Attachment to BAL 03-403 

TABLE 1 

PLANS DROPPING OUT OF THE FEHB PROGRAM FOR 2004 

Employees in these plans who do not change health plans during open season will not have health 

benefits for 2004. 

State Plan Name Code 

California Cigna HealthCare of California 9T 

Florida AvMed Health Plan of (North Florida) EM 

Michigan The Wellness Plan K3 

Pennsylvania Healthguard of Lancaster NQ 

Pennsylvania Health Net of Pennsylvania 2K 

Tennessee HealthSpring 6K 

Washington PacifiCare of Washington WB 

Wisconsin Group Health Cooperative of Eau Claire WT 

Nationwide Alliance Health Benefit Plan 1R

TABLE 2 

PLANS REDUCING THEIR SERVICE AREAS 

BY TERMINATING AN ENROLLMENT CODE 

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

have health benefits for 2004. 

State Plan Name Code Terminated 

Michigan Bluecare Network of Michigan G7 

TABLE 3 

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 2004. 

State Plan Name Code Area Dropped 

California Aetna Health, Inc. 2X Partial county: Riverside County - Town 

of Moreno Valley 

California Health Net of California LB Entire County: San Luis Obispo County 

Indiana Advantage Health Plan, Inc. 6Y Entire County: Delaware County 

Maryland Aetna Health, Inc. JN Entire County: Worcester County 

Michigan M-Care EG Entire Counties: Clinton, Eaton, and 

Shiawassee 

Greater portions of: Ingham and Jackson 

counties 

Tennessee Aetna Health, Inc. 6J Entire Counties: Hickman, Humphreys, 

Lawrence, Lincoln, Marshall, Maury, 

Perry, and Wayne 
TABLE 4 

NEW PLANS ENTERING THE PROGRAM FOR 2004 

State Plan Name Code General Location 

Arizona Humana CoverageFirst

(Consumer Drive Plan) 

DB City: Phoenix 

Entire County: Maricopa County

California Aetna HealthFund

(Consumer Driven Plan) 22 

Cities: Los Angeles, Sacramento, San 

Diego, and San Francisco 

Entire Counties: Alameda, Amador, 

Contra Costa, El Dorado, Fresno, Kern, 

Kings, Los Angeles, Madera, Marin, 

Merced, Monterey, Napa, Nevada, Orange, 

Placer, Riverside, Sacramento, San 

Bernardino, San Diego, San Francisco, San 

Joaquin, San Luis Obispo, Santa Barbara, 

Santa Clara, Santa Cruz, Solano, Sonoma, 

Stanislaus, Sutter, Tulare, Tuolumne, 

Ventura, Yolo, and Yuba 

Connecticut Aetna HealthFund

(Consumer Driven Plan) 22 

All of Connecticut 

DC Aetna HealthFund

(Consumer Driven Plan) 22 

Washington, DC 

Florida Humana CoverageFirst

(Consumer Drive Plan)

MQ City: Jacksonville 

Entire Counties: Alachua, Baker, 

Bradford, Clay, Columbia, Duval, Nassau, 

Putnam, St. John’s, and Union 

Florida Humana CoverageFirst

(Consumer Drive Plan)

MJ City: Tampa 

Entire Counties: Citrus, Hernando, 

Hillsborough, Manatee, Pasco, Pinellas, 

Polk, and Sarasota 

Florida Humana CoverageFirst

(Consumer Drive Plan) 

QP South Florida

Entire Counties: Broward, Dade, Indian 

River, Martin, Okeechobee, Palm Beach, 

and St. Lucie 

Georgia Aetna HealthFund

(Consumer Driven Plan) 22 

City: Atlanta 

Entire Counties: Barrow, Bartow, Butts, 

Chattooga, Cherokee, Clarke, Clayton, 

Cobb, Coweta, Dawson, DeKalb, Douglas, 

Fayette, Floyd, Forsyth, Fulton, Gordon, 

Gwinnett, Hall, Haralson, Henry, Jackson, 

Jasper, Lamar, Madison, Newton, Oconee, 

Oglethorpe, Paulding, Pickens, Pike, Polk, 

Rockdale, Spalding, and Walton 

Partial Counties: 

Banks county – Town of Commerce. 

