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.
