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2018 Plan Information for Texas
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
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
Baylor Scott and White Health Plan
A81
Non-Postal
Basic Self
Monthly
164.95
Baylor Scott and White Health Plan
A82
Non-Postal
Basic Self & Family
Monthly
415.96
Baylor Scott and White Health Plan
A83
Non-Postal
Basic Self Plus One
Monthly
323.31
Baylor Scott and White Health Plan
A84
Non-Postal
Standard Self
Monthly
284.44
Baylor Scott and White Health Plan
A85
Non-Postal
Standard Self & Family
Monthly
700.7
Baylor Scott and White Health Plan
A86
Non-Postal
Standard Self Plus One
Monthly
467.55
Baylor Scott and White Health Plan
P81
Non-Postal
Basic Self
Monthly
242.06
Baylor Scott and White Health Plan
P82
Non-Postal
Basic Self & Family
Monthly
601.27
Baylor Scott and White Health Plan
P83
Non-Postal
Basic Self Plus One
Monthly
384.41
Baylor Scott and White Health Plan
P84
Non-Postal
Standard Self
Monthly
377.97
Baylor Scott and White Health Plan
P85
Non-Postal
Standard Self & Family
Monthly
920.21
Baylor Scott and White Health Plan
P86
Non-Postal
Standard Self Plus One
Monthly
651.11
Humana CoverageFirst and Humana Value Plan
T31
Non-Postal
CDHP Self
Monthly
158.32
Humana CoverageFirst and Humana Value Plan
T32
Non-Postal
CDHP Self & Family
Monthly
356.22
Humana CoverageFirst and Humana Value Plan
T33
Non-Postal
CDHP Self Plus One
Monthly
340.39
Humana CoverageFirst and Humana Value Plan
T34
Non-Postal
Value Self
Monthly
120.6
Humana CoverageFirst and Humana Value Plan
T35
Non-Postal
Value Self & Family
Monthly
271.35
Humana CoverageFirst and Humana Value Plan
T36
Non-Postal
Value Self Plus One
Monthly
259.28
Humana CoverageFirst and Humana Value Plan
TP1
Non-Postal
CDHP Self
Monthly
147.46
Humana CoverageFirst and Humana Value Plan
TP2
Non-Postal
CDHP Self & Family
Monthly
331.78
Humana CoverageFirst and Humana Value Plan
TP3
Non-Postal
CDHP Self Plus One
Monthly
317.04
Humana CoverageFirst and Humana Value Plan
TP4
Non-Postal
Value Self
Monthly
104.69
Humana CoverageFirst and Humana Value Plan
TP5
Non-Postal
Value Self & Family
Monthly
235.55
Humana CoverageFirst and Humana Value Plan
TP6
Non-Postal
Value Self Plus One
Monthly
225.08
Humana CoverageFirst and Humana Value Plan
TU1
Non-Postal
CDHP Self
Monthly
159.4
Humana CoverageFirst and Humana Value Plan
TU2
Non-Postal
CDHP Self & Family
Monthly
358.66
Humana CoverageFirst and Humana Value Plan
TU3
Non-Postal
CDHP Self Plus One
Monthly
342.71
Humana CoverageFirst and Humana Value Plan
TU4
Non-Postal
Value Self
Monthly
126.8
Humana CoverageFirst and Humana Value Plan
TU5
Non-Postal
Value Self & Family
Monthly
285.3
Humana CoverageFirst and Humana Value Plan
TU6
Non-Postal
Value Self Plus One
Monthly
272.63
Humana CoverageFirst and Humana Value Plan
TV1
Non-Postal
CDHP Self
Monthly
168.98
Humana CoverageFirst and Humana Value Plan
TV2
Non-Postal
CDHP Self & Family
Monthly
374.45
Humana CoverageFirst and Humana Value Plan
TV3
Non-Postal
CDHP Self Plus One
Monthly
367.41
Humana CoverageFirst and Humana Value Plan
TV4
Non-Postal
Value Self
Monthly
134.93
Humana CoverageFirst and Humana Value Plan
TV5
Non-Postal
Value Self & Family
Monthly
303.6
Humana CoverageFirst and Humana Value Plan
TV6
Non-Postal
Value Self Plus One
Monthly
290.11
Humana Health Plan of Texas, Inc.
