United States 

Office of 

Personnel Management 

The Federal Government’s Human Resources Agency

Benefits Administration Letter 

Number: 06-405 (UPDATED November 14, 2006) Date: October 30, 2006 

Subject: 2007 Federal Employees Health Benefits (FEHB) Program Open Season: 

Significant Plan Changes 

 (updated to include changes and corrections that occurred after October 30, 2006) 

This letter transmits significant events affecting certain plans during the upcoming FEHB Open Season. 

Some of these events will require action on the part of agencies and enrollees. Also note the plans that 

are dropping out of the Program at the end of 2006. Since employees in these plans must enroll in new 

plans during Open Season if they are to continue insurance coverage in 2007, we ask you to distribute this 

list widely within your agencies. 

These end-of-year changes such as plan terminations are already available on the web site on the plan 

changes page. Visit http://www.opm.gov/insure/07/planinfo and you will find a link directly to the health 

plan changes for 2007. 

We encourage you and your employees to visit the web site at www.opm.gov/insure for the most up-todate information. We will update these pages on a regular basis throughout the Open Season. 

TERMINATIONS 

Table 1: Plans Leaving the FEHB Program for 2007 

What Must Employees Do? 

• Employees in terminating plans (Table 1) must choose a new health plan during Open Season.

• New Coverage. Coverage under an enrollee’s new health plan will be effective the first day of 

the pay period beginning on or after January 1, 2007; for most employees this will be January 7, 

2007. Enrollees will remain covered and receive the 2007 benefits of the old plan or option until 

coverage under the new plan becomes effective.

What Must You Do? 

• You must notify employees in the terminating plans or enrollment codes to select new plans. 

Advise your employees if they do not choose new health plans, they will not have coverage in 

2007.

• We strongly recommend you distribute copies of this list to each employee, along with your 

agency’s notice about Open Season.

• We also recommend you follow-up with employees in these plans and remind them to select new 
plans.

• Belated changes. Some employees still might not receive instructions to change plans during 

Open Season. We encourage you to be liberal in accepting belated Open Season changes from 

employees enrolled in terminating plans/enrollment codes.

What Will Health Plans Do? 

• Plan Notification: The plans in Table 1 have been instructed to notify enrollees of the need to 

select new health plans for 2007. However, because some plans’ enrollments and address lists 

may not be up-to-date, we encourage you to accept belated changes.

SERVICE AREA REDUCTIONS 

Table 2: Plans Reducing Their Service Areas without Terminating an Enrollment Code 

What Must Employees Do? 

• Enrollees in the service areas being terminated must elect new health plans for 2007. Enrollees 

who do not choose new health plans will have to travel to their plan’s remaining service area to 

receive full benefits. 

OTHER CHANGES 

Table 3: New Plans Entering the Program for 2007 

Table 4: Existing Plans offering a High Deductible Health Plan (HDHP) without new enrollment codes 

Table 5: Existing Plans offering an HDHP with new enrollment codes

Table 6: Service Area Expansions with New Enrollment Codes 

What Must Employees Do? 

• Enrollees in these plans must make an enrollment change to enroll in the new code for their 

service area or elect another health plan during the open season. 

What Must You Do? 

• We strongly recommend you distribute a copy of these lists to each employee, along with your 

agency’s notice to employees about Open Season.

• If you do not distribute the lists, remind employees to check their new health plan brochures 

carefully to see if there have been any changes to their plans’ service areas that will affect them.

Table 7: Plans Adding a New Option

What Must You Do? 

• You must include these new plans and expanded service areas when you count the number of 

eligible employees and place your orders for brochures. 

2
Table 8: Service Area Expansions without New Enrollment Codes 

Table 9: Plan Name Changes 

Table 10: Service Area Movement 

Table 11: Closed Plans Available to New Agencies, Employees, or Retirees 

We look forward to working with you to ensure Federal employees have a successful open season. 

Sincerely 

 

Robert F. Danbeck 

 Associate Director 

 for Human Resources Products and Services 

Attachment 

 

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TABLE 1 

PLANS LEAVING THE FEHB PROGRAM FOR 2007 

Enrollees in these terminating plans who do not change health plans during open season will not 

have health benefits for 2007. 

