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2016 Plan Information for Florida
Choose a Location, Employee Type, & Payment Period
Alabama
Alaska
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District of Columbia
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Maine
Maryland
Massachusetts
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Mississippi
Missouri
Montana
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Nevada
New Hampshire
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New York
North Carolina
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Ohio
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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
F51
Non-Postal
CDHP Self
Monthly
185.27
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
418.1
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
463.01
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Basic Self
Monthly
135.76
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Basic Self & Family
Monthly
310.88
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Basic Self Plus One
Monthly
304.78
AvMed
ML1
Non-Postal
High Self
Monthly
289.77
AvMed
ML2
Non-Postal
High Self & Family
Monthly
889.67
AvMed
ML3
Non-Postal
High Self Plus One
Monthly
505.26
AvMed
ML4
Non-Postal
Standard Self
Monthly
147.78
AvMed
ML5
Non-Postal
Standard Self & Family
Monthly
472.85
AvMed
ML6
Non-Postal
Standard Self Plus One
Monthly
295.58
Capital Health Plan
EA1
Non-Postal
High Self
Monthly
137.86
Capital Health Plan
EA2
Non-Postal
High Self & Family
Monthly
430.49
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Monthly
275.72
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Monthly
200.22
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Monthly
432.29
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Monthly
425.6
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Monthly
116.61
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Monthly
262.37
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Monthly
250.7
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Monthly
144.32
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Monthly
324.71
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Monthly
310.28
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Monthly
116.61
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Monthly
262.37
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Monthly
250.7
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Monthly
150.35
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Monthly
338.29
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Monthly
323.25
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Monthly
142.38
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Monthly
320.36
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Monthly
306.12
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Monthly
382.29
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Monthly
841.92
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Monthly
817
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Monthly
217.99
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Monthly
472.2
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Monthly
463.71
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Monthly
187.44
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Monthly
403.52
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Monthly
398.08
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Monthly
148.26
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Monthly
333.6
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Monthly
318.76
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Monthly
852.33
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Monthly
1899.51
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Monthly
1827.56
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Monthly
230.51
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Monthly
500.39
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Monthly
490.68
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Monthly
131.52
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Monthly
416.71
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Monthly
256.86
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service