EW1
Non-Postal
High Self
Monthly
428.07
Humana Health Plan of Texas, Inc.
EW2
Non-Postal
High Self & Family
Monthly
950.67
Humana Health Plan of Texas, Inc.
EW3
Non-Postal
High Self Plus One
Monthly
924.43
Humana Health Plan of Texas, Inc.
EW4
Non-Postal
Standard Self
Monthly
245.22
Humana Health Plan of Texas, Inc.
EW5
Non-Postal
Standard Self & Family
Monthly
539.24
Humana Health Plan of Texas, Inc.
EW6
Non-Postal
Standard Self Plus One
Monthly
531.31
Humana Health Plan of Texas, Inc.
Q21
Non-Postal
Basic Self
Monthly
141.82
Humana Health Plan of Texas, Inc.
Q22
Non-Postal
Basic Self & Family
Monthly
319.09
Humana Health Plan of Texas, Inc.
Q23
Non-Postal
Basic Self Plus One
Monthly
304.91
Humana Health Plan of Texas, Inc.
Q61
Non-Postal
Basic Self
Monthly
141.13
Humana Health Plan of Texas, Inc.
Q62
Non-Postal
Basic Self & Family
Monthly
317.55
Humana Health Plan of Texas, Inc.
Q63
Non-Postal
Basic Self Plus One
Monthly
303.44
Humana Health Plan of Texas, Inc.
QX1
Non-Postal
Basic Self
Monthly
146.97
Humana Health Plan of Texas, Inc.
QX2
Non-Postal
Basic Self & Family
Monthly
330.69
Humana Health Plan of Texas, Inc.
QX3
Non-Postal
Basic Self Plus One
Monthly
316
Humana Health Plan of Texas, Inc.
QY1
Non-Postal
Basic Self
Monthly
145.66
Humana Health Plan of Texas, Inc.
QY2
Non-Postal
Basic Self & Family
Monthly
327.73
Humana Health Plan of Texas, Inc.
QY3
Non-Postal
Basic Self Plus One
Monthly
313.17
Humana Health Plan of Texas, Inc.
UC1
Non-Postal
High Self
Monthly
432.34
Humana Health Plan of Texas, Inc.
UC2
Non-Postal
High Self & Family
Monthly
960.27
Humana Health Plan of Texas, Inc.
UC3
Non-Postal
High Self Plus One
Monthly
933.62
Humana Health Plan of Texas, Inc.
UC4
Non-Postal
Standard Self
Monthly
248.52
Humana Health Plan of Texas, Inc.
UC5
Non-Postal
Standard Self & Family
Monthly
546.65
Humana Health Plan of Texas, Inc.
UC6
Non-Postal
Standard Self Plus One
Monthly
538.4
Humana Health Plan of Texas, Inc.
UR1
Non-Postal
High Self
Monthly
874.18
Humana Health Plan of Texas, Inc.
UR2
Non-Postal
High Self & Family
Monthly
1954.4
Humana Health Plan of Texas, Inc.
UR3
Non-Postal
High Self Plus One
Monthly
1883.6
Humana Health Plan of Texas, Inc.
UR4
Non-Postal
Standard Self
Monthly
391.45
Humana Health Plan of Texas, Inc.
UR5
Non-Postal
Standard Self & Family
Monthly
868.25
Humana Health Plan of Texas, Inc.
UR6
Non-Postal
Standard Self Plus One
Monthly
845.7
Humana Health Plan of Texas, Inc.
UU1
Non-Postal
High Self
Monthly
956.26
Humana Health Plan of Texas, Inc.
UU2
Non-Postal
High Self & Family
Monthly
2139.11
Humana Health Plan of Texas, Inc.
UU3
Non-Postal
High Self Plus One
Monthly
2060.07
Humana Health Plan of Texas, Inc.
UU4
Non-Postal
Standard Self
Monthly
689.93
Humana Health Plan of Texas, Inc.
UU5
Non-Postal
Standard Self & Family
Monthly
1539.92
Humana Health Plan of Texas, Inc.
UU6
Non-Postal
Standard Self Plus One
Monthly
1487.51
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L91
Non-Postal
Value Self
Monthly
115.83
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L92
Non-Postal
Value Self & Family
Monthly
324.79
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L93
Non-Postal
Value Self Plus One
Monthly
226.22
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service