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2017 Plan Information for Florida
Choose a Location, Employee Type, & Payment Period
Alabama
Alaska
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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
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
F51
Non-Postal
CDHP Self
Monthly
236.68
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
540.15
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
587.71
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Monthly
139.84
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Monthly
320.21
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Monthly
313.93
AvMed
ML1
Non-Postal
High Self
Monthly
348.57
AvMed
ML2
Non-Postal
High Self & Family
Monthly
1052.42
AvMed
ML3
Non-Postal
High Self Plus One
Monthly
626.9
AvMed
ML4
Non-Postal
Standard Self
Monthly
167.37
AvMed
ML5
Non-Postal
Standard Self & Family
Monthly
582.97
AvMed
ML6
Non-Postal
Standard Self Plus One
Monthly
323.82
Capital Health Plan
EA1
Non-Postal
High Self
Monthly
158.26
Capital Health Plan
EA2
Non-Postal
High Self & Family
Monthly
614.6
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Monthly
316.52
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Monthly
218.42
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Monthly
477.49
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Monthly
471.38
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Monthly
116.33
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Monthly
261.73
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Monthly
250.1
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Monthly
139.96
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Monthly
315.42
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Monthly
301.4
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Monthly
116.33
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Monthly
261.73
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Monthly
250.1
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Monthly
251.65
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Monthly
552.29
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Monthly
542.84
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Monthly
142.04
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Monthly
319.59
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Monthly
305.38
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Monthly
387.7
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Monthly
858.35
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Monthly
835.31
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Monthly
266.3
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Monthly
585.2
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Monthly
574.3
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Monthly
193.85
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Monthly
422.11
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Monthly
418.47
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Monthly
147.91
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Monthly
332.79
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Monthly
318.01
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Monthly
867.88
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Monthly
1938.76
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Monthly
1867.67
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Monthly
304.74
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Monthly
671.61
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Monthly
656.87
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Monthly
144.22
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Monthly
523.04
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Monthly
281.68
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service