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2020 Plan Information for Texas
Choose a Location, Employee Type, & Payment Period
Alabama
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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
JS1
Non-Postal
CDHP Self
Monthly
493.15
Aetna HealthFund CDHP and Aetna Value Plan
JS2
Non-Postal
CDHP Self & Family
Monthly
1104.63
Aetna HealthFund CDHP and Aetna Value Plan
JS3
Non-Postal
CDHP Self Plus One
Monthly
1173.73
Aetna HealthFund CDHP and Aetna Value Plan
JS4
Non-Postal
Value Self
Monthly
562.64
Aetna HealthFund CDHP and Aetna Value Plan
JS5
Non-Postal
Value Self & Family
Monthly
1266.57
Aetna HealthFund CDHP and Aetna Value Plan
JS6
Non-Postal
Value Self Plus One
Monthly
1334.06
Baylor Scott and White Health Plan
A81
Non-Postal
Basic Self
Monthly
164.52
Baylor Scott and White Health Plan
A82
Non-Postal
Basic Self & Family
Monthly
386.05
Baylor Scott and White Health Plan
A83
Non-Postal
Basic Self Plus One
Monthly
366.62
Baylor Scott and White Health Plan
A84
Non-Postal
Standard Self
Monthly
274.58
Baylor Scott and White Health Plan
A85
Non-Postal
Standard Self & Family
Monthly
659.47
Baylor Scott and White Health Plan
A86
Non-Postal
Standard Self Plus One
Monthly
649.33
Baylor Scott and White Health Plan
P81
Non-Postal
Basic Self
Monthly
169.59
Baylor Scott and White Health Plan
P82
Non-Postal
Basic Self & Family
Monthly
407.87
Baylor Scott and White Health Plan
P83
Non-Postal
Basic Self Plus One
Monthly
411.67
Baylor Scott and White Health Plan
P84
Non-Postal
Standard Self
Monthly
314.1
Baylor Scott and White Health Plan
P85
Non-Postal
Standard Self & Family
Monthly
752.29
Baylor Scott and White Health Plan
P86
Non-Postal
Standard Self Plus One
Monthly
737.04
Humana CoverageFirst and Humana Value Plan
T31
Non-Postal
CDHP Self
Monthly
247.91
Humana CoverageFirst and Humana Value Plan
T32
Non-Postal
CDHP Self & Family
Monthly
523.14
Humana CoverageFirst and Humana Value Plan
T33
Non-Postal
CDHP Self Plus One
Monthly
539.07
Humana CoverageFirst and Humana Value Plan
T34
Non-Postal
Value Self
Monthly
132.04
Humana CoverageFirst and Humana Value Plan
T35
Non-Postal
Value Self & Family
Monthly
297.08
Humana CoverageFirst and Humana Value Plan
T36
Non-Postal
Value Self Plus One
Monthly
283.88
Humana CoverageFirst and Humana Value Plan
TP1
Non-Postal
CDHP Self
Monthly
210.77
Humana CoverageFirst and Humana Value Plan
TP2
Non-Postal
CDHP Self & Family
Monthly
439.59
Humana CoverageFirst and Humana Value Plan
TP3
Non-Postal
CDHP Self Plus One
Monthly
459.23
Humana CoverageFirst and Humana Value Plan
TP4
Non-Postal
Value Self
Monthly
105.72
Humana CoverageFirst and Humana Value Plan
TP5
Non-Postal
Value Self & Family
Monthly
237.86
Humana CoverageFirst and Humana Value Plan
TP6
Non-Postal
Value Self Plus One
Monthly
227.29
Humana CoverageFirst and Humana Value Plan
TU1
Non-Postal
CDHP Self
Monthly
161.44
Humana CoverageFirst and Humana Value Plan
TU2
Non-Postal
CDHP Self & Family
Monthly
363.25
Humana CoverageFirst and Humana Value Plan
TU3
Non-Postal
CDHP Self Plus One
Monthly
347.11
Humana CoverageFirst and Humana Value Plan
TU4
Non-Postal
Value Self
Monthly
131.93
Humana CoverageFirst and Humana Value Plan
TU5
Non-Postal
Value Self & Family
Monthly
296.84
Humana CoverageFirst and Humana Value Plan
TU6
Non-Postal
Value Self Plus One
Monthly
283.65
Humana CoverageFirst and Humana Value Plan
TV1
Non-Postal
CDHP Self
Monthly
331.19
Humana CoverageFirst and Humana Value Plan
TV2
Non-Postal
CDHP Self & Family
Monthly
710.58
Humana CoverageFirst and Humana Value Plan
TV3
Non-Postal
CDHP Self Plus One
Monthly
718.14
Humana CoverageFirst and Humana Value Plan
TV4
Non-Postal
Value Self
Monthly
166.5
Humana CoverageFirst and Humana Value Plan
TV5
Non-Postal
Value Self & Family
Monthly
374.63
Humana CoverageFirst and Humana Value Plan
TV6
Non-Postal
Value Self Plus One
Monthly
357.98
Humana Health Plan of Texas, Inc.
