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2017 Plan Information for Kentucky
Choose a Location, Employee Type, & Payment Period
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Nationwide
Non-Postal
Certain Temporary Employees
Annuitant
U.S. Postal Service (Category 1)
Former Spouse Enrollee
Federal Deposit Insurance Corporation
Temporary Continuation of Coverage (TCC)
U.S. Postal Service (Category 2)
Tribal Employee
Biweekly
Every Four Weeks
Semi-Monthly
Monthly
Location Specific Rates
Contract
Enrollment Code
Enrollment Type
Option/Enrollment Type
Payment Period
Employee Payment
Aetna Direct
224
Non-Postal
HDHP Self
Monthly
138.7
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
305.95
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
299.95
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
120.05
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
302.77
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
263.29
Aetna HealthFund CDHP and Aetna Value Plan
H41
Non-Postal
CDHP Self
Monthly
271.91
Aetna HealthFund CDHP and Aetna Value Plan
H42
Non-Postal
CDHP Self & Family
Monthly
620.04
Aetna HealthFund CDHP and Aetna Value Plan
H43
Non-Postal
CDHP Self Plus One
Monthly
666.83
Aetna HealthFund CDHP and Aetna Value Plan
H44
Non-Postal
Value Self
Monthly
139.55
Aetna HealthFund CDHP and Aetna Value Plan
H45
Non-Postal
Value Self & Family
Monthly
320.28
Aetna HealthFund CDHP and Aetna Value Plan
H46
Non-Postal
Value Self Plus One
Monthly
314
Humana CoverageFirst and Humana Value Plan
6N1
Non-Postal
CDHP Self
Monthly
140.64
Humana CoverageFirst and Humana Value Plan
6N2
Non-Postal
CDHP Self & Family
Monthly
316.42
Humana CoverageFirst and Humana Value Plan
6N3
Non-Postal
CDHP Self Plus One
Monthly
302.36
Humana Health Plan of Ohio, Inc.
A61
Non-Postal
High Self
Monthly
504.94
Humana Health Plan of Ohio, Inc.
A62
Non-Postal
High Self & Family
Monthly
1122.12
Humana Health Plan of Ohio, Inc.
A63
Non-Postal
High Self Plus One
Monthly
1087.36
Humana Health Plan of Ohio, Inc.
A64
Non-Postal
Standard Self
Monthly
296.42
Humana Health Plan of Ohio, Inc.
A65
Non-Postal
Standard Self & Family
Monthly
652.91
Humana Health Plan of Ohio, Inc.
A66
Non-Postal
Standard Self Plus One
Monthly
638.99
Humana Health Plan, Inc.
MH1
Non-Postal
High Self
Monthly
235.45
Humana Health Plan, Inc.
MH2
Non-Postal
High Self & Family
Monthly
515.78
Humana Health Plan, Inc.
MH3
Non-Postal
High Self Plus One
Monthly
507.97
Humana Health Plan, Inc.
MH4
Non-Postal
Standard Self
Monthly
173.16
Humana Health Plan, Inc.
MH5
Non-Postal
Standard Self & Family
Monthly
375.62
Humana Health Plan, Inc.
MH6
Non-Postal
Standard Self Plus One
Monthly
374.03
Humana Health Plan, Inc.
MI1
Non-Postal
High Self
Monthly
335.24
Humana Health Plan, Inc.
MI2
Non-Postal
High Self & Family
Monthly
740.27
Humana Health Plan, Inc.
MI3
Non-Postal
High Self Plus One
Monthly
722.47
Humana Health Plan, Inc.
MI4
Non-Postal
Standard Self
Monthly
253.97
Humana Health Plan, Inc.
MI5
Non-Postal
Standard Self & Family
Monthly
557.44
Humana Health Plan, Inc.
MI6
Non-Postal
Standard Self Plus One
Monthly
547.78
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N71
Non-Postal
HDHP Self
Monthly
132.44
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N72
Non-Postal
HDHP Self & Family
Monthly
331.11
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N73
Non-Postal
HDHP Self Plus One
Monthly
284.76
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ1
Non-Postal
High Self
Monthly
139.17
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ2
Non-Postal
High Self & Family
Monthly
347.93
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ3
Non-Postal
High Self Plus One
Monthly
299.22
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
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