Click here to skip navigation
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please
follow this link to enable alert boxes for your profile .
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Alert box notification is currently enabled, please
follow this link to disable alert boxes for your profile .
2016 Plan Information for Arizona
Choose a Location, Employee Type, & Payment Period
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
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
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
G51
Non-Postal
CDHP Self
Monthly
234.89
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
531.83
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
575.62
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
133.71
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
306.25
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
300.24
Aetna Open Access
WQ1
Non-Postal
High Self
Monthly
416.54
Aetna Open Access
WQ2
Non-Postal
High Self & Family
Monthly
1075.4
Aetna Open Access
WQ3
Non-Postal
High Self Plus One
Monthly
1113.79
Health Net of Arizona, Inc.
A71
Non-Postal
High Self
Monthly
324.31
Health Net of Arizona, Inc.
A72
Non-Postal
High Self & Family
Monthly
933.35
Health Net of Arizona, Inc.
A73
Non-Postal
High Self Plus One
Monthly
992.89
Health Net of Arizona, Inc.
A74
Non-Postal
Standard Self
Monthly
221.54
Health Net of Arizona, Inc.
A75
Non-Postal
Standard Self & Family
Monthly
673.01
Health Net of Arizona, Inc.
A76
Non-Postal
Standard Self Plus One
Monthly
732.55
Humana Health Plan, Inc.
BF1
Non-Postal
High Self
Monthly
293.91
Humana Health Plan, Inc.
BF2
Non-Postal
High Self & Family
Monthly
643.06
Humana Health Plan, Inc.
BF3
Non-Postal
High Self Plus One
Monthly
626.99
Humana Health Plan, Inc.
BF4
Non-Postal
Standard Self
Monthly
196.67
Humana Health Plan, Inc.
BF5
Non-Postal
Standard Self & Family
Monthly
424.25
Humana Health Plan, Inc.
BF6
Non-Postal
Standard Self Plus One
Monthly
417.88
Humana Health Plan, Inc.
C71
Non-Postal
High Self
Monthly
209.89
Humana Health Plan, Inc.
C72
Non-Postal
High Self & Family
Monthly
454.02
Humana Health Plan, Inc.
C73
Non-Postal
High Self Plus One
Monthly
446.33
Humana Health Plan, Inc.
C74
Non-Postal
Standard Self
Monthly
164.86
Humana Health Plan, Inc.
C75
Non-Postal
Standard Self & Family
Monthly
352.79
Humana Health Plan, Inc.
C76
Non-Postal
Standard Self Plus One
Monthly
349.55
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
128.24
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
379.86
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
250.44
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT1
Non-Postal
High Self
Monthly
132.7
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT2
Non-Postal
High Self & Family
Monthly
429.93
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT3
Non-Postal
High Self Plus One
Monthly
259.16
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service