This page below gives you immediate access to the California group health insurance plan descriptions and
forms you will need to help employers and their staff get the information that is easy to understand and use.

Kaiser Rate Guide
 
View (CA) Rate Guide For.....     Aetna  |  Blue Cross  |  Blue Shield  |  Health Net  |  HSA California  |  Kaiser  |  Kaiser Choice Solution  |  PacifiCare  |  Sharp  |  UHC  |  Western Health Advantage
Company Plan Types Available Rate Guide California Counties / Zip Codes Covered --- Effective Date: 1-1-2010 to 6-1-2010
Kaiser

 

 

California Areas

Kaiser

CoPayment Plans
$50
$30
$20
$15
$5

HSA-Qualified Deductible HMO Plans
$30/$3000 w/ HSA
$0/$2700 w/ HSA
$0/$2200 w/ HSA

Deductible HMO Plans
$40/$2,000
$30/$1,500
$30/$1,000

Deductible HMO Plans w/ HRA
$30/$2,500 w/ HRA
$30/$1,500 w/ HRA

$35 POS Plan
$35 POS

$40/$2,500 PPO Insurance Plan w/ HSA Option
$40/$2,500 PPO HSA

$40/$1,000 PPO Insurance Plan
$40/$1,000 PPO



Alameda, San Francisco, San Joaquin, San Mateo, Santa Clara and Portions of Contra Costa 94002, 94005, 94010, 94011, 94013, 94014, 94015, 94016, 94017, 94018, 94019, 94020, 94021, 94022, 94023, 94024, 94025, 94026, 94027, 94028, 94030, 94035, 94037, 94038, 94039, 94040, 94041, 94042, 94043, 94044, 94060, 94061, 94062, 94063, 94064, 94065, 94066, 94070, 94074, 94080, 94083, 94085, 94086, 94087, 94088, 94089, 94101, 94102, 94103, 94104, 94105, 94107, 94108, 94109, 94110, 94111, 94112, 94114, 94115, 94116, 94117, 94118, 94119, 94120, 94121, 94122, 94123, 94124, 94125, 94126, 94127, 94128, 94129, 94130, 94131, 94132, 94133, 94134, 94137, 94139, 94140, 94141, 94142, 94143, 94144, 94145, 94146, 94147, 94151, 94156, 94158, 94159, 94160, 94161, 94162, 94163, 94164, 94172, 94177, 94188, 94199, 94301, 94302, 94303, 94304, 94305, 94306, 94309, 94401, 94402, 94403, 94404, 94497, 94501, 94502, 94536, 94537, 94538, 94539, 94540, 94541, 94542, 94543, 94544, 94545, 94546, 94550, 94551, 94552, 94555, 94557, 94560, 94566, 94568, 94577, 94578, 94579, 94580, 94586, 94587, 94588, 94601, 94602, 94603, 94604, 94605, 94606, 94607, 94608, 94609, 94610, 94611, 94612, 94613, 94614, 94615, 94617, 94618, 94619, 94620, 94621, 94622, 94623, 94624, 94649, 94659, 94660, 94661, 94662, 94666, 94701, 94702, 94703, 94704, 94705, 94706, 94707, 94708, 94709, 94710, 94712, 94720, 94801, 94802, 94803, 94804, 94805, 94806, 94807, 94808, 94820, 94850, 95002, 95008, 95009, 95011, 95013, 95014, 95015, 95020, 95021, 95026, 95030, 95031, 95032, 95033, 95035, 95036, 95037, 95038, 95042, 95044, 95046, 95050, 95051, 95052, 95053, 95054, 95055, 95056, 95070, 95071, 95101, 95103, 95106, 95108, 95109, 95110, 95111, 95112, 95113, 95115, 95116, 95117, 95118, 95119, 95120, 95121, 95122, 95123, 95124, 95125, 95126, 95127, 95128, 95129, 95130, 95131, 95132, 95133, 95134, 95135, 95136, 95138, 95139, 95140, 95141, 95148, 95150, 95151, 95152, 95153, 95154, 95155, 95156, 95157, 95158, 95159, 95160, 95161, 95164, 95170, 95172, 95173, 95190, 95191, 95192, 95193, 95194, 95196, 95201, 95202, 95203, 95204, 95205, 95206, 95207, 95208, 95209, 95210, 95211, 95212, 95213, 95215, 95219, 95220, 95227, 95230, 95231, 95234, 95236, 95237, 95240, 95241, 95242, 95253, 95258, 95267, 95269, 95296, 95297, 95304, 95320, 95330, 95336, 95337, 95366, 95376, 95377, 95378, 95385, 95391, 95686

