Postal Premium Rates for the Federal Employees Health Benefits Program
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1 Alabama Aetna HealthFund Alaska Aetna HealthFund Arizona Aetna HealthFund Arizona Aetna Open Access High Self WQ High Family WQ Arizona Health Net of Arizona, Inc. High Self A High Family A Standard Self A Standard Family A Arizona Humana CoverageFirst CDHP Self DB CDHP Family DB Arizona UnitedHealthcare Insurance Company, Inc.
2 Arizona UnitedHealthcare Insurance Company, Inc. Arkansas Aetna HealthFund Arkansas QualChoice High Self DH1 New Plan New Plan High Family DH2 New Plan New Plan Standard Self DH4 New Plan New Plan Standard Family DH5 New Plan New Plan Arkansas UnitedHealthcare Insurance Company, Inc. Arkansas UnitedHealthcare Insurance Company, Inc. California Aetna HealthFund
3 California Aetna Open Access High Self 2X High Family 2X California Anthem Blue Cross - HMO High Self M High Family M California Blue Shield of CA Access+HMO High Self SI High Family SI California Health Net of California High Self LB High Family LB Standard Self LB Standard Family LB California Health Net of California High Self LP High Family LP Standard Self LP Standard Family LP California Kaiser Foundation Health Plan of California High Self High Family Standard Self Standard Family California Kaiser Foundation Health Plan of California High Self High Family Standard Self Standard Family
4 California PacifiCare of California High Self CY High Family CY California UnitedHealthcare Insurance Company, Inc. California UnitedHealthcare Insurance Company, Inc. Colorado Aetna HealthFund Colorado Kaiser Foundation Health Plan of Colorado High Self High Family Standard Self Standard Family Colorado UnitedHealthcare Insurance Company, Inc. Colorado UnitedHealthcare Insurance Company, Inc.
5 Connecticut Aetna HealthFund Delaware Aetna HealthFund Delaware Aetna Open Access High Self P High Family P Basic Self P Basic Family P District of Columbia Aetna HealthFund District of Columbia Aetna Open Access High Self JN High Family JN Basic Self JN Basic Family JN District of Columbia CareFirst BlueChoice High Self 2G
6 High Family 2G District of Columbia Kaiser Foundation Health Plan Mid-Atlantic States High Self E High Family E Standard Self E Standard Family E District of Columbia M.D. IPA High Self JP High Family JP District of Columbia UnitedHealthcare Insurance Company, Inc. District of Columbia UnitedHealthcare Insurance Company, Inc. Florida Aetna HealthFund Florida Av-Med Health Plan High Self ML High Family ML Standard Self ML Standard Family ML Florida Capital Health Plan
7 Florida Humana CoverageFirst Florida Humana CoverageFirst Florida Humana CoverageFirst Florida Humana CoverageFirst Florida Humana, Inc. High Self EA High Family EA CDHP Self MJ CDHP Family MJ CDHP Self MQ CDHP Family MQ CDHP Self QP CDHP Family QP CDHP Self YG CDHP Family YG High Self EE High Family EE Standard Self EE Standard Family EE Florida Humana, Inc. High Self LL High Family LL Standard Self LL Standard Family LL Florida UnitedHealthcare Insurance Company, Inc. Florida UnitedHealthcare Insurance Company, Inc.
