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2016 Plan Information for Georgia
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
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
Aetna Open Access
2U1
Non-Postal
High Self
Monthly
632.84
Aetna Open Access
2U2
Non-Postal
High Self & Family
Monthly
1464.17
Aetna Open Access
2U3
Non-Postal
High Self Plus One
Monthly
1498.72
Humana CoverageFirst and Humana Value Plan
AD1
Non-Postal
CDHP Self
Monthly
153.52
Humana CoverageFirst and Humana Value Plan
AD2
Non-Postal
CDHP Self & Family
Monthly
345.43
Humana CoverageFirst and Humana Value Plan
AD3
Non-Postal
CDHP Self Plus One
Monthly
330.07
Humana CoverageFirst and Humana Value Plan
AD4
Non-Postal
Value Self
Monthly
116.61
Humana CoverageFirst and Humana Value Plan
AD5
Non-Postal
Value Self & Family
Monthly
262.37
Humana CoverageFirst and Humana Value Plan
AD6
Non-Postal
Value Self Plus One
Monthly
250.7
Humana CoverageFirst and Humana Value Plan
LM1
Non-Postal
CDHP Self
Monthly
147.41
Humana CoverageFirst and Humana Value Plan
LM2
Non-Postal
CDHP Self & Family
Monthly
331.68
Humana CoverageFirst and Humana Value Plan
LM3
Non-Postal
CDHP Self Plus One
Monthly
316.93
Humana CoverageFirst and Humana Value Plan
LM4
Non-Postal
Value Self
Monthly
116.61
Humana CoverageFirst and Humana Value Plan
LM5
Non-Postal
Value Self & Family
Monthly
262.37
Humana CoverageFirst and Humana Value Plan
LM6
Non-Postal
Value Self Plus One
Monthly
250.7
Humana Employers Health Plan of Georgia, Inc.
CB1
Non-Postal
High Self
Monthly
218.68
Humana Employers Health Plan of Georgia, Inc.
CB2
Non-Postal
High Self & Family
Monthly
473.78
Humana Employers Health Plan of Georgia, Inc.
CB3
Non-Postal
High Self Plus One
Monthly
465.22
Humana Employers Health Plan of Georgia, Inc.
CB4
Non-Postal
Standard Self
Monthly
184.15
Humana Employers Health Plan of Georgia, Inc.
CB5
Non-Postal
Standard Self & Family
Monthly
396.09
Humana Employers Health Plan of Georgia, Inc.
CB6
Non-Postal
Standard Self Plus One
Monthly
390.97
Humana Employers Health Plan of Georgia, Inc.
DG1
Non-Postal
High Self
Monthly
348.29
Humana Employers Health Plan of Georgia, Inc.
DG2
Non-Postal
High Self & Family
Monthly
765.44
Humana Employers Health Plan of Georgia, Inc.
DG3
Non-Postal
High Self Plus One
Monthly
743.88
Humana Employers Health Plan of Georgia, Inc.
DG4
Non-Postal
Standard Self
Monthly
213.77
Humana Employers Health Plan of Georgia, Inc.
DG5
Non-Postal
Standard Self & Family
Monthly
462.73
Humana Employers Health Plan of Georgia, Inc.
DG6
Non-Postal
Standard Self Plus One
Monthly
454.67
Humana Employers Health Plan of Georgia, Inc.
DN1
Non-Postal
High Self
Monthly
211.6
Humana Employers Health Plan of Georgia, Inc.
DN2
Non-Postal
High Self & Family
Monthly
457.9
Humana Employers Health Plan of Georgia, Inc.
DN3
Non-Postal
High Self Plus One
Monthly
450.04
Humana Employers Health Plan of Georgia, Inc.
DN4
Non-Postal
Standard Self
Monthly
182.93
Humana Employers Health Plan of Georgia, Inc.
DN5
Non-Postal
Standard Self & Family
Monthly
393.36
Humana Employers Health Plan of Georgia, Inc.
DN6
Non-Postal
Standard Self Plus One
Monthly
388.37
Kaiser Permanente - Georgia
F81
Non-Postal
High Self
Monthly
159.86
Kaiser Permanente - Georgia
F82
Non-Postal
High Self & Family
Monthly
363.28
Kaiser Permanente - Georgia
F83
Non-Postal
High Self Plus One
Monthly
382.39
Kaiser Permanente - Georgia
F84
Non-Postal
Standard Self
Monthly
116.31
Kaiser Permanente - Georgia
F85
Non-Postal
Standard Self & Family
Monthly
267.49
Kaiser Permanente - Georgia
F86
Non-Postal
Standard Self Plus One
Monthly
259.35
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