 

State Plan Name Code 

California Universal Care 6Q1, 6Q2, 

6Q4, 6Q5 

Florida Vista Health Plan 3N1, 3N2 

Florida Vista Health Plan UL1, UL2 

Florida Vista Health Plan Y91, Y92 

Georgia Coventry Health Care of Georgia L51, L52 

Iowa Avera Health Plan AV1, AV2 

Indiana Humana CoverageFirst (CDHP) BM1, BM2 

Kansas Community Health Plan IC1, IC2 

Kentucky Humana CoverageFirst (CDHP) BM1, BM2 

Kentucky United Healthcare Of Ohio 3U1, 3U2 

Louisiana Coventry Health Care 

Of Louisiana (Shreveport area only) 

HS1, HS2, 

HS4, HS5 

Louisiana Coventry Health Care 

Of Louisiana HDHP (Shreveport 

area only) 

L31, L32 

Michigan BlueCare of Michigan KR1, KR2, 

KR4, KR5 

Missouri Community Health Plan IC1, IC2 

Nebraska Avera Health Plan AV1, AV2 

New York Vytra Heath Plan J61, J62 

J64, J65 

Ohio Hometown Health Plan MZ1, MZ2 

Ohio United Healthcare Of Ohio 3U1, 3U2 

South Dakota Avera Health Plans AV1, AV2 

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TABLE 2 

PLANS REDUCING THEIR SERVICE AREAS 

WITHOUT TERMINATING AN ENROLLMENT CODE 

Enrollees in the area being dropped who do not change health plans during open season will have to 

travel to their plan’s remaining service area to obtain medical care in order to receive full benefits 

from the plan in 2007. 

State Plan Name Code Area Dropped 

California Aetna HealthFund 

(CDHP/HDHP) 

221, 222 

224, 225 

Entire Nevada county 

Colorado United Healthcare of 

Colorado 

 

CH1, CH2 Entire counties of Larimer, Pueblo and Weld. 

Missouri United Healthcare of the 

Midwest 

B91, B92 Entire counties of Dunklin, Howell, New 

Madrid, Pemiscot and Stoddard. 

Illinois Mercy Health Plans 7M1, 7M2 Entire counties of Clinton, Jersey, Macoupin, 

Madison, Monroe, Randolph and St. Clair. 

Missouri Mercy Health Plans 7M1, 7M2 Entire counties of Audrain, Benton, Boone, 

Callaway, Chariton, Cole, Cooper, Crawford, 

Franklin, Gasconade, Henry, Howard, Iron, 

Jefferson, Lincoln, Linn, Macon, Madison, 

Maries, Miller, Moniteau, Monroe, 

Montgomery, Morgan, Osage, Pettis, Pike, 

Ralls, Randolph, Reynolds, Saline, St. 

Charles, St. Francois, St. Louis, St. Louis 

City, Warren and Washington. 

 

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TABLE 3 

NEW PLANS ENTERING THE PROGRAM FOR 2007 

State Plan Name Plan Type (HMO, 

POS, HDHP,CDHP) 

Code General Location 

District of 

Columbia 

United HealthCare Definity HDHP E91, E92 District of 

Columbia 

Georgia United HealthCare HMO GN1, GN2 Georgia 

Indiana Bluegrass Family Health 

Plan 

HDHP KV1, KV2 Entire counties of 

Clark, Crawford, 

Floyd, Harrison, 

Jefferson, Orange, 

Scott, and 

Washington. 

Kentucky Bluegrass Family Health 

Plan 

HDHP KV1, KV2 Kentucky 

Maryland United HealthCare Definity HDHP E91, E92 Maryland 

Pennsylvania Geisinger Health Plan HMO GG1, GG2, 

GG4, GG5 

Pennsylvania 

Virginia United HealthCare Definity HDHP E91, E92 Virginia 

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TABLE 4 

EXISTING PLANS OFFERING A HIGH DEDUCTIBLE HEALTH PLAN (HDHP) WITHOUT 

NEW ENROLLMENT CODES 

State Plan Name Code 

Pennsylvania (Pittsburgh) UPMC Health Plan 8W4, 8W5 

Virginia (Lynchburg area) Piedmont Community Health Plan HDHP

 

2C4, 2C5 

TABLE 5 

EXISTING PLANS OFFERING AN HDHP WITH NEW ENROLLMENT CODES 

State Plan Name Code 

New York Capital District Physicians SX1, SX2 

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TABLE 6 

SERVICE AREA EXPANSIONS WITH NEW ENROLLMENT CODES 

State Plan Name New Code General Location 

North Carolina Aetna Open Access MP1, MP2 The cities of Charlotte, Durham, 

and Raleigh, and entire counties 

of Anson, Cabarrus, Cleveland, 

Durham, Gaston, Iredell, 

Lincoln, Mecklenburg, Orange, 

Rowan, Union, and Wake. 