8 Florida Vista Healthplan of South Florida High Self 5E High Family 5E Standard Self 5E Standard Family 5E Georgia Aetna HealthFund Georgia Aetna Open Access High Self 2U High Family 2U Georgia Humana CoverageFirst CDHP Self AD CDHP Family AD Georgia Humana CoverageFirst CDHP Self LM CDHP Family LM Georgia Humana Employers Health of Georgia, Inc. High Self CB1 New Plan New Plan High Family CB2 New Plan New Plan Standard Self CB4 New Plan New Plan Standard Family CB5 New Plan New Plan Georgia Humana Employers Health of Georgia, Inc. High Self DG
9 High Family DG Standard Self DG Standard Family DG Georgia Humana Employers Health of Georgia, Inc. High Self DN1 New Plan New Plan High Family DN2 New Plan New Plan Standard Self DN4 New Plan New Plan Standard Family DN5 New Plan New Plan Georgia Kaiser Foundation Health Plan of Georgia Inc. HDHP HDHP Self GW HDHP Family GW Georgia Kaiser Foundation Health Plan of Georgia, Inc. High Self F High Family F Standard Self F Standard Family F Georgia UnitedHealthcare Insurance Company, Inc. Georgia UnitedHealthcare Insurance Company, Inc. Guam TakeCare High Self JK High Family JK Standard Self JK
10 Guam TakeCare Postal Premium Rates for the Federal Employees Health Benefits Program Hawaii Aetna HealthFund Standard Family JK HDHP Self KX HDHP Family KX Hawaii HMSA High Self High Family Hawaii Kaiser Foundation Health Plan of Hawaii High Self High Family Standard Self Standard Family Idaho Aetna HealthFund Idaho Altius Health Plans High Self 9K High Family 9K HDHP Self 9K HDHP Family 9K Idaho Altius Health Plans Standard Self DK Standard Family DK
11 Idaho Group Health Cooperative High Self High Family Standard Self Standard Family Illinois Aetna HealthFund Illinois Aetna Open Access High Self IK High Family IK Illinois Blue Preferred Plus POS High Self 9G High Family 9G Illinois Health Alliance HMO High Self FX High Family FX Illinois Humana Benefit Plan of Illinois, Inc. formerly OSF High Self 9F High Family 9F Illinois Humana Benefit Plan of Illinois, Inc.,formerly OSF Standard Self AB Standard Family AB Illinois Humana CoverageFirst CDHP Self MW CDHP Family MW Illinois Humana Health Plan Inc. High Self
12 Illinois Unicare HMO Illinois Unicare HMO High Family Standard Self Standard Family High Self High Family Standard Self Standard Family HDHP Self HDHP Family Illinois Union Health Service High Self High Family Illinois United Healthcare of the Midwest, Inc. High Self B High Family B Illinois UnitedHealthcare Insurance Company, Inc. Illinois UnitedHealthcare Insurance Company, Inc. Illinois UnitedHealthcare Plan of the River Valley Inc. High Self YH High Family YH
13 Indiana Aetna HealthFund Indiana Aetna Open Access High Self IK High Family IK Indiana Bluegrass Family Health HDHP Self KV HDHP Family KV Indiana Health Alliance HMO High Self FX High Family FX Indiana Humana CoverageFirst CDHP Self MW CDHP Family MW Indiana Humana Health Plan Inc. High Self High Family Standard Self Standard Family Indiana Humana Health Plan, Inc. High Self MH1 New Plan New Plan High Family MH2 New Plan New Plan Standard Self MH4 New Plan New Plan Standard Family MH5 New Plan New Plan Indiana Physicians Health Plan of Northern Indiana High Self DQ High Family DQ
14 Indiana Unicare HMO Indiana Unicare HMO Indiana Welborn Health Plans High Self High Family Standard Self Standard Family HDHP Self HDHP Family High Self W High Family W Iowa Aetna HealthFund Iowa Coventry Health Care of Iowa High Self SV High Family SV HDHP Self SV HDHP Family SV Iowa Coventry Health Care of Iowa Standard Self SY Standard Family SY Iowa Health Alliance HMO High Self FX High Family FX Iowa HealthPartners Open Access Copay/3 for Free OAC Self V OAC Family V
15 3 for Free Self V for Free Family V Iowa Sanford Health Plan High Self AU High Family AU Standard Self AU Standard Family AU Iowa UnitedHealthcare Insurance Company, Inc. Iowa UnitedHealthcare Insurance Company, Inc. Iowa UnitedHealthcare Plan of the River Valley Inc. High Self YH High Family YH Kansas Aetna HealthFund Kansas Coventry Health Care of Kansas High Self HA High Family HA Standard Self HA Standard Family HA
