1

ATTACHMENT 1 – FEHB PROGRAM

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 the Standard Option of 

the GEHA Benefit Plan (the lowest-cost nationwide plan option for 2018 as 

determined by OPM). 

State Plan Name 2017

Enrollment 

Code

General Location

Illinois Blue Cross and 

Blue Shield of 

Illinois 

A21, A23, A22 Chicago Illinois Area

New Mexico New Mexico 

Blue HMO 

Preferred 

Q11, Q13, Q12 

Q14, Q16, Q15 

All of New Mexico

Ohio Paramount 

Health Care

N81, N83, N82 Northwest Ohio

Texas Aetna Whole 

Health 

ES1, ES3, 

ES2

Houston Area

Texas United Healthcare 

Benefits of Texas, 

Inc.

GF1, GF3, GF2 San Antonio Area

Virginia Aetna Whole 

Health

J91, J93, J92 Newport News Area 

Virginia Innovation Health 

Plan

LQ1, LQ3, 

LQ2

Northern Virginia 

Wisconsin Aetna Whole 

Health

F71, F73, F72 Milwaukee Area 
2

TABLE 2 

PLAN 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 the Standard

Option of the GEHA Benefit Plan (the lowest-cost nationwide plan option for 2018 

as determined by OPM). 

State Plan Name 2017 Enrollment 

Code

Area Dropped

Washington Aetna Open Access C31, C33, C32 All of Washington

TABLE 3

PLANS REDUCING SERVICE AREAS 

WITHOUT TERMINATING ENROLLMENT CODES

Enrollees in the areas being dropped who do not change health plans during Open 

Season will only have emergency services where they live and they 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 2018. 

State Plan Name 2017

Enrollment

Code

Area Dropped

Idaho SelectHealth, Inc. SF1, SF3, SF2,

SF4, SF6, SF5 

State of Idaho 

Virginia Aetna Open Access JN1, JN3, JN2,

JN4, JN6, JN5

Counties of Amelia, Charles City, 

Charlotte, Chesterfield, Cumberland, 

Dinwiddie, Goochland, Hanover, 

Henrico, King William, Louisa, 

Lunenburg, New Kent, Nottoway, 

Powhatan, Prince Edward, and Prince 

George

Cities of Colonial Heights, Hopewell, 

Petersburg and Richmond 

Towns of Buckingham, Arvonia, 

Dillwyn and New Canton
3

TABLE 4

PLANS TERMINATING OPTION AND ENROLLMENT CODES 

Enrollees in the plan’s terminating option will be automatically enrolled into the

plan option that is identified in the table below unless they enroll in another plan 

during Open Season. 

State Plan Name Terminating 

Options

(end of 2017)

Terminating 

Codes 

(end of 2017)

Option and Codes for 2018

Florida AvMed High ML1, ML3, 

ML2

Standard

ML4, ML6, ML5 

Washington Kaiser Permanente 

Washington 

Options Federal 

High VT1, VT3, 

VT2 

Standard Option

L11, L13, L12* 

 

*Kaiser Permanente Washington Options Federal Plan high deductible option (L14, 

L16, and L15) also remains. 

TABLE 5 

PLANS ADDING NEW OPTIONS AND ENROLLMENT CODES 

State Plan Name New 

Option 

2018 Enrollment

Codes

General Location 

California Health Net of 

California 

Basic T41, T43, T42 Northern California

Colorado Humana Health 

Plan, Inc.

Basic RZ1, RZ3, RZ2 Denver

R21, R23, R22 Colorado Springs

Georgia Humana Employers 

Health Plan of 

Georgia, Inc.

Basic Q71, Q73, Q72 Atlanta

RJ1, RJ3, RJ2 Macon

RM1, RM3, RM2 Columbus

Illinois Humana Health 

Plan, Inc.

