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 .
2018 Plan Information for Indiana
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
151.86
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
334.98
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
328.41
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
131.92
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
332.67
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
289.29
Aetna HealthFund CDHP and Aetna Value Plan
JS1
Non-Postal
CDHP Self
Monthly
546.24
Aetna HealthFund CDHP and Aetna Value Plan
JS2
Non-Postal
CDHP Self & Family
Monthly
1247.37
Aetna HealthFund CDHP and Aetna Value Plan
JS3
Non-Postal
CDHP Self Plus One
Monthly
1290.12
Aetna HealthFund CDHP and Aetna Value Plan
JS4
Non-Postal
Value Self
Monthly
267.63
Aetna HealthFund CDHP and Aetna Value Plan
JS5
Non-Postal
Value Self & Family
Monthly
614.79
Aetna HealthFund CDHP and Aetna Value Plan
JS6
Non-Postal
Value Self Plus One
Monthly
663.78
Health Alliance HMO/POS
K84
Non-Postal
Standard Self
Monthly
156.7
Health Alliance HMO/POS
K85
Non-Postal
Standard Self & Family
Monthly
788.52
Health Alliance HMO/POS
K86
Non-Postal
Standard Self Plus One
Monthly
388.1
Humana CoverageFirst and Humana Value Plan
MW1
Non-Postal
CDHP Self
Monthly
215.5
Humana CoverageFirst and Humana Value Plan
MW2
Non-Postal
CDHP Self & Family
Monthly
472.42
Humana CoverageFirst and Humana Value Plan
MW3
Non-Postal
CDHP Self Plus One
Monthly
467.44
Humana CoverageFirst and Humana Value Plan
MW4
Non-Postal
Value Self
Monthly
139.25
Humana CoverageFirst and Humana Value Plan
MW5
Non-Postal
Value Self & Family
Monthly
313.29
Humana CoverageFirst and Humana Value Plan
MW6
Non-Postal
Value Self Plus One
Monthly
299.37
Humana CoverageFirst and Humana Value Plan
TC1
Non-Postal
CDHP Self
Monthly
150.58
Humana CoverageFirst and Humana Value Plan
TC2
Non-Postal
CDHP Self & Family
Monthly
338.81
Humana CoverageFirst and Humana Value Plan
TC3
Non-Postal
CDHP Self Plus One
Monthly
323.75
Humana Health Plan of Ohio, Inc.
A61
Non-Postal
High Self
Monthly
547.69
Humana Health Plan of Ohio, Inc.
A62
Non-Postal
High Self & Family
Monthly
1219.81
Humana Health Plan of Ohio, Inc.
A63
Non-Postal
High Self Plus One
Monthly
1181.64
Humana Health Plan of Ohio, Inc.
A64
Non-Postal
Standard Self
Monthly
339.17
Humana Health Plan of Ohio, Inc.
A65
Non-Postal
Standard Self & Family
Monthly
750.64
Humana Health Plan of Ohio, Inc.
A66
Non-Postal
Standard Self Plus One
Monthly
733.31
Humana Health Plan, Inc.
751
Non-Postal
High Self
Monthly
764.96
Humana Health Plan, Inc.
752
Non-Postal
High Self & Family
Monthly
1708.63
Humana Health Plan, Inc.
753
Non-Postal
High Self Plus One
Monthly
1648.73
Humana Health Plan, Inc.
754
Non-Postal
Standard Self
Monthly
384.78
Humana Health Plan, Inc.
755
Non-Postal
Standard Self & Family
Monthly
853.26
Humana Health Plan, Inc.
756
Non-Postal
Standard Self Plus One
Monthly
831.33
Humana Health Plan, Inc.
MH1
Non-Postal
High Self
Monthly
304.91
Humana Health Plan, Inc.
MH2
Non-Postal
High Self & Family
Monthly
673.55
Humana Health Plan, Inc.
MH3
Non-Postal
High Self Plus One
Monthly
659.62
Humana Health Plan, Inc.
MH4
Non-Postal
Standard Self
Monthly
176.34
Humana Health Plan, Inc.
MH5
Non-Postal
Standard Self & Family
Monthly
384.26
Humana Health Plan, Inc.
MH6
Non-Postal
Standard Self Plus One
Monthly
383.22
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service