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2024 Plan Information for Texas
Choose a Location, Employee Type, & Payment Period
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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
272.61
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
498.46
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
590.61
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
160.8
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
405.51
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
352.64
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
JS1
Non-Postal
CDHP Self
Monthly
720.5
Aetna HealthFund CDHP and Aetna Value Plan
JS2
Non-Postal
CDHP Self & Family
Monthly
1582.96
Aetna HealthFund CDHP and Aetna Value Plan
JS3
Non-Postal
CDHP Self Plus One
Monthly
1682.72
Aetna HealthFund CDHP and Aetna Value Plan
JS4
Non-Postal
Value Self
Monthly
582.66
Aetna HealthFund CDHP and Aetna Value Plan
JS5
Non-Postal
Value Self & Family
Monthly
1272.61
Aetna HealthFund CDHP and Aetna Value Plan
JS6
Non-Postal
Value Self Plus One
Monthly
1375.53
Baylor Scott and White Health Plan
A81
Non-Postal
Basic Self
Monthly
127.5
Baylor Scott and White Health Plan
A82
Non-Postal
Basic Self & Family
Monthly
299.63
Baylor Scott and White Health Plan
A83
Non-Postal
Basic Self Plus One
Monthly
283.05
Baylor Scott and White Health Plan
A84
Non-Postal
Standard Self
Monthly
287.99
Baylor Scott and White Health Plan
A85
Non-Postal
Standard Self & Family
Monthly
658.75
Baylor Scott and White Health Plan
A86
Non-Postal
Standard Self Plus One
Monthly
674.18
Baylor Scott and White Health Plan
P81
Non-Postal
Basic Self
Monthly
131.44
Baylor Scott and White Health Plan
P82
Non-Postal
Basic Self & Family
Monthly
308.88
Baylor Scott and White Health Plan
P83
Non-Postal
Basic Self Plus One
Monthly
291.8
Baylor Scott and White Health Plan
P84
Non-Postal
Standard Self
Monthly
362.37
Baylor Scott and White Health Plan
P85
Non-Postal
Standard Self & Family
Monthly
833.56
Baylor Scott and White Health Plan
P86
Non-Postal
Standard Self Plus One
Monthly
839.3
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L91
Non-Postal
Value Self
Monthly
192.31
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L92
Non-Postal
Value Self & Family
Monthly
461.56
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
L93
Non-Postal
Value Self Plus One
Monthly
408.67
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS1
Non-Postal
High Self
Monthly
203.41
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS2
Non-Postal
High Self & Family
Monthly
471.92
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
AS3
Non-Postal
High Self Plus One
Monthly
431.04
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y81
Non-Postal
High Self
Monthly
181.3
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y82
Non-Postal
High Self & Family
Monthly
428.78
UnitedHealthcare Insurance Company, Inc. Choice Primary
Y83
Non-Postal
High Self Plus One
Monthly
389.8
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
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