2021 Plan Information for Hawaii
Choose a Location, Employee Type, & Payment Period
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Location Specific Rates
| Contract | Enrollment Code | Enrollment Type | Option/Enrollment Type | Payment Period | Employee Payment |
|---|---|---|---|---|---|
| Aetna Direct | 224 | Non-Postal | HDHP Self | Monthly | 262.6 |
| Aetna Direct | 225 | Non-Postal | HDHP Self & Family | Monthly | 515.62 |
| Aetna Direct | 226 | Non-Postal | HDHP Self Plus One | Monthly | 578.72 |
| Aetna Direct | N61 | Non-Postal | CDHP Self | Monthly | 153.96 |
| Aetna Direct | N62 | Non-Postal | CDHP Self & Family | Monthly | 388.27 |
| Aetna Direct | N63 | Non-Postal | CDHP Self Plus One | Monthly | 337.64 |
| Aetna Direct | Z24 | Non-Postal | Advantage Self | Monthly | 125 |
| Aetna Direct | Z25 | Non-Postal | Advantage Self & Family | Monthly | 331.25 |
| Aetna Direct | Z26 | Non-Postal | Advantage Self Plus One | Monthly | 275 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS1 | Non-Postal | CDHP Self | Monthly | 486.51 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS2 | Non-Postal | CDHP Self & Family | Monthly | 1083.94 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS3 | Non-Postal | CDHP Self Plus One | Monthly | 1158.17 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS4 | Non-Postal | Value Self | Monthly | 571.16 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS5 | Non-Postal | Value Self & Family | Monthly | 1280.59 |
| Aetna HealthFund CDHP and Aetna Value Plan | JS6 | Non-Postal | Value Self Plus One | Monthly | 1352.91 |
| HMSA | 871 | Non-Postal | High Self | Monthly | 157.81 |
| HMSA | 872 | Non-Postal | High Self & Family | Monthly | 354.75 |
| HMSA | 873 | Non-Postal | High Self Plus One | Monthly | 345.77 |
| HMSA | 874 | Non-Postal | Standard Self | Monthly | 113.46 |
| HMSA | 875 | Non-Postal | Standard Self & Family | Monthly | 255.04 |
| HMSA | 876 | Non-Postal | Standard Self Plus One | Monthly | 248.57 |
| Kaiser Permanente - Hawaii | 631 | Non-Postal | High Self | Monthly | 168.89 |
| Kaiser Permanente - Hawaii | 632 | Non-Postal | High Self & Family | Monthly | 376.63 |
| Kaiser Permanente - Hawaii | 633 | Non-Postal | High Self Plus One | Monthly | 385.35 |
| Kaiser Permanente - Hawaii | 634 | Non-Postal | Standard Self | Monthly | 126.29 |
| Kaiser Permanente - Hawaii | 635 | Non-Postal | Standard Self & Family | Monthly | 281.63 |
| Kaiser Permanente - Hawaii | 636 | Non-Postal | Standard Self Plus One | Monthly | 281.63 |