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2019 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
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
JS1
Non-Postal
CDHP Self
Monthly
550.32
Aetna HealthFund CDHP and Aetna Value Plan
JS2
Non-Postal
CDHP Self & Family
Monthly
1253.16
Aetna HealthFund CDHP and Aetna Value Plan
JS3
Non-Postal
CDHP Self Plus One
Monthly
1301.1
Aetna HealthFund CDHP and Aetna Value Plan
JS4
Non-Postal
Value Self
Monthly
305.27
Aetna HealthFund CDHP and Aetna Value Plan
JS5
Non-Postal
Value Self & Family
Monthly
697.22
Aetna HealthFund CDHP and Aetna Value Plan
JS6
Non-Postal
Value Self Plus One
Monthly
750.66
Baylor Scott and White Health Plan
A81
Non-Postal
Basic Self
Monthly
151.47
Baylor Scott and White Health Plan
A82
Non-Postal
Basic Self & Family
Monthly
355.38
Baylor Scott and White Health Plan
A83
Non-Postal
Basic Self Plus One
Monthly
335.75
Baylor Scott and White Health Plan
A84
Non-Postal
Standard Self
Monthly
239.96
Baylor Scott and White Health Plan
A85
Non-Postal
Standard Self & Family
Monthly
595.45
Baylor Scott and White Health Plan
A86
Non-Postal
Standard Self Plus One
Monthly
571.24
Baylor Scott and White Health Plan
P81
Non-Postal
Basic Self
Monthly
181.22
Baylor Scott and White Health Plan
P82
Non-Postal
Basic Self & Family
Monthly
457.41
Baylor Scott and White Health Plan
P83
Non-Postal
Basic Self Plus One
Monthly
440.83
Baylor Scott and White Health Plan
P84
Non-Postal
Standard Self
Monthly
328.15
Baylor Scott and White Health Plan
P85
Non-Postal
Standard Self & Family
Monthly
802.65
Baylor Scott and White Health Plan
P86
Non-Postal
Standard Self Plus One
Monthly
767
Humana CoverageFirst and Humana Value Plan
T31
Non-Postal
CDHP Self
Monthly
163.52
Humana CoverageFirst and Humana Value Plan
T32
Non-Postal
CDHP Self & Family
Monthly
367.92
Humana CoverageFirst and Humana Value Plan
T33
Non-Postal
CDHP Self Plus One
Monthly
351.57
Humana CoverageFirst and Humana Value Plan
T34
Non-Postal
Value Self
Monthly
124.56
Humana CoverageFirst and Humana Value Plan
T35
Non-Postal
Value Self & Family
Monthly
280.27
Humana CoverageFirst and Humana Value Plan
T36
Non-Postal
Value Self Plus One
Monthly
267.82
Humana CoverageFirst and Humana Value Plan
TP1
Non-Postal
CDHP Self
Monthly
147.87
Humana CoverageFirst and Humana Value Plan
TP2
Non-Postal
CDHP Self & Family
Monthly
332.71
Humana CoverageFirst and Humana Value Plan
TP3
Non-Postal
CDHP Self Plus One
Monthly
317.92
Humana CoverageFirst and Humana Value Plan
TP4
Non-Postal
Value Self
Monthly
99.73
Humana CoverageFirst and Humana Value Plan
TP5
Non-Postal
Value Self & Family
Monthly
224.4
Humana CoverageFirst and Humana Value Plan
TP6
Non-Postal
Value Self Plus One
Monthly
214.43
Humana CoverageFirst and Humana Value Plan
TU1
Non-Postal
CDHP Self
Monthly
159.84
Humana CoverageFirst and Humana Value Plan
TU2
Non-Postal
CDHP Self & Family
Monthly
359.66
Humana CoverageFirst and Humana Value Plan
TU3
Non-Postal
CDHP Self Plus One
Monthly
343.67
Humana CoverageFirst and Humana Value Plan
TU4
Non-Postal
Value Self
Monthly
127.16
Humana CoverageFirst and Humana Value Plan
TU5
Non-Postal
Value Self & Family
Monthly
286.1
Humana CoverageFirst and Humana Value Plan
TU6
Non-Postal
Value Self Plus One
Monthly
273.39
Humana CoverageFirst and Humana Value Plan
TV1
Non-Postal
CDHP Self
Monthly
208.87
Humana CoverageFirst and Humana Value Plan
TV2
Non-Postal
CDHP Self & Family
Monthly
453.9
Humana CoverageFirst and Humana Value Plan
TV3
Non-Postal
CDHP Self Plus One
Monthly
454.76
Humana CoverageFirst and Humana Value Plan
TV4
Non-Postal
Value Self
Monthly
144.78
Humana CoverageFirst and Humana Value Plan
TV5
Non-Postal
Value Self & Family
Monthly
325.76
Humana CoverageFirst and Humana Value Plan
TV6
Non-Postal
Value Self Plus One
Monthly
311.28
Humana Health Plan of Texas, Inc.
