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2025 Plan Information for Arizona
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
292.93
Aetna Direct
225
Non-Postal
HDHP Self & Family
Monthly
523.23
Aetna Direct
226
Non-Postal
HDHP Self Plus One
Monthly
621.86
Aetna Direct
N61
Non-Postal
CDHP Self
Monthly
166.53
Aetna Direct
N62
Non-Postal
CDHP Self & Family
Monthly
419.96
Aetna Direct
N63
Non-Postal
CDHP Self Plus One
Monthly
365.21
Aetna Direct
Z24
Non-Postal
Advantage Self
Monthly
115.34
Aetna Direct
Z25
Non-Postal
Advantage Self & Family
Monthly
305.63
Aetna Direct
Z26
Non-Postal
Advantage Self Plus One
Monthly
253.74
Aetna HealthFund CDHP and Aetna Value Plan
G51
Non-Postal
CDHP Self
Monthly
712.1
Aetna HealthFund CDHP and Aetna Value Plan
G52
Non-Postal
CDHP Self & Family
Monthly
1549.9
Aetna HealthFund CDHP and Aetna Value Plan
G53
Non-Postal
CDHP Self Plus One
Monthly
1658.46
Aetna HealthFund CDHP and Aetna Value Plan
G54
Non-Postal
Value Self
Monthly
386.6
Aetna HealthFund CDHP and Aetna Value Plan
G55
Non-Postal
Value Self & Family
Monthly
817.07
Aetna HealthFund CDHP and Aetna Value Plan
G56
Non-Postal
Value Self Plus One
Monthly
909.94
Aetna Open Access
WQ1
Non-Postal
High Self
Monthly
785.7
Aetna Open Access
WQ2
Non-Postal
High Self & Family
Monthly
1928.22
Aetna Open Access
WQ3
Non-Postal
High Self Plus One
Monthly
2032.97
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU1
Non-Postal
HDHP Self
Monthly
212.97
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU2
Non-Postal
HDHP Self & Family
Monthly
489.83
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
LU3
Non-Postal
HDHP Self Plus One
Monthly
457.89
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF1
Non-Postal
High Self
Monthly
195.24
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF2
Non-Postal
High Self & Family
Monthly
461.75
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
WF3
Non-Postal
High Self Plus One
Monthly
419.77
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD1
Non-Postal
High Self
Monthly
192.84
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD2
Non-Postal
High Self & Family
Monthly
456.08
UnitedHealthcare Insurance Company, Inc. Choice Primary
VD3
Non-Postal
High Self Plus One
Monthly
414.61
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service