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    2016 Plan Information for Mississippi 
    
        Choose a Location, Employee Type, & Payment Period  
        
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                    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 
                            130.08 
                         
                        
                            Aetna Direct  
                            225 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            286.94 
                         
                        
                            Aetna Direct  
                            226 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            281.31 
                         
                        
                            Aetna Direct  
                            N61 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            118.33 
                         
                        
                            Aetna Direct  
                            N62 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            298.42 
                         
                        
                            Aetna Direct  
                            N63 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            259.5 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H41 
                            Non-Postal 
                            CDHP Self 
                            Monthly 
                            215.17 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H42 
                            Non-Postal 
                            CDHP Self & Family 
                            Monthly 
                            485.89 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H43 
                            Non-Postal 
                            CDHP Self Plus One 
                            Monthly 
                            530.14 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H44 
                            Non-Postal 
                            Basic Self 
                            Monthly 
                            134.18 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H45 
                            Non-Postal 
                            Basic Self & Family 
                            Monthly 
                            307.96 
                         
                        
                            Aetna HealthFund CDHP and Aetna Value Plan 
                            H46 
                            Non-Postal 
                            Basic Self Plus One 
                            Monthly 
                            301.92 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS1 
                            Non-Postal 
                            HDHP Self 
                            Monthly 
                            127.12 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS2 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                            367.36 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS3 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                            248.26 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS1 
                            Non-Postal 
                            HDHP Self 
                            Monthly 
                             
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS2 
                            Non-Postal 
                            HDHP Self & Family 
                            Monthly 
                             
                        
                            UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) 
                            LS3 
                            Non-Postal 
                            HDHP Self Plus One 
                            Monthly 
                             
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK1 
                            Non-Postal 
                            High Self 
                            Monthly 
                            132.71 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK2 
                            Non-Postal 
                            High Self & Family 
                            Monthly 
                            430.04 
                         
                        
                            UnitedHealthcare Insurance Company, Inc. (Choice Open Access)  
                            KK3 
                            Non-Postal 
                            High Self Plus One 
                            Monthly 
                            259.18 
                         
                 
            
         
 
				 
			 
		 
		
		
			
				
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