healthInsTable_2017
Health Insurance Premium Table (2017)
Monthly and Semi-Monthly Payroll Deduction Amounts–Coverage Month January 2017
HCA HLTH PLAN CODE | WSU HLTH PLAN CODE | HEALTH CARRIERS | RED GTN | DED GTN | EMPLOYEE | EMPLOYEE & SPOUSE | EMPL & CHILDREN | FULL FAMILY |
---|---|---|---|---|---|---|---|---|
C | C | Group Health Classic | 142 | 050 | $147 ($73.50) | $304 ($152.00) | $257 ($128.50) | $414 ($207.00) |
CV | B | Group Health Value | 068 | 069 | $69 ($34.50) | $148 ($74.00) | $121 ($60.50) | $200 ($100.00) |
CHSA | J | Group Health HSA | 041 | 053 | $25 ($12.50) | $60 ($30.00) | $44 ($22.00) | $79 ($39.50) |
C1 | N | Group Hlth Sound Choice | 217 | 225 | $46 ($23.00) | $102 ($51.00) | $81 ($40.50) | $137 ($68.50) |
D | D | Kaiser Permanente Classic | 078 | 052 | $131 ($65.50) | $272 ($136.00) | $229 ($114.50) | $370 ($185.00) |
DHSA | M | Kaiser HSA | 047 | 046 | $26 ($13.00) | $62 ($31.00) | $46 ($23.00) | $82 ($41.00) |
U | U | Uniform Medical Plan | 154 | 242 | $94 ($47.00) | $198 ($99.00) | $165 ($82.50) | $269 ($134.50) |
UHSA | R | Uniform Medical HSA | 055 | 059 | $25 ($12.50) | $60 ($30.00) | $44 ($22.00) | $79 ($39.50) |
U1 | Q | UMP Plus UW Med | 226 | 229 | $66 ($33.00) | $142 ($71.00) | $116 ($58.00) | $192 ($96.00) |
U2 | S | UMP Plus Puget Sound | 227 | 231 | $66 ($33.00) | $142 ($71.00) | $116 ($58.00) | $192 ($96.00) |
( ) = Semi-monthly rate