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    2025 Plan Information for Mississippi 
    
        Choose a Location, Employee Type, & Payment Period  
        
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                    Nationwide 
         
        
                    Federal & U.S. Postal Service Employee 
                    Certain Temporary Employees 
                    Annuitant 
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                    Federal Deposit Insurance Corporation 
                    Temporary Continuation of Coverage (TCC) 
                    Tribal Employee 
         
        
                    Biweekly 
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                    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 
                            292.93 
                         
                        
                            Aetna Direct  
                            225 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            523.23 
                         
                        
                            Aetna Direct  
                            226 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            621.86 
                         
                        
                            Aetna Direct  
                            N61 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            166.53 
                         
                        
                            Aetna Direct  
                            N62 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            419.96 
                         
                        
                            Aetna Direct  
                            N63 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            365.21 
                         
                        
                            Aetna Direct  
                            Z24 
                            Non-Postal 
                            Advantage Self 
                            Monthly 
                            115.34 
                         
                        
                            Aetna Direct  
                            Z25 
                            Non-Postal 
                            Advantage Self & Family 
                            Monthly 
                            305.63 
                         
                        
                            Aetna Direct  
                            Z26 
                            Non-Postal 
                            Advantage Self Plus One 
                            Monthly 
                            253.74 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H41 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            497.38 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H42 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            1058.39 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H43 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            1172.32 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H44 
                            Non-Postal 
                            Value Self 
                            Monthly 
                            759.11 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H45 
                            Non-Postal 
                            Value Self & Family 
                            Monthly 
                            1676.78 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H46 
                            Non-Postal 
                            Value Self Plus One 
                            Monthly 
                            1752.73 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS1 
                            Non-Postal 
                            HDHP Self 
                            Monthly 
                            197.04 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS2 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            453.17 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS3 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            423.61 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Plus Primary  
                            AS1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            205.69 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Plus Primary  
                            AS2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            486.46 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Plus Primary  
                            AS3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            442.23 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Primary  
                            Y81 
                            Non-Postal 
                            High Self 
                            Monthly 
                            176.44 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Primary  
                            Y82 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            417.28 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. Choice Primary  
                            Y83 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            379.35 
                         
                 
            
         
 
				 
			 
		 
		
		
			
				
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