Basic RW1, RW3, RW2 Chicago

AB1, AB3, AB2 Central and 

North Western Illinois

Maryland Kaiser Foundation 

Health Plan of the 

Mid-Atlantic States

Basic T71, T73, T72 Baltimore Area 
4

Ohio Medical Mutual of 

Ohio (formerly Health

Span Integrated 

Care)*

Basic UX1, UX3, UX2 Northeast Ohio

Texas Humana Health Plan 

of Texas, Inc.

Basic QX1, QX3, QX2 San Antonio

QY1, QY3, QY2 Austin

Q21, Q23, Q22 Corpus Christi

Q61, Q63, Q62 Houston

Texas Scott & White Basic A81, A83, A82 Central and West Texas area

P81, P83, P82 North Texas area

Virginia Kaiser Foundation 

Health Plan of the 

Mid-Atlantic States

Basic T71, T73, T72 Northern Virginia 

District of 

Columbia 

Kaiser Foundation 

Health Plan of the 

Mid-Atlantic States

Basic T71, T73, T72 All of District of Columbia 

*Plan name also changing - see Table 8

TABLE 6 

SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT CODES

State Plan Name Plan Option 2018

Enrollment 

Codes

Location of Areas

Florida United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP LS1, LS3, 

LS2

Entire state of Florida

Florida United Healthcare 

Insurance Company – 

Choice HMO

High KK1, KK3, 

KK2

Entire state of Florida

Idaho Aetna Health of Utah, 

dba Altius Health Plan

High, 

Standard, 

HDHP 

9K1, 9K3, 

9K2

9K4, 9K6, 

9K5

DK4, DK6, 

DK5

Counties of Blaine, Boise, Camas, 

Cassia, Clark, Custer, Fremont, 

Gooding, Jerome, Lincoln, 

Minidoka, Owyhee, Teton, Twin 

Falls and Valley
5

Illinois Blue Preferred High,

Standard

9G1, 9G2, 

9G3, 9G4, 

9G5, 9G6

Monroe County

Iowa United Healthcare 

Insurance Company –

Choice HMO

High LJ1, LJ3, 

LJ2

Entire state of Iowa 

Iowa United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP N71, N73, 

N72

Entire state of Iowa 

Kentucky United Healthcare 

Insurance Company –

Choice HMO

High LJ1, LJ3, 

LJ2

Entire State of Kentucky 

Kentucky United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP N71, N73, 

N72

Entire State of Kentucky

Nevada United Healthcare 

Insurance Company –

Choice HMO

High KT1, KT3, 

KT2

Entire State of Nevada

Nevada United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP LU1, LU3, 

LU2 

Entire state of Nevada

North Carolina United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP LS1, LS3, 

LS2

Entire state of North Carolina 

North Carolina United Healthcare 

Insurance Company –

Choice HMO

High KK1, KK3, 

KK2

Entire state of North Carolina

Oregon United Healthcare 

Insurance Company –

Choice HMO

High KT1, KT3, 

KT2

Entire state of Oregon 

Oregon United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP LU1, LU3, 

LU2 

Entire state of Oregon

Pennsylvania United Healthcare 

Insurance Company –

Choice HMO

High LR1, LR3, 

LR2

Entire state of Pennsylvania
6

Tennessee United Healthcare 

Insurance Company – 

Choice HMO

High KK1, KK3, 

KK2

Entire state of Tennessee 

Tennessee United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP LS1, LS3, 

LS2 

Entire state of Tennessee

Virginia United Healthcare 

Insurance Company – 

Choice HMO

High LR1, LR3, 

LR2

Entire state of Virginia 

Washington United Healthcare 

Insurance Company – 

Choice HMO

High KT1, KT3, 

KT2

Entire state of Washington

Washington 

United Healthcare 

Insurance Company, 

Inc. (Choice Plus 

HDHP)