16 Kansas Coventry Health Care of Kansas (Kansas City)-HDHP HDHP Self 9H HDHP Family 9H Kansas Humana CoverageFirst CDHP Self PH CDHP Family PH Kansas Humana Health Plan, Inc. High Self MS High Family MS Standard Self MS Standard Family MS Kansas UnitedHealthcare Insurance Company, Inc. Kansas UnitedHealthcare Insurance Company, Inc. Kentucky Aetna HealthFund Kentucky Bluegrass Family Health HDHP Self KV HDHP Family KV Kentucky Humana CoverageFirst
17 CDHP Self 6N CDHP Family 6N Kentucky Humana Health Plan, Inc. High Self MH1 New Plan New Plan High Family MH2 New Plan New Plan Standard Self MH4 New Plan New Plan Standard Family MH5 New Plan New Plan Kentucky Humana Health Plan, Inc. High Self MI1 New Plan New Plan High Family MI2 New Plan New Plan Standard Self MI4 New Plan New Plan Standard Family MI5 New Plan New Plan Louisiana Aetna HealthFund Louisiana Coventry Health Care of Louisiana High Self BJ High Family BJ Standard Self BJ Standard Family BJ Louisiana Coventry Health Care of Louisiana HDHP HDHP Self HB HDHP Family HB Louisiana Humana CoverageFirst CDHP Self 9J CDHP Family 9J Louisiana Humana CoverageFirst CDHP Self 9L
18 CDHP Family 9L Louisiana UnitedHealthcare Insurance Company, Inc. Louisiana UnitedHealthcare Insurance Company, Inc. Louisiana Vantage Health Plan, Inc. High Self MV High Family MV Standard Self MV Standard Family MV Maine Aetna HealthFund Maryland Aetna HealthFund Maryland Aetna Open Access High Self JN High Family JN Basic Self JN
19 Basic Family JN Maryland CareFirst BlueChoice High Self 2G High Family 2G Maryland Coventry Health Care High Self IG High Family IG Standard Self IG Standard Family IG Maryland Coventry Health Care HDHP HDHP Self GZ HDHP Family GZ Maryland Kaiser Foundation Health Plan Mid-Atlantic States High Self E High Family E Standard Self E Standard Family E Maryland M.D. IPA High Self JP High Family JP Maryland UnitedHealthcare Insurance Company, Inc. Maryland UnitedHealthcare Insurance Company, Inc.
20 Massachusetts Aetna HealthFund Massachusetts Blue CHiP Coordinated Health Plan - BCBS of RI High Self DA High Family DA Massachusetts Fallon Community Health Plan Basic Self JG Basic Family JG Massachusetts Fallon Community Health Plan Standard Self JV Standard Family JV Michigan Aetna HealthFund Michigan Bluecare Network of MI High Self K High Family K Michigan Bluecare Network of MI High Self LX High Family LX Michigan Grand Valley Health Plan High Self RL High Family RL Standard Self RL Standard Family RL
21 Michigan Health Alliance Plan High Self High Family HDHP Self HDHP Family Michigan HealthPlus MI High Self X High Family X Michigan Physicians Health Plan of Mid-Michigan High Self 9U High Family 9U Standard Self 9U Standard Family 9U Minnesota Aetna HealthFund Minnesota HealthPartners Open Access Copay/3 for Free OAC Self V OAC Family V for Free Self V for Free Family V Minnesota Medica Health Plan High Self M High Family M Mississippi Aetna HealthFund
22 Mississippi UnitedHealthcare Insurance Company, Inc. Mississippi UnitedHealthcare Insurance Company, Inc. Missouri Aetna HealthFund Missouri Blue Preferred Plus POS High Self 9G High Family 9G Missouri Coventry Health Care of Kansas High Self HA High Family HA Standard Self HA Standard Family HA Missouri Coventry Health Care of Kansas (Kansas City)-HDHP HDHP Self 9H HDHP Family 9H Missouri Humana CoverageFirst CDHP Self PH CDHP Family PH
23 Missouri Humana Health Plan, Inc. High Self MS High Family MS Standard Self MS Standard Family MS Missouri United Healthcare of the Midwest, Inc. High Self B High Family B Missouri UnitedHealthcare Insurance Company, Inc. Missouri UnitedHealthcare Insurance Company, Inc. Montana Aetna HealthFund Montana New West Health Services High Self NV High Family NV Nebraska Aetna HealthFund
24 Nevada Aetna HealthFund Nevada Health Plan of Nevada High Self NM High Family NM Nevada PacifiCare of Nevada High Self K High Family K Nevada UnitedHealthcare Insurance Company, Inc. Nevada UnitedHealthcare Insurance Company, Inc. New Hampshire Aetna HealthFund New Jersey Aetna HealthFund