Kaiser

CoPayment Plans
$50
$30
$20
$15
$5

HSA-Qualified Deductible HMO Plans
$30/$3000 w/ HSA
$0/$2700 w/ HSA
$0/$2200 w/ HSA

Deductible HMO Plans
$40/$2,000
$30/$1,500
$30/$1,000

Deductible HMO Plans w/ HRA
$30/$2,500 w/ HRA
$30/$1,500 w/ HRA

$35 POS Plan
$35 POS

$40/$2,500 PPO Insurance Plan w/ HSA Option
$40/$2,500 PPO HSA

$40/$1,000 PPO Insurance Plan
$40/$1,000 PPO



Madera, Marin, Napa, Sacramento, Solano, Stanislaus and Portions of Amador, Contra Costa, El Dorado, Fresno, Kings, Mariposa, Placer, Sonoma, Sutter, Tulare, Yolo and Yuba 93230, 93232, 93242, 93601, 93602, 93604, 93606, 93607, 93609, 93611, 93612, 93613, 93614, 93616, 93618, 93619, 93623, 93624, 93625, 93626, 93627, 93630, 93631, 93636, 93637, 93638, 93639, 93643, 93644, 93645, 93646, 93648, 93649, 93650, 93651, 93652, 93653, 93654, 93656, 93657, 93660, 93662, 93666, 93667, 93668, 93669, 93673, 93675, 93701, 93702, 93703, 93704, 93705, 93706, 93707, 93708, 93709, 93710, 93711, 93712, 93714, 93715, 93716, 93717, 93718, 93720, 93721, 93722, 93723, 93724, 93725, 93726, 93727, 93728, 93729, 93730, 93741, 93744, 93745, 93747, 93750, 93755, 93760, 93761, 93764, 93765, 93771, 93772, 93773, 93774, 93775, 93776, 93777, 93778, 93779, 93780, 93784, 93786, 93790, 93791, 93792, 93793, 93794, 93844, 93888, 94203, 94204, 94205, 94206, 94207, 94208, 94209, 94211, 94229, 94230, 94232, 94234, 94235, 94236, 94237, 94239, 94240, 94244, 94246, 94247, 94248, 94249, 94250, 94252, 94254, 94256, 94257, 94258, 94259, 94261, 94262, 94263, 94267, 94268, 94269, 94271, 94273, 94274, 94277, 94279, 94280, 94282, 94283, 94284, 94285, 94286, 94287, 94288, 94289, 94290, 94291, 94293, 94294, 94295, 94296, 94297, 94298, 94503, 94505, 94506, 94507, 94508, 94509, 94510, 94511, 94512, 94513, 94514, 94515, 94516, 94517, 94518, 94519, 94520, 94521, 94522, 94523, 94524, 94525, 94526, 94527, 94528, 94529, 94530, 94531, 94533, 94534, 94535, 94547, 94548, 94549, 94553, 94556, 94558, 94559, 94561, 94562, 94563, 94564, 94565, 94567, 94569, 94570, 94571, 94572, 94573, 94574, 94575, 94576, 94581, 94582, 94583, 94585, 94589, 94590, 94591, 94592, 94595, 94596, 94597, 94598, 94599, 94901, 94903, 94904, 94912, 94913, 94914, 94915, 94920, 94922, 94923, 94924, 94925, 94927, 94928, 94929, 94930, 94931, 94933, 94937, 94938, 94939, 94940, 94941, 94942, 94945, 94946, 94947, 94948, 94949, 94950, 94951, 94952, 94953, 94954, 94955, 94956, 94957, 94960, 94963, 94964, 94965, 94966, 94970, 94971, 94972, 94973, 94974, 94975, 94976, 94977, 94978, 94979, 94999, 95307, 95313, 95316, 95319, 95323, 95326, 95328, 95329, 95350, 95351, 95352, 95353, 95354, 95355, 95356, 95357, 95358, 95360, 95361, 95363, 95367, 95368, 95380, 95381, 95382, 95386, 95387, 95397, 95401, 95402, 95403, 95404, 95405, 95406, 95407, 95409, 95416, 95419, 95421, 95425, 95430, 95431, 95433, 95436, 95439, 95441, 95442, 95444, 95446, 95448, 95450, 95452, 95462, 95465, 95471, 95472, 95473, 95476, 95486, 95487, 95492 95602, 95603, 95604, 95605, 95607, 95608, 95609, 95610, 95611, 95612, 95613, 95614, 95615, 95616, 95617, 95618, 95619, 95620, 95621, 95623, 95624, 95625, 95626, 95628, 95630, 95632, 95633, 95634, 95635, 95638, 95639, 95640, 95641, 95645, 95648, 95650, 95651, 95652, 95655, 95658, 95659, 95660, 95661, 95662, 95663, 95664, 95667, 95668, 95669, 95670, 95671, 95672, 95673, 95674, 95676, 95677, 95678, 95680, 95681, 95682, 95683, 95687, 95688, 95690, 95691, 95692, 95693, 95694, 95695, 95696, 95697, 95698, 95703, 95722, 95736, 95741, 95742, 95746, 95747, 95757, 95758, 95759, 95762, 95763, 95765, 95776, 95798, 95799, 95811, 95812, 95813, 95814, 95815, 95816, 95817, 95818, 95819, 95820, 95821, 95822, 95823, 95824, 95825, 95826, 95827, 95828, 95829, 95830, 95831, 95832, 95833, 95834, 95835, 95836, 95837, 95838, 95840, 95841, 95842, 95843, 95851, 95852, 95853, 95860, 95864, 95865, 95866, 95867, 95894, 95899, 95903, 95961

