TABLE 1 

PLANS LEAVING THE FEHB PROGRAM FOR 2008 

Enrollees in these terminating plans who do not change health plans during Open Season 

will not have health benefits for 2008. 

 

State Plan Name 3 Digit Codes 

Colorado United HealthCare of Colorado CH1, CH2 

Indiana Arnett Health Plan G21, G22 

Indiana M-Plan IN1, IN2 

Kansas Preferred Plus of Kansas VA1, VA2 

Michigan MCARE EG1, EG2 

Missouri Mercy Health Plan 7M1, 7M2 

New York HMO Blue CNY EB1, EB2 

New York HMO Blue AH1, AH2 

Ohio Blue HMO R51, R52 

Oregon Pacificare of Oregon 7Z1, 7Z2 

South Carolina Carolina Care Plan, Inc. IB1, IB2 

Texas Mercy Health Plan HM1, HM2 

Texas HMO Blue Texas YM1, YM2 

Washington (only 

Clark County in 

Washington) 

Pacificare of Oregon 7Z1, 7Z2 

Wyoming WinHealth Partners PV1, PV2 

1
TABLE 2 

PLAN REDUCING ITS SERVICE AREA 

BY TERMINATING AN ENROLLMENT CODE 

Enrollees in this enrollment code who do not change health plans during Open Season will 

not have health benefits for 2008. 

State Plan Name 3 Digit Codes Area Dropped 

Louisiana Humana CoverageFirst 

Consumer Driven Health 

Plan 

9S1, 9S2 City of Shreveport 

 

2
TABLE 3 

PLAN SPLITTING A SERVICE AREA AND CREATING A NEW ENROLLMENT 

CODE (IN ADDITION TO THE EXISTING ENROLLMENT CODE) 

Enrollees in the southern California service area who do not change their enrollment code 

from LB to LP during Open Season will automatically remain enrolled in the northern 

California LB enrollment code and they will have to travel to the plan’s northern California 

service area to obtain medical care in order to receive full benefits from the plan in 2008. 

State Plan Name General Location 2007 Codes 2008 Codes 

California Health Net of California California LB1, LB2 LB1, LB2 

LB4, LB5 

LP1, LP2 

LP4, LP5 

Health Net of California will split its California service area, code LB, into two service areas 

(northern California and southern California) resulting in two enrollment codes, LB and LP. The 

plan’s northern California region will retain the current LB enrollment code; however, the plan’s 

southern California region will receive the new LP enrollment code. Current plan enrollees in the 

southern California region should make a positive enrollment election into enrollment code LP 

during Open Season. 

If enrollees in the plan’s southern California region do nothing and do not make a positive 

enrollment election, they will be automatically enrolled in the original High Option LB 

enrollment code and they will have to travel to the plan’s northern California service area 

to obtain medical care in order to receive full benefits from the plan in 2008. Also, the 2008 

premiums for the LB codes for the northern California region will be higher than the 

premiums for the LP codes for the southern California region. 

In the plan’s 2008 brochure, please check Section 1 (under Service Area) for the plan’s covered 

counties and zip codes in the northern and southern California regions. 

 

3
TABLE 4 

PLANS DROPPING AN OPTION FOR 2008 

Enrollees in these plans will be automatically enrolled in their plans’ High Option if they do 

not make a positive enrollment change to another plan during Open Season. 

State Plan Name Option 

Deleting 

3 Digit Codes 

Michigan 

 

Bluecare Network of Michigan Standard K54, K55 

LN4, LN5 

LX4, LX5 

New York GHI HMO Standard X44, X45, 

6V4, 6V5 

4
TABLE 5 

PLANS ADDING A NEW OPTION 

Enrollees who do not enroll in their plan’s new option will automatically remain enrolled in 

their current option. 