Carroll county – Towns of Bowdon, 

Bowdon Junction, Carrollton, Mount Zion, 

Roopville, Temple, Villa Rica, and 

Whitesburg 

2
TABLE 4 CONTINUED – NEW PLANS ENTERING THE PROGRAM FOR 2004 

State Plan Name Code General Location 

Illinois Aetna HealthFund

(Consumer Driven Plan) 22 

City: Chicago 

Entire Counties: Cook, DuPage, Kane, 

Kankakee, Lake, McHenry, and Will 

Partial Counties: 

Ford County – Towns of Cabery, 

Kempton, and Piper City

Iroquois County – Towns of Ashkum, 

Beaverville, Chebanse, Clifton, Crescent 

City, Danforth, Donovan, Gilman, 

Iroquois, Martinton, Onarga, Papineau, 

Sheldon, Watseka, and Woodland 

Illinois Humana CoverageFirst

(Consumer Drive Plan) 

MW City: Chicago 

Entire Counties: Cook, DuPage, Kane, 

Kankakee, Kendall, Lake, McHenry, and 

Will 

Indiana Aetna HealthFund

(Consumer Driven Plan) 22 

Entire Counties: Lake and Porter 

Indiana Humana CoverageFirst

(Consumer Drive Plan) 

MW Entire Counties: Lake, LaPorte, and Porter 

Indiana Humana CoverageFirst 

(Consumer Drive Plan)

BM Entire Counties: Clark, Floyd, Harrison, 

Jefferson, Scott, and Washington 

Kansas Humana CoverageFirst

(Consumer Drive Plan) 

PH City: Kansas City

Entire Counties: Johnson, Leavenworth, 

Miami, and Wyandotte 

Kentucky Humana CoverageFirst

(Consumer Drive Plan)

BM City: Louisville 

Entire Counties: Allen, Barren, 

Breckinridge, Bullitt, Butler, Carroll, 

Daviess, Edmonson, Grayson, Green, 

Hancock, Hardin, Hart, Henry, Jefferson, 

Larue, Logan, Marion, Meade, Metcalfe, 

Monroe, Nelson, Oldham, Shelby, 

Simpson, Spencer, Taylor, Trimble, 

Warren, and Washington 

Kentucky Humana CoverageFirst

(Consumer Drive Plan)

L8 Entire Counties: Boone, Campbell, 

Gallatin, Grant, Kenton, and Pendleton 

Maryland Aetna HealthFund

(Consumer Driven Plan) 22 

All of Maryland 

Missouri Humana CoverageFirst

(Consumer Drive Plan) 

PH Entire Counties: Bates, Carroll, Cass, 

Clay, Henry, Jackson, Johnson, Lafayette, 

Platte, and Ray 

New Jersey Aetna HealthFund 

(Consumer Driven Plan) 22 

All of New Jersey

New York Aetna HealthFund 

(Consumer Driven Plan) 22 

City: New York City

Entire Counties: Bronx, Dutchess, Kings, 

Nassau, New York, Orange, Putnam, 

Queens, Richmond, Rockland, Suffolk, 

Sullivan, Ulster, and Westchester 

3
TABLE 4 CONTINUED – NEW PLANS ENTERING THE PROGRAM FOR 2004 

State Plan Name Code General Location 

Ohio HomeTown Health Plan MZ Cities: Akron, Canton, and Massillon 

Entire Counties: Portage, Medina, and 

Stark 

Partial Counties: Ashland, Carroll, 

Columbiana, Coshocton, Cuyahoga, 

Geauga, Guernsey, Harrison, Holmes, 

Knox, Lorain, Mahoning, Muskingum, 

Richland, Summit, Trumbull, Tuscarawas, 

and Wayne 

Ohio Humana CoverageFirst

(Consumer Drive Plan)

L8 City: Cincinnati 

Entire Counties: Adams, Brown, Butler, 

Champaign, Clark, Clermont, Clinton, 

Greene, Hamilton, Miami, Montgomery,

Preble, and Warren 

Pennsylvania Aetna HealthFund

(Consumer Driven Plan) 22 

City: Philadelphia 

Entire Counties: Berks, Bucks, Chester, 

Delaware, Monroe, and Montgomery

Tennessee Humana CoverageFirst

(Consumer Drive Plan) 

