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| HMO Plans |
|
2000 Total Biweekly
Premium |
2001 Biweekly premium rates |
2000 Total Monthly
Premium |
2001 Monthly premium rates |
| Location - Plan
- Option - |
|
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
Total
Premium |
Gov't
Pays |
Empl.
Pays |
Change in employee payment |
| Enrollment Code |
|
| CA Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
2X1 |
|
80.77 |
85.24 |
63.93 |
21.31 |
1.12 |
|
175.00 |
184.69 |
138.52 |
46.17 |
2.42 |
|
|
High Family |
2X2 |
|
188.61 |
198.96 |
149.22 |
49.74 |
2.59 |
|
408.66 |
431.08 |
323.31 |
107.77 |
5.61 |
|
| CA Aetna U.S. Healthcare |
|
|
|
|
|
|
High Self |
BU1 |
|
112.75 |
124.22 |
86.59 |
37.63 |
3.71 |
|
244.29 |
269.14 |
187.61 |
81.53 |
8.04 |
|
|
High Family |
BU2 |
|
252.48 |
277.74 |
195.82 |
81.92 |
5.41 |
|
547.04 |
601.77 |
424.28 |
177.49 |
11.72 |
|
| CA Blue Cross- HMO |
|
|
|
|
|
|
|
High Self |
M51 |
|
90.28 |
94.08 |
70.56 |
23.52 |
0.95 |
|
195.61 |
203.84 |
152.88 |
50.96 |
2.06 |
|
|
High Family |
M52 |
|
230.35 |
240.02 |
180.02 |
60.00 |
2.41 |
|
499.09 |
520.04 |
390.03 |
130.01 |
5.24 |
|
| CA Blue Shield of CA Access+ |
|
|
|
|
|
|
High Self |
SJ1 |
|
81.96 |
90.16 |
67.62 |
22.54 |
2.05 |
|
177.58 |
195.35 |
146.51 |
48.84 |
4.45 |
|
|
High Family |
SJ2 |
|
203.33 |
223.66 |
167.75 |
55.91 |
5.08 |
|
440.55 |
484.60 |
363.45 |
121.15 |
11.01 |
|
| CA CIGNA HealthCare of California |
|
|
|
|
|
|
High Self |
9T1 |
|
90.41 |
97.35 |
73.01 |
24.34 |
1.74 |
|
195.89 |
210.93 |
158.20 |
52.73 |
3.76 |
|
|
High Family |
9T2 |
|
198.92 |
214.18 |
160.64 |
53.54 |
3.81 |
|
430.99 |
464.06 |
348.05 |
116.01 |
8.26 |
|
| CA Health Net |
|
|
|
|
|
|
|
High Self |
LB1 |
|
81.70 |
93.01 |
69.76 |
23.25 |
2.83 |
|
177.02 |
201.52 |
151.14 |
50.38 |
6.13 |
|
|
High Family |
LB2 |
|
193.39 |
220.17 |
165.13 |
55.04 |
6.69 |
|
419.01 |
477.04 |
357.78 |
119.26 |
14.51 |
|
| CA Kaiser Permanente |
|
|
|
|
|
|
|
High Self |
591 |
|
86.67 |
90.30 |
67.73 |
22.57 |
0.90 |
|
187.79 |
195.65 |
146.74 |
48.91 |
1.96 |
|
|
High Family |
592 |
|
206.90 |
215.57 |
161.68 |
53.89 |
2.17 |
|
448.28 |
467.07 |
350.30 |
116.77 |
4.70 |
|
| CA Kaiser Permanente |
|
|
|
|
|
|
|
High Self |
621 |
|
93.10 |
94.39 |
70.79 |
23.60 |
0.33 |
|
201.72 |
204.51 |
153.38 |
51.13 |
0.70 |
|
|
High Family |
622 |
|
215.18 |
218.16 |
163.62 |
54.54 |
0.75 |
|
466.22 |
472.68 |
354.51 |
118.17 |
1.62 |
|
| CA Maxicare Southern California |
|
|
|
|
|
|
High Self |
CM1 |
|
73.70 |
77.07 |
57.80 |
19.27 |
0.85 |
|
159.68 |
166.99 |
125.24 |
41.75 |
1.83 |
|
|
High Family |
CM2 |
|
187.24 |
195.78 |
146.84 |
48.94 |
2.13 |
|
405.69 |
424.19 |
318.14 |
106.05 |
4.63 |
|
| CA National HMO Health Plan |
|
|
|
|
|
|
High Self |
MN1 |
|
62.02 |
75.26 |
56.45 |
18.81 |
3.31 |
|
134.38 |
163.06 |
122.30 |
40.76 |
7.17 |
|
|
High Family |
MN2 |
|
163.52 |
197.65 |
148.24 |
49.41 |
8.53 |
|
354.29 |
428.24 |
321.18 |
107.06 |
18.49 |
|
| CA PacifiCare Health Plans |
|
|
|
|
|
|
High Self |
CY1 |
|
77.83 |
80.26 |
60.20 |
20.06 |
0.60 |
|
168.63 |
173.90 |
130.43 |
43.47 |
1.31 |
|
|
High Family |
CY2 |
|
193.20 |
209.30 |
156.98 |
52.32 |
4.02 |
|
418.60 |
453.48 |
340.11 |
113.37 |
8.72 |
|
| CA UHP HEALTHCARE |
|
|
|
|
|
|
|
High Self |
C41 |
|
67.80 |
75.22 |
56.42 |
18.80 |
1.85 |
|
146.90 |
162.98 |
122.24 |
40.74 |
4.02 |
|
|
High Family |
C42 |
|
144.47 |
160.28 |
120.21 |
40.07 |
3.95 |
|
313.02 |
347.27 |
260.45 |
86.82 |
8.57 |
|
| CA Universal Care |
|
|
|
|
|
|
|
High Self |
6Q1 |
|
72.77 |
76.47 |
57.35 |
19.12 |
0.93 |
|
157.67 |
165.69 |
124.27 |
41.42 |
2.00 |
|
|
High Family |
6Q2 |
|
174.66 |
201.94 |
151.46 |
50.48 |
6.82 |
|
378.43 |
437.54 |
328.16 |
109.38 |
14.77 |
|
| CA Western Health Advantage |
|
|
|
|
|
|
High Self |
5Z1 |
|
78.28 |
89.76 |
67.32 |
22.44 |
2.87 |
|
169.61 |
194.48 |
145.86 |
48.62 |
6.22 |
|
|
High Family |
5Z2 |
|
187.86 |
215.42 |
161.57 |
53.85 |
6.89 |
|
407.03 |
466.74 |
350.06 |
116.68 |
14.92 |
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