1

FEHB Significant Events Changes 

Table 1

Plans Leaving the FEHB Program 

Enrollees in these terminating plans must make a positive election into another FEHB plan during Open Season or 

they will be enrolled in GEHA Indemnity Benefit Plan Elevate (the lowest-cost nationwide plan option for 2022 as 

determined by OPM). 

State FEHB Carrier Plan Name 2021

Enrollment 

Code(s) 

Location 

(All Counties and/or ZIP

codes affected) 

All Contiguous 

States and 

Washington, 

DC

Except: 

Alaska, 

Hawaii, and 

the US 

Territories 

UnitedHealthcare 

Insurance 

Company, Inc. 

UnitedHealthcare 

Advantage 

Y51, Y53, Y52 All Contiguous States and 

Washington, DC 

Except: Alaska, Hawaii, 

and the US Territories 

Illinois Union Health 

Service 

Union Health Service 761, 763, 762 Cook, DuPage, Kane, Kendall, 

Lake, and Will counties 

New Mexico True Health New

Mexico 

True Health New Mexico EL1, EL3, EL2 Entire State of New Mexico 

Oklahoma GlobalHealth, Inc. GlobalHealth IM1, IM3, IM2 

IM4, IM6, IM5 

Entire State of Oklahoma 

Wisconsin Quartz Health 

Benefit Plans 

Corporation 

Quartz Health 

Benefit Plans 

Corporation 

TF1, TF3, TF2 

TF4, TF6, TF5

South Central Wisconsin: 

Adams, Buffalo, Columbia, 

Crawford, Dane, Dodge, Fond 

du Lac, Grant, Green, Green 

Lake, Iowa, Jackson, 

Jefferson, Juneau, La Crosse, 

Lafayette, Marquette, Monroe, 

Richland, Rock, Sauk, 

Trempealeau, Vernon, 

Walworth, Waukesha, and 

Waushara counties. 
2

Table 2

Plans Reducing Service Areas and Terminating Enrollment Codes 

Enrollees in these terminating enrollment codes must make a positive election into another FEHB plan during Open 

Season or they will be enrolled in GEHA Indemnity Benefit Plan Elevate (the lowest -cost nationwide plan option 

for 2022 as determined by OPM). 

State FEHB Carrier Plan Name Plan Option 2021 Enrollment 

Code(s) 

Area Dropped 

(All Counties and/or 

ZIP codes affected) 

Pennsylvania UPMC Health 

Plan, Inc. 

UPMC 

Health Plan 

Standard YT4, YT6, YT5 All of Eastern 

Pennsylvania: Berks, 

Clinton, Cumberland, 

Dauphin, Juniata, 

Lackawanna, 

Lancaster, Lehigh, 

Luzerne, Lycoming, 

Mifflin, Northampton, 

Northumberland, 

Perry, Schuylkill, 

Snyder, Sullivan, 

Susquehanna, Tioga, 

Union, and Wayne 

counties. 

HDHP YS4, YS6, YS5 

Table 3

Plans Terminating Options and Enrollment Codes 

Enrollees in the plan’s terminating option must enroll in their choice of plans during Open Season or they will be

automatically enrolled into the plan option that is identified in the table below: [5 CFR (890.301(i)(4)(iii)] 

State FEHB Carrier Plan Name Terminating 

Options (end 

of 2021) 

Terminating 

Codes (end of 

2021)

Automatic Enrollment 

Option and Codes for 

2022

Arizona Humana Health 

Plan, Inc. 

Humana 

Health Plan, 

Inc. 

High Phoenix 

BF1, BF3, BF2 

Standard 

Phoenix – BF4, BF6, BF5 

Tucson 

C71, C73, C72 

Tucson – C74, C76, C75 

California Health Net of 

California 

Health Net of 

California 

Standard LB4, LB6, LB5 Basic T41, T43, T42 

Georgia Humana 

Employers 

Health Plan of 

Georgia, Inc. 

Humana 

Employers 

Health Plan of 

Georgia, Inc. 

