1 

Attachment 1: FEDVIP Significant Plan Changes 

Table 1 

New Plans Entering the FEDVIP Program

State FEDVIP Plan 

Name

Plan Type

(Dental or 

Vision)

General Location

(All Counties 

and/or Zip codes 

that are affected)

2021 Plan Options

All States UnitedHealthcare 

Dental Plan

Dental Nationwide High, Standard

All States The MetLife 

Federal Vision 

Plan

Vision Nationwide High, Standard

Iowa* HealthPartners 

Dental Plan

Dental Iowa High, Standard

Minnesota HealthPartners 

Dental Plan

Dental Minnesota High, Standard

North 

Dakota 

HealthPartners 

Dental Plan

Dental North Dakota High, Standard

South 

Dakota 

HealthPartners 

Dental Plan

Dental South Dakota High, Standard

Wisconsin* HealthPartners 

Dental Plan

Dental Wisconsin High, Standard

* Partial States - Please see the 2021 brochure for the new service areas.
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Table 2 

Plan Name Changes

State 2020 Plan Name

(Old)

Plan Type

(Dental or 

Vision)

2021 Plan Name (New)

Nationwide FEP BlueDental Dental Blue Cross Blue Shield FEP Dental 

(BCBS FEP Dental)

Nationwide FEP BlueVision Vision Blue Cross Blue Shield FEP Vision

(BCBS FEP Vision)

Delaware Dominion Dental 

Services

Dental Dominion National 

District of 

Columbia 

Dominion Dental 

Services

Dental Dominion National 

Maryland Dominion Dental 

Services

Dental Dominion National 

New Jersey Dominion Dental 

Services

Dental Dominion National 

Pennsylvania Dominion Dental 

Services

Dental Dominion National 

Virginia Dominion Dental 

Services

Dental Dominion National 
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Table 3 

Changes in Number of Plan Options

State 2021 Plan 

Name

Plan Type

(Dental or 

Vision)

2020 Plan 

Options

2021 Plan Options 

Nationwide Aetna Dental Dental High High, Standard

Nationwide United 

Concordia 

Dental

Dental High High, Standard

New York EmblemHealth

Dental

Dental High High, Standard

Pennsylvania* EmblemHealth 

Dental

Dental High High, Standard

Connecticut* EmblemHealth 

Dental

Dental High High, Standard

New Jersey* EmblemHealth 

Dental

Dental High High, Standard

Alabama Humana Dental Dental High High, Standard

Arizona* Humana Dental Dental High High, Standard

Arkansas Humana Dental Dental High High, Standard

California Humana Dental Dental High High, Standard

Colorado Humana Dental Dental High High, Standard

District of 

Columbia 

Humana Dental Dental High High, Standard

Florida Humana Dental Dental High High, Standard

Georgia Humana Dental Dental High High, Standard

Illinois* Humana Dental Dental High High, Standard 
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State 2021 Plan 

Name

Plan Type

(Dental or 

Vision)

2020 Plan 

Options

2021 Plan Options 

Indiana Humana Dental Dental High High, Standard

Kansas Humana Dental Dental High High, Standard

Kentucky Humana Dental Dental High High, Standard

Louisiana Humana Dental Dental High High, Standard

Maryland* Humana Dental Dental High High, Standard

Missouri Humana Dental Dental High High, Standard

Mississippi Humana Dental Dental High High, Standard

North Carolina Humana Dental Dental High High, Standard

Ohio Humana Dental Dental High High, Standard

Oklahoma Humana Dental Dental High High, Standard

South Carolina Humana Dental Dental High High, Standard

Tennessee Humana Dental Dental High High, Standard

Texas Humana Dental Dental High High, Standard

Utah Humana Dental Dental High High, Standard

Virginia Humana Dental Dental High High, Standard

West Virginia Humana Dental Dental High High, Standard

* Partial States - Please see the 2021 brochure for the new service areas.