Aetna PPO
Type
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Self Only
HM1
$311.25
AH1
$893.71
AP1
$905.35
Self + 1
HM2
$611.82
AH2
$1756.77
AP2
$1779.67
Family
HM3
$899.45
AH3
$2582.62
AP3
$2616.28
 

CareFirst

 
Carefirst HMO
Carefirst PPO
Type
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Self Only
-
$765.57
-
$864.55
Self + 1
-
$1508.17
-
$1651.27
Family
-
$2212.48
-
$2533.08
 

Kaiser Permanente

Kaiser Permanente HMO
Type
Enrollment Code
Monthly Premium
Self Only
KP1
$663.98
Self + 1
KP2
$1268.33
Family
KP3
$1945.51
 

UnitedHealthcare

UnitedHealthcare Choice Open Access
Type
Enrollment Code
Monthly Premium
Self Only MD1 $813.46
Self + 1 MD2 $1,553.70
Family MD3 $2383.40
* TCC rates shown were those provided by the carriers where possible; otherwise they are assumed to equal the active rates with a 2% load.