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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 |
|
| DC Aetna U.S. Healthcare |
|
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High Self |
JN1 |
|
108.20 |
114.25 |
85.69 |
28.56 |
-0.81 |
|
234.43 |
247.54 |
185.66 |
61.88 |
-1.75 |
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High Family |
JN2 |
|
253.30 |
264.25 |
195.82 |
68.43 |
-8.90 |
|
548.82 |
572.54 |
424.28 |
148.26 |
-19.29 |
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|
Standard Self |
JN4 |
|
74.69 |
83.16 |
62.37 |
20.79 |
2.12 |
|
161.83 |
180.18 |
135.14 |
45.04 |
4.58 |
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Standard Family |
JN5 |
|
175.20 |
194.60 |
145.95 |
48.65 |
4.85 |
|
379.60 |
421.63 |
316.22 |
105.41 |
10.51 |
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| DC CapitalCare |
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High Self |
2G1 |
|
103.45 |
119.01 |
86.59 |
32.42 |
6.56 |
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224.14 |
257.86 |
187.61 |
70.25 |
14.22 |
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High Family |
2G2 |
|
253.44 |
273.72 |
195.82 |
77.90 |
0.43 |
|
549.12 |
593.06 |
424.28 |
168.78 |
0.93 |
|
| DC Free State Health Plan |
|
|
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|
|
|
High Self |
LD1 |
|
124.90 |
119.38 |
86.59 |
32.79 |
-13.28 |
|
270.62 |
258.66 |
187.61 |
71.05 |
-28.77 |
|
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High Family |
LD2 |
|
284.79 |
272.14 |
195.82 |
76.32 |
-32.50 |
|
617.05 |
589.64 |
424.28 |
165.36 |
-70.42 |
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| DC George Washington Univ HP |
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High Self |
E51 |
|
97.46 |
102.44 |
76.83 |
25.61 |
1.25 |
|
211.16 |
221.95 |
166.46 |
55.49 |
2.70 |
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High Family |
E52 |
|
238.88 |
251.01 |
188.26 |
62.75 |
-0.16 |
|
517.57 |
543.86 |
407.90 |
135.96 |
-0.34 |
|
| DC Kaiser Permanente |
|
|
|
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|
High Self |
E31 |
|
94.00 |
105.76 |
79.32 |
26.44 |
2.94 |
|
203.67 |
229.15 |
171.86 |
57.29 |
6.37 |
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High Family |
E32 |
|
232.40 |
261.22 |
195.82 |
65.40 |
7.30 |
|
503.53 |
565.98 |
424.28 |
141.70 |
15.82 |
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| DC MD-IPA |
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High Self |
JP1 |
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104.61 |
108.91 |
81.68 |
27.23 |
1.08 |
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226.66 |
235.97 |
176.98 |
58.99 |
2.33 |
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High Family |
JP2 |
|
251.12 |
261.41 |
195.82 |
65.59 |
-9.56 |
|
544.09 |
566.39 |
424.28 |
142.11 |
-20.71 |
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