Kaiser

CoPayment Plans
$50
$30
$20
$15
$5

HSA-Qualified Deductible HMO Plans
$30/$3000 w/ HSA
$0/$2700 w/ HSA
$0/$2200 w/ HSA

Deductible HMO Plans
$40/$2,000
$30/$1,500
$30/$1,000

Deductible HMO Plans w/ HRA
$30/$2,500 w/ HRA
$30/$1,500 w/ HRA

$35 POS Plan
$35 POS

$40/$2,500 PPO Insurance Plan w/ HSA Option
$40/$2,500 PPO HSA

$40/$1,000 PPO Insurance Plan
$40/$1,000 PPO

 


Madera, Marin, Napa, Sacramento, Solano, Stanislaus and Portions of Amador, Contra Costa, El Dorado, Fresno, Kings, Mariposa, Placer, Sonoma, Sutter, Tulare, Yolo and Yuba 93230, 93232, 93242, 93601, 93602, 93604, 93606, 93607, 93609, 93611, 93612, 93613, 93614, 93616, 93618, 93619, 93623, 93624, 93625, 93626, 93627, 93630, 93631, 93636, 93637, 93638, 93639, 93643, 93644, 93645, 93646, 93648, 93649, 93650, 93651, 93652, 93653, 93654, 93656, 93657, 93660, 93662, 93666, 93667, 93668, 93669, 93673, 93675, 93701, 93702, 93703, 93704, 93705, 93706, 93707, 93708, 93709, 93710, 93711, 93712, 93714, 93715, 93716, 93717, 93718, 93720, 93721, 93722, 93723, 93724, 93725, 93726, 93727, 93728, 93729, 93730, 93741, 93744, 93745, 93747, 93750, 93755, 93760, 93761, 93764, 93765, 93771, 93772, 93773, 93774, 93775, 93776, 93777, 93778, 93779, 93780, 93784, 93786, 93790, 93791, 93792, 93793, 93794, 93844, 93888, 94203, 94204, 94205, 94206, 94207, 94208, 94209, 94211, 94229, 94230, 94232, 94234, 94235, 94236, 94237, 94239, 94240, 94244, 94246, 94247, 94248, 94249, 94250, 94252, 94254, 94256, 94257, 94258, 94259, 94261, 94262, 94263, 94267, 94268, 94269, 94271, 94273, 94274, 94277, 94279, 94280, 94282, 94283, 94284, 94285, 94286, 94287, 94288, 94289, 94290, 94291, 94293, 94294, 94295, 94296, 94297, 94298, 94503, 94505, 94506, 94507, 94508, 94509, 94510, 94511, 94512, 94513, 94514, 94515, 94516, 94517, 94518, 94519, 94520, 94521, 94522, 94523, 94524, 94525, 94526, 94527, 94528, 94529, 94530, 94531, 94533, 94534, 94535, 94547, 94548, 94549, 94553, 94556, 94558, 94559, 94561, 94562, 94563, 94564, 94565, 94567, 94569, 94570, 94571, 94572, 94573, 94574, 94575, 94576, 94581, 94582, 94583, 94585, 94589, 94590, 94591, 94592, 94595, 94596, 94597, 94598, 94599, 94901, 94903, 94904, 94912, 94913, 94914, 94915, 94920, 94922, 94923, 94924, 94925, 94927, 94928, 94929, 94930, 94931, 94933, 94937, 94938, 94939, 94940, 94941, 94942, 94945, 94946, 94947, 94948, 94949, 94950, 94951, 94952, 94953, 94954, 94955, 94956, 94957, 94960, 94963, 94964, 94965, 94966, 94970, 94971, 94972, 94973, 94974, 94975, 94976, 94977, 94978, 94979, 94999, 95307, 95313, 95316, 95319, 95323, 95326, 95328, 95329, 95350, 95351, 95352, 95353, 95354, 95355, 95356, 95357, 95358, 95360, 95361, 95363, 95367, 95368, 95380, 95381, 95382, 95386, 95387, 95397, 95401, 95402, 95403, 95404, 95405, 95406, 95407, 95409, 95416, 95419, 95421, 95425, 95430, 95431, 95433, 95436, 95439, 95441, 95442, 95444, 95446, 95448, 95450, 95452, 95462, 95465, 95471, 95472, 95473, 95476, 95486, 95487, 95492 95602, 95603, 95604, 95605, 95607, 95608, 95609, 95610, 95611, 95612, 95613, 95614, 95615, 95616, 95617, 95618, 95619, 95620, 95621, 95623, 95624, 95625, 95626, 95628, 95630, 95632, 95633, 95634, 95635, 95638, 95639, 95640, 95641, 95645, 95648, 95650, 95651, 95652, 95655, 95658, 95659, 95660, 95661, 95662, 95663, 95664, 95667, 95668, 95669, 95670, 95671, 95672, 95673, 95674, 95676, 95677, 95678, 95680, 95681, 95682, 95683, 95687, 95688, 95690, 95691, 95692, 95693, 95694, 95695, 95696, 95697, 95698, 95703, 95722, 95736, 95741, 95742, 95746, 95747, 95757, 95758, 95759, 95762, 95763, 95765, 95776, 95798, 95799, 95811, 95812, 95813, 95814, 95815, 95816, 95817, 95818, 95819, 95820, 95821, 95822, 95823, 95824, 95825, 95826, 95827, 95828, 95829, 95830, 95831, 95832, 95833, 95834, 95835, 95836, 95837, 95838, 95840, 95841, 95842, 95843, 95851, 95852, 95853, 95860, 95864, 95865, 95866, 95867, 95894, 95899, 95903, 95961

Kaiser

CoPayment Plans
$50
$30
$20
$15
$5

HSA-Qualified Deductible HMO Plans
$30/$3000 w/ HSA
$0/$2700 w/ HSA
$0/$2200 w/ HSA

