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 | $132 ($66.00) |
$274 ($137.00) |
$231 ($115.50) |
$373 ($186.50) |
| C | C | Group Health Classic | 142 | 50 | $71 ($35.50) |
$152 ($76.00) |
$124 ($62.00) |
$205 ($102.50) |
| CV | B | Group Health Value | 68 | 69 | $ 22 ($11.00) |
$ 54 ($27.00) |
$ 39 ($19.50) |
$ 71 ($35.50) |
| D | D | Kaiser Permanente Classic | 78 | 52 | $ 72 ($36.00) |
$154 ($77.00) |
$126 ($63.00) |
$208 ($104.00) |
| DV | L | Kaiser Permanente Value | 77 | 79 | $ 42 ($21.00) |
$ 94 ($47.00) |
$ 74 ($37.00) |
$126 ($63.00) |
| U | U | Uniform Medical Plan | 154 | 242 | $ 41 ($20.50) |
$ 92 ($46.00) |
$ 72 ($36.00) |
$ 123 ($61.50) |