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2019 Plan Information for Tennessee
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
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
Aetna Open Access
UB1
Non-Postal
High Self
Monthly
496.11
Aetna Open Access
UB2
Non-Postal
High Self & Family
Monthly
1411.07
Aetna Open Access
UB3
Non-Postal
High Self Plus One
Monthly
1457.47
Humana CoverageFirst and Humana Value Plan
TT1
Non-Postal
CDHP Self
Monthly
166.73
Humana CoverageFirst and Humana Value Plan
TT2
Non-Postal
CDHP Self & Family
Monthly
374.32
Humana CoverageFirst and Humana Value Plan
TT3
Non-Postal
CDHP Self Plus One
Monthly
364.17
Humana CoverageFirst and Humana Value Plan
TT4
Non-Postal
Value Self
Monthly
134.44
Humana CoverageFirst and Humana Value Plan
TT5
Non-Postal
Value Self & Family
Monthly
302.48
Humana CoverageFirst and Humana Value Plan
TT6
Non-Postal
Value Self Plus One
Monthly
289.04
Humana Health Plan, Inc.
GJ1
Non-Postal
High Self
Monthly
465.04
Humana Health Plan, Inc.
GJ2
Non-Postal
High Self & Family
Monthly
1030.19
Humana Health Plan, Inc.
GJ3
Non-Postal
High Self Plus One
Monthly
1005.42
Humana Health Plan, Inc.
GJ4
Non-Postal
Standard Self
Monthly
316.9
Humana Health Plan, Inc.
GJ5
Non-Postal
Standard Self & Family
Monthly
696.93
Humana Health Plan, Inc.
GJ6
Non-Postal
Standard Self Plus One
Monthly
686.96
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
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service