Deductible HMO Plans
$40/$2,000
$30/$1,500
$30/$1,000

Deductible HMO Plans w/ HRA
$30/$2,500 w/ HRA
$30/$1,500 w/ HRA

$35 POS Plan
$35 POS

$40/$2,500 PPO Insurance Plan w/ HSA Option
$40/$2,500 PPO HSA

$40/$1,000 PPO Insurance Plan
$40/$1,000 PPO


Portions of Imperial, Riverside and San Bernardino 91701, 91708, 91709, 91710, 91729, 91730, 91737, 91739, 91743, 91752, 91758, 91761, 91762, 91763, 91764, 91784, 91785, 91786, 92201, 92202, 92203, 92210, 92211, 92220, 92223, 92230, 92234, 92235, 92236, 92240, 92241, 92247, 92248, 92252, 92253, 92254, 92255, 92256, 92258, 92260, 92261, 92262, 92263, 92264, 92268, 92270, 92274, 92276, 92277, 92278, 92282, 92284, 92285, 92286, 92305, 92307, 92308, 92313, 92314, 92315, 92316, 92317, 92318, 92320, 92321, 92322, 92324, 92325, 92326, 92329, 92331, 92333, 92334, 92335, 92336, 92337, 92339, 92340, 92341, 92344, 92345, 92346, 92350, 92352, 92354, 92357, 92358, 92359, 92369, 92371, 92372, 92373, 92374, 92375, 92376, 92377, 92378, 92382, 92385, 92386, 92391, 92392, 92393, 92394, 92395, 92397, 92399, 92401, 92402, 92403, 92404, 92405, 92406, 92407, 92408, 92410, 92411, 92412, 92413, 92414, 92415, 92418, 92423, 92424, 92427, 92501, 92502, 92503, 92504, 92505, 92506, 92507, 92508, 92509, 92513, 92514, 92515, 92516, 92517, 92518, 92519, 92521, 92522, 92530, 92531, 92532, 92543, 92544, 92545, 92546, 92548, 92551, 92552, 92553, 92554, 92555, 92556, 92557, 92562, 92563, 92564, 92567, 92570, 92571, 92572, 92581, 92582, 92583, 92584, 92585, 92586, 92587, 92589, 92590, 92591, 92592, 92593, 92595, 92596, 92599, 92860, 92877, 92878, 92879, 92880, 92881, 92882, 92883

Kaiser

CoPayment Plans
$50
$30
$20
$15
$5

HSA-Qualified Deductible HMO Plans
$30/$3000 w/ HSA
$0/$2700 w/ HSA
$0/$2200 w/ HSA

