Plan Name (Plan Code) - Enrollment Code. The Plan name depicted on the Plan Brochure; may be associated with more than one Plan Code and Plan Code Option Type.

The FEP membership cards are identified by coverage codes 104, 105, and 106 for the Standard Option and 111, 112, and 113 for the Basic Option. FEP Blue Focus ...

111, QM1. General Information - Enrollment Code - Self & Family, 112, QM2. General Information - Enrollment Code - Self Plus One, 113, QM3. General Information ...

Enrollment Codes. You'll need the full name of the health plan and the enrollment code below to enroll. Federal Employees Health Benefits (FEHB) Program. FEP ...

Enrollment Code, Bi-weekly, Monthly. Self Only (111), $113.16, $245.18. Self + 1 (113), $274.14, $593.97. Self & Family (112), $303.61, $657.82. These rates do ...

FEHB Coverage Code must be 4 (Eligible Pending) for employees who are eligible to enroll in health benefits. If IRIS 115 is not 4 (Eligible. Pending), correct ...

Shield Service Benefit Plan's 111 or 112 Basic Option codes. ... currently enrolled under code SJ for the Northern California Region must make a positive.

Basic Option, Self Only, Enrollment Code 111: Premium Rate Biweekly government share: $271.43. Biweekly your share: $95.74. Monthly government share: $588.10

The FEP membership cards are identified by coverage codes 104, 105, and 106 for the Standard Option and 111, 112, and 113 for the Basic Option. FEP Blue Focus ...

Basic Option, Self Only, Enrollment Code 111: Premium Rate Biweekly government share: $259.72. Biweekly your share: $86.67. Monthly government share: $562.73