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    2018 Plan Information for Louisiana 
    
        Choose a Location, Employee Type, & Payment Period  
        
                    Alabama 
                    Alaska 
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                    District of Columbia 
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                    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 
                            151.86 
                         
                        
                            Aetna Direct  
                            225 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            334.98 
                         
                        
                            Aetna Direct  
                            226 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            328.41 
                         
                        
                            Aetna Direct  
                            N61 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            131.92 
                         
                        
                            Aetna Direct  
                            N62 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            332.67 
                         
                        
                            Aetna Direct  
                            N63 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            289.29 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F51 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            309.25 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F52 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            707.57 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F53 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            755.63 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F54 
                            Non-Postal 
                            Value Self 
                            Monthly 
                            145.75 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F55 
                            Non-Postal 
                            Value Self & Family 
                            Monthly 
                            333.75 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F56 
                            Non-Postal 
                            Value Self Plus One 
                            Monthly 
                            327.2 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            AE1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            294.02 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            AE2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            649 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            AE3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            636.2 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            AE4 
                            Non-Postal 
                            Standard Self 
                            Monthly 
                            187.2 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            AE5 
                            Non-Postal 
                            Standard Self & Family 
                            Monthly 
                            408.72 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            AE6 
                            Non-Postal 
                            Standard Self Plus One 
                            Monthly 
                            406.58 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            BC1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            197.01 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            BC2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            430.84 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            BC3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            427.73 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            BC4 
                            Non-Postal 
                            Standard Self 
                            Monthly 
                            142.96 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            BC5 
                            Non-Postal 
                            Standard Self & Family 
                            Monthly 
                            321.67 
                         
                        
                            Humana Health Benefit Plan of Louisiana, Inc. 
                            BC6 
                            Non-Postal 
                            Standard Self Plus One 
                            Monthly 
                            307.37 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS1 
                            Non-Postal 
                            HDHP Self 
                            Monthly 
                            109.56 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS2 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            273.9 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS3 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            235.56 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            148.83 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            372.08 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            319.98 
                         
                 
            
         
 
				 
			 
		 
		
		
			
				
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