State Plan Name New Option 3 Digit 

Codes 

Nationwide Mail Handlers Benefit Plan Value Option Value Option 414, 415 

California Health Net of California (North Region) Standard LB4, LB5 

Florida Humana Medical Plan Standard EE4, EE5 

Florida JMH Health Plan Standard J84, J85 

Idaho Altius Health Plans Standard DK4, DK5 

Illinois Group Health Plan Standard MU4, MU5 

Illinois Health Alliance HMO Standard FX4, FX5 

Indiana Health Alliance HMO Standard FX4, FX5 

Iowa Health Alliance HMO Standard FX4, FX5 

Louisiana Vantage Health Plan, Inc. Standard MV4, MV5 

Missouri Group Health Plan Standard MU4, MU5 

New Jersey Amerihealth HMO Standard FK4, FK5 

New York Preferred Care 

 

Standard GV4, GV5 

Pennsylvania UPMC Health Plan Standard UW4, UW5 

Utah Altius Health Plans Standard DK4, DK5 

5
TABLE 6 

NEW PLANS ENTERING THE PROGRAM FOR 2008 

State Plan Name Plan Type (HMO, 

POS, HDHP,CDHP) 

3 Digit 

Codes 

General Location 

Minnesota Medica Health Plans HMO M21, M22 Most of Minnesota 

Michigan Physicians Health Plan of 

Mid-Michigan 

HMO 9U1, 9U2 

9U4, 9U5 

Mid-Michigan 

Florida United HealthCare of 

Florida 

HMO R31, R32 Central and 

Southwest Florida 

6
TABLE 7 

EXISTING PLANS OFFERING A HIGH DEDUCTIBLE HEALTH PLAN (HDHP) 

WITHOUT NEW ENROLLMENT CODES 

State Plan Name 3 Digit 

Codes 

Michigan Health Alliance Plan 524, 525 

Kansas: limited to the counties 

of Johnson and Wyandott 

Blue Cross and Blue Shield Service Benefit 

Plan 

(BCBS of Kansas City, Missouri) 

114,115 

Missouri: limited to the 

counties of Andrew, Atchison, 

Bates, Benton, Buchanan, 

Caldwell, Carroll, Cass, Clay, 

Clinton, Daviess, DeKalb, 

Gentry, Grundy, Harrison, 

Henry, Holt, Jackson, Johnson, 

Lafayette, Livingston, Mercer, 

Nodaway, Pettis, Platte, Ray, 

St. Clair, Saline, Vernon, and 

Worth 

Blue Cross and Blue Shield Service Benefit 

Plan 

(BCBS of Kansas City, Missouri) 

114, 115 

Minnesota Blue Cross and Blue Shield Service Benefit 

Plan 

(BCBS of Minnesota) 

114, 115 

Tennessee Blue Cross and Blue Shield Service Benefit 

Plan 

(BCBS of Tennessee) 

114, 115 

Ohio Blue Cross and Blue Shield Service Benefit 

Plan 

(Anthem BCBS of Ohio) 

114, 115 

TABLE 8 

EXISTING PLANS OFFERING A HIGH DEDUCTIBLE HEALTH PLAN (HDHP) 

WITH NEW ENROLLMENT CODES 

State Plan Name 3 Digit 

Codes 

Guam TakeCare KX1, KX2 

Iowa Health Alliance HMO FM1, FM2 

Illinois Health Alliance HMO FM1, FM2 

Indiana Health Alliance HMO FM1, FM2 

7
TABLE 9 

SERVICE AREA EXPANSIONS WITH NEW ENROLLMENT CODES 

State Plan Name New 3 Digit 

Codes 

General Location 

Florida Humana Medical Plan LL1, LL2, 

LL4, LL5 

Tampa city and Entire 

Counties of Citrus, 

Hernando, Pasco, Pinellas, 

Hillsborough, Polk and 

Manatee 

 

8
TABLE 10 

SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT CODES 

State Plan Name 3 Digit Codes General Location of New Area 

Alabama Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Bullock, Chambers, 

Crenshaw, Hale, and Macon 

Alaska Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire Skagway Hoonah Angoon borough 

Arkansas United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Arkansas, Ashley, Baxter, 

Benton, Boone, Bradley, Calhoun, Carroll, 

Chicot, Clark, Clay, Cleburne, Cleveland, 

Columbia, Conway, Craighead, Crawford, 

Crittenden, Cross, Dallas, Desha, Drew, 

Faulkner, Franklin, Fulton, Garland, Grant, 

Greene, Hempstead, Hot Spring, Howard, 

Independence, Izard, Jackson, Jefferson, 

Johnson, Lafayette, Lawrence, Lee, Lincoln, 

Little River, Logan, Lonoke, Madison, 

Marion, Miller, Monroe, Montgomery, 

Nevada, Newton, Ouachita, Perry, Phillips, 

Pike, Poinsett, Polk, Pope, Prairie, Pulaski, 

Randolph, Saline, Scott, Searcy, Sebastian, 

Sevier, Sharp, St. Francis, Stone, Union, Van 

Buren, Washington, White, Woodruff, and 

Yell 

Arkansas Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Clark, Lincoln, and 

Montgomery 

Arizona United HealthCare 

Definity High 

Deductible Health 

Plan 

E91,E92 Entire counties of Apache, Cochise, 

Coconino, Gila, Graham, Greenlee, La Paz, 

Maricopa, Mohave, Navajo, Pima, Pinal, 

Santa Cruz, Yavapai, and Yuma 

 

California Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire Butte county 

California Kaiser California 621,622 City of Temecula and the following zip codes 

in Riverside county: 92589, 92590, 92591, 

92592, 92593

California United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Alameda, Alpine, Amador, 

Calaveras, Contra Costa, El Dorado, Fresno, 

Imperial, Inyo, Kern, Kings, Los Angeles, 

Madera, Marin, Mariposa, Merced, Mono, 

Monterrey, Napa, Orange, Placer, Riverside, 

Sacramento, San Benito, San Bernardino, San 

Diego, San Francisco, San Joaquin, San Luis 

Obispo, San Mateo, Santa Clara, Solano, 

Sonoma, Santa Barbara, Santa Cruz, 

Stanislaus, Tulare, Tuolumne, Ventura, and 

Yellow 

9
State Plan Name 3 Digit Codes General Location of New Area 

Delaware Aetna Open Access P31, P32, P34, 

P35 

Entire counties of Kent, New Castle, and 

Sussex 

Florida Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

City of Tallahassee and entire counties of 

Collier, Gadsden, Jefferson, Leon, and 

Wakulla 

Florida Humana Medical 

Plan 

EE1, EE2 City of Tampa and entire counties of Citrus, 

Hernando, Pasco, Pinellas, Hillsborough, 

Polk and Manatee 

Florida United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Brevard, Charlotte, Citrus, 

Collier, Desoto, Duval, Flagler, Glades, 

Hardee, Hernando, Highlands, Hillsborough, 

Indian River, Lake, Lee, Levy, Manatee, 

Okeechobee, Orange, Osceola, Pasco, 

Pinellas, Polk, Sarasota, Seminole, St. Lucie, 

Sumter, and Volusia 

Georgia Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Hart and Rabun, and a part 

of the Greenville/Spartanburg, South Carolina 

network 

Georgia 

 

United HealthCare of 

Georgia 

GN1, GN2 City of Macon and entire counties of Monroe, 

Jones, Bibb, Crawford, Taylor, Macon, 

Peach, Houston, and Twigg 

Georgia United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Cities of Atlanta/Athens and entire counties 

of Butts, Carroll, Cherokee, Clayton, Cobb, 

Coweta, Dawson, De Kalb, Douglas, Fayette, 

Forsyth, Fulton, Gwinnett, Haralson, Heard, 

Henry, Jackson, Jasper, Jones, Morgan, 

Newton, Oconee, Paulding, Putnam, 

Rockdale, Spalding, and Walton; 

City of Macon and counties of: 

Bibb, Crawford, Crisp, Dodge, Dooly, 

Houston, Jones, Laurens, Macon, Monroe, 

Peach, Pulaski, Taylor, Telfair, Treutlen, 

Twiggs, Wheeler, Wilcox, and Wilkinson 

Idaho Altius Health Plans 9K1, 9K2, 9K4, 

9K5, DK4, DK5 

Entire Ada County 

Illinois Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Alexander, De Kalb, 

Greene, Johnson, Pulaski, and Scott 

Illinois 

 

PersonalCare 

Insurance of Illinois 

GE1, GE2 Entire counties of Edgar, Knox, McHenry, 

McLean, and Warren 

10
State Plan Name 3 Digit Codes General Location of New Area 

Illinois United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties (St. Louis area) of Bond, 

Calhoun, Clinton, Greene, Jackson, 

Jefferson, Jersey, Macoupin, Madison, 

Marion, Monroe, Randolph, and Williamson 

Illinois Unitedhealthcare 

Plan of The River 

Valley Inc 

YH1, YH2 Entire counties of Knox, Stark, Peoria, and 

Tazewell 

Indiana Aetna Open Access IK1, IK2 Entire Porter county 

Indiana Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire Ripley county 

Iowa 

 