High Atlanta 

DG1, DG3, DG2

Basic 

Atlanta Q71, Q73, Q72 

Macon 

DN1, DN3, DN2

Macon - RJ1, RJ3, RJ2

Columbus 

CB1, CB3, CB2

Columbus - RM1, RM3, 

RM2 
3

State FEHB Carrier Plan Name Terminating 

Options (end 

of 2021) 

Terminating 

Codes (end of 

2021)

Automatic Enrollment 

Option and Codes for 

2022

Indiana Humana Health 

Plan, Inc. 

Humana Health 

Plan, Inc. 

High Louisville 

Metropolitan area 

MH1, MH3, MH2 

Standard 

Louisville Metropolitan 

area - MH4, MH6, MH5 

Indiana Humana Health 

Plan of Ohio, 

Inc. 

Humana Health 

Plan of Ohio, 

Inc 

High A61, A63, A62 Standard 

A64, A66, A65 

Kansas Humana Health 

Plan, Inc. 

Humana Health 

Plan, Inc. 

High MS1, MS3, MS2 Standard 

MS4, MS6, MS5 

Kentucky Humana Health 

Plan, Inc. 

Humana 

Health Plan, 

Inc. 

High Louisville 

MH1, MH3, MH2 

Standard 

Louisville - MH4, MH6, 

MH5 

Lexington 

MI1, MI3, MI2 Lexington - MI4, MI6, 

MI5 

Kentucky Humana Health 

Plan of Ohio, 

Inc. 

Humana Health 

Plan of Ohio, 

Inc. 

High A61, A63, A62 Basic 

W61,W63,W62 

Missouri Humana Health 

Plan, Inc. 

Humana Health 

Plan, Inc. 

High MS1, MS3, MS2 Standard 

MS4, MS6, MS5

Ohio Humana Health 

Plan of 

Ohio, Inc. 

Humana Health 

Plan of 

Ohio, Inc. 

High A61, A63, A62 Basic 

W61,W63,W62 

Butler, Hamilton, and 

Warren counties 

Standard 

A64, A66, A65 

Adams, Brown, Clermont, 

Clinton, and Highland 

counties 

Tennessee Humana Health 

Plan, Inc. 

Humana Health 

Plan, Inc. 

High GJ1, GJ3, GJ2 Standard 

GJ4, GJ6, GJ5

Texas Humana Health 

Plan of Texas, 

Inc. 

Humana Health 

Plan of Texas, 

Inc. 

High Austin 

UU1, UU3, UU2

Basic 

Austin – QY1, QY3, QY2

Corpus Christi – Q21, 

Q23, Q22 

Houston – Q61, Q63, Q62 

San Antonio – QX1, QX3, 

QX2

Corpus Christi 

UC1, UC3, UC2

Houston EW1, 

EW3, EW2

San Antonio UR1, 

UR3, UR2
4

Table 4

Plans Adding New Options and Enrollment Codes 

State FEHB 

Carrier 

Plan Name New

Option 

2022 Enrollment 

Codes 

Location 

(All Counties and/or ZIP

codes affected) 

Arizona Humana 

Health Plan, 

Inc. 

Humana HDHP BV1, BV3, BV2 Phoenix: Maricopa and Pinal 

counties 

BY1, BY3, BY2 Tucson: Pima County 

California Kaiser Kaiser Permanente Prosper FL1, FL3, FL2 Orange County and All of Los 

Foundation – Southern Angeles County EXCEPT 

Health Plan, California Catalina Island (90704) 

Inc. Southern 

California Imperial County ZIP codes: 

Region 92274, 92275 

Kern County ZIP codes: 

93203, 93205, 93206, 93215, 

93216, 93220, 93222, 93224, 

93225, 93226, 93238, 93240, 

93241, 93243, 93249, 93250, 

93251, 93252, 93263, 93268, 

93276, 93280, 93285, 93287, 

93301, 93302, 93303, 93304, 

93305, 93306, 93307, 93308, 

93309, 93311, 93312, 93313, 

93314, 93380, 93383, 93384, 

93385, 93386, 93387, 93388, 

93389, 93390, 93501, 93502, 

93504, 93505, 93518, 93519, 

93531, 93536, 93560, 93561, 

93581 

Riverside County ZIP codes: 