25 New Jersey Aetna Open Access High Self JR High Family JR Basic Self JR Basic Family JR New Jersey Aetna Open Access High Self P High Family P Basic Self P Basic Family P New Jersey AmeriHealth HMO High Self FK High Family FK Standard Self FK Standard Family FK New Jersey GHI Health Plan High Self High Family Standard Self Standard Family New Mexico Aetna HealthFund New Mexico Lovelace Health Plan High Self Q High Family Q
26 New Mexico Presbyterian Health Plan High Self P High Family P New Mexico UnitedHealthcare Insurance Company, Inc. New Mexico UnitedHealthcare Insurance Company, Inc. New York Aetna HealthFund New York Aetna Open Access High Self JC High Family JC Basic Self JC Basic Family JC New York Blue Choice High Self MK High Family MK Standard Self MK Standard Family MK New York CDPHP Universal Benefits, Inc. High Self SG
27 New York Community Blue New York Community Blue New York Community Blue New York GHI HMO Select New York GHI HMO Select High Family SG Standard Self SG Standard Family SG High Self BS High Family BS High Self BX High Family BX High Self BZ High Family BZ High Self 6V High Family 6V High Self X High Family X New York GHI Health Plan High Self High Family Standard Self Standard Family New York HIP of Greater New York High Self High Family Standard Self Standard Family New York Independent Health Assoc High Self QA
28 New York MVP Health Care New York MVP Health Care New York MVP Health Care New York MVP Health Care New York Preferred Care New York Univera Healthcare High Family QA HDHP Self QA HDHP Family QA High Self GA High Family GA Standard Self GA Standard Family GA High Self M High Family M Standard Self M Standard Family M High Self MF High Family MF Standard Self MF Standard Family MF High Self MX High Family MX Standard Self MX Standard Family MX High Self GV High Family GV Standard Self GV Standard Family GV High Self KQ
29 New York Univera Healthcare High Self High Family North Carolina Aetna HealthFund High Family KQ Q81 Q CDHP Family HDHP Self North Carolina UnitedHealthcare Insurance Company, Inc. HDHP Self E HDHP Family E CDHP Self E CDHP Family E North Carolina UnitedHealthcare Insurance Company, Inc. HDHP Self E HDHP Family CDHP Self E92 E CDHP Family E North Dakota Aetna HealthFund CDHP Family HDHP Self North Dakota HealthPartners Open Access Copay/3 for Free OAC Self V OAC Family V for Free Self V for Free Family V North Dakota Heart of America Health Plan
30 Ohio Aetna HealthFund Ohio Aetna Open Access Ohio AultCare HMO High Self RU High Family RU High Self 7D High Family 7D High Self 3A High Family 3A HDHP Self 3A HDHP Family 3A Ohio HMO Health Ohio High Self L High Family L Ohio Kaiser Foundation Health Plan of Ohio High Self High Family Standard Self Standard Family Ohio The Health Plan of the Upper Ohio Valley High Self U High Family U Ohio UnitedHealthcare Insurance Company, Inc.
31 Ohio UnitedHealthcare Insurance Company, Inc. Oklahoma Aetna HealthFund Oklahoma Globalhealth, Inc. High Self IM High Family IM Oklahoma UnitedHealthcare Insurance Company, Inc. Oklahoma UnitedHealthcare Insurance Company, Inc. Oregon Aetna HealthFund Oregon Kaiser Foundation Health Plan of Northwest
32 High Self High Family Standard Self Standard Family Oregon UnitedHealthcare Insurance Company, Inc. Oregon UnitedHealthcare Insurance Company, Inc. Pennsylvania Aetna HealthFund Pennsylvania Aetna Open Access High Self P High Family P Basic Self P Basic Family P Pennsylvania Aetna Open Access High Self YE High Family YE Pennsylvania Geisinger Health Plan High Self GG High Family GG
33 Standard Self GG Standard Family GG Pennsylvania HealthAmerica Pennsylvania High Self High Family Standard Self Standard Family Pennsylvania HealthAmerica Pennsylvania Standard Self PN Standard Family PN Pennsylvania HealthAmerica Pennsylvania Standard Self SW Standard Family SW Pennsylvania HealthAmerica Pennsylvania - HDHP HDHP Self Y HDHP Family Y Pennsylvania HealthAmerica Pennsylvania-HDHP HDHP Self 9N HDHP Family 9N Pennsylvania HealthAmerica Pennsylvania-HDHP HDHP Self YW HDHP Family YW Pennsylvania UPMC Health Plan High Self 8W High Family 8W HDHP Self 8W HDHP Family 8W Pennsylvania UPMC Health Plan Standard Self UW Standard Family UW