EW1
Non-Postal
High Self
Monthly
530.34
Humana Health Plan of Texas, Inc.
EW2
Non-Postal
High Self & Family
Monthly
1177.22
Humana Health Plan of Texas, Inc.
EW3
Non-Postal
High Self Plus One
Monthly
1145.92
Humana Health Plan of Texas, Inc.
EW4
Non-Postal
Standard Self
Monthly
275.28
Humana Health Plan of Texas, Inc.
EW5
Non-Postal
Standard Self & Family
Monthly
603.29
Humana Health Plan of Texas, Inc.
EW6
Non-Postal
Standard Self Plus One
Monthly
597.5
Humana Health Plan of Texas, Inc.
Q21
Non-Postal
Basic Self
Monthly
149.37
Humana Health Plan of Texas, Inc.
Q22
Non-Postal
Basic Self & Family
Monthly
336.09
Humana Health Plan of Texas, Inc.
Q23
Non-Postal
Basic Self Plus One
Monthly
321.14
Humana Health Plan of Texas, Inc.
Q61
Non-Postal
Basic Self
Monthly
147.23
Humana Health Plan of Texas, Inc.
Q62
Non-Postal
Basic Self & Family
Monthly
331.28
Humana Health Plan of Texas, Inc.
Q63
Non-Postal
Basic Self Plus One
Monthly
316.55
Humana Health Plan of Texas, Inc.
QX1
Non-Postal
Basic Self
Monthly
154.8
Humana Health Plan of Texas, Inc.
QX2
Non-Postal
Basic Self & Family
Monthly
348.3
Humana Health Plan of Texas, Inc.
QX3
Non-Postal
Basic Self Plus One
Monthly
332.82
Humana Health Plan of Texas, Inc.
QY1
Non-Postal
Basic Self
Monthly
153.42
Humana Health Plan of Texas, Inc.
QY2
Non-Postal
Basic Self & Family
Monthly
345.19
Humana Health Plan of Texas, Inc.
QY3
Non-Postal
Basic Self Plus One
Monthly
329.85
Humana Health Plan of Texas, Inc.
UC1
Non-Postal
High Self
Monthly
479.21
Humana Health Plan of Texas, Inc.
UC2
Non-Postal
High Self & Family
Monthly
1062.17
Humana Health Plan of Texas, Inc.
UC3
Non-Postal
High Self Plus One
Monthly
1035.97
Humana Health Plan of Texas, Inc.
UC4
Non-Postal
Standard Self
Monthly
301.15
Humana Health Plan of Texas, Inc.
UC5
Non-Postal
Standard Self & Family
Monthly
661.51
Humana Health Plan of Texas, Inc.
UC6
Non-Postal
Standard Self Plus One
Monthly
653.12
Humana Health Plan of Texas, Inc.
UR1
Non-Postal
High Self
Monthly
793.11
Humana Health Plan of Texas, Inc.
UR2
Non-Postal
High Self & Family
Monthly
1768.46
Humana Health Plan of Texas, Inc.
UR3
Non-Postal
High Self Plus One
Monthly
1710.86
Humana Health Plan of Texas, Inc.
UR4
Non-Postal
Standard Self
Monthly
392.17
Humana Health Plan of Texas, Inc.
UR5
Non-Postal
Standard Self & Family
Monthly
866.35
Humana Health Plan of Texas, Inc.
UR6
Non-Postal
Standard Self Plus One
Monthly
848.85
Humana Health Plan of Texas, Inc.
UU1
Non-Postal
High Self
Monthly
972.49
Humana Health Plan of Texas, Inc.
UU2
Non-Postal
High Self & Family
Monthly
2171.96
Humana Health Plan of Texas, Inc.
UU3
Non-Postal
High Self Plus One
Monthly
2096.46
Humana Health Plan of Texas, Inc.
UU4
Non-Postal
Standard Self
Monthly
798.75
Humana Health Plan of Texas, Inc.
UU5
Non-Postal
Standard Self & Family
Monthly
1781.13
Humana Health Plan of Texas, Inc.
UU6
Non-Postal
Standard Self Plus One
Monthly
1722.97
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L91
Non-Postal
Value Self
Monthly
109.26
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L92
Non-Postal
Value Self & Family
Monthly
306.37
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L93
Non-Postal
Value Self Plus One
Monthly
213.39
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service