Click here to skip navigation
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please
follow this link to enable alert boxes for your profile .
This website uses features which update page content based on user actions. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode").
Alert box notification is currently enabled, please
follow this link to disable alert boxes for your profile .
2022 Plan Information for Kentucky
Choose a Location, Employee Type, & Payment Period
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
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
H41
Non-Postal
CDHP Self
Monthly
295.66
Aetna HealthFund CDHP and Aetna Value Plan
H42
Non-Postal
CDHP Self & Family
Monthly
639.27
Aetna HealthFund CDHP and Aetna Value Plan
H43
Non-Postal
CDHP Self Plus One
Monthly
728.26
Aetna HealthFund CDHP and Aetna Value Plan
H44
Non-Postal
Value Self
Monthly
303.2
Aetna HealthFund CDHP and Aetna Value Plan
H45
Non-Postal
Value Self & Family
Monthly
669.5
Aetna HealthFund CDHP and Aetna Value Plan
H46
Non-Postal
Value Self Plus One
Monthly
739.24
Humana CoverageFirst and Humana Value Plan
6N1
Non-Postal
CDHP Self
Monthly
318.22
Humana CoverageFirst and Humana Value Plan
6N2
Non-Postal
CDHP Self & Family
Monthly
665.73
Humana CoverageFirst and Humana Value Plan
6N3
Non-Postal
CDHP Self Plus One
Monthly
688.11
Humana CoverageFirst and Humana Value Plan
6N4
Non-Postal
Value Self
Monthly
158.45
Humana CoverageFirst and Humana Value Plan
6N5
Non-Postal
Value Self & Family
Monthly
356.51
Humana CoverageFirst and Humana Value Plan
6N6
Non-Postal
Value Self Plus One
Monthly
340.67
Humana CoverageFirst and Humana Value Plan
DT1
Non-Postal
HDHP Self
Monthly
123.93
Humana CoverageFirst and Humana Value Plan
DT2
Non-Postal
HDHP Self & Family
Monthly
308.85
Humana CoverageFirst and Humana Value Plan
DT3
Non-Postal
HDHP Self Plus One
Monthly
271.87
Humana CoverageFirst and Humana Value Plan
TC1
Non-Postal
CDHP Self
Monthly
226.53
Humana CoverageFirst and Humana Value Plan
TC2
Non-Postal
CDHP Self & Family
Monthly
459.38
Humana CoverageFirst and Humana Value Plan
TC3
Non-Postal
CDHP Self Plus One
Monthly
490.94
Humana CoverageFirst and Humana Value Plan
TC4
Non-Postal
Value Self
Monthly
144.93
Humana CoverageFirst and Humana Value Plan
TC5
Non-Postal
Value Self & Family
Monthly
326.1
Humana CoverageFirst and Humana Value Plan
TC6
Non-Postal
Value Self Plus One
Monthly
311.61
Humana CoverageFirst and Humana Value Plan
X31
Non-Postal
CDHP Self
Monthly
371.84
Humana CoverageFirst and Humana Value Plan
X32
Non-Postal
CDHP Self & Family
Monthly
786.39
Humana CoverageFirst and Humana Value Plan
X33
Non-Postal
CDHP Self Plus One
Monthly
803.42
Humana CoverageFirst and Humana Value Plan
X34
Non-Postal
Value Self
Monthly
173.58
Humana CoverageFirst and Humana Value Plan
X35
Non-Postal
Value Self & Family
Monthly
390.56
Humana CoverageFirst and Humana Value Plan
X36
Non-Postal
Value Self Plus One
Monthly
373.2
Humana Health Plan of Ohio, Inc.
A64
Non-Postal
Standard Self
Monthly
712.55
Humana Health Plan of Ohio, Inc.
A65
Non-Postal
Standard Self & Family
Monthly
1553
Humana Health Plan of Ohio, Inc.
A66
Non-Postal
Standard Self Plus One
Monthly
1535.93
Humana Health Plan of Ohio, Inc.
W61
Non-Postal
Basic Self
Monthly
167.75
Humana Health Plan of Ohio, Inc.
W62
Non-Postal
Basic Self & Family
Monthly
377.45
Humana Health Plan of Ohio, Inc.
W63
Non-Postal
Basic Self Plus One
Monthly
360.68
Humana Health Plan, Inc.
MH4
Non-Postal
Standard Self
Monthly
462.37
Humana Health Plan, Inc.
MH5
Non-Postal
Standard Self & Family
Monthly
990.01
Humana Health Plan, Inc.
MH6
Non-Postal
Standard Self Plus One
Monthly
997.97
Humana Health Plan, Inc.
MI4
Non-Postal
Standard Self
Monthly
399.06
Humana Health Plan, Inc.
MI5
Non-Postal
Standard Self & Family
Monthly
847.6
Humana Health Plan, Inc.
MI6
Non-Postal
Standard Self Plus One
Monthly
861.92
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N71
Non-Postal
HDHP Self
Monthly
214.02
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N72
Non-Postal
HDHP Self & Family
Monthly
468.5
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
N73
Non-Postal
HDHP Self Plus One
Monthly
464.06
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ1
Non-Postal
High Self
Monthly
343.42
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ2
Non-Postal
High Self & Family
Monthly
940.98
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LJ3
Non-Postal
High Self Plus One
Monthly
742.34
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