Coventry Health 

Care of Iowa 

SV1, SV2 Entire counties of Buchanan, Buena Vista, 

Fayette, Floyd, Ida, Johnson, Marshall, 

Muscatine, Tama, and Washington 

Iowa United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire Counties of Adair, Appanoose, 

Audubon, Boone, Buena Vista, Calhoun, 

Carroll, Cerro Gordo, Chickasaw, Clarke, 

Clay, Dallas, Decatur, Dickinson, Emmet, 

Floyd, Franklin, Greene, Grundy, Guthrie, 

Hamilton, Hancock, Hardin, Howard, 

Humboldt, Jasper, Kossuth, Lucas, Madison, 

Mahaska, Marion, Marshall, Mitchell, 

Monroe, Palo Alto, Pocahontas, Polk, 

Ringgold, Sac, Story, Tama, Taylor, Union, 

Warren, Wayne, Webster, Winnebago, 

Worth, and Wright 

Iowa HealthPartners Open 

Access Deductible 

534, 535 Entire counties of Bremer, Buchanan, Buena 

Vista, Cerro Gordo, Cherokee, Chickasaw, 

Clayton, Delaware, Fayette, Floyd, Hancock, 

Kossuth, Pocahontas, and Woodbury 

Iowa Unitedhealthcare 

Plan of The River 

Valley Inc 

YH1, YH2 Entire counties of Blackhawk, Story, Polk, 

and Marion 

Kansas United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Anderson, Atchison, 

Dickinson, Douglas, Franklin, Johnson, 

Leavenworth, Linn, Miami, Montgomery, 

Morris, and Wyandotte 

Louisiana Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Cities of Alexandria, Houma/Thibodaux, 

and Lake Charles, and entire parishes of 

Catahoula, Franklin, Grant, and West Carroll 

11
State Plan Name 3 Digit Codes General Location of New Area 

Louisiana United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Acadia, Allen, Ascension, 

Assumption, Avoyelles, Beauregard, 

Bienville, Bossier, Caddo, Calcasieu, 

Caldwell, Cameron, Catahoula, Claiborne, 

Concordia, De Soto, East Baton Rouge, East 

Carroll, East Feliciana, Evangeline, Franklin, 

Grant, Iberia, Iberville, Jackson, Jefferson, 

Jefferson Davis, La Salle, Lafayette, 

Lafourche, Lincoln, Livingston, Madison, 

Morehouse, Natchitoches, Orleans, Ouachita, 

Plaquemines, Pointe Coupee, Rapides, Red 

River, Richland, Sabine, St. Bernard, St. 

Charles, St. Helena, St. James, St. John the 

Baptist, St. Landry, St. Martin, St. Mary, St. 

Tammany, Tangipahoa, Tensas, Terrebonne, 

Union, Vermilion, Vernon, Washington, 

Webster, West Baton Rouge, West Carroll, 

West Feliciana, and Winn 

Louisiana

 

Vantage Health Plan, 

Inc 

MV1, MV2, 

MV4, MV5 

Entire parishes of Acadia, Calcasieu, Iberia, 

Iberville, Jefferson, Orleans, and St. Landry 

Massachusetts Fallon Community 

Health Plan 

JV1, JV2, JV4, 

JV5, DV1, DV2 

Entire Western Massachusetts counties of 

Franklin, Hampshire, and Hampden 

Michigan HealthPlus of 

Michigan 

X51, X52 Entire counties of Clare, Gladwin, Gratiot, 

Isabella, Midland, Montcalm, and Sanilac 

Michigan Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Southwest part of the state, and entire 

counties of Berrien and Cass 

Minnesota HealthPartners 

Primary Clinic 

HQ1, HQ2 Entire counties of Faribault, Freeborn, and 

Mower 

Minnesota HealthPartners 

Classic 

531, 532 Entire counties of Aitkin, Grant, LeSueur, 

Pine, Pope, Sibley, Wabasha, and Wadena 

Minnesota HealthPartners Open 

Access Deductible 

534, 535 Entire counties of Carlton, Cook, 

Koochiching, Lake, Lincoln, St. Louis, and 

Wadena 

Mississippi Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire Pearl River county 

Mississippi United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire State of Mississippi 

12
State Plan Name 3 Digit Codes General Location of New Area 

Missouri Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Andrew, Barry, Benton, 