HDHP LU1, LU3, 

LU2 

Entire state of Washington 

Wyoming Aetna Health of Utah 

dba Altius Health Plan

High, 

Standard, 

HDHP 

9K1, 9K3, 

9K2, 

9K4,9K6, 

9K5

DK4, DK6, 

DK5

Counties of Lincoln and Sweetwater

TABLE 7

SERVICE AREA EXPANSIONS ADDING

NEW ENROLLMENT CODES

State FEHB Plan

Name

Plan 

Option

2018 New

Enrollment Codes

Location of Areas

Arizona Humana 

Coverage First/

Humana Value

Plan

CDHP

Value Plan

R61, R63, R62

R64, R66, R65 

Phoenix Area - Maricopa and Pinal Counties

Arizona Humana 

Coverage First/ 

Humana Value 

Plan

CDHP

Value Plan

R91, R93, R92

R94, R96, R95 

Tucson Area - Pima County
7

District of 

Columbia

United Healthcare 

Insurance 

Company, Inc. 

(Choice Plus 

HDHP)

HDHP V41, V43, V42 All of District of Columbia

Georgia Humana 

Coverage First/

Humana Value 

Plan

CDHP

Value Plan

S91, S93, S92, 

S94, S96, S95

Muscogee County

Indiana Humana 

Coverage First/

Humana Value 

Plan

CDHP TC1, TC3, TC2 Counties of Clark, Floyd, Harrison, Scott 

and Washington 

Kentucky Humana 

Coverage First/

Humana Value 

Plan

CDHP TC1, TC3, TC2 Counties of Bullitt, Carroll, Green, Hardin, 

Henry, Jefferson, Larue, Meade, Nelson, 

Marion, Oldham, Shelby, Spencer, Taylor, 

Trimble, and Washington 

Maryland United Healthcare 

Insurance 

Company, Inc. 

(Choice Plus

HDHP)

HDHP V41, V43, V42 Entire state of Maryland

Pennsylvania United Healthcare 

Insurance 

Company, Inc. 

(Choice Plus 

HDHP)

HDHP V41, V43, V42 Entire state of Pennsylvania

Tennessee Humana 

Coverage First/

Humana Value 

Plan

CDHP 

Value Plan

TT1, TT3, TT2

TT4, TT6, TT5

Counties of Anderson, Blount, Campbell, 

Carter, Claiborne, Cocke, Grainger, Greene, 

Hamblen, Hancock, Hawkins, Jefferson, 

Johnson, Knox, Loudon, Morgan, Roane, 

Scott, Sevier, Sullivan, Unicoi, Union, and 

Washington

Texas Humana 

Coverage First/

Humana Value 

Plan

CDHP

Value Plan

T31, T33, T32

T34, T36, T35

Counties of Austin, Brazoria, Chambers, 

Colorado, Fayette, Fort Bend, Galveston, 

Harris, Liberty, Montgomery, Waller and 

Wharton 
8

TABLE 8 

PLAN NAME CHANGES

TABLE 9 

NEW PLAN ENTERING THE FEHB PROGRAM

Virginia United Healthcare 

Insurance 

Company, Inc. 

(Choice Plus 

HDHP)

HDHP V41, V43, V42 Entire state of Virginia

State 2017 Plan 

Name (Old)

2018 Plan 

Name (New)

Enrollment Codes Location of Areas

 Ohio Health Span 

Integrated Care 

Medical 

Mutual of 

Ohio

641, 643, 642

644, 646, 645

Northeast Ohio Counties of 

Cuyahoga, Geauga, Lake, Lorain, 

Mahoning, Medina, Portage, Stark 

Summit, Trumbull, and Wayne

State FEHB Plan

Name

Plan 

Option

2018 New 

Enrollment Codes

Location of Areas

Georgia Blue Open 

Access POS

High QM1, QM3, QM2 Atlanta metro area Counties: Barrow, 

Bartow, Butts, Carroll, Cherokee, Clayton, 

Cobb, Coweta, Dawson, DeKalb, 

Douglas, Fayette, Forsyth, Fulton, 

Gwinnett, Hall, Haralson, Heard, Henry, 

Lamar, Meriwether, Newton, Paulding, 

Pickens, Pike, Rockdale, Spalding, and 

Walton

Athens area Counties: Clarke, Madison, 

Oconee, and Oglethorpe