91752, 92028, 92201, 92202, 

92203, 92210, 92211, 92220, 

92223, 92230, 92234, 92235, 

92236, 92240, 92241, 92247, 

92248, 92253, 92254, 92255, 

92258, 92260, 92261, 92262, 

92263, 92264, 92270, 92274, 

92276, 92282, 92320, 92324, 

92373, 92399, 92501, 92502, 

92503, 92504, 92505, 92506, 

92507, 92508, 92509, 92513, 

92514, 92516, 92517, 92518, 

92519, 92521, 92522, 92530, 

92531, 92532, 92543, 92544, 
5

State FEHB 

Carrier 

Plan Name New

Option 

2022 Enrollment 

Codes 

Location 

(All Counties and/or ZIP

codes affected) 

California Kaiser Kaiser Permanente Prosper FL1, FL3, FL2 92545, 92546, 92548, 92551, 

(Cont.) Foundation 

Health Plan, Inc. 

– Southern 

California (Cont.) 

(Cont.) (Cont.) 92552, 92553, 92554, 92555, 

92556, 92557, 92562, 92563, 

Southern 92564, 92567, 92570, 92571, 

California 92572, 92581, 92582, 92583, 

Region (Cont.) 92584, 92585, 92586, 92587, 

92589, 92590, 92591, 92592, 

92593, 92595, 92596, 92599, 

92860, 92877, 92878, 92879, 

92880, 92881, 92882, 92883 

San Bernardino County ZIP 

codes: 91701, 91708, 91709, 

91710, 91729, 91730, 91737, 

91739, 91743, 91758, 91759, 

91761, 91762, 91763, 91764, 

91766, 91784, 91785, 91786, 

91792, 92252, 92256, 92268, 

92277, 92278, 92284, 92285, 

92286, 92305, 92307, 92308, 

92313, 92314, 92315, 92316, 

92317, 92318, 92321, 92322, 

92324, 92325, 92329, 92331, 

92333, 92334, 92335, 92336, 

92337, 92339, 92340, 92341, 

92344, 92345, 92346, 92350, 

92352, 92354, 92357, 92358, 

92359, 92369, 92371, 92372, 

92373, 92374, 92375, 92376, 

92377, 92378, 92382, 92385, 

92386, 92391, 92392, 92393, 

92394, 92395, 92397, 92399, 

92401, 92402, 92403, 92404, 

92405, 92406, 92407 92408, 

92410, 92411, 92413, 92415, 

92418, 92423, 92427, 92880 

San Diego County ZIP codes: 

91901, 91902, 91903, 91908, 

91909, 91910, 91911, 91912, 

91913, 91914, 91915, 91916, 

91917, 91921, 91931, 91932, 

91933, 91935, 91941, 91942, 

91943, 91944, 91945, 91946, 

91950, 91951, 91962, 91963, 

91976, 91977, 91978, 91979, 

91980, 91987, 92003, 92007, 
6

State FEHB 

Carrier 

Plan Name New

Option 

2022 Enrollment 

Codes 

Location 

(All Counties and/or ZIP

codes affected) 

California Kaiser Kaiser Permanente Prosper FL1, FL3, FL2 92008, 92009, 92010, 92011, 

(Cont.) Foundation 

Health Plan, Inc. 

– Southern 

California (Cont.) 