L6 City: Memphis 

Entire Counties: Dyer, Fayette, Gibson, 

Haywood, Lauderdale, Shelby, and Tipton 

Texas Humana CoverageFirst

(Consumer Drive Plan)

TV City: Austin 

Entire Counties: Bastrop, Bell, Bosque, 

Burleson, Burnet, Caldwell, Coryell, 

Falls, Hamilton, Hays, Lampasas, Lee, 

Limestone, McLennan, Milam, Robertson, 

Travis, and Williamson 

Texas Humana CoverageFirst

(Consumer Drive Plan)

TP City: Corpus Christi 

Entire Counties: Bee, Brooks, Cameron, 

DeWitt, Duval, Goliad, Hidalgo, Jim

Hogg, Jim Wells, Kenedy, Kleberg, Live 

Oak, Nueces, Refugio, San Patricio, Starr, 

Victoria, Willacy, and Zapata 

Texas Humana CoverageFirst

(Consumer Drive Plan) 

T8 City: Dallas 

Entire Counties: Collin, Cooke, Dallas, 

Denton, Ellis, Grayson, Hill, Hood, Hunt, 

Johnson, Kaufman, Navarro, Parker, 

Rockwall, Somervell, Tarrant, and Wise 

Texas Humana CoverageFirst

(Consumer Drive Plan) 

T2 City: Houston 

Entire Counties: Austin, Brazoria, 

Chambers, Colorado, Fayette, Fort Bend, 

Galveston, Grimes, Hardin, Harris, 

Jefferson, Liberty, Madison, Montgomery,

Orange, Waller, Washington, and 

Wharton 

Texas Humana CoverageFirst

(Consumer Drive Plan) 

TU City: San Antonio 

Entire Counties: Atascosa, Bandera, 

Bexar, Blanco, Comal, Frio, Gonzales, 

Guadalupe, Karnes, Kendall, Medina, 

Uvalde, Webb, and Wilson 

4
TABLE 4 CONTINUED – NEW PLANS ENTERING THE PROGRAM FOR 2004 

State Plan Name Code General Location 

Virginia Aetna HealthFund

(Consumer Driven Plan) 22 

Cities: Alexandria, Charlottesville, 

Colonial Heights, Fairfax, Falls Church, 

Fredericksburg, Hopewell, Manassas, 

Manassas Park, Petersburg, Richmond, 

and Winchester 

Entire Counties: Albemarle, Amelia, 

Arlington, Caroline, Charles City, 

Charlotte, Chesterfield, Cumberland, 

Dinwiddie, Fairfax, Fauquier, Fluvanna, 

Goochland, Hanover, Henrico, King 

George, King William, Lunenburg, 

Nelson, New Kent, Nottoway, Powhatan, 

Prince Edward, Prince George, Prince 

William, Spotsylvania, Stafford, and 

Westmoreland 

Partial County: Buckingham county – 

Towns of Arvonia, Buckingham, Dillwyn, 

and New Canton 

Washington Aetna HealthFund

(Consumer Driven Plan) 22 

City: Seattle 

Entire Counties: Clallam, Cowlitz, Grays 

Harbor, Island, Jefferson, King, Kitsap, 

Lewis, Mason, Pacific, Pierce, San Juan, 

Skagit, Snohomish, Thurston, and 

Whatcom

Wisconsin Humana CoverageFirst

(Consumer Drive Plan) 

FB City: Milwaukee 

Entire Counties: Dodge, Fond du Lac, 

Green, Jefferson, Kenosha, Manitowoc, 

Milwaukee, Ozaukee, Racine, Rock, 

Sheboygan, Walworth, Washington, and 

Waukesha 

TABLE 5 

SERVICE AREA EXPANSIONS WITH NEW ENROLLMENT CODES 

State Plan Name New Code General Location 

Nevada Aetna Health, Inc. Y1 City: Las Vegas 

Entire County: Clark County

Partial County: Nye County – Town 

of Pahrump 

5
TABLE 5 CONTINUED - SERVICE AREA EXPANSIONS WITH NEW ENROLLMENT CODES 

State Plan Name New

Code 

General Location 

Oklahoma Aetna Health, Inc. SL Cities: Oklahoma City and Tulsa 

Entire Counties: Cleveland, 

Oklahoma, Pottawatomie, Rogers, and 

Tulsa 

Partial Counties: 