Clark, Daviess, De Kalb, Douglas, Hickory, 

Holt, Laclede, Madison, Schuyler, Shannon, 

Texas, and Wright 

Missouri United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Barry, Bates, Bollinger, 

Boone, Buchanan, Butler, Caldwell, 

Calloway, Camden, Cape Girardeau, Carroll, 

Cass, Chariton, Christian, Clay, Clinton, 

Cole, Cooper, Crawford, Dade, Dallas, 

Daviess, DeKalb, Dent, Douglas, Dunklin, 

Franklin, Gasconade, Greene, Grundy, 

Henry, Howard, Howell, Iron, Jackson, 

Jasper, Jefferson, Johnson, Laclede, 

Lafayette, Lawrence, Lewis, Lincoln, 

Livingston, Macon, Madison, Maries, 

McDonald, Mercer, Miller, Mississippi, 

Moniteau, Monroe, Montgomery, Morgan, 

New Madrid, Newton, Oregon, Pemiscot, 

Perry, Petis, Phelps, Pike, Platte, Polk, 

Pulaski, Ralls, Randolph, Ray, Reynolds, 

Ripley, Saline, Scott, St. Clair, St. Charles, 

St. Francis, St. Louis, St. Louis City, Ste. 

Genevieve, Stoddard, Stone, Taney, Texas, 

Vernon, Warren, Washington, Wayne, 

Webster, and Wright 

Montana New West Health 

Services 

NV1, NV2 Cities of Anaconda, Choteau, Harlowton, 

Philipsburg, Polson, Shelby, Townsend, and 

Whitefish 

Nevada United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Carson City, Church Hill, 

Clark, Douglas, Elko, Esmeralda, Eureka, 

Humboldt, Lander, Lincoln, Lyon, Mineral, 

Nye, Pershing, Storey, Washoe, and White 

Pine 

New Mexico United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Bernalillo, Catron, Chaves, 

Cibola, Colfax, Curry, DeBaca, Dona Ana, 

Eddy, Grant, Guadalupe, Harding, Hidalgo, 

Lea, Lincoln, Los Alamos, Luna, McKinley, 

Mora, Otero, Quay, Rio Arriba, Roosevelt, 

San Juan, San Miguel, Sandoval, Santa Fe, 

Sierra, Socorro, Taos, Torrance, Union, and 

Valencia 

North 

Carolina 

Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Western North Carolina; and entire counties 

of Cherokee, Clay, Graham, Haywood, Hoke, 

Jackson, Macon, Scotland, and Swain 

13
State Plan Name 3 Digit Codes General Location of New Area 

North 

Carolina 

United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Alamance, Alexander, 

Alleghany, Anson, Ashe, Avery, Beaufort, 

Bertie, Bladen, Brunswick, Buncombe, 

Burke, Cabarrus, Caldwell, Carteret, Caswell, 

Catawba, Chatham, Cherokee, Chowan, Clay, 

Cleveland, Columbus, Craven, Cumberland, 

Currituck, Dare, Davidson, Davie, Duplin, 

Durham, Edgecombe, Forsyth, Gaston, Gates, 

Graham, Granville, Greene, Guilford, 

Halifax, Harnett, Haywood, Henderson, 

Hertford, Hoke, Iredell, Jackson, Johnston, 

Jones, Lee, Lenoir, Lincoln, Macon, Madison, 

Martin, McDowell, Mecklenburg, Mitchell, 

Montgomery, Moore, Nash, New Hanover, 

Northampton, Onslow, Orange, Pasquotank, 

Pender, Perquimans, Person, Pitt, Polk, 

Randolph, Richmond, Robeson, Rockingham, 

Rowan, Rutherford, Sampson, Scotland, 

Stanly, Stokes, Surry, Swain, Transylvania, 

Tyrrell, Union, Vance, Wake, Warren, 

Washington, Watauga, Wayne, Wilkes, 

Wilson, Yadkin, and Yancey 

North Dakota HealthPartners Open 

Access Deductible 

534, 535 Entire counties of Benson, Cavalier, Dickey, 

Eddy, Griggs, Kidder, Logan, Nelson, 

Ramsey, Towner, and Walsh 

Ohio United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Allen, Ashland, Ashtabula, 

