EUTF Premium Plan Comparison Tool Results
Current plan thru June 30, 2021
| 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 |
| Plan | Tier | Semi-Monthly (Pay Period) |
Monthly | Annually | |
|---|---|---|---|---|---|
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $181.21 | $362.42 | $4,349.04 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $439.60 | $879.20 | $10,550.40 |
| Current Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $560.06 | $1,120.12 | $13,441.44 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $129.18 | $258.36 | $3,100.32 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $313.37 | $626.74 | $7,520.88 |
| Current Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $398.98 | $797.96 | $9,575.52 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $128.78 | $257.56 | $3,090.72 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $313.50 | $627.00 | $7,524.00 |
| Current Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $400.22 | $800.44 | $9,605.28 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $181.21 | $362.42 | $4,349.04 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $439.60 | $879.20 | $10,550.40 |
| First Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $560.06 | $1,120.12 | $13,441.44 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $129.18 | $258.36 | $3,100.32 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $313.37 | $626.74 | $7,520.88 |
| First Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $398.98 | $797.96 | $9,575.52 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $128.78 | $257.56 | $3,090.72 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $313.50 | $627.00 | $7,524.00 |
| First Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $400.22 | $800.44 | $9,605.28 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $181.21 | $362.42 | $4,349.04 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $439.60 | $879.20 | $10,550.40 |
| Second Plan | HSTA VB HMSA PPO (90/10) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $560.06 | $1,120.12 | $13,441.44 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Self | $129.18 | $258.36 | $3,100.32 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | 2-Party | $313.37 | $626.74 | $7,520.88 |
| Second Plan | HSTA VB HMSA PPO (80/20) Medical, Chiropractic, CVS Prescription Drug and VSP Vision | Family | $398.98 | $797.96 | $9,575.52 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Self | $128.78 | $257.56 | $3,090.72 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | 2-Party | $313.50 | $627.00 | $7,524.00 |
| Second Plan | HSTA VB Kaiser HMO Comprehensive Medical, Chiropractic, Prescription Drug and VP Vision | Family | $400.22 | $800.44 | $9,605.28 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $247.27 | $494.54 | $5,934.48 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $600.48 | $1,200.96 | $14,411.52 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $765.86 | $1,531.72 | $18,380.64 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $147.07 | $294.14 | $3,529.68 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $356.98 | $713.96 | $8,567.52 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $455.24 | $910.48 | $10,925.76 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $41.79 | $83.58 | $1,002.96 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $101.48 | $202.96 | $2,435.52 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $129.32 | $258.64 | $3,103.68 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $248.50 | $497.00 | $5,964.00 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $603.53 | $1,207.06 | $14,484.72 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $769.79 | $1,539.58 | $18,474.96 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $150.84 | $301.68 | $3,620.16 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $366.61 | $733.22 | $8,798.64 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $468.22 | $936.44 | $11,237.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $42.97 | $85.94 | $1,031.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $104.40 | $208.80 | $2,505.60 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $133.18 | $266.36 | $3,196.32 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $8.33 | $16.66 | $199.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $13.26 | $26.52 | $318.24 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $14.19 | $28.38 | $340.56 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Current Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Current Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Current Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Current Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Current Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Current Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Current Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| First Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| First Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| First Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| First Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| First Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| First Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| First Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| First Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Self | $243.13 | $486.26 | $5,835.12 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $590.64 | $1,181.28 | $14,175.36 |
| Second Plan | HMSA PPO (90/10) Medical, Chiropractic and CVS Prescription Drug | Family | $753.19 | $1,506.38 | $18,076.56 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Self | $142.93 | $285.86 | $3,430.32 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $347.14 | $694.28 | $8,331.36 |
| Second Plan | HMSA PPO (80/20) Medical, Chiropractic and CVS Prescription Drug | Family | $442.57 | $885.14 | $10,621.68 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Self | $33.51 | $67.02 | $804.24 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | 2-Party | $81.36 | $162.72 | $1,952.64 |
| Second Plan | HMSA PPO (75/25) Medical, Chiropractic and CVS Prescription Drug | Family | $103.71 | $207.42 | $2,489.04 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Self | $244.36 | $488.72 | $5,864.64 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | 2-Party | $593.69 | $1,187.38 | $14,248.56 |
| Second Plan | HMSA HMO Medical, Chiropractic and CVS Prescription Drug | Family | $757.12 | $1,514.24 | $18,170.88 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Self | $146.70 | $293.40 | $3,520.80 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | 2-Party | $356.77 | $713.54 | $8,562.48 |
| Second Plan | Kaiser HMO Comprehensive Medical, Chiropractic and Prescription Drug | Family | $455.55 | $911.10 | $10,933.20 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Self | $35.18 | $70.36 | $844.32 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | 2-Party | $85.47 | $170.94 | $2,051.28 |
| Second Plan | Kaiser HMO Standard Medical, Chiropractic and Prescription Drug | Family | $109.04 | $218.08 | $2,616.96 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Self | $7.58 | $15.16 | $181.92 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | 2-Party | $14.31 | $28.62 | $343.44 |
| Second Plan | HMA Supplemental Medical and Prescription Drug | Family | $15.57 | $31.14 | $373.68 |
***Continuation of July 1, 2020 to June 30, 2021 monthly employer contributions until a collective bargaining agreement is reached. Employees should contact their employer or check the EUTF website for updated information regarding their premiums and contributions.***