(Cont.) (Cont.) 92013, 92014, 92018 92019, 

92020, 92021, 92022, 92023, 

Southern 92024, 92025, 92026, 92027, 

California 92028, 92029, 92030, 92033, 

Region (Cont.) 92037, 92038, 92039, 92040, 

92046, 92049, 92051, 92052, 

92054, 92055, 92056, 92057, 

92058, 92059, 92060, 92061, 

92064, 92065, 92067, 92068, 

92069, 92071, 92072, 92074, 

92075, 92078, 92079, 92081, 

92082, 92083, 92084, 92085, 

92086, 92088, 92091, 92092, 

92093, 92096, 92101, 92102, 

92103, 92104, 92105, 92106, 

92107, 92108, 92109, 92110, 

92111, 92112, 92113, 92114, 

92115, 92116, 92117, 92118, 

92119, 92120, 92121, 92122, 

92123, 92124, 92126, 92127, 

92128, 92129, 92130, 92131, 

92132, 92134, 92135, 92136, 

92137, 92138, 92139, 92140, 

92142, 92143, 92145, 92147, 

92149, 92150, 92152, 92153, 

92154, 92155, 92158, 92159, 

92160, 92161, 92163, 92165, 

92166, 92167, 92168, 92169, 

92170, 92171, 92172, 92173, 

92174, 92175, 92176, 92177, 

92178, 92179, 92182, 92186, 

92187, 92190, 92191, 92192, 

92193, 92195, 92196, 92197, 

92198, 92199 

Tulare County ZIP codes: 

93238, 93261 

Ventura County ZIP codes: 

90265, 91304, 91307, 91311, 

91319, 91320, 91358, 91359, 

91360, 91361, 91362, 91377, 

93001, 93002, 93003, 93004, 

93005, 93006, 93007, 93009, 

93010, 93011, 93012, 93015, 

93016, 93020, 93021, 93022, 
7

State FEHB 

Carrier 

Plan Name New

Option 

2022 Enrollment 

Codes 

Location 

(All Counties and/or ZIP

codes affected) 

California 

(Cont.) 

Kaiser 

Foundation 

Health Plan, Inc. 

Southern 

California 

Region (Cont.) 

Kaiser Permanente 

– Southern 

California (Cont.)

Prosper 

(Cont.) 

FL1, FL3, FL2 

(Cont.) 

93030, 93031, 93032, 93033, 

93034, 93035, 93036, 93040, 

93041, 93042, 93043, 93044, 

93060, 93061, 93062, 93063, 

93064, 93065, 93066, 93094, 

93099, 93252 

Colorado HMO 

Colorado, Inc. 

BlueAdvantage 

HMO 

HDHP WW4, WW6, 

WW5

Entire State of Colorado 

Florida Humana 

Health Plan, 

Inc. 

Humana HDHP FF1, FF3, FF2 Daytona: Flagler and Volusia 

counties 

Orlando: Lake, Orange, 

Osceola, and Seminole 

counties 

South Florida: Broward, Dade, 

Martin, and Palm Beach 

counties 

Tampa: Citrus, Hernando, 

Hillsborough, Manatee, Pasco, 

Pinellas, Polk, and Sarasota 

counties 

AP1, AP3, AP2 

BR1, BR3, BR2 

A41, A43, A42 

Georgia Humana 

Health Plan, 

Inc. 

Humana HDHP AR1, AR3, AR2 Atlanta: Banks, Barrow, Butts, 

Cherokee, Clark, Clayton, 

Cobb, Coweta, DeKalb, 

Douglas, Fayette, Floyd, 

Forsyth, Fulton, Gwinnett, 

Hall, Jackson, Lamar, 

Madison, Newton, Paulding, 

Polk, Rockdale, Spalding, and 

Walton, counties 

AZ1, AZ3, AZ2 Macon: Bibb, Bleckley, 

Crawford, Houston, Jones, 

Laurens, Peach, Twiggs, and 

Wilkinson counties 

B21, B23, B22 Columbus: Muscogee County 

Illinois Humana 

Health Plan, 

Inc. 

Humana HDHP AW1, AW3, 

AW2 

Central and Northwestern IL:

Boone, Bureau, DeKalb, 

DeWitt, Fulton, Henderson, 

Henry, Knox, LaSalle, Lee, 
8

State FEHB 

Carrier 

Plan Name New

Option 

2022 Enrollment 

Codes 

Location 

(All Counties and/or ZIP

codes affected) 

Illinois 

(Cont.) 

Humana Health 

Plan, Inc. 

(Cont.) 

Humana (Cont.) HDHP

(Cont.) 

AW1, AW3, 

AW2 ( Cont.)

BB1, BB3, BB2 

Livingston, Marshall, 

McDonough, McLean, Mercer, 

Ogle, Peoria, Putnam, Stark, 

Stephenson, Tazewell, Warren, 

Whiteside, Winnebago, and 

Woodford counties 

Chicago: DuPage, Cook, Kane, 

Kankakee, Kendall, Lake, 

McHenry, and Will counties 

Indiana Humana 

Health Plan, 

Inc. 