Deductible HMO Plans
$40/$2,000
$30/$1,500
$30/$1,000

Deductible HMO Plans w/ HRA
$30/$2,500 w/ HRA
$30/$1,500 w/ HRA

$35 POS Plan
$35 POS

$40/$2,500 PPO Insurance Plan w/ HSA Option
$40/$2,500 PPO HSA

$40/$1,000 PPO Insurance Plan
$40/$1,000 PPO



Portions of Los Angeles and San Diego 90001, 90002, 90003, 90004, 90005, 90006, 90007, 90008, 90009, 90010, 90011, 90012, 90013, 90014, 90015, 90016, 90017, 90018, 90019, 90020, 90021, 90022, 90023, 90024, 90025, 90026, 90027, 90028, 90029, 90030, 90031, 90032, 90033, 90034, 90035, 90036, 90037, 90038, 90039, 90040, 90041, 90042, 90043, 90044, 90045, 90046, 90047, 90048, 90049, 90050, 90051, 90052, 90053, 90054, 90055, 90056, 90057, 90058, 90059, 90060, 90061, 90062, 90063, 90064, 90065, 90066, 90067, 90068, 90069, 90070, 90071, 90072, 90073, 90074, 90075, 90076, 90077, 90078, 90079, 90080, 90081, 90082, 90083, 90084, 90086, 90087, 90088, 90089, 90091, 90093, 90094, 90095, 90096, 90101, 90103, 90189, 90201, 90202, 90209, 90210, 90211, 90212, 90213, 90220, 90221, 90222, 90223, 90224, 90230, 90231, 90232, 90233, 90239, 90240, 90241, 90242, 90245, 90247, 90248, 90249, 90250, 90251, 90254, 90255, 90260, 90261, 90262, 90263, 90264, 90265, 90266, 90267, 90270, 90272, 90274, 90275, 90277, 90278, 90280, 90290, 90291, 90292, 90293, 90294, 90295, 90296, 90301, 90302, 90303, 90304, 90305, 90306, 90307, 90308, 90309, 90310, 90312, 90401, 90402, 90403, 90404, 90405, 90406, 90407, 90408, 90409, 90410, 90411, 90501, 90502, 90503, 90504, 90505, 90506, 90507, 90508, 90509, 90510, 90601, 90602, 90603, 90604, 90605, 90606, 90607, 90608, 90609, 90610, 90637, 90638, 90639, 90640, 90650, 90651, 90652, 90660, 90661, 90662, 90670, 90701, 90702, 90703, 90706, 90707, 90710, 90711, 90712, 90713, 90714, 90715, 90716, 90717, 90723, 90731, 90732, 90733, 90734, 90744, 90745, 90746, 90747, 90748, 90749, 90755, 90801, 90802, 90803, 90804, 90805, 90806, 90807, 90808, 90809, 90810, 90813, 90814, 90815, 90822, 90831, 90832, 90833, 90834, 90835, 90840, 90842, 90844, 90846, 90847, 90848, 90853, 90895, 91001, 91003, 91006, 91007, 91008, 91009, 91010, 91011, 91012, 91016, 91017, 91020, 91021, 