2010 Health Benefit Plan Premiums DC Employee Health Benefits (Employee Hired on or After 10/01/1987) AETNA HEALTHCARE HMO TYPE ENROLLMENT CODE 2010 PREMIUM BI-WEEKLY 2010 PREMIUM MONTHLY Self-Only HM1 $50.37 $109.13 Family HM2 $130.95 $283.72 Domestic Partner Self HM3 $50.37 $109.13 Domestic Partner Family HM4 $130.95 $283.72 AETNA PPO PLAN TYPE ENROLLMENT CODE 2010 PREMIUM BI-WEEKLY 2010 PREMIUM MONTHLY Self-Only AP1 $69.00 $149.50 Family AP2 $180.09 $390.20 Domestic Partner Self AP3 $69.00 $149.50 Domestic Partner Family AP4 $180.09 $390.20 KAISER PERMANENTE HMO TYPE ENROLLMENT CODE 2010 PREMIUM BI-WEEKLY 2010 PREMIUM MONTHLY Self-Only KP1 $45.10 $97.72 Family KP2 $117.26 $254.06 Domestic Partner Self KP3 $45.10 $97.72 Domestic Partner Family KP4 $117.26 $254.06 UNITED HEALTHCARE HMO TYPE ENROLLMENT CODE 2010 PREMIUM BI-WEEKLY 2010 PREMIUM MONTHLY Self-Only MD1 $41.61 $90.14 Family MD2 $107.93 $233.86 Domestic Partner Self MD3 $41.61 $90.14 Domestic Partner Family MD4 $107.93 $233.86 UNITED HEALTHCARE POINT OF SERVICE TYPE ENROLLMENT CODE 2010 PREMIUM BI-WEEKLY 2010 PREMIUM MONTHLY Self-Only UP1 $42.93 $93.02 Family UP2 $111.37 $241.30 Domestic Partner Self UP3 $42.93 $93.02 Domestic Partner Family UP4 $111.37 $241.30 Compare with 2009 DC Health Plan Premiums * This document is presented in Portable Document Format (PDF). A PDF reader is required for viewing.Download a PDF Reader or Learn More About PDFs.
DC Employee Health Benefits (Employee Hired on or After 10/01/1987)
AETNA HEALTHCARE HMO
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