Athens, Auglaize, Belmont, Carroll, 

Columbiana, Coshocton, Crawford, 

Cuyahoga, Defiance, Delaware, Erie, 

Fairfield, Fayette, Franklin, Fulton, Gallia, 

Geauga, Guernsey, Hancock, Hardin, 

Harrison, Henry, Hocking, Holmes, Huron, 

Jackson, Jefferson, Knox, Lake, Lawrence, 

Licking, Lorain, Lucas, Madison, Mahoning, 

Marion, Medina, Meigs, Mercer, Monroe, 

Morgan, Morrow, Muskingum, Nobel, 

Ottawa, Paulding, Perry, Pickaway, Pike, 

Portage, Putnam, Richland, Ross, Sandusky, 

Scioto, Seneca, Stark, Summitt, Trumbull, 

Tuscarawas, Union, Van Wert, Vinton, 

Warren, Washington., Wayne, Williams, 

Wood, and Wyandot 

Oklahoma Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire Okfuskee county 

14
State Plan Name 3 Digit Codes General Location of New Area 

Oklahoma United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Adair, Alfalfa, Atoka, 

Beaver, Beckham, Blaine, Bryan, Caddo, 

Canadian, Carter, Cherokee, Choctaw, 

Cimarron, Cleveland, Coal, Comanche, 

Cotton, Craig, Creek, Custer, Delaware, 

Dewey, Garfield, Garvin, Grady, Grant, 

Harmon, Haskell, Hughes, Jackson, Jefferson, 

Johnston, Kay, Kingfisher, Kiowa, Latimer, 

LeFlore, Lincoln, Logan, Love, Major, 

Marshall, Mayes, McClain, McCurtain, 

McIntosh, Murray, Muskogee, Noble, 

Nowata, Okfuskee, Oklahoma, Okmulgee, 

Osage, Ottawa, Pawnee, Payne, Pittsburgh, 

Pontotoc, Pottawatomie, Pushmataha, Roger 

Mills, Rogers, Seminole, Sequoyah, 

Stephens, Texas, Tillman, Tulsa, Wagoner, 

Washington, Washita, and Woodward 

Oregon United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Benton, Clackamas, 

Clatsop, Columbia, Crook, Curry, Deschutes, 

Douglas, Hood River, Jackson, Jefferson, 

Josephine, Lane, Lincoln, Linn, Malheur, 

Marion, Morrow, Multnomah, Polk, Sherman, 

Tillamook, Umatilla, Wasco, Washington, 

and Yamhill 

Pennsylvania Geisinger Health 

Plan 

GG1, GG2 Entire counties of Adams, Potter, and 

Somerset 

Rhode Island United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Bristol, Kent, Newport, 

Providence, and Washington 

South 

Carolina 

Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Abbeville, Beaufort, 

McCormick, Oconee, and Saluda 

South Dakota HealthPartners Open 

Access Deductible 

534, 535 Entire counties of Aurora, Beadle, Brown, 

Campbell, Clark, Davison, Edmunds, Faulk, 

Hand, Hyde, Jerauld, Lyman, Marshall, 

McPherson, Miner, Potter, Sanborn, Spink, 

and Walworth 

Tennessee Aetna Open Access 6J1, 6J2 Partial county of Maury as defined by the 

town of Spring Hill 

Tennessee Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire Claiborne county 

15
State Plan Name 3 Digit Codes General Location of New Area 

Tennessee United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire State of Tennessee 

Texas Aetna Open Access PU1, PU2, PU4, 

PU5 

Cities of El Paso and Corpus Christi; 

Entire counties of Aransas, Bee, El Paso, Jim 

Wells, Kleberg, and San Patricio; 

Portions of the following counties as defined 

by the towns listed below: 

Duval county: Benavides, Concepcion, and 

San Diego; 

Live Oak county: George West, Three Rivers 

and Dinero, and 

Nueces county: Agua Dulce, Banquete, 

Bishop, Chapman Ranch, Driscoll, Port 

Aransas, and Robstown 

Texas Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Clay, Hardeman, Tom 

Green, Wichita, and Wilbarger 

Utah Altius Health Plans 9K1, 9K2, 9K4, 

9K5, DK4, DK5 

Entire counties of Beaver, Daggett, 

Duchesne, Garfield, Kane, Millard, Piute, 

Rich, San Juan, Sevier, Wayne and portions 

of the following counties in these zip codes: 

