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2020 Plan Information for Florida
Choose a Location, Employee Type, & Payment Period
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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
217.96
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
423.58
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
483.84
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
153.16
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
386.25
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
335.89
Aetna Direct
Z24
Non-Postal
Advantage Self
Monthly
115.96
Aetna Direct
Z25
Non-Postal
Advantage Self & Family
Monthly
307.29
Aetna Direct
Z26
Non-Postal
Advantage Self Plus One
Monthly
255.11
Aetna HealthFund CDHP and Aetna Value Plan
F51
Non-Postal
CDHP Self
Monthly
318.39
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
706.7
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
779.74
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Monthly
309.14
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Monthly
693.59
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Monthly
748.52
AvMed
ML4
Non-Postal
Standard Self
Monthly
198.4
AvMed
ML5
Non-Postal
Standard Self & Family
Monthly
542.79
AvMed
ML6
Non-Postal
Standard Self Plus One
Monthly
397.11
AvMed
WZ1
Non-Postal
HDHP Self
Monthly
294.32
AvMed
WZ2
Non-Postal
HDHP Self & Family
Monthly
687.33
AvMed
WZ3
Non-Postal
HDHP Self Plus One
Monthly
530.08
Capital Health Plan
EA1
Non-Postal
High Self
Monthly
170.15
Capital Health Plan
EA2
Non-Postal
High Self & Family
Monthly
394.33
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Monthly
396.15
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Monthly
437.23
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Monthly
949.13
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Monthly
946.1
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Monthly
129.9
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Monthly
292.28
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Monthly
279.29
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Monthly
214.21
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Monthly
449.52
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Monthly
468.67
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Monthly
129.84
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Monthly
292.12
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Monthly
279.14
Humana CoverageFirst and Humana Value Plan
W91
Non-Postal
CDHP Self
Monthly
151.77
Humana CoverageFirst and Humana Value Plan
W92
Non-Postal
CDHP Self & Family
Monthly
341.49
Humana CoverageFirst and Humana Value Plan
W93
Non-Postal
CDHP Self Plus One
Monthly
326.32
Humana CoverageFirst and Humana Value Plan
W94
Non-Postal
Value Self
Monthly
128.4
Humana CoverageFirst and Humana Value Plan
W95
Non-Postal
Value Self & Family
Monthly
288.89
Humana CoverageFirst and Humana Value Plan
W96
Non-Postal
Value Self Plus One
Monthly
276.05
Humana CoverageFirst and Humana Value Plan
X21
Non-Postal
CDHP Self
Monthly
145.75
Humana CoverageFirst and Humana Value Plan
X22
Non-Postal
CDHP Self & Family
Monthly
327.93
Humana CoverageFirst and Humana Value Plan
X23
Non-Postal
CDHP Self Plus One
Monthly
313.36
Humana CoverageFirst and Humana Value Plan
X24
Non-Postal
Value Self
Monthly
123.29
Humana CoverageFirst and Humana Value Plan
X25
Non-Postal
Value Self & Family
Monthly
277.41
Humana CoverageFirst and Humana Value Plan
X26
Non-Postal
Value Self Plus One
Monthly
265.09
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Monthly
691.81
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Monthly
1521.84
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Monthly
1493.35
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Monthly
205.18
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Monthly
426.98
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Monthly
447.14
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Monthly
604.3
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Monthly
1325.05
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Monthly
1305.33
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Monthly
486.28
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Monthly
1059.48
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Monthly
1051.53
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Monthly
382.56
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Monthly
826.08
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Monthly
828.51
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Monthly
221.39
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Monthly
463.49
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Monthly
482.02
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Monthly
1148.31
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Monthly
2549.04
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Monthly
2474.88
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Monthly
564.11
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Monthly
1234.59
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Monthly
1218.86
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS1
Non-Postal
HDHP Self
Monthly
113.68
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS2
Non-Postal
HDHP Self & Family
Monthly
261.48
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS3
Non-Postal
HDHP Self Plus One
Monthly
244.43
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK1
Non-Postal
High Self
Monthly
203.03
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK2
Non-Postal
High Self & Family
Monthly
600.69
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK3
Non-Postal
High Self Plus One
Monthly
442.61
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Monthly
190.6
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Monthly
920.27
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Monthly
415.81
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Monthly
131.45
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Monthly
310.84
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Monthly
282.6
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Monthly
126.68
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Monthly
299.56
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Monthly
272.34
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service