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2023 Plan Information for Florida
Choose a Location, Employee Type, & Payment Period
Alabama
Alaska
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Colorado
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District of Columbia
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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
269.92
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
511.92
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
586.26
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
160.35
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
404.39
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
351.67
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
415.48
Aetna HealthFund CDHP and Aetna Value Plan
F52
Non-Postal
CDHP Self & Family
Monthly
905.69
Aetna HealthFund CDHP and Aetna Value Plan
F53
Non-Postal
CDHP Self Plus One
Monthly
993.87
Aetna HealthFund CDHP and Aetna Value Plan
F54
Non-Postal
Value Self
Monthly
445.55
Aetna HealthFund CDHP and Aetna Value Plan
F55
Non-Postal
Value Self & Family
Monthly
984.15
Aetna HealthFund CDHP and Aetna Value Plan
F56
Non-Postal
Value Self Plus One
Monthly
1049.12
AvMed
ML4
Non-Postal
Standard Self
Monthly
383.58
AvMed
ML5
Non-Postal
Standard Self & Family
Monthly
979.36
AvMed
ML6
Non-Postal
Standard Self Plus One
Monthly
772.83
AvMed
WZ1
Non-Postal
HDHP Self
Monthly
303.48
AvMed
WZ2
Non-Postal
HDHP Self & Family
Monthly
691.24
AvMed
WZ3
Non-Postal
HDHP Self Plus One
Monthly
533.2
Capital Health Plan
EA1
Non-Postal
High Self
Monthly
191.31
Capital Health Plan
EA2
Non-Postal
High Self & Family
Monthly
436.86
Capital Health Plan
EA3
Non-Postal
High Self Plus One
Monthly
434.55
Humana CoverageFirst and Humana Value Plan
A41
Non-Postal
HDHP Self
Monthly
123.19
Humana CoverageFirst and Humana Value Plan
A42
Non-Postal
HDHP Self & Family
Monthly
306.97
Humana CoverageFirst and Humana Value Plan
A43
Non-Postal
HDHP Self Plus One
Monthly
270.21
Humana CoverageFirst and Humana Value Plan
AP1
Non-Postal
HDHP Self
Monthly
124.39
Humana CoverageFirst and Humana Value Plan
AP2
Non-Postal
HDHP Self & Family
Monthly
309.97
Humana CoverageFirst and Humana Value Plan
AP3
Non-Postal
HDHP Self Plus One
Monthly
272.85
Humana CoverageFirst and Humana Value Plan
BR1
Non-Postal
HDHP Self
Monthly
109.81
Humana CoverageFirst and Humana Value Plan
BR2
Non-Postal
HDHP Self & Family
Monthly
273.52
Humana CoverageFirst and Humana Value Plan
BR3
Non-Postal
HDHP Self Plus One
Monthly
240.78
Humana CoverageFirst and Humana Value Plan
FF1
Non-Postal
HDHP Self
Monthly
104.67
Humana CoverageFirst and Humana Value Plan
FF2
Non-Postal
HDHP Self & Family
Monthly
260.68
Humana CoverageFirst and Humana Value Plan
FF3
Non-Postal
HDHP Self Plus One
Monthly
229.47
Humana CoverageFirst and Humana Value Plan
MJ1
Non-Postal
CDHP Self
Monthly
549.42
Humana CoverageFirst and Humana Value Plan
MJ2
Non-Postal
CDHP Self & Family
Monthly
1177.54
Humana CoverageFirst and Humana Value Plan
MJ3
Non-Postal
CDHP Self Plus One
Monthly
1176.65
Humana CoverageFirst and Humana Value Plan
MJ4
Non-Postal
Value Self
Monthly
148.01
Humana CoverageFirst and Humana Value Plan
MJ5
Non-Postal
Value Self & Family
Monthly
355.23
Humana CoverageFirst and Humana Value Plan
MJ6
Non-Postal
Value Self Plus One
Monthly
318.23
Humana CoverageFirst and Humana Value Plan
QP1
Non-Postal
CDHP Self
Monthly
310.18
Humana CoverageFirst and Humana Value Plan
QP2
Non-Postal
CDHP Self & Family
Monthly
641.84
Humana CoverageFirst and Humana Value Plan
QP3
Non-Postal
CDHP Self Plus One
Monthly
664.69
Humana CoverageFirst and Humana Value Plan
QP4
Non-Postal
Value Self
Monthly
143.32
Humana CoverageFirst and Humana Value Plan
QP5
Non-Postal
Value Self & Family
Monthly
322.46
Humana CoverageFirst and Humana Value Plan
QP6
Non-Postal
Value Self Plus One
Monthly
308.13
Humana CoverageFirst and Humana Value Plan
W91
Non-Postal
CDHP Self
Monthly
199.42
Humana CoverageFirst and Humana Value Plan
W92
Non-Postal
CDHP Self & Family
Monthly
428.69
Humana CoverageFirst and Humana Value Plan
W93
Non-Postal
CDHP Self Plus One
Monthly
424.15
Humana CoverageFirst and Humana Value Plan
W94
Non-Postal
Value Self
Monthly
163.94
Humana CoverageFirst and Humana Value Plan
W95
Non-Postal
Value Self & Family
Monthly
368.86
Humana CoverageFirst and Humana Value Plan
W96
Non-Postal
Value Self Plus One
Monthly
352.47
Humana CoverageFirst and Humana Value Plan
X21
Non-Postal
CDHP Self
Monthly
168.67
Humana CoverageFirst and Humana Value Plan
X22
Non-Postal
CDHP Self & Family
Monthly
379.52
Humana CoverageFirst and Humana Value Plan
X23
Non-Postal
CDHP Self Plus One
Monthly
362.66
Humana CoverageFirst and Humana Value Plan
X24
Non-Postal
Value Self
Monthly
144.01
Humana CoverageFirst and Humana Value Plan
X25
Non-Postal
Value Self & Family
Monthly
352.81
Humana CoverageFirst and Humana Value Plan
X26
Non-Postal
Value Self Plus One
Monthly
309.6
Humana Medical Plan, Inc.
