Monthly and Semi-Monthly Payroll Deduction Amounts
| HCA HLTH PLAN CODE | WSU HLTH PLAN CODE | HEALTH CARRIERS | RED GTN | DED GTN | EMPLOYEE | EMPLOYEE & SPOUSE | EMPLOYEE & CHILDREN | FULL FAMILY |
|---|---|---|---|---|---|---|---|---|
| AE | G | Aetna Public Employees | 103 | 109 | $112 ($56.00) |
$234 ($117.00) |
$196 ($98.00) |
$318 ($159.00) |
| C | C | Group Health Classic | 142 | 50 | $107 ($53.50) |
$224 ($112.00) |
$187 ($93.50) |
$304 ($152.00) |
| CV | B | Group Health Value | 68 | 69 | $ 25 ($12.50) |
$ 60 ($30.00) |
$ 44 ($22.00) |
$ 79 ($39.50) |
| D | D | Kaiser Permanente Classic | 78 | 52 | $ 76 ($38.00) |
$162 ($81.00) |
$133 ($66.50) |
$219 ($109.50) |
| DV | L | Kaiser Permanente Value | 77 | 79 | $ 33 ($16.50) |
$ 76 ($38.00) |
$ 58 ($29.00) |
$101 ($50.50) |
| U | U | Uniform Medical Plan | 154 | 242 | $ 26 ($13.00) |
$ 62 ($31.00) |
$ 46 ($23.00) |
$ 82 ($41.00) |