Canadian County – Towns of: 

Concho, El Reno, Mustang, Piedmont, 

Union City, and Yukon 

Grady County – Towns of: 

Amber, Minco, and Tuttle 

Lincoln County – Towns of: Fallis, 

Jacktown, Meeker, Midway, Payson, 

Sparks, and Wellston 

Logan County – Towns of: Cedar 

Valley, Coyle, Guthrie, Meridian, 

Mulhall, Navina, and Seward 

McClain County – Towns of: 

Blanchard, Byars, Cole, Criner, 

Dibble, Goldsby, Newcastle, Purcell, 

Rosedale, and Washington 

Creek County – Towns of: 

Kellyville, Kiefer, Mounds, and 

Sapulpa 

Osage County – Towns of: Osage, 

Prue, and Skiatook 

Wagoner County – Towns of: 

Choska, Coweta, Fair Oaks, New 

Tulsa, and Oneta 

Pennsylvania Aetna Health, Inc. YE City: Pittsburgh 

Entire Counties: Allegheny, 

Armstrong, Beaver, Blair, Butler, 

Cambria, Clarion, Fayette, Greene, 

Lawrence, Somerset, Washington, 

and Westmoreland 

Pennsylvania HealthAmerica VJ Entire Counties: Cameron, Elk, 

Jefferson, and McKean 

Pennsylvania HealthAmerica 4N Entire Counties: Carbon, Lackawanna, 

Monroe, Pike, Susquehanna, Wayne, 

and Wyoming 

Texas Aetna Health, Inc. P1 Cities: Austin and San Antonio 

Entire Counties: Atascosa, Bexar, 

Medina, Travis, Williamson, and 

Wilson 

Partial Counties:

Bastrop County – Town of Bastrop 

Hays County – Towns of: Buda, 

Driftwood, Dripping Springs, Kyle, 

San Marcos, and Wimberley

6
TABLE 5 CONTINUED - SERVICE AREA EXPANSIONS WITH NEW ENROLLMENT CODES 

State Plan Name New Code General Location 

Texas Aetna Health, Inc. P1 

(Cont’d.) 

Partial Counties Cont’d.:

Comal County – Towns of: 

Bulverde, Canyon Lake, New 

Braunfels, and Spring Branch 

Guadalupe County – Towns of: 

Cibolo Geronimo, Marion, 

McQueeney, Schertz, Seguin, and 

Staples 

Kendall County – Towns of: 

Boerne and Waring 

Texas Aetna Health, Inc. PU Cities: Dallas, Ft. Worth, and 

Houston 

Entire Counties: Austin, Brazoria, 

Chambers, Collin, Colorado, Cooke, 

Dallas, Delta, Denton, Ellis, Erath, 

Fannin, Fort Bend, Galveston, 

Grayson, Grimes, Hardin, Harris, 

Hood, Hopkins, Hunt, Jefferson, 

Johnson, Kaufman, Liberty,

Matagorda, Montgomery, Navarro, 

Orange, Palo Pinto, Parker, Rains, 

Rockwall, San Jacinto, Somervell, 

Tarrant, Walker, Waller, Wharton, 

and Wise 

Partial Counties:

Henderson County – Town of 

Mabank 

Hill County – Towns of: Covington 

and Itasca 

Van Zandt County – Towns of: 

Canton, Edgewood, Fruitvale, Grand 

Saline, and Wills Point 

TABLE 6 

SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT CODES 

State Plan Name Code General Location of New Area 

Alabama HealthSpring of Alabama, Inc. DF Entire Counties: Etowah, Fayette, 

Lawrence, Madison, Marshall, Morgan, 

Pickens, and Tuscaloosa 

California Aetna Health, Inc. 2X City: San Diego 

Entire Counties: 