34 Puerto Rico Humana Health Plans of Puerto Rico, Inc. High Self ZJ High Family ZJ Puerto Rico Triple-S Salud, Inc. High Self High Family Rhode Island Aetna HealthFund Rhode Island Blue CHiP Coordinated Health Plan - BCBS of RI High Self DA High Family DA Rhode Island UnitedHealthcare Insurance Company, Inc. Rhode Island UnitedHealthcare Insurance Company, Inc. South Carolina Aetna HealthFund South Dakota Aetna HealthFund
35 CDHP Family HDHP Self South Dakota HealthPartners Open Access Copay/3 for Free OAC Self V OAC Family V for Free Self V for Free Family V South Dakota Sanford Health Plan High Self AU High Family AU Standard Self AU Standard Family AU Tennessee Aetna HealthFund Tennessee Aetna Open Access High Self UB High Family UB Tennessee Bluegrass Family Health HDHP Self KV HDHP Family KV Tennessee Humana CoverageFirst CDHP Self BT CDHP Family BT Tennessee Humana CoverageFirst CDHP Self L
36 CDHP Family L Tennessee UnitedHealthcare Insurance Company, Inc. Tennessee UnitedHealthcare Insurance Company, Inc. Texas Aetna HealthFund Texas Aetna Open Access High Self P High Family P Texas Firstcare High Self CK High Family CK Texas Humana CoverageFirst CDHP Self T CDHP Family T Texas Humana CoverageFirst CDHP Self T CDHP Family T Texas Humana CoverageFirst CDHP Self TP
37 CDHP Family TP Texas Humana CoverageFirst CDHP Self TU CDHP Family TU Texas Humana CoverageFirst CDHP Self TV CDHP Family TV Texas Humana Health Plan of Texas High Self UC1 New Plan New Plan High Family UC2 New Plan New Plan Standard Self UC4 New Plan New Plan Standard Family UC5 New Plan New Plan Texas Humana Health Plan of Texas High Self UR High Family UR Standard Self UR Standard Family UR Texas Humana Health Plan of Texas High Self UU High Family UU Standard Self UU Standard Family UU Texas Pacificare of Texas High Self GF High Family GF Texas UnitedHealthcare Insurance Company, Inc.
38 Texas UnitedHealthcare Insurance Company, Inc. Utah Aetna HealthFund Utah Altius Health Plans High Self 9K High Family 9K HDHP Self 9K HDHP Family 9K Utah Altius Health Plans Standard Self DK Standard Family DK Utah Humana CoverageFirst CDHP Self IA CDHP Family IA Vermont Aetna HealthFund Virgin Islands Triple-S Salud, Inc. High Self High Family Virginia Aetna HealthFund
39 Virginia Aetna Open Access High Self JN High Family JN Basic Self JN Basic Family JN Virginia CareFirst BlueChoice High Self 2G High Family 2G Virginia Kaiser Foundation Health Plan Mid-Atlantic States High Self E High Family E Standard Self E Standard Family E Virginia M.D. IPA High Self JP High Family JP Virginia Optima Health Plan High Self 9R High Family 9R Standard Self 9R Standard Family 9R Virginia Piedmont Community Healthcare High Self 2C High Family 2C Virginia UnitedHealthcare Insurance Company, Inc.
40 Virginia UnitedHealthcare Insurance Company, Inc. Washington Aetna HealthFund Washington Group Health Cooperative High Self High Family Standard Self Standard Family Washington KPS Health Plans Standard Self L Standard Family L HDHP Self L HDHP Family L Washington KPS Health Plans High Self VT High Family VT Washington Kaiser Foundation Health Plan of Northwest High Self High Family Standard Self
41 Standard Family Washington UnitedHealthcare Insurance Company, Inc. Washington UnitedHealthcare Insurance Company, Inc. West Virginia Aetna HealthFund West Virginia The Health Plan of the Upper Ohio Valley High Self U High Family U Wisconsin Aetna HealthFund Wisconsin Dean Health Plan High Self WD High Family WD Wisconsin Group Health Cooperative High Self WJ High Family WJ
42 Wisconsin HealthPartners Open Access Copay/3 for Free OAC Self V OAC Family V for Free Self V for Free Family V Wisconsin Physicians Plus High Self LW1 New Plan New Plan High Family LW2 New Plan New Plan Wisconsin UnitedHealthcare Insurance Company, Inc. Wisconsin UnitedHealthcare Insurance Company, Inc. Wyoming Aetna HealthFund Wyoming Altius Health Plans High Self 9K High Family 9K HDHP Self 9K HDHP Family 9K Wyoming Altius Health Plans Standard Self DK
43 Standard Family DK
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