EW1
Non-Postal
High Self
Monthly
621.11
Humana Health Plan of Texas, Inc.
EW2
Non-Postal
High Self & Family
Monthly
1362.92
Humana Health Plan of Texas, Inc.
EW3
Non-Postal
High Self Plus One
Monthly
1341.49
Humana Health Plan of Texas, Inc.
EW4
Non-Postal
Standard Self
Monthly
325.08
Humana Health Plan of Texas, Inc.
EW5
Non-Postal
Standard Self & Family
Monthly
696.8
Humana Health Plan of Texas, Inc.
EW6
Non-Postal
Standard Self Plus One
Monthly
704.95
Humana Health Plan of Texas, Inc.
Q21
Non-Postal
Basic Self
Monthly
224.09
Humana Health Plan of Texas, Inc.
Q22
Non-Postal
Basic Self & Family
Monthly
469.54
Humana Health Plan of Texas, Inc.
Q23
Non-Postal
Basic Self Plus One
Monthly
487.78
Humana Health Plan of Texas, Inc.
Q61
Non-Postal
Basic Self
Monthly
156.06
Humana Health Plan of Texas, Inc.
Q62
Non-Postal
Basic Self & Family
Monthly
351.15
Humana Health Plan of Texas, Inc.
Q63
Non-Postal
Basic Self Plus One
Monthly
335.55
Humana Health Plan of Texas, Inc.
QX1
Non-Postal
Basic Self
Monthly
238.42
Humana Health Plan of Texas, Inc.
QX2
Non-Postal
Basic Self & Family
Monthly
501.82
Humana Health Plan of Texas, Inc.
QX3
Non-Postal
Basic Self Plus One
Monthly
518.66
Humana Health Plan of Texas, Inc.
QY1
Non-Postal
Basic Self
Monthly
250.12
Humana Health Plan of Texas, Inc.
QY2
Non-Postal
Basic Self & Family
Monthly
528.1
Humana Health Plan of Texas, Inc.
QY3
Non-Postal
Basic Self Plus One
Monthly
543.79
Humana Health Plan of Texas, Inc.
UC1
Non-Postal
High Self
Monthly
584.43
Humana Health Plan of Texas, Inc.
UC2
Non-Postal
High Self & Family
Monthly
1280.39
Humana Health Plan of Texas, Inc.
UC3
Non-Postal
High Self Plus One
Monthly
1262.6
Humana Health Plan of Texas, Inc.
UC4
Non-Postal
Standard Self
Monthly
329.03
Humana Health Plan of Texas, Inc.
UC5
Non-Postal
Standard Self & Family
Monthly
705.64
Humana Health Plan of Texas, Inc.
UC6
Non-Postal
Standard Self Plus One
Monthly
713.42
Humana Health Plan of Texas, Inc.
UR1
Non-Postal
High Self
Monthly
871.45
Humana Health Plan of Texas, Inc.
UR2
Non-Postal
High Self & Family
Monthly
1926.1
Humana Health Plan of Texas, Inc.
UR3
Non-Postal
High Self Plus One
Monthly
1879.65
Humana Health Plan of Texas, Inc.
UR4
Non-Postal
Standard Self
Monthly
469.17
Humana Health Plan of Texas, Inc.
UR5
Non-Postal
Standard Self & Family
Monthly
1020.98
Humana Health Plan of Texas, Inc.
UR6
Non-Postal
Standard Self Plus One
Monthly
1014.74
Humana Health Plan of Texas, Inc.
UU1
Non-Postal
High Self
Monthly
1033.91
Humana Health Plan of Texas, Inc.
UU2
Non-Postal
High Self & Family
Monthly
2291.64
Humana Health Plan of Texas, Inc.
UU3
Non-Postal
High Self Plus One
Monthly
2228.94
Humana Health Plan of Texas, Inc.
UU4
Non-Postal
Standard Self
Monthly
1149.93
Humana Health Plan of Texas, Inc.
UU5
Non-Postal
Standard Self & Family
Monthly
2552.7
Humana Health Plan of Texas, Inc.
UU6
Non-Postal
Standard Self Plus One
Monthly
2478.36
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L91
Non-Postal
Value Self
Monthly
130.37
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L92
Non-Postal
Value Self & Family
Monthly
365.56
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L93
Non-Postal
Value Self Plus One
Monthly
254.61
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
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