EUTF Premium Plan Comparison Tool Results
Current plan thru June 30, 2023
| Plan | Tier | Semi-Monthly (Pay Period) |
Monthly | Annually | |
|---|---|---|---|---|---|
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $242.23 | $484.46 | $5,813.52 |
| Plan | Tier | Semi-Monthly (Pay Period) |
Monthly | Annually | |
|---|---|---|---|---|---|
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $196.48 | $392.96 | $4,715.52 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $476.23 | $952.46 | $11,429.52 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $607.17 | $1,214.34 | $14,572.08 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $138.85 | $277.70 | $3,332.40 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $336.42 | $672.84 | $8,074.08 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $428.75 | $857.50 | $10,290.00 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $142.10 | $284.20 | $3,410.40 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $345.56 | $691.12 | $8,293.44 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $441.60 | $883.20 | $10,598.40 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $196.48 | $392.96 | $4,715.52 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $476.23 | $952.46 | $11,429.52 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $607.17 | $1,214.34 | $14,572.08 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $138.85 | $277.70 | $3,332.40 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $336.42 | $672.84 | $8,074.08 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $428.75 | $857.50 | $10,290.00 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $142.10 | $284.20 | $3,410.40 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $345.56 | $691.12 | $8,293.44 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $441.60 | $883.20 | $10,598.40 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $196.48 | $392.96 | $4,715.52 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $476.23 | $952.46 | $11,429.52 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $607.17 | $1,214.34 | $14,572.08 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $138.85 | $277.70 | $3,332.40 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $336.42 | $672.84 | $8,074.08 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $428.75 | $857.50 | $10,290.00 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $142.10 | $284.20 | $3,410.40 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $345.56 | $691.12 | $8,293.44 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $441.60 | $883.20 | $10,598.40 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $253.75 | $507.50 | $6,090.00 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $616.46 | $1,232.92 | $14,795.04 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $786.10 | $1,572.20 | $18,866.40 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $151.12 | $302.24 | $3,626.88 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $367.05 | $734.10 | $8,809.20 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $467.94 | $935.88 | $11,230.56 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $24.28 | $48.56 | $582.72 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $58.95 | $117.90 | $1,414.80 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $75.14 | $150.28 | $1,803.36 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $254.97 | $509.94 | $6,119.28 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $619.49 | $1,238.98 | $14,867.76 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $790.00 | $1,580.00 | $18,960.00 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $176.27 | $352.54 | $4,230.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $428.61 | $857.22 | $10,286.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $547.24 | $1,094.48 | $13,133.76 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $25.00 | $50.00 | $600.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $60.75 | $121.50 | $1,458.00 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $77.50 | $155.00 | $1,860.00 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $6.78 | $13.56 | $162.72 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $12.13 | $24.26 | $291.12 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $13.14 | $26.28 | $315.36 |