San Diego and San Luis Obispo 

Illinois Health Alliance HMO FX Entire Counties: Bureau, Carroll, Lee, 

Ogle, Peoria, Tazewell, Whiteside, and 

Woodford 

7
TABLE 6 CONTINUED - SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT 

CODES 

State Plan Name Code General Location of New Area 

Illinois PersonalCare GE Entire County: Will County

Iowa Coventry Health Care of Iowa, Inc. SV Entire Counties: Adair, Wayne, Butler, 

Carroll, and Greene 

Iowa Sioux Valley Health Plan AU The Northwest Iowa Counties: Clay, 

Dickenson, Emmet, Lyon, O’Brien, 

Osceola, and Sioux 

Iowa Health Alliance HMO FX Entire Counties: Dallas, Jasper, and 

Polk 

Kansas Coventry of Kansas 7W Entire Counties: Lyon and 

Montgomery

Kansas Coventry of Kansas HA Entire Counties: Allen, Bourbon, 

Crawford, Cherokee, Labette, and 

Neosho 

Louisiana Vantage Health Plan, Inc. MV Parishes of: Shreveport/Alexandria 

Area, Claiborne, and Natchitoches 

Minnesota Health Partners Classic 53 Entire Counties: Anoka, Benton, 

Carver, Chicago, Dakota, Dodge, 

Fillmore, Goodhue, Hennepin, Houston, 

Isanti, LeSueur, McLeod, Meeker, Mille 

Lacs, Morrison, Olmsted, Ramsey, Rice, 

Scott, Sherburne, Stearns, Steele, 

Wabasha, Washington, Winona, and 

Wright 

Partial counties: Douglas and Todd 

Minnesota Avera Health Plan, Inc. AV Entire County: Lincoln County

Montana New West Health Plan NV Kalispell Geographic Service Area 

New York MVP Healthcare M9 Entire Counties: Cayuga and Oswego 

Oklahoma PacifiCare of Oklahoma 2N Entire County: Logan County

Pennsylvania HealthAmerica SW Entire Counties: Clearfield, Lehigh, 

and Northampton 

South Dakota Avera Health Plan, Inc. AV Entire County: Day County

Tennessee Aetna Health, Inc. 6J Entire County: Montgomery (Nashville 

area) 

Virginia Aetna Health, Inc. JN Virginia Cities: Colonial Heights, 

Hopewell, Petersburg, and Richmond 

Entire Counties: Amelia, Charles City, 

Charlotte, Chesterfield, Cumberland, 

Dinwiddie, Goochland, Hanover, 

Henrico, King William, Lunenburg, 

New Kent, Nottoway, Powhatan, Prince 

Edward, Prince George, Surry, and 

Sussex 

Partial Counties:

Buckingham County – Towns of: 

Arvonia, Buckingham, Dillwyn, and 

New Canton 

8
TABLE 6 CONTINUED - SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT 

CODES 

State Plan Name Code General Location of New Area 

Virginia MDIPA JP Entire Counties: Charlotte, Fluvanna, 

Lunenburg, Prince Edward, and 

Rockingham

City of: Harrisonburg 

Washington KPS Health Plan VT Entire Counties: Clark, Cowlitz, 

Island, Lewis, Pacific, San Juan, 

Skagit, Skamania, Snohomish, 

Wahkiakum, and Whatcom

West Virginia Health Plan of the Upper Ohio Valley U4 Entire County: Randolph County

Wisconsin Health Partners Classic 53 Entire Counties: Buffalo, Dunn, 

LaCrosse, Pepin, Pierce, Polk, St. 

Croix, and Trempealeau 

Wyoming WinHealth Partners PV Entire Counties: Albany, Niobrara, 

Uinta, and Lincoln 

TABLE 7 

PLAN NAME CHANGES 

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

Alabama The Oath – A Health Plan of Alabama DF Health Spring of Alabama, Inc. 

California Health Net LB Health Net of California 

Florida Foundation Health 5E Vista Healthplan of South Florida 

Idaho Group Health Cooperative of Puget 

Sound 

54, VR Group Health Cooperative 

Washington Group Health Cooperative of Puget 

Sound 

54, VR Group Health Cooperative 

TABLE 8 

PLANS ADDING A NEW OPTION 

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

Option. 