U.S. Virgin Islands Triple S (Code 89 Puerto Rico) 851, 852 U.S. Virgin Islands 

8
TABLE 7 

PLANS ADDING A NEW OPTION 

Enrollees who do not choose the Standard Option or Basic Option will automatically be enrolled in 

the High Option. 

State Plan Name Plan Type Code(s) 

Arizona Health Net of Arizona Standard A74, A75 

Colorado Aetna Open Access Basic 9E4, 9E5 

Connecticut Aetna Open Access Basic JC4, JC5 

Michigan Grand Valley Health Plan Standard RL4, RL5 

New Jersey Aetna Open Access Basic P34, P35, 

JR4, JR5 

New Mexico Presbyterian Health Plan 

 

Standard P24, P25 

New York Aetna Open Access Basic JC4, JC5 

New York MVP Health Care 

 

Standard GA4, GA5, 

MX4, MX5, 

M94, M95 

Oklahoma Aetna Open Access Basic SL4, SL5 

Pennsylvania Keystone Health Plan East Standard ED4, ED5 

Pennsylvania Aetna Open Access Basic P34, P35 

Texas Aetna Open Access Basic PU4, PU5 

Vermont MVP Health Care 

 

Standard VW4, VW5 

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TABLE 8 

SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT CODES 

State Plan Name Code General Location of New Area 

Alabama Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Autauga, Baldwin, 

Bibb, Blount, Calhoun, Cherokee, 

Chilton, Clarke, Clay, Cleburne, Coffee, 

Colbert, Coosa, Covington, Cullman, 

Dale, Dallas, De Kalb, Elmore, 

Escambia, Etowah, Fayette, Franklin, 

Geneva, Henry, Houston, Jackson, 

Jefferson, Lauderdale, Lawrence, Lee, 

Limestone, Lowndes, Madison, 

Marion, Marshall, Mobile, Monroe, 

Montmorency, Morgan, Perry, 

Russell, St. Clair, Shelby, Talladega, 

Tallapoosa, Tuscaloosa, Walker, 

Washington, Wilcox, and Winston. 

Alaska Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire Fairbanks North Star borough. 

Arkansas Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Baxter, Marion, and 

Polk. 

Arizona Aetna Open Access (National) WQ1, WQ2 Entire counties of Graham, Mojave, 

Yavapai, and Yuma, and portions of 

Pinal county as defined by the towns of 

Coolidge, Eloy, Florence, Kearney, 

Maricopa, Picacho, Red Rock, Sacaton, 

Stanfield, and Superior. 

Arizona Humana CoverageFirst DB1, DB2 Entire Pinal County 

Arizona PacifiCare of Arizona A31, A32 Entire Pinal County 

California Aetna Open Access (National) 2X1, 2X2 The town of Ripley in Riverside 

County, the town of Amboy in San 

Bernardino County 

Colorado Aetna Open Access (National) 9E1, 9E2 Entire Broomfield County 

Colorado Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

All of Colorado 

Colorado Humana CoverageFirst 7T1, 7T2 Entire County of Larimer 

Florida Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Daytona Beach, Fort Myers, Ocala, 

Panama City, and the entire counties of 

Bay, Hernando, Lee, Marion, Volusia, 

and Washington. 

Georgia Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

City of Macon; Entire counties of 

Baldwin, Bibb, Crawford, Houston, 

Jones, Laurens, Monroe, Peach, Pulaski, 

Twiggs, and Washington. 

Illinois Aetna Open Access (National) KS1, KS2 Entire counties of Clinton, Madison, 

Monroe, Randolph, and St. Clair around 

St. Louis, Missouri area. 

10
State Plan Name Code General Location of New Area 

Illinois PersonalCare Health Plan GE1, GE2 Entire counties of Boone, Carroll, 

Cumberland, Dupage, Fayette, Henry, 

Jasper, Kane, Mason, Mercer, and Rock 

Island. 

Illinois Health Alliance HMO FX1, FX2 Madison, St. Clair and Stephenson 

counties

Iowa Coventry Health Care of Iowa 

 

SV1, SV2, 

SV4, SV5

Entire counties of Cerro Gordo, 

Chickasaw, Franklin, Hancock, 

Howard, Kossuth, Mitchell, Palo Alto, 

Sioux, Union, Winnebago, Worth, and 

Wright. 

Iowa Health Alliance HMO FX1, FX2 Lee county

Iowa Sioux Valley 

 

AU1, AU2, 

AU4, AU5 

Entire Plymouth County 

Kansas 

Coventry Health Care of Kansas 

 

7W1, 7W2, 

7W4, 7W5, 

7G1, 7G2 

Entire counties of Ellis, Ellsworth, and 

Russell. 