Emery – 84513, 84516, 84518, 84521, 84522, 

84523, 84528, 84537; Grand – 84515, 84532 

Vermont Aetna HealthFund 

(CDHP/HDHP) 

221, 222, 224, 

225 

Entire counties of Bennington and Windham 

Washington Aetna Open Access 8J1, 8J2 Entire Mason county 

Washington United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Adams, Asotin, Benton, 

Chelan, Clallam, Clark, Columbia, Cowlitz, 

Douglas, Ferry, Franklin, Garfield, Grant, 

Grays Harbor, Island, Jefferson, King, Kitsap, 

Kittitas, Klickitat, Lewis, Lincoln, Mason, 

Okanogan, Pacific, Pend Oreille, Pierce, San 

Juan, Skagit, Skamania, Snohomish, Spokane, 

Stevens, Thurston, Wahkiakum, Walla Walla, 

Whatcom, Whitman, and Yakima 

16
State Plan Name 3 Digit Codes General Location of New Area 

Wisconsin United HealthCare 

Definity High 

Deductible Health 

Plan 

E91, E92 Entire counties of Adams, Ashland, Barron, 

Bayfield, Brown, Buffalo, Burnett, Calumet, 

Chippewa, Clark, Columbia, Crawford, Dane, 

Dodge, Door, Douglas, Dunn, Eau Claire, 

Florence, Fond Du Lac, Forest, Grant, Green, 

Green Lake, Iowa, Iron, Jackson, Jefferson, 

Juneau, Kenosha, Kewaunee, LaCrosse, 

Lafayette, Langlade, Lincoln, Manitowoc, 

Marathon, Mariette, Marquette, Menominee, 

Milwaukee, Monroe, Oconto, Oneida, 

Outagamie, Ozaukee, Pepin, Pierce, Polk, 

Portage, Price, Racine, Richland, Rock, Rusk, 

Sauk, Sawyer, Shawano, Sheboygan, St. 

Croix, Taylor, Trempealeau, Vernon, Vilas, 

Walworth, Washburn, Washington, 

Waukesha, Waupaca, Waushara, Winnebago, 

and Wood 

Wisconsin HealthPartners Open 

Access Deductible 

534, 535 Entire counties of Adams, Ashland, Bayfield, 

Clark, Grant, Iron, Juneau, Marathon, 

Portage, Price, Richland, Rusk, Sauk, Sawyer, 

Taylor, Vilas, and Wood 

17
 

TABLE 11 

PLAN NAME CHANGES 

State Plan Name (Old) 3 Digit Codes Plan Name (New) 

Nationwide Government Employees 

Hospital Association, Inc. 

311, 312, 314, 315, 

341, 342 

Government Employees 

Health Association, Inc. 

Arkansas United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Arizona United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

California United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

District of Columbia United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Florida United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Georgia United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Illinois BlueCHOICE 9G1, 9G2 Blue Preferred HMO 

Illinois United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Iowa United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Iowa Sioux Valley Health Plan AU1, AU2 

AU4, AU5 

Sanford Health Plan 

Kansas United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Louisiana United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

18
State Plan Name (Old) 3 Digit Codes Plan Name (New) 

Maryland United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Mississippi United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Missouri BlueCHOICE 9G1, 9G2 Blue Preferred HMO 

Missouri United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Nevada United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

New Mexico United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

North Carolina United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Ohio United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Oklahoma United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Oregon United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Rhode Island United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

South Dakota Sioux Valley Health Plan AU1, AU2, 

AU4, AU5 

Sanford Health Plan 

Tennessee United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

19
State Plan Name (Old) 3 Digit Codes Plan Name (New) 

Washington United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

 Wisconsin United HealthCare 

Definity High Deductible 

Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

Virginia UHC Definity High 

Deductible Health Plan 

E91, E92 UnitedHealthcare Insurance 

Company, Inc. 

 

20
TABLE 12 

CODE MERGERS 

The payroll office will automatically move enrollees into their plan’s surviving code unless 

the enrollees select another health plan during Open Season. 

State Plan Name 3 Digit Codes 

(2007) 

3 Digit Codes 

(2008) 

Nationwide Mail Handlers Benefit Plan 451, 452 454, 455 

Kansas Coventry Health Care of Kansas 7W1, 7W2, 7W4, 

7W5, 7G1, 7G2 

HA1, HA2, HA4, 

HA5, 9H1, 9H2 

21