Humana HDHP BB1, BB3, BB2 Lake, Porter, and LaPorte 

counties 

DT1, DT3, DT2 Dearborn, Franklin, Ohio, 

Ripley, and Union counties 

Kansas Humana 

Health Plan, 

Inc. 

Humana HDHP BK1, BK3, BK2 Douglas, Johnson, 

Leavenworth, Miami, and 

Wyandotte counties 

Kentucky Humana 

Health Plan, 

Inc. 

Humana HDHP DT1, DT3, DT2 Boone, Campbell, Gallatin, 

Grant, Kenton, and Pendleton 

counties 

Missouri Humana 

Health Plan, 

Inc. 

Humana HDHP BK1, BK3, BK2 Bates, Cass, Carroll, Clay, 

Henry, Jackson, Johnson, 

Lafayette, Platte, and Ray 

counties 

Ohio Humana 

Health Plan, 

Inc. 

Humana HDHP DT1, DT3, DT2 Adams, Brown, Butler, 

Clermont, Clinton, Gallia, 

Hamilton, Highland, Jackson, 

Lawrence, Pike, Scioto, and 

Warren counties 

Tennessee Humana 

Health Plan, 

Inc. 

Humana HDHP ER1, ER3, ER2 Anderson, Blount, Campbell, 

Carter, Claiborne, Cocke, 

Grainger, Greene, Hamblen, 

Hancock, Hawkins, Jefferson, 

Johnson, Knox, Loudon, 

Morgan, Roane, Scott, Sevier, 

Sullivan, Unicoi, Union, and 

Washington counties 
9

State FEHB 

Carrier 

Plan Name New

Option 

2022 Enrollment 

Codes 

Location 

(All Counties and/or ZIP

codes affected) 

Texas Humana 

Health Plan, 

Inc. 

Humana HDHP AN1, AN3, AN2 Austin: Bastrop, Bell, Bosque, 

Burleson, Burnet, Caldwell, 

Coryell, Falls, Hamilton, Hays, 

Lampasas, Lee, Limestone, 

McLennan, Milam, Robertson, 

Travis, and Williamson 

counties 

Corpus Christi: Bee, Brooks, 

Cameron, DeWitt, Duval, 

Goliad, Hidalgo, Jim Hogg, 

Jim Wells, Kenedy, Kleberg, 

Live Oak, Nueces, Refugio, 

San Patricio, Starr, Victoria, 

Willacy, and Zapata counties 

Houston: Austin, Brazoria, 

Chambers, Colorado, Fayette, 

Fort Bend, Galveston, Harris, 

Liberty, Montgomery, Waller, 

and Wharton counties 

San Antonio: Atascosa, 

Bandera, Bexar, Blanco, 

Comal, Frio, Gonzales, 

Guadalupe, Karnes, Kendall, 

Medina, Uvalde, Webb, and 

Wilson counties 

DX1, DX3, DX2

CG1, CG3, CG2

FD1, FD3, FD2 
10

Table 5

Service Area Expansions without New Enrollment Codes 

State FEHB Carrier Plan Name Plan 

Option 

2022 Enrollment 

Codes 

Location of Areas 

(Counties and/or 

ZIP codes affected) 

Colorado HMO Colorado, 

Inc. 

BlueAdvantage 

HMO 

High WW1, WW3, WW2 Entire State of

Colorado 

New York Capital District 

Physicians’ 

Health Plan, Inc. 

(CDPHP) 

CDPHP 

Universal 

Benefits, Inc 

Standard SG4, SG6, SG5 Jefferson, Lewis, and 

St. Lawrence 

counties 

Table 6

Service Area Expansions Adding New Enrollment Codes 

State FEHB Carrier Plan Name Plan 

Option 

2022 New

Enrollment 

Codes 

Location of Areas 

(Counties and/or ZIP 

codes affected) 

Indiana Humana Health 

Plan, Inc. 