Kansas 

Coventry Health Care of Kansas 

 

HA1, HA2, 

HA4, HA5, 

9H1, 9H2 

Entire counties of Doniphan and 

Marshall. 

Kansas United Healthcare of the 

Midwest 

GX1, GX2 Entire counties of Jackson, Jefferson, 

and Osage. 

Louisiana Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire parishes of Caldwell and 

Richland. 

Massachusetts Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Most of the state and the entire county 

of Dukes. 

Michigan 

HealthPlus of Michigan 

 

X51, X52 Entire Oakland County 

Michigan Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Alcona, Alger, 

Alpena, Antrim, Arenac, Baraga, 

Benzie, Branch, Charlevoix, 

Cheboygan, Chippewa, Crawford, 

Delta, Dickinson, Emmet, Genesee, 

Gogebic, Grand Traverse, Houghton, 

Iosco, Iron, Kalkaska, Keweenaw, 

Lapeer, Leelanau, Luce, Mackinac, 

Marquette, Mason, Mecosta, 

Menominee, Missaukee, Montgomery, 

Ogemaw, Ontonagon, Osceola, Oscoda, 

Otsego, Presque Isle, Roscommon, St. 

Clair, Sanilac, Schoolcraft, Shiawassee, 

and Wexford. 

Mississippi Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

City of Greenville; Entire counties of 

Oktibbeha, Washington, and Webster. 

Missouri Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Caldwell, Grundy, 

Livingston, Stone, and Taney. 

11
State Plan Name Code General Location of New Area 

Missouri Aetna Open Access (National) KS1, KS2 City of St. Louis and entire counties of 

Jefferson, St. Charles and St. Louis. 

Missouri United Healthcare of the 

Midwest 

B91, B92 Entire counties of Barry, Boone, 

Callaway, Camden, Chariton, Christian, 

Cole, Cooper, Dade, Dallas, Douglas, 

Greene, Howard, Jasper, Laclede, 

Lawrence, McDonald, Macon, Maries, 

Miller, Moniteau, Monroe, Morgan, 

Newton, Osage, Pettis, Polk, Pulaski, 

Randolph, Saline, Stone, Taney, 

Webster, and Wright. 

Montana New West Health Plan NV1, NV2 Entire cities of Libby and Troy in 

Lincoln County; zip codes 59923 and 

59935. 

Nebraska 

Coventry Health Care of 

Nebraska 

 

IE1, IE2 Entire counties of Adams, Boone, 

Butler, Cass, Cherry, Hall, Harlan, 

Jefferson, Knox, Merrick, Polk, 

Richardson, Sarpy, and Webster. 

Nevada Aetna O Access (National) Y11, Y12 City of Reno, and portions of Washoe 

county as defined by the towns of 

Crystal Bay, Empire, Incline Village, 

Nixon, Sparks, Sun Valley, Verdi, 

Wadsworth, and Washoe Valley. 

New 

Hampshire 

Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Grafton, and 

Sullivan. 

New York Aetna HealthFund 

(CDHP/HDHP)

221, 222, 

224, 225 

Entire counties of Clinton, Essex, and 

Hamilton. 

New Mexico Presbyterian Health Plan P21, P22 Entire counties of Otero and Edyy. 

New York Aetna Open Access JC1, JC2 Entire counties of Broome, Cayuga, 

Onondaga, Oswego, and Tioga. 

North 

Carolina 

Aetna HealthFund 

(CDHP/HDHP)

221, 222, 

224, 225 

Entire counties of Burke, Columbus, 

Jones, Montgomery, Moore, Richmond, 

Vance, Warren, Wayne, Wilkes, and 

Wilson. 

Oklahoma Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Alfalfa, Cotton, 

Custer, Harmon, Jefferson, Love, 

Marshall, Murray, Tillman, and 

Woodward. 

12
State Plan Name Code General Location of New Area 

Oklahoma GlobalHealth IM1, IM2 Entire counties of Blaine, Canadian, 

Cleveland, Creek, Garvin, Grady, 

Harmon, Hughes, Johnston, Lincoln, 

Logan, Major, Mayes, McClain, 

Oklahoma, Osage, Pontotoc, 

Pottawatomie, Rogers, Seminole, Tulsa 

and Wagoner. 

Ohio Health Plan of the Upper Ohio 

Valley 

U41, U42 Entire counties of Ashland, Carroll, 

Columbiana, Coshocton, Cuyahoga, 

Geauga, Holmes, Knox, Lorain, 

Mahoning, Medina, Portage, Richland, 

Stark, Summit, Trumbull, Tuscarawas 

and Wayne. 

