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2020 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
217.96
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
423.58
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
483.84
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
153.16
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
386.25
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
335.89
Aetna Direct
Z24
Non-Postal
Advantage Self
Monthly
115.96
Aetna Direct
Z25
Non-Postal
Advantage Self & Family
Monthly
307.29
Aetna Direct
Z26
Non-Postal
Advantage Self Plus One
Monthly
255.11
Aetna HealthFund CDHP and Aetna Value Plan
H41
Non-Postal
CDHP Self
Monthly
317.63
Aetna HealthFund CDHP and Aetna Value Plan
H42
Non-Postal
CDHP Self & Family
Monthly
704.43
Aetna HealthFund CDHP and Aetna Value Plan
H43
Non-Postal
CDHP Self Plus One
Monthly
777.66
Aetna HealthFund CDHP and Aetna Value Plan
H44
Non-Postal
Value Self
Monthly
296.2
Aetna HealthFund CDHP and Aetna Value Plan
H45
Non-Postal
Value Self & Family
Monthly
668.16
Aetna HealthFund CDHP and Aetna Value Plan
H46
Non-Postal
Value Self Plus One
Monthly
723.6
Humana CoverageFirst and Humana Value Plan
6N1
Non-Postal
CDHP Self
Monthly
255.86
Humana CoverageFirst and Humana Value Plan
6N2
Non-Postal
CDHP Self & Family
Monthly
541.06
Humana CoverageFirst and Humana Value Plan
6N3
Non-Postal
CDHP Self Plus One
Monthly
556.14
Humana CoverageFirst and Humana Value Plan
TC1
Non-Postal
CDHP Self
Monthly
164.87
Humana CoverageFirst and Humana Value Plan
TC2
Non-Postal
CDHP Self & Family
Monthly
370.93
Humana CoverageFirst and Humana Value Plan
TC3
Non-Postal
CDHP Self Plus One
Monthly
354.45
Humana CoverageFirst and Humana Value Plan
X31
Non-Postal
CDHP Self
Monthly
288.6
Humana CoverageFirst and Humana Value Plan
X32
Non-Postal
CDHP Self & Family
Monthly
614.75
Humana CoverageFirst and Humana Value Plan
X33
Non-Postal
CDHP Self Plus One
Monthly
626.56
Humana CoverageFirst and Humana Value Plan
X34
Non-Postal
Value Self
Monthly
153.78
Humana CoverageFirst and Humana Value Plan
X35
Non-Postal
Value Self & Family
Monthly
346.01
Humana CoverageFirst and Humana Value Plan
X36
Non-Postal
Value Self Plus One
Monthly
330.63
Humana Health Plan of Ohio, Inc.
A61
Non-Postal
High Self
Monthly
990.14
Humana Health Plan of Ohio, Inc.
A62
Non-Postal
High Self & Family
Monthly
2193.21
Humana Health Plan of Ohio, Inc.
A63
Non-Postal
High Self Plus One
Monthly
2134.88
Humana Health Plan of Ohio, Inc.
A64
Non-Postal
Standard Self
Monthly
661.33
Humana Health Plan of Ohio, Inc.
A65
Non-Postal
Standard Self & Family
Monthly
1453.4
Humana Health Plan of Ohio, Inc.
A66
Non-Postal
Standard Self Plus One
Monthly
1427.94
Humana Health Plan of Ohio, Inc.
W61
Non-Postal
Basic Self
Monthly
152.15
Humana Health Plan of Ohio, Inc.
W62
Non-Postal
Basic Self & Family
Monthly
342.36
Humana Health Plan of Ohio, Inc.
W63
Non-Postal
Basic Self Plus One
Monthly
327.14
Humana Health Plan, Inc.
MH1
Non-Postal
High Self
Monthly
594.12
Humana Health Plan, Inc.
MH2
Non-Postal
High Self & Family
Monthly
1302.17
Humana Health Plan, Inc.
MH3
Non-Postal
High Self Plus One
Monthly
1283.43
Humana Health Plan, Inc.
MH4
Non-Postal
Standard Self
Monthly
348.81
Humana Health Plan, Inc.
MH5
Non-Postal
Standard Self & Family
Monthly
750.16
Humana Health Plan, Inc.
MH6
Non-Postal
Standard Self Plus One
Monthly
755.97
Humana Health Plan, Inc.
MI1
Non-Postal
High Self
Monthly
870.61
Humana Health Plan, Inc.
MI2
Non-Postal
High Self & Family
Monthly
1924.22
Humana Health Plan, Inc.
MI3
Non-Postal
High Self Plus One
Monthly
1877.83
Humana Health Plan, Inc.
MI4
Non-Postal
Standard Self
Monthly
374.16
Humana Health Plan, Inc.
MI5
Non-Postal
Standard Self & Family
Monthly
807.19
Humana Health Plan, Inc.
MI6
Non-Postal
Standard Self Plus One
Monthly
810.49
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N71
Non-Postal
HDHP Self
Monthly
152.6
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N72
Non-Postal
HDHP Self & Family
Monthly
350.99
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N73
Non-Postal
HDHP Self Plus One
Monthly
328.1
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ1
Non-Postal
High Self
Monthly
209.34
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ2
Non-Postal
High Self & Family
Monthly
616.46
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ3
Non-Postal
High Self Plus One
Monthly
456.15
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Monthly
131.45
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Monthly
310.84
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Monthly
282.6
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Monthly
126.68
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Monthly
299.56
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Monthly
272.34
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service