E21
Non-Postal
High Self
Monthly
846.25
Humana Medical Plan, Inc.
E22
Non-Postal
High Self & Family
Monthly
1845.38
Humana Medical Plan, Inc.
E23
Non-Postal
High Self Plus One
Monthly
1814.76
Humana Medical Plan, Inc.
E24
Non-Postal
Standard Self
Monthly
300.75
Humana Medical Plan, Inc.
E25
Non-Postal
Standard Self & Family
Monthly
618.07
Humana Medical Plan, Inc.
E26
Non-Postal
Standard Self Plus One
Monthly
641.96
Humana Medical Plan, Inc.
EE1
Non-Postal
High Self
Monthly
922.89
Humana Medical Plan, Inc.
EE2
Non-Postal
High Self & Family
Monthly
2017.97
Humana Medical Plan, Inc.
EE3
Non-Postal
High Self Plus One
Monthly
1979.75
Humana Medical Plan, Inc.
EE4
Non-Postal
Standard Self
Monthly
774.97
Humana Medical Plan, Inc.
EE5
Non-Postal
Standard Self & Family
Monthly
1685.04
Humana Medical Plan, Inc.
EE6
Non-Postal
Standard Self Plus One
Monthly
1661.53
Humana Medical Plan, Inc.
EX1
Non-Postal
High Self
Monthly
538.65
Humana Medical Plan, Inc.
EX2
Non-Postal
High Self & Family
Monthly
1153.3
Humana Medical Plan, Inc.
EX3
Non-Postal
High Self Plus One
Monthly
1153.43
Humana Medical Plan, Inc.
EX4
Non-Postal
Standard Self
Monthly
375.16
Humana Medical Plan, Inc.
EX5
Non-Postal
Standard Self & Family
Monthly
785.55
Humana Medical Plan, Inc.
EX6
Non-Postal
Standard Self Plus One
Monthly
802.04
Humana Medical Plan, Inc.
LL1
Non-Postal
High Self
Monthly
1458.29
Humana Medical Plan, Inc.
LL2
Non-Postal
High Self & Family
Monthly
3222.49
Humana Medical Plan, Inc.
LL3
Non-Postal
High Self Plus One
Monthly
3130.68
Humana Medical Plan, Inc.
LL4
Non-Postal
Standard Self
Monthly
858.11
Humana Medical Plan, Inc.
LL5
Non-Postal
Standard Self & Family
Monthly
1872.09
Humana Medical Plan, Inc.
LL6
Non-Postal
Standard Self Plus One
Monthly
1840.3
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS1
Non-Postal
HDHP Self
Monthly
164.71
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS2
Non-Postal
HDHP Self & Family
Monthly
376.79
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LS3
Non-Postal
HDHP Self Plus One
Monthly
354.13
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK1
Non-Postal
High Self
Monthly
378.25
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK2
Non-Postal
High Self & Family
Monthly
1027.78
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
KK3
Non-Postal
High Self Plus One
Monthly
808.71
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV1
Non-Postal
Value Self
Monthly
442.71
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV2
Non-Postal
Value Self & Family
Monthly
1691.56
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
LV3
Non-Postal
Value Self Plus One
Monthly
947.22
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Monthly
177.95
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Monthly
420.84
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Monthly
382.58
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Monthly
168.85
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Monthly
399.34
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Monthly
363.03
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service