Attachment 1 - 2011 CAHPS FEHB Sub-Code List
1
Guide Name Carrier Code Carrier Subcode
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-AA-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-AZ-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-CA-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-DC-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-FL-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-IL-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-MD-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-TX-001
Blue Cross and Blue Shield Service Benefit Plan 10 10-FFS-VA-001
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-AA-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-AZ-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-CA-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-DC-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-FL-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-IL-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-MD-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-TX-004
Blue Cross and Blue Shield Service Benefit Plan 11 11-FFS-VA-004
Aetna HealthFund 22 22-HMO-AK-002
Aetna HealthFund 22 22-HMO-AK-003
Aetna HealthFund 22 22-HMO-AL-002
Aetna HealthFund 22 22-HMO-AL-003
Aetna HealthFund 22 22-HMO-AR-002
Aetna HealthFund 22 22-HMO-AR-003
Aetna HealthFund 22 22-HMO-AZ-002
Aetna HealthFund 22 22-HMO-AZ-003
Aetna HealthFund 22 22-HMO-CA-002
Aetna HealthFund 22 22-HMO-CA-003
Aetna HealthFund 22 22-HMO-CO-002
Aetna HealthFund 22 22-HMO-CO-003
Aetna HealthFund 22 22-HMO-CT-002
Aetna HealthFund 22 22-HMO-CT-003
Aetna HealthFund 22 22-HMO-DC-002
Aetna HealthFund 22 22-HMO-DC-003
Aetna HealthFund 22 22-HMO-DE-002
Aetna HealthFund 22 22-HMO-DE-003
Aetna HealthFund 22 22-HMO-FL-002
Aetna HealthFund 22 22-HMO-FL-003
Aetna HealthFund 22 22-HMO-GA-002
Aetna HealthFund 22 22-HMO-GA-003
Aetna HealthFund 22 22-HMO-HI-002
Aetna HealthFund 22 22-HMO-HI-003
Aetna HealthFund 22 22-HMO-IA-002
Aetna HealthFund 22 22-HMO-IA-003
Aetna HealthFund 22
22-HMO-ID-002
Aetna HealthFund 22 22-HMO-ID-003
Aetna HealthFund 22 22-HMO-IL-002
Aetna HealthFund 22 22-HMO-IL-003
Aetna HealthFund 22 22-HMO-IN-002
Aetna HealthFund 22 22-HMO-IN-003
Aetna HealthFund 22 22-HMO-KS-002
Aetna HealthFund 22 22-HMO-KS-003
Aetna HealthFund 22 22-HMO-KY-002
Aetna HealthFund 22 22-HMO-KY-003
Aetna HealthFund 22 22-HMO-LA-002
Aetna HealthFund 22 22-HMO-LA-003
Aetna HealthFund 22 22-HMO-MA-002
Aetna HealthFund 22 22-HMO-MA-003
Aetna HealthFund 22 22-HMO-MD-002
Aetna HealthFund 22 22-HMO-MD-003
Aetna HealthFund 22 22-HMO-ME-002
Aetna HealthFund 22 22-HMO-ME-003
Aetna HealthFund 22 22-HMO-MI-002
Attachment 1 - 2011 CAHPS FEHB Sub-Code List
2
Guide Name Carrier Code Carrier Subcode
Aetna HealthFund 22 22-HMO-MI-003
Aetna HealthFund 22 22-HMO-MN-002
Aetna HealthFund 22 22-HMO-MN-003
Aetna HealthFund 22 22-HMO-MO-002
Aetna HealthFund 22 22-HMO-MO-003
Aetna HealthFund 22 22-HMO-MS-002
Aetna HealthFund 22 22-HMO-MS-003
Aetna HealthFund 22 22-HMO-MT-002
Aetna HealthFund 22 22-HMO-MT-003
Aetna HealthFund 22 22-HMO-NC-002