Ohio United Healthcare of Ohio 

 

AK1, AK2 Entire counties of Lucas, Ottawa, Wood 

and Wyandot. 

Ohio Aetna Open Access (National) ND1, ND2 In the Columbus area, entire county of 

Franklin. 

Pennsylvania Aetna Open Access (National) YE1, YE2 Entire counties of Erie, Jefferson, and 

Mercer in Western Pennsylvania. 

Pennsylvania Aetna Open Access (National) P31, P32 Central Pennsylvania includes entire 

counties of Adams, Carbon, 

Cumberland, Dauphin, Franklin, Fulton, 

Lancaster, Lebanon, Perry, Schuylkill, 

and York. 

Pennsylvania HealthAmerica PN1, PN2, 

PN4, PN5, 

9N1, 9N2 

Entire counties of Buck, Montgomery 

and Philadelphia. 

South Dakota Sioux Valley 

 

AU1, AU2, 

AU4, AU5 

Entire Pennington County 

13
State Plan Name Code General Location of New Area 

South 

Carolina 

Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Cities of Columbia, Florence, 

Greenville, Spartanburg, and the entire 

counties of: Allendale, Anderson, 

Bamberg, Calhoun, Cherokee, Chester, 

Chesterfield, Darlington, Dillon, 

Fairfield, Florence, Georgetown, 

Greenville, Greenwood, Jasper, 

Kershaw, Lancaster, Laurens, Lee, 

Lexington, Marion, Marlboro, 

Newberry, Orangeburg, Pickens, 

Richland, Spartanburg, Sumter, Union, 

and Williamsburg. 

Tennessee Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Benton, Campbell, 

Grundy, Houston, Humphreys, 

Marshall, McMinn, Scott, Stewart, Van 

Buren, and Warren. 

Texas Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Cities of Amarillo, Lubbock, MidlandOdessa, and the entire counties of: 

Carson, Coryell, Crane, Crosby, Deaf 

Smith, Ector, Floyd, Hale, Hockley, 

Lampasas, Lubbock, Midland, Motley, 

Potter, Randall, Reagan, and Terry. 

Texas Aetna Open Access (National) P11, P12 Entire counties of Comal, Guadalupe, 

and Kendall in the Austin & San 

Antonio areas and portions of 

Williamson county as defined by the 

towns of Cedar Park, Coupland, 

Leander, Liberty, Walburg, and Weir. 

 

West Virginia Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

Entire counties of Morgan and Taylor. 

Wisconsin Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

City of Milwaukee; Entire counties of 

Jefferson, Kenosha, Milwaukee, 

Ozaukee, Racine, Sheboygan, 

Walworth, Washington, and Waukesha. 

Virginia Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 

224, 225 

City of Winchester; Entire counties of 

Frederick, Shenandoah, and Warren. 

Virginia Optima Health Plans 9R1, 9R2 

Cities of Fredericksburg, Dahlgren, 

Dogue, Jersey, King George, Ninde, 

Rollins Fork, Sealston, Partlow, 

Spotsylvania and Thornburg; and the 

counties of Fredericksburg City, 

Spotsylvania, and King George (to 

include 22401, 22402, 22404, 22407, 

22408, 22448, 22451, 22481, 22485, 

22526, 22544, 22547, 22534, 22553 

and 22565). 

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TABLE 9 

PLAN NAME CHANGES 

State Plan Name (Old) Code(s) Plan Name (New) 

Illinois and Iowa John Deere Health Plan YH1, YH2 UnitedHealthcare Plan of the River 

Valley Inc. 

15
TABLE 10 

SERVICE AREA MOVEMENT 

State Plan Name Code (2006) Code 

(2007) 

General Location 

Michigan BlueCare of 

Michigan 

 

LN LX1, LX2, 

LX4, LX5 

Livingston County 

BlueCare of Michigan – The Federal subscribers residing in Livingston County that are currently enrolled 

under enrollment code LN must make a positive election into enrollment code LX during open season if 

they want to remain in BlueCare Network of Michigan. Federal subscribers in Livingston County will 

not be automatically transferred into enrollment code LX. 

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TABLE 11 

CLOSED PLANS AVAILABLE TO NEW AGENCIES, EMPLOYEES OR RETIREES 

State Plan Name Code New Agency 

Nationwide 

FFS (Closed – 

open only to 

specific 

groups) 

SAMBA 441, 442, 

444, 445 

Any employee or retiree of any Federal 

agency whose mission involves or 

supports activities to enforce Federal laws 

or to secure the homeland. 

 

Panama Panama Canal Area 

Benefit Plan 

431, 432 Any FEHB retiree who resides in Panama 

17