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2017 Plan Information for Colorado
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
138.7
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
305.95
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
299.95
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
120.05
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
302.77
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
263.29
Aetna HealthFund CDHP and Aetna Value Plan
G51
Non-Postal
CDHP Self
Monthly
218.59
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
499.44
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
547.43
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
Humana Health Plan, Inc.
NR1
Non-Postal
High Self
Monthly
133.84
Humana Health Plan, Inc.
NR2
Non-Postal
High Self & Family
Monthly
301.15
Humana Health Plan, Inc.
NR3
Non-Postal
High Self Plus One
Monthly
287.76
Humana Health Plan, Inc.
NR4
Non-Postal
Standard Self
Monthly
122.91
Humana Health Plan, Inc.
NR5
Non-Postal
Standard Self & Family
Monthly
276.56
Humana Health Plan, Inc.
NR6
Non-Postal
Standard Self Plus One
Monthly
264.27
Humana Health Plan, Inc.
NT1
Non-Postal
High Self
Monthly
142.11
Humana Health Plan, Inc.
NT2
Non-Postal
High Self & Family
Monthly
319.76
Humana Health Plan, Inc.
NT3
Non-Postal
High Self Plus One
Monthly
305.55
Humana Health Plan, Inc.
NT4
Non-Postal
Standard Self
Monthly
129.04
Humana Health Plan, Inc.
NT5
Non-Postal
Standard Self & Family
Monthly
290.35
Humana Health Plan, Inc.
NT6
Non-Postal
Standard Self Plus One
Monthly
277.44
Kaiser Permanente - Colorado
651
Non-Postal
High Self
Monthly
207.56
Kaiser Permanente - Colorado
652
Non-Postal
High Self & Family
Monthly
459.97
Kaiser Permanente - Colorado
653
Non-Postal
High Self Plus One
Monthly
523.73
Kaiser Permanente - Colorado
654
Non-Postal
Standard Self
Monthly
118.25
Kaiser Permanente - Colorado
655
Non-Postal
Standard Self & Family
Monthly
267.25
Kaiser Permanente - Colorado
656
Non-Postal
Standard Self Plus One
Monthly
267.25
Kaiser Permanente - Colorado
N41
Non-Postal
Basic Self
Monthly
91.78
Kaiser Permanente - Colorado
N42
Non-Postal
Basic Self & Family
Monthly
207.43
Kaiser Permanente - Colorado
N43
Non-Postal
Basic Self Plus One
Monthly
207.43
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
123.09
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
307.72
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
264.64
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT1
Non-Postal
High Self
Monthly
139.27
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT2
Non-Postal
High Self & Family
Monthly
348.18
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KT3
Non-Postal
High Self Plus One
Monthly
299.43
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service