Click here to skip navigation
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please
follow this link to enable alert boxes for your profile .
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Alert box notification is currently enabled, please
follow this link to disable alert boxes for your profile .
2020 Plan Information for Missouri
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
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
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
G51
Non-Postal
CDHP Self
Monthly
393.66
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
879.08
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
950.45
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
201.89
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
448.35
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
508.11
Aetna Open Access
HA1
Non-Postal
High Self
Monthly
589.09
Aetna Open Access
HA2
Non-Postal
High Self & Family
Monthly
1414.16
Aetna Open Access
HA3
Non-Postal
High Self Plus One
Monthly
1480.27
Aetna Open Access
HA4
Non-Postal
Standard Self
Monthly
205.53
Aetna Open Access
HA5
Non-Postal
Standard Self & Family
Monthly
506.87
Aetna Open Access
HA6
Non-Postal
Standard Self Plus One
Monthly
581.9
Blue Preferred
9G1
Non-Postal
High Self
Monthly
322.37
Blue Preferred
9G2
Non-Postal
High Self & Family
Monthly
674.85
Blue Preferred
9G3
Non-Postal
High Self Plus One
Monthly
668.33
Blue Preferred
9G4
Non-Postal
Standard Self
Monthly
150.15
Blue Preferred
9G5
Non-Postal
Standard Self & Family
Monthly
522.99
Blue Preferred
9G6
Non-Postal
Standard Self Plus One
Monthly
451.45
Humana CoverageFirst and Humana Value Plan
PH1
Non-Postal
CDHP Self
Monthly
204.27
Humana CoverageFirst and Humana Value Plan
PH2
Non-Postal
CDHP Self & Family
Monthly
425.01
Humana CoverageFirst and Humana Value Plan
PH3
Non-Postal
CDHP Self Plus One
Monthly
445.25
Humana CoverageFirst and Humana Value Plan
PH4
Non-Postal
Value Self
Monthly
121.01
Humana CoverageFirst and Humana Value Plan
PH5
Non-Postal
Value Self & Family
Monthly
272.27
Humana CoverageFirst and Humana Value Plan
PH6
Non-Postal
Value Self Plus One
Monthly
260.17
Humana Health Plan, Inc.
MS1
Non-Postal
High Self
Monthly
1212.33
Humana Health Plan, Inc.
MS2
Non-Postal
High Self & Family
Monthly
2693.1
Humana Health Plan, Inc.
MS3
Non-Postal
High Self Plus One
Monthly
2612.55
Humana Health Plan, Inc.
MS4
Non-Postal
Standard Self
Monthly
556.16
Humana Health Plan, Inc.
MS5
Non-Postal
Standard Self & Family
Monthly
1216.76
Humana Health Plan, Inc.
MS6
Non-Postal
Standard Self Plus One
Monthly
1201.83
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