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2023 Plan Information for Maryland
Choose a Location, Employee Type, & Payment Period
Alabama
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Texas
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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
Aetna Open Access
JN1
Non-Postal
High Self
Monthly
766.11
Aetna Open Access
JN2
Non-Postal
High Self & Family
Monthly
1662.66
Aetna Open Access
JN3
Non-Postal
High Self Plus One
Monthly
1743.34
Aetna Open Access
JN4
Non-Postal
Basic Self
Monthly
208
Aetna Open Access
JN5
Non-Postal
Basic Self & Family
Monthly
440.95
Aetna Open Access
JN6
Non-Postal
Basic Self Plus One
Monthly
405.21
Aetna Open Access
QQ4
Non-Postal
Saver Self
Monthly
153.39
Aetna Open Access
QQ5
Non-Postal
Saver Self & Family
Monthly
351.05
Aetna Open Access
QQ6
Non-Postal
Saver Self Plus One
Monthly
322.36
CareFirst BlueChoice
2G4
Non-Postal
Standard Self
Monthly
460.54
CareFirst BlueChoice
2G5
Non-Postal
Standard Self & Family
Monthly
1106.56
CareFirst BlueChoice
2G6
Non-Postal
Standard Self Plus One
Monthly
832.11
CareFirst BlueChoice
B61
Non-Postal
HDHP Self
Monthly
172.97
CareFirst BlueChoice
B62
Non-Postal
HDHP Self & Family
Monthly
410.99
CareFirst BlueChoice
B63
Non-Postal
HDHP Self Plus One
Monthly
345.96
CareFirst BlueChoice
B64
Non-Postal
Blue Value Plus Self
Monthly
197.1
CareFirst BlueChoice
B65
Non-Postal
Blue Value Plus Self & Family
Monthly
480.61
CareFirst BlueChoice
B66
Non-Postal
Blue Value Plus Self Plus One
Monthly
379.92
Kaiser Permanente - Mid-Atlantic States
E31
Non-Postal
High Self
Monthly
228.17
Kaiser Permanente - Mid-Atlantic States
E32
Non-Postal
High Self & Family
Monthly
494.29
Kaiser Permanente - Mid-Atlantic States
E33
Non-Postal
High Self Plus One
Monthly
604.57
Kaiser Permanente - Mid-Atlantic States
E34
Non-Postal
Standard Self
Monthly
158.82
Kaiser Permanente - Mid-Atlantic States
E35
Non-Postal
Standard Self & Family
Monthly
365.27
Kaiser Permanente - Mid-Atlantic States
E36
Non-Postal
Standard Self Plus One
Monthly
365.27
Kaiser Permanente - Mid-Atlantic States
T71
Non-Postal
Prosper Self
Monthly
94.93
Kaiser Permanente - Mid-Atlantic States
T72
Non-Postal
Prosper Self & Family
Monthly
267.08
Kaiser Permanente - Mid-Atlantic States
T73
Non-Postal
Prosper Self Plus One
Monthly
226.79
M.D. IPA
JP1
Non-Postal
High Self
Monthly
503.05
M.D. IPA
JP2
Non-Postal
High Self & Family
Monthly
1663.7
M.D. IPA
JP3
Non-Postal
High Self Plus One
Monthly
866.99
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
V41
Non-Postal
HDHP Self
Monthly
166.3
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
V42
Non-Postal
HDHP Self & Family
Monthly
382.46
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
V43
Non-Postal
HDHP Self Plus One
Monthly
357.53
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LR1
Non-Postal
High Self
Monthly
345.28
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LR2
Non-Postal
High Self & Family
Monthly
827.19
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
LR3
Non-Postal
High Self Plus One
Monthly
737.71
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L91
Non-Postal
Value Self
Monthly
174.25
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L92
Non-Postal
Value Self & Family
Monthly
418.2
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L93
Non-Postal
Value Self Plus One
Monthly
370.29
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