State Plan Name Code New Option 

Idaho Group Health Cooperative 54, VR Standard Option 

Iowa Sioux Valley Health Plan AU Standard Option 

Minnesota Health Partners Classic 

Plan 

53 Standard Option

New York (Burroughs of NYC) 

Entire Counties: Nassau, Suffolk, 

Rockland, and Westchester 

GHI Health Plan 80 Standard Option

Pennsylvania HealthAmerica SW, 26, VJ, 4N Standard Option 

South Dakota Sioux Valley Health Plan AU Standard Option 

Washington Group Health Cooperative 54, VR Standard Option 

Washington KPS Health Plan** L1 Standard Option 

Wisconsin Health Partners Classic 

Plan 

53 Standard Option

**Enrollees in KPS Health Plan who wish to remain in the Standard Option must enroll in code L1 

during open season. 

9
TABLE 9 

PLANS DROPPING AN OPTION 

Members will automatically be moved to the new Standard Option (Self-only or Self and Family 

coverage), unless they change to another plan during Open Season. 

State Plan Name Code Dropped Option 

Colorado PacifiCare of Colorado D6 High Option 

TABLE 10 

PLANS WITH NEW CONTRACT NUMBER 

State Plan Name New Contract Number Code 

Arizona PacifiCare Desert Region 2884 A3 

Nevada PacifiCare Desert Region 2884 K9 

Oklahoma PacifiCare Southwest Region 2885 2N 

Oregon PacifiCare of Oregon 2886 7Z 

Texas PacifiCare Southwest Region 2885 GF 

TABLE 11 

PLANS ADDING A POINT OF SERVICE PRODUCT 

State Plan Name Code General Location 

Washington KPS Health Plan L1, VT All of Western Washington 

TABLE 12 

PLAN MERGERS 

Enrollees in code RK and live in Gainesville or Tallahassee must make an enrollment change to the 

new code for their service area or elect another health plan during the open season. (See Table 14) 

State Merging Plans Codes Surviving Plan Surviving Codes 

Florida Healthplan Southeast (RK) 

merged w/Vista Healthplan (3N) 

RK, 3N Vista 

Healthplan 

3N, RK, 

UL (new), Y9 

(new) 

TABLE 13 

CODE MERGERS 

State Plan Name Code (2003) Code (2004) 

Louisiana Vantage Health Plan MV, AQ MV 

10
TABLE 14 

PLANS SPLITTING A SERVICE AREA 

Enrollees in these plans under the 2003 enrollment code shown below should check their plan 

brochure to determine which 2004 code they should be under. 

State Plan Name Code (2003) Code (2004) 

Florida * Vista Healthplan RK RK, UL, Y9 

Pennsylvania ** HealthAmerica SW, 26 SW, 26, 4N, VJ 

*Healthplan Southeast is now Vista Healthplan. Healthplan Southeast members should carefully read the 

brochure for benefit changes. If you are enrolled in RK1 or RK2 and live in Gainesville or Tallahassee, 

you must select a new enrollment code during Open Season even if you choose to stay with Vista 

Healthplan. The new enrollment code for Gainesville is UL and the new enrollment code for Tallahassee 

is Y9. Your agency will not automatically transfer you to the new Vista Healthplan enrollment code for 

your area. You will pay a higher premium, if you do not switch to the new enrollment code. (See Table 

12) 

**HealthAmerica HMO is offering Standard Option coverage for the first time for 2004. If you were 

enrolled in this plan during 2003, we now call that option the High Option coverage. We have also split 

our service area into 4 separate enrollment codes for 2004. Your service area will determine how much 

premium you pay. If you do not enroll in the right service area, you will pay a higher premium. 

Carefully review the service area information that appears in Section 1, “Facts About This HMO Plan”, in 

your brochure to determine your new enrollment code for 2004. Your correct enrollment code is based on 

the county where you live and whether you want the High Option or Standard Option coverage. Payroll 

offices will automatically move all current SW1 and SW2 enrollees to the High Option and higher 

premium 4N1 and 4N2. If you do not take any action during Open Season, you will pay the higher 

premium rate. If you are in SW1 or SW2, you should carefully review your enrollment options and make 

an Open Season selection. Enrollees who are currently in 261 or 262 and should be in VJ1 or VJ2 for 

2004 must make a change during Open Season or pay the higher premium. 

Updated November 17, 2003 

11