91023, 91024, 91025, 91030, 91031, 91040, 91041, 91042, 91043, 91046, 91066, 91077, 91101, 91102, 91103, 91104, 91105, 91106, 91107, 91108, 91109, 91110, 91114, 91115, 91116, 91117, 91118, 91121, 91123, 91124, 91125, 91126, 91129, 91182, 91184, 91185, 91188, 91189, 91199, 91201, 91202, 91203, 91204, 91205, 91206, 91207, 91208, 91209, 91210, 91214, 91221, 91222, 91224, 91225, 91226, 91501, 91502, 91503, 91504, 91505, 91506, 91507, 91508, 91510, 91521, 91522, 91523, 91702, 91706, 91711, 91715, 91716, 91722, 91723, 91724, 91731, 91732, 91733, 91734, 91735, 91740, 91741, 91744, 91745, 91746, 91747, 91748, 91749, 91750, 91754, 91755, 91756, 91759, 91765, 91766, 91767, 91768, 91769, 91770, 91771, 91772, 91773, 91775, 91776, 91778, 91780, 91788, 91789, 91790, 91791, 91792, 91793, 91795, 91801, 91802, 91803, 91901, 91902, 91903, 91908, 91909, 91910, 91911, 91912, 91913, 91914, 91915, 91916, 91917, 91921, 91931, 91932, 91933, 91935, 91941, 91942, 91943, 91944, 91945, 91946, 91947, 91950, 91951, 91962, 91963, 91976, 91977, 91978, 91979, 91980, 91987, 92007, 92008, 92009, 92010, 92011, 92013, 92014, 92018, 92019, 92020, 92021, 92022, 92023, 92024, 92025, 92026, 92027, 92029, 92030, 92033, 92037, 92038, 92039, 92040, 92046, 92049, 92051, 92052, 92054, 92055, 92056, 92057, 92058, 92064, 92065, 92067, 92068, 92069, 92071, 92072, 92074, 92075, 92078, 92079, 92081, 92082, 92083, 92084, 92085, 92090, 92091, 92092, 92093, 92096, 92101, 92102, 92103, 92104, 92105, 92106, 92107, 92108, 92109, 92110, 92111, 92112, 92113, 92114, 92115, 92116, 92117, 92118, 92119, 92120, 92121, 92122, 92123, 92124, 92126, 92127, 92128, 92129, 92130, 92131, 92132, 92134, 92135, 92136, 92137, 92138, 92139, 92140, 92142, 92143, 92145, 92147, 92149, 92150, 92152, 92153, 92154, 92155, 92158, 92159, 92160, 92161, 92162, 92163, 92164, 92165, 92166, 92167, 92168, 92169, 92170, 92171, 92172, 92173, 92174, 92175, 92176, 92177, 92178, 92179, 92182, 92184, 92186, 92187, 92190, 92191, 92192, 92193, 92195, 92196, 92197, 92198, 92199

Kaiser

CoPayment Plans
$50
$30
$20
$15
$5

HSA-Qualified Deductible HMO Plans
$30/$3000 w/ HSA
$0/$2700 w/ HSA
$0/$2200 w/ HSA