Humana 

CoverageFirst/ 

Humana Value 

Plan 

Value TC4, TC6, TC5 Clark, Floyd, Harrison, 

Scott, and Washington 

counties 

Kentucky Humana Health 

Plan, Inc. 

Humana 

CoverageFirst/ 

Humana Value 

Plan 

Value 6N4, 6N6, 6N5 Lexington: Anderson, Bath, 

Bourbon, Boyle, Bracken, 

Clark, Estill, Fayette, 

Fleming, Franklin, Garrard, 

Harrison, Jessamine, 

Madison, Menifee, Mercer, 

Montgomery, Nicholas, 

Owen, Powell, Robertson, 

Scott, and Woodford 

counties 

TC4, TC6, TC5 Louisville: Bullitt, Carroll, 

Green, Hardin, Henry, 

Jefferson, Larue, Meade, 

Nelson, Marion, Oldham, 

Shelby, Spencer, Taylor, 

Trimble, and Washington 

counties 
11

Table 7

New Plans Entering the FEHB Program 

State FEHB 

Carrier 

Plan Name Plan 

Option 

2022 New

Enrollment 

Codes 

Location of Areas (Counties 

and/or ZIP codes affected) 

Alpha-numerical order 

Virginia HealthKeepers, 

Inc. 

HealthKeepers, 

Inc. 

HDHP 9V1, 9V3, 9V2 Accomack, Albemarle, Augusta, 

Caroline, Charles City, Chesterfield, 

Clarke, Culpeper, Dinwiddie, Essex, 

Fairfax (west of route 123), 

Fauquier, Fluvanna, Fredrick, 

Gloucester, Goochland, Greene, 

Hanover, Henrico, Isle of Wight, 

James City, King & Queen, King 

George, King William, Lancaster, 

Loudoun, Louisa, Madison, 

Mathews, Middlesex, New Kent, 

Northampton, Northumberland, 

Orange, Page, Prince George, 

Prince William (west of route 123), 

Rappahannock, Richmond, 

Rockingham, Shenandoah, 

Southampton, Spotsylvania, 

Stafford, Surry, Sussex, Warren, 

Westmoreland, and York counties 

Cities of Charlottesville, 

Chesapeake, Colonial Heights, 

Franklin, Fredericksburg, Hampton, 

Hopewell, Manassas City, Manassas 

Park, Newport News, Norfolk, 

Petersburg, Poquoson, Portsmouth, 

Richmond, Suffolk, Virginia Beach, 

and Williamsburg 

Table 8

Plans Changing Names 

State FEHB 

Carrier 

Old Plan Name New Plan Name Plan Codes 

Colorado HMO 

Colorado, Inc. 

BlueAdvantage HMO on 

the Pathway HMO 

Network 

BlueAdvantage HMO WW1, WW3, WW2, 

WW4, WW6, WW5
12

Table 9

Plans Changing Names of Existing Plan Options 

State FEHB Carrier Plan Name Old Plan 

Option Name 

New Plan 

Option Name 

Plan Codes 

California Kaiser Foundation 

Health Plan, Inc. 

Northern California 

Region 

Kaiser 

Permanente – 

Northern 

California 

Basic Prosper KC1, KC3, KC2

Colorado Kaiser Foundation 

Health Plan of

Colorado 

Kaiser 

Permanente - 

Colorado 

Basic Prosper N41, N43, N42 

District of

Columbia 

Kaiser Foundation 

Health Plan of the 

Mid-Atlantic 

States, Inc. 

Kaiser 

Permanente - 

Mid-Atlantic 

States 

Basic Prosper T71, T73, T72 

Georgia Kaiser Foundation 

Health Plan of

Georgia, Inc. 

Kaiser 

Permanente - 

Georgia 

Basic Prosper LA1, LA3, LA2 

Maryland Kaiser Foundation 

Health Plan of the 

Mid-Atlantic 

States, Inc. 

Kaiser 

Permanente - 

Mid-Atlantic 

States 

Basic Prosper T71, T73, T72 

Virginia Kaiser Foundation 

Health Plan of the 

Mid-Atlantic 

States, Inc. 

Kaiser 

Permanente - 

Mid-Atlantic 

States 

Basic Prosper T71, T73, T72