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2022 Plan Information for Florida
Choose a Location, Employee Type, & Payment Period
Alabama
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Texas
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Nationwide
Federal & U.S. Postal Service Employee
Certain Temporary Employees
Annuitant
Former Spouse Enrollee
Federal Deposit Insurance Corporation
Temporary Continuation of Coverage (TCC)
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
Biweekly
135.59
Aetna Direct
225
Non-Postal
HDHP Self & Family
Biweekly
265.06
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Biweekly
298.12
Aetna Direct
N61
Non-Postal
CDHP Self
Biweekly
72.49
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Biweekly
182.82
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Biweekly
158.98
Aetna Direct
Z24
Non-Postal
Advantage Self
Biweekly
57.69
Aetna Direct
Z25
Non-Postal
Advantage Self & Family
Biweekly
152.88
Aetna Direct
Z26
Non-Postal
Advantage Self Plus One
Biweekly
126.92
Aetna HealthFund CDHP and Aetna Value Plan
F51
Non-Postal
CDHP Self
Biweekly
156.98
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Biweekly
342.07
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Biweekly
382.5
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Biweekly
168.46
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Biweekly
372.32
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Biweekly
403.27
AvMed
ML4
Non-Postal
Standard Self
Biweekly
125.24
AvMed
ML5
Non-Postal
Standard Self & Family
Biweekly
327
AvMed
ML6
Non-Postal
Standard Self Plus One
Biweekly
252.59
AvMed
WZ1
Non-Postal
HDHP Self
Biweekly
97.72
AvMed
WZ2
Non-Postal
HDHP Self & Family
Biweekly
216.95
AvMed
WZ3
Non-Postal
HDHP Self Plus One
Biweekly
171.6
Capital Health Plan
EA1
Non-Postal
High Self
Biweekly
92.29
Capital Health Plan
EA2
Non-Postal
High Self & Family
Biweekly
207.22
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Biweekly
212.7
Humana CoverageFirst and Humana Value Plan
A41
Non-Postal
HDHP Self
Biweekly
55.2
Humana CoverageFirst and Humana Value Plan
A42
Non-Postal
HDHP Self & Family
Biweekly
137.55
Humana CoverageFirst and Humana Value Plan
A43
Non-Postal
HDHP Self Plus One
Biweekly
121.08
Humana CoverageFirst and Humana Value Plan
AP1
Non-Postal
HDHP Self
Biweekly
55.74
Humana CoverageFirst and Humana Value Plan
AP2
Non-Postal
HDHP Self & Family
Biweekly
138.89
Humana CoverageFirst and Humana Value Plan
AP3
Non-Postal
HDHP Self Plus One
Biweekly
122.26
Humana CoverageFirst and Humana Value Plan
BR1
Non-Postal
HDHP Self
Biweekly
49.2
Humana CoverageFirst and Humana Value Plan
BR2
Non-Postal
HDHP Self & Family
Biweekly
122.56
Humana CoverageFirst and Humana Value Plan
BR3
Non-Postal
HDHP Self Plus One
Biweekly
107.89
Humana CoverageFirst and Humana Value Plan
FF1
Non-Postal
HDHP Self
Biweekly
46.9
Humana CoverageFirst and Humana Value Plan
FF2
Non-Postal
HDHP Self & Family
Biweekly
116.81
Humana CoverageFirst and Humana Value Plan
FF3
Non-Postal
HDHP Self Plus One
Biweekly
102.83
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Biweekly
246.62
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Biweekly
531.68
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Biweekly
532.05
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Biweekly
64.75
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Biweekly
155.41
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Biweekly
139.22
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Biweekly
136.47
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Biweekly
284.97
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Biweekly
296.29
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Biweekly
63.52
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Biweekly
142.91
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Biweekly
136.56
Humana CoverageFirst and Humana Value Plan
W91
Non-Postal
CDHP Self
Biweekly
90.54
Humana CoverageFirst and Humana Value Plan
W92
Non-Postal
CDHP Self & Family
Biweekly
188.66
Humana CoverageFirst and Humana Value Plan
W93
Non-Postal
CDHP Self Plus One
Biweekly
196.47
Humana CoverageFirst and Humana Value Plan
W94
Non-Postal
Value Self
Biweekly
69.24
Humana CoverageFirst and Humana Value Plan
W95
Non-Postal
Value Self & Family
Biweekly
155.8
Humana CoverageFirst and Humana Value Plan
W96
Non-Postal
Value Self Plus One
Biweekly
148.87
Humana CoverageFirst and Humana Value Plan
X21
Non-Postal
CDHP Self
Biweekly
72.75
Humana CoverageFirst and Humana Value Plan
X22
Non-Postal
CDHP Self & Family
Biweekly
163.71
Humana CoverageFirst and Humana Value Plan
X23
Non-Postal
CDHP Self Plus One
Biweekly
156.43
Humana CoverageFirst and Humana Value Plan
X24
Non-Postal
Value Self
Biweekly
63.03
Humana CoverageFirst and Humana Value Plan
X25
Non-Postal
Value Self & Family
Biweekly
154.42
Humana CoverageFirst and Humana Value Plan
X26
Non-Postal
Value Self Plus One
Biweekly
135.51
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Biweekly
378.76
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Biweekly
828.97
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Biweekly
816.11
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Biweekly
126.42
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Biweekly
261.24
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Biweekly
273.6
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Biweekly
366.16
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Biweekly
800.69
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Biweekly
789.11
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Biweekly
301.5
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Biweekly
655.17
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Biweekly
650.04
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Biweekly
248.71
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Biweekly
536.38
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Biweekly
536.52
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Biweekly
169.29
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Biweekly
357.72
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Biweekly
365.8
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Biweekly
583.31
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Biweekly
1289.24
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Biweekly
1255.92
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Biweekly
347.15
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Biweekly
757.87
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Biweekly
748.17
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS1
Non-Postal
HDHP Self
Biweekly
72.08
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS2
Non-Postal
HDHP Self & Family
Biweekly
165.78
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS3
Non-Postal
HDHP Self Plus One
Biweekly
154.97
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK1
Non-Postal
High Self
Biweekly
146.2
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK2
Non-Postal
High Self & Family
Biweekly
403.52
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK3
Non-Postal
High Self Plus One
Biweekly
316.15
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Biweekly
169.55
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Biweekly
669.09
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Biweekly
366.35
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Biweekly
75.1
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Biweekly
177.63
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Biweekly
161.48
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Biweekly
67.07
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Biweekly
158.62
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Biweekly
144.2
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service