Deductible HMO Plans
$40/$2,000
$30/$1,500
$30/$1,000

Deductible HMO Plans w/ HRA
$30/$2,500 w/ HRA
$30/$1,500 w/ HRA

$35 POS Plan
$35 POS

$40/$2,500 PPO Insurance Plan w/ HSA Option
$40/$2,500 PPO HSA

$40/$1,000 PPO Insurance Plan
$40/$1,000 PPO

Orange 90620, 90621, 90622, 90623, 90624, 90630, 90631, 90632, 90633, 90680, 90720, 90721, 90740, 90742, 90743, 92602, 92603, 92604, 92605, 92606, 92607, 92609, 92610, 92612, 92614, 92615, 92616, 92617, 92618, 92619, 92620, 92623, 92624, 92625, 92626, 92627, 92628, 92629, 92630, 92637, 92646, 92647, 92648, 92649, 92650, 92651, 92652, 92653, 92654, 92655, 92656, 92657, 92658, 92659, 92660, 92661, 92662, 92663, 92672, 92673, 92674, 92675, 92676, 92677, 92678, 92679, 92683, 92684, 92685, 92688, 92690, 92691, 92692, 92693, 92694, 92697, 92698, 92701, 92702, 92703, 92704, 92705, 92706, 92707, 92708, 92711, 92712, 92728, 92735, 92780, 92781, 92782, 92799, 92801, 92802, 92803, 92804, 92805, 92806, 92807, 92808, 92809, 92811, 92812, 92814, 92815, 92816, 92817, 92821, 92822, 92823, 92825, 92831, 92832, 92833, 92834, 92835, 92836, 92837, 92838, 92840, 92841, 92842, 92843, 92844, 92845, 92846, 92850, 92856, 92857, 92859, 92861, 92863, 92865, 92866, 92867, 92868, 92869, 92870, 92871, 92885, 92886, 92887, 92899

Kaiser

CoPayment Plans
$50
$30
$20
$15
$5

HSA-Qualified Deductible HMO Plans
$30/$3000 w/ HSA
$0/$2700 w/ HSA
$0/$2200 w/ HSA

Deductible HMO Plans
$40/$2,000
$30/$1,500
$30/$1,000

Deductible HMO Plans w/ HRA
$30/$2,500 w/ HRA
$30/$1,500 w/ HRA

$35 POS Plan
$35 POS

$40/$2,500 PPO Insurance Plan w/ HSA Option
$40/$2,500 PPO HSA

$40/$1,000 PPO Insurance Plan
$40/$1,000 PPO

Portions of Kern, Los Angeles, Tulare and Ventura 91301, 91302, 91303, 91304, 91305, 91306, 91307, 91308, 91309, 91310, 91311, 91313, 91316, 91319, 91320, 91321, 91322, 91324, 91325, 91326, 91327, 91328, 91329, 91330, 91331, 91333, 91334, 91335, 91337, 91340, 91341, 91342, 91343, 91344, 91345, 91346, 91350, 91351, 91352, 91353, 91354, 91355, 91356, 91357, 91358, 91359, 91360, 91361, 91362, 91364, 91365, 91367, 91371, 91372, 91376, 91377, 91380, 91381, 91383, 91384, 91385, 91386, 91387, 91390, 91392, 91393, 91394, 91395, 91396, 91401, 91402, 91403, 91404, 91405, 91406, 91407, 91408, 91409, 91410, 91411, 91412, 91413, 91416, 91423, 91426, 91436, 91470, 91482, 91495, 91496, 91499, 91601, 91602, 91603, 91604, 91605, 91606, 91607, 91608, 91609, 91610, 91611, 91612, 91614, 91615, 91616, 91617, 91618, 93001, 93002, 93003, 93004, 93005, 93006, 93007, 93009, 93011, 93012, 93015, 93016, 93020, 93021, 93022, 93030, 93031, 93032, 93033, 93034, 93035, 93036, 93040, 93041, 93042, 93043, 93044, 93060, 93061, 93062, 93063, 93064, 93065, 93066, 93094, 93099, 93203, 93205, 93206, 93215, 93216, 93220, 93222, 93224, 93225, 93226, 93238, 93240, 93241, 93243, 93250, 93251, 93252, 93261, 93263, 93268, 93276, 93280, 93285, 93287, 93301, 93302, 93303, 93304, 93305, 93306, 93307, 93308, 93309, 93311, 93312, 93313, 93314, 93380, 93383, 93384, 93385, 93386, 93387, 93388, 93389, 93390, 93501, 93502, 93504, 93505, 93510, 93518, 93519, 93531, 93532, 93534, 93535, 93536, 93539, 93543, 93544, 93550, 93551, 93552, 93553, 93560, 93561, 93563, 93581, 93584, 93586, 93590, 93591, 93599
Company Complete Rate Guide Rate Guide California Counties / Zip Codes Covered --- Effective Date: 1-1-2010 to 6-1-2010
Kaiser
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1-1-2010
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