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2019 Plan Information for Kentucky
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
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
H41
Non-Postal
CDHP Self
Monthly
330.14
Aetna HealthFund CDHP and Aetna Value Plan
H42
Non-Postal
CDHP Self & Family
Monthly
751.19
Aetna HealthFund CDHP and Aetna Value Plan
H43
Non-Postal
CDHP Self Plus One
Monthly
804.09
Aetna HealthFund CDHP and Aetna Value Plan
H44
Non-Postal
Value Self
Monthly
154.13
Aetna HealthFund CDHP and Aetna Value Plan
H45
Non-Postal
Value Self & Family
Monthly
353.75
Aetna HealthFund CDHP and Aetna Value Plan
H46
Non-Postal
Value Self Plus One
Monthly
346.81
Humana CoverageFirst and Humana Value Plan
6N1
Non-Postal
CDHP Self
Monthly
158.41
Humana CoverageFirst and Humana Value Plan
6N2
Non-Postal
CDHP Self & Family
Monthly
356.42
Humana CoverageFirst and Humana Value Plan
6N3
Non-Postal
CDHP Self Plus One
Monthly
340.58
Humana CoverageFirst and Humana Value Plan
TC1
Non-Postal
CDHP Self
Monthly
155.53
Humana CoverageFirst and Humana Value Plan
TC2
Non-Postal
CDHP Self & Family
Monthly
349.94
Humana CoverageFirst and Humana Value Plan
TC3
Non-Postal
CDHP Self Plus One
Monthly
334.39
Humana CoverageFirst and Humana Value Plan
X31
Non-Postal
CDHP Self
Monthly
185.93
Humana CoverageFirst and Humana Value Plan
X32
Non-Postal
CDHP Self & Family
Monthly
402.29
Humana CoverageFirst and Humana Value Plan
X33
Non-Postal
CDHP Self Plus One
Monthly
405.42
Humana CoverageFirst and Humana Value Plan
X34
Non-Postal
Value Self
Monthly
142.57
Humana CoverageFirst and Humana Value Plan
X35
Non-Postal
Value Self & Family
Monthly
320.78
Humana CoverageFirst and Humana Value Plan
X36
Non-Postal
Value Self Plus One
Monthly
306.52
Humana Health Plan of Ohio, Inc.
A61
Non-Postal
High Self
Monthly
673.92
Humana Health Plan of Ohio, Inc.
A62
Non-Postal
High Self & Family
Monthly
1500.29
Humana Health Plan of Ohio, Inc.
A63
Non-Postal
High Self Plus One
Monthly
1454.63
Humana Health Plan of Ohio, Inc.
A64
Non-Postal
Standard Self
Monthly
431.56
Humana Health Plan of Ohio, Inc.
A65
Non-Postal
Standard Self & Family
Monthly
954.98
Humana Health Plan of Ohio, Inc.
A66
Non-Postal
Standard Self Plus One
Monthly
933.57
Humana Health Plan of Ohio, Inc.
W61
Non-Postal
Basic Self
Monthly
146.44
Humana Health Plan of Ohio, Inc.
W62
Non-Postal
Basic Self & Family
Monthly
329.5
Humana Health Plan of Ohio, Inc.
W63
Non-Postal
Basic Self Plus One
Monthly
314.85
Humana Health Plan, Inc.
MH1
Non-Postal
High Self
Monthly
385.26
Humana Health Plan, Inc.
MH2
Non-Postal
High Self & Family
Monthly
850.77
Humana Health Plan, Inc.
MH3
Non-Postal
High Self Plus One
Monthly
833.97
Humana Health Plan, Inc.
MH4
Non-Postal
Standard Self
Monthly
223.67
Humana Health Plan, Inc.
MH5
Non-Postal
Standard Self & Family
Monthly
487.18
Humana Health Plan, Inc.
MH6
Non-Postal
Standard Self Plus One
Monthly
486.54
Humana Health Plan, Inc.
MI1
Non-Postal
High Self
Monthly
624.42
Humana Health Plan, Inc.
MI2
Non-Postal
High Self & Family
Monthly
1388.84
Humana Health Plan, Inc.
MI3
Non-Postal
High Self Plus One
Monthly
1348.12
Humana Health Plan, Inc.
MI4
Non-Postal
Standard Self
Monthly
313.2
Humana Health Plan, Inc.
MI5
Non-Postal
Standard Self & Family
Monthly
688.61
Humana Health Plan, Inc.
MI6
Non-Postal
Standard Self Plus One
Monthly
679.03
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N71
Non-Postal
HDHP Self
Monthly
133.04
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N72
Non-Postal
HDHP Self & Family
Monthly
305.98
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N73
Non-Postal
HDHP Self Plus One
Monthly
286.03
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ1
Non-Postal
High Self
Monthly
173.23
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ2
Non-Postal
High Self & Family
Monthly
541.67
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ3
Non-Postal
High Self Plus One
Monthly
378.1
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service