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2019 Plan Information for Florida
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
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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
164.93
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
363.8
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
360.1
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
139.33
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
351.38
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
305.56
Aetna HealthFund CDHP and Aetna Value Plan
F51
Non-Postal
CDHP Self
Monthly
312.07
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
710.52
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
763.81
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Monthly
209.72
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Monthly
484.06
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Monthly
523.83
AvMed
ML4
Non-Postal
Standard Self
Monthly
210.5
AvMed
ML5
Non-Postal
Standard Self & Family
Monthly
698.86
AvMed
ML6
Non-Postal
Standard Self Plus One
Monthly
354.61
AvMed
WZ1
Non-Postal
HDHP Self
Monthly
314.58
AvMed
WZ2
Non-Postal
HDHP Self & Family
Monthly
865.13
AvMed
WZ3
Non-Postal
HDHP Self Plus One
Monthly
495.01
Capital Health Plan
EA1
Non-Postal
High Self
Monthly
191.69
Capital Health Plan
EA2
Non-Postal
High Self & Family
Monthly
587.89
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Monthly
417.82
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Monthly
355.38
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Monthly
783.56
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Monthly
769.77
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Monthly
126.12
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Monthly
283.77
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Monthly
271.16
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Monthly
185.3
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Monthly
402.9
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Monthly
405.99
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Monthly
122.49
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Monthly
275.59
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Monthly
263.34
Humana CoverageFirst and Humana Value Plan
W91
Non-Postal
CDHP Self
Monthly
143.39
Humana CoverageFirst and Humana Value Plan
W92
Non-Postal
CDHP Self & Family
Monthly
322.64
Humana CoverageFirst and Humana Value Plan
W93
Non-Postal
CDHP Self Plus One
Monthly
308.3
Humana CoverageFirst and Humana Value Plan
W94
Non-Postal
Value Self
Monthly
121.31
Humana CoverageFirst and Humana Value Plan
W95
Non-Postal
Value Self & Family
Monthly
272.94
Humana CoverageFirst and Humana Value Plan
W96
Non-Postal
Value Self Plus One
Monthly
260.81
Humana CoverageFirst and Humana Value Plan
X21
Non-Postal
CDHP Self
Monthly
138.98
Humana CoverageFirst and Humana Value Plan
X22
Non-Postal
CDHP Self & Family
Monthly
312.7
Humana CoverageFirst and Humana Value Plan
X23
Non-Postal
CDHP Self Plus One
Monthly
298.81
Humana CoverageFirst and Humana Value Plan
X24
Non-Postal
Value Self
Monthly
117.57
Humana CoverageFirst and Humana Value Plan
X25
Non-Postal
Value Self & Family
Monthly
264.54
Humana CoverageFirst and Humana Value Plan
X26
Non-Postal
Value Self Plus One
Monthly
252.78
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Monthly
487.05
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Monthly
1079.74
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Monthly
1052.76
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Monthly
158.41
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Monthly
356.42
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Monthly
340.57
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Monthly
415.33
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Monthly
918.43
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Monthly
898.66
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Monthly
318.59
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Monthly
700.73
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Monthly
690.6
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Monthly
245.79
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Monthly
536.9
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Monthly
534.04
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Monthly
163.44
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Monthly
367.74
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Monthly
351.4
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Monthly
1112.09
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Monthly
2486.12
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Monthly
2396.65
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Monthly
368.19
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Monthly
812.29
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Monthly
797.22
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS1
Non-Postal
HDHP Self
Monthly
104.68
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS2
Non-Postal
HDHP Self & Family
Monthly
240.77
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS3
Non-Postal
HDHP Self Plus One
Monthly
225.06
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK1
Non-Postal
High Self
Monthly
180.31
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK2
Non-Postal
High Self & Family
Monthly
559.44
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK3
Non-Postal
High Self Plus One
Monthly
393.35
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Monthly
165.51
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Monthly
847.91
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Monthly
356.78
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service