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2022 Plan Information for Florida
Choose a Location, Employee Type, & Payment Period
Alabama
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South Carolina
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Tennessee
Texas
Utah
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Virgin Islands
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Washington
West Virginia
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Wyoming
Nationwide
Federal & U.S. Postal Service Employee
Certain Temporary Employees
Annuitant
Former Spouse Enrollee
Federal Deposit Insurance Corporation
Temporary Continuation of Coverage (TCC)
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
293.78
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
574.3
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
645.93
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
157.07
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
396.12
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
344.47
Aetna Direct
Z24
Non-Postal
Advantage Self
Monthly
125
Aetna Direct
Z25
Non-Postal
Advantage Self & Family
Monthly
331.25
Aetna Direct
Z26
Non-Postal
Advantage Self Plus One
Monthly
275
Aetna HealthFund CDHP and Aetna Value Plan
F51
Non-Postal
CDHP Self
Monthly
340.12
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
741.15
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
828.75
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Monthly
365
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Monthly
806.69
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Monthly
873.75
AvMed
ML4
Non-Postal
Standard Self
Monthly
271.35
AvMed
ML5
Non-Postal
Standard Self & Family
Monthly
708.5
AvMed
ML6
Non-Postal
Standard Self Plus One
Monthly
547.28
AvMed
WZ1
Non-Postal
HDHP Self
Monthly
211.73
AvMed
WZ2
Non-Postal
HDHP Self & Family
Monthly
470.06
AvMed
WZ3
Non-Postal
HDHP Self Plus One
Monthly
371.81
Capital Health Plan
EA1
Non-Postal
High Self
Monthly
199.96
Capital Health Plan
EA2
Non-Postal
High Self & Family
Monthly
448.98
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Monthly
460.85
Humana CoverageFirst and Humana Value Plan
A41
Non-Postal
HDHP Self
Monthly
119.6
Humana CoverageFirst and Humana Value Plan
A42
Non-Postal
HDHP Self & Family
Monthly
298.03
Humana CoverageFirst and Humana Value Plan
A43
Non-Postal
HDHP Self Plus One
Monthly
262.34
Humana CoverageFirst and Humana Value Plan
AP1
Non-Postal
HDHP Self
Monthly
120.77
Humana CoverageFirst and Humana Value Plan
AP2
Non-Postal
HDHP Self & Family
Monthly
300.94
Humana CoverageFirst and Humana Value Plan
AP3
Non-Postal
HDHP Self Plus One
Monthly
264.91
Humana CoverageFirst and Humana Value Plan
BR1
Non-Postal
HDHP Self
Monthly
106.61
Humana CoverageFirst and Humana Value Plan
BR2
Non-Postal
HDHP Self & Family
Monthly
265.56
Humana CoverageFirst and Humana Value Plan
BR3
Non-Postal
HDHP Self Plus One
Monthly
233.77
Humana CoverageFirst and Humana Value Plan
FF1
Non-Postal
HDHP Self
Monthly
101.63
Humana CoverageFirst and Humana Value Plan
FF2
Non-Postal
HDHP Self & Family
Monthly
253.08
Humana CoverageFirst and Humana Value Plan
FF3
Non-Postal
HDHP Self Plus One
Monthly
222.79
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Monthly
534.34
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Monthly
1151.97
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Monthly
1152.77
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Monthly
140.3
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Monthly
336.72
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Monthly
301.64
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Monthly
295.69
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Monthly
617.43
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Monthly
641.96
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Monthly
137.63
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Monthly
309.65
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Monthly
295.89
Humana CoverageFirst and Humana Value Plan
W91
Non-Postal
CDHP Self
Monthly
196.17
Humana CoverageFirst and Humana Value Plan
W92
Non-Postal
CDHP Self & Family
Monthly
408.76
Humana CoverageFirst and Humana Value Plan
W93
Non-Postal
CDHP Self Plus One
Monthly
425.68
Humana CoverageFirst and Humana Value Plan
W94
Non-Postal
Value Self
Monthly
150.03
Humana CoverageFirst and Humana Value Plan
W95
Non-Postal
Value Self & Family
Monthly
337.57
Humana CoverageFirst and Humana Value Plan
W96
Non-Postal
Value Self Plus One
Monthly
322.56
Humana CoverageFirst and Humana Value Plan
X21
Non-Postal
CDHP Self
Monthly
157.63
Humana CoverageFirst and Humana Value Plan
X22
Non-Postal
CDHP Self & Family
Monthly
354.7
Humana CoverageFirst and Humana Value Plan
X23
Non-Postal
CDHP Self Plus One
Monthly
338.93
Humana CoverageFirst and Humana Value Plan
X24
Non-Postal
Value Self
Monthly
136.56
Humana CoverageFirst and Humana Value Plan
X25
Non-Postal
Value Self & Family
Monthly
334.58
Humana CoverageFirst and Humana Value Plan
X26
Non-Postal
Value Self Plus One
Monthly
293.61
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Monthly
820.65
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Monthly
1796.1
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Monthly
1768.24
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Monthly
273.91
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Monthly
566.02
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Monthly
592.8
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Monthly
793.35
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Monthly
1734.83
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Monthly
1709.74
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Monthly
653.25
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Monthly
1419.53
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Monthly
1408.42
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Monthly
538.87
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Monthly
1162.16
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Monthly
1162.46
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Monthly
366.8
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Monthly
775.06
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Monthly
792.57
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Monthly
1263.84
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Monthly
2793.35
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Monthly
2721.16
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Monthly
752.16
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Monthly
1642.05
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Monthly
1621.03
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS1
Non-Postal
HDHP Self
Monthly
156.17
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS2
Non-Postal
HDHP Self & Family
Monthly
359.19
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS3
Non-Postal
HDHP Self Plus One
Monthly
335.77
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK1
Non-Postal
High Self
Monthly
316.77
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK2
Non-Postal
High Self & Family
Monthly
874.29
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK3
Non-Postal
High Self Plus One
Monthly
684.99
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Monthly
367.36
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Monthly
1449.69
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Monthly
793.76
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Monthly
162.73
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Monthly
384.86
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Monthly
349.87
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Monthly
145.31
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Monthly
343.67
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Monthly
312.43
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service