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DCHR

DCHR

To find support and resources for federal workers, visit fedsupport.dc.gov.

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, 2025.

► TCC Enrollment Form
 

Aetna

 
Aetna CDHP
Aetna HMO
Aetna PPO
Type
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Self Only
HM1
$462.59
AH1
$1,199.32
AP1
$1,151.61
Self + 1
HM2
$909.26
AH2
$2,372.96
AP2
$2,263.77
Family
HM3
$1,336.68
AH3
$3,442.59
AP3
$3,327.96
 

Carefirst

 
CareFirst CDHP
CareFirst HMO
CareFirst PPO
Type
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Self Only
$446.96
$886.48
$978.72
Self + 1
$853.70
$1,746.38
$1,869.35
Family
$1,309.60
$2,561.94
$2,867.64
 

Kaiser Permanente

Kaiser Permanente HMO
Type
Enrollment Code
Monthly Premium
Self Only
KP1
$829.45
Self + 1
KP2
$1,584.25
Family
KP3
$2,430.22
 

UnitedHealthcare

 
UnitedHealthcare HMO
UnitedHealthcare PPO
Type
Enrollment Code
Monthly Premium
Enrollment Code
Monthly Premium
Self Only
MD1
$1,046.30
$1,031.45
Self + 1
MD2
$1,998.40
$1,970.06
Family
MD3
$3,065.60
$3,022.12

* TCC rates shown were those provided by the carriers where possible; otherwise they are assumed to equal the active rates with a 2% load.