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    2024 Plan Information for Florida 
    
        Choose a Location, Employee Type, & Payment Period  
        
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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 
                            Monthly 
                            272.61 
                         
                        
                            Aetna Direct  
                            225 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            498.46 
                         
                        
                            Aetna Direct  
                            226 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            590.61 
                         
                        
                            Aetna Direct  
                            N61 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            160.8 
                         
                        
                            Aetna Direct  
                            N62 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            405.51 
                         
                        
                            Aetna Direct  
                            N63 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            352.64 
                         
                        
                            Aetna Direct  
                            Z24 
                            Non-Postal 
                            Advantage Self 
                            Monthly 
                            125 
                         
                        
                            Aetna Direct  
                            Z25 
                            Non-Postal 
                            Advantage Self & Family 
                            Monthly 
                            331.25 
                         
                        
                            Aetna Direct  
                            Z26 
                            Non-Postal 
                            Advantage Self Plus One 
                            Monthly 
                            275 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F51 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            471.38 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F52 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            1015.69 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F53 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            1121.06 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F54 
                            Non-Postal 
                            Value Self 
                            Monthly 
                            435.87 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F55 
                            Non-Postal 
                            Value Self & Family 
                            Monthly 
                            944.77 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            F56 
                            Non-Postal 
                            Value Self Plus One 
                            Monthly 
                            1028.06 
                         
                        
                            AvMed  
                            ML4 
                            Non-Postal 
                            Standard Self 
                            Monthly 
                            398.93 
                         
                        
                            AvMed  
                            ML5 
                            Non-Postal 
                            Standard Self & Family 
                            Monthly 
                            1003.14 
                         
                        
                            AvMed  
                            ML6 
                            Non-Postal 
                            Standard Self Plus One 
                            Monthly 
                            801.99 
                         
                        
                            AvMed  
                            WZ1 
                            Non-Postal 
                            HDHP Self 
                            Monthly 
                            283.25 
                         
                        
                            AvMed  
                            WZ2 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            630.26 
                         
                        
                            AvMed  
                            WZ3 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            489.1 
                         
                        
                            Capital Health Plan 
                            EA1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            227.69 
                         
                        
                            Capital Health Plan 
                            EA2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            546.08 
                         
                        
                            Capital Health Plan 
                            EA3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            513.28 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS1 
                            Non-Postal 
                            HDHP Self 
                            Monthly 
                            191.75 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS2 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            441.01 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS3 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            412.25 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            458.99 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            1217.64 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            980.46 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Plus Primary  
                            AS1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            203.41 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Plus Primary  
                            AS2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            471.92 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Plus Primary  
                            AS3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            431.04 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Primary  
                            Y81 
                            Non-Postal 
                            High Self 
                            Monthly 
                            181.3 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Primary  
                            Y82 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            428.78 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Primary  
                            Y83 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            389.8 
                         
                 
            
         
 
				 
			 
		 
		
		
			
				
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