EUTF Premium Plan Comparison Tool Results
Current plan thru June 30, 2020
| Plan | Tier | Semi-Monthly (Pay Period) |
Monthly | Annually | |
|---|---|---|---|---|---|
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $470.11 | $940.22 | $11,282.64 |
Current plan and compared plans as of July 1, 2020
| Plan | Tier | Semi-Monthly (Pay Period) |
Monthly | Annually | |
|---|---|---|---|---|---|
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $169.21 | $338.42 | $4,061.04 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $410.49 | $820.98 | $9,851.76 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $522.98 | $1,045.96 | $12,551.52 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $111.14 | $222.28 | $2,667.36 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $269.58 | $539.16 | $6,469.92 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $343.20 | $686.40 | $8,236.80 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $114.57 | $229.14 | $2,749.68 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $278.94 | $557.88 | $6,694.56 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $356.15 | $712.30 | $8,547.60 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $169.21 | $338.42 | $4,061.04 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $410.49 | $820.98 | $9,851.76 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $522.98 | $1,045.96 | $12,551.52 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $111.14 | $222.28 | $2,667.36 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $269.58 | $539.16 | $6,469.92 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $343.20 | $686.40 | $8,236.80 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $114.57 | $229.14 | $2,749.68 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $278.94 | $557.88 | $6,694.56 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $356.15 | $712.30 | $8,547.60 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $169.21 | $338.42 | $4,061.04 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $410.49 | $820.98 | $9,851.76 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $522.98 | $1,045.96 | $12,551.52 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $111.14 | $222.28 | $2,667.36 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $269.58 | $539.16 | $6,469.92 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $343.20 | $686.40 | $8,236.80 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $114.57 | $229.14 | $2,749.68 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $278.94 | $557.88 | $6,694.56 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $356.15 | $712.30 | $8,547.60 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $193.09 | $386.18 | $4,634.16 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $468.87 | $937.74 | $11,252.88 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $598.07 | $1,196.14 | $14,353.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $123.79 | $247.58 | $2,970.96 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $300.47 | $600.94 | $7,211.28 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $383.22 | $766.44 | $9,197.28 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $31.96 | $63.92 | $767.04 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $77.61 | $155.22 | $1,862.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $98.94 | $197.88 | $2,374.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $250.80 | $501.60 | $6,019.20 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $609.12 | $1,218.24 | $14,618.88 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $776.99 | $1,553.98 | $18,647.76 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $134.37 | $268.74 | $3,224.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $326.54 | $653.08 | $7,836.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $417.13 | $834.26 | $10,011.12 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $33.73 | $67.46 | $809.52 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $81.95 | $163.90 | $1,966.80 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $104.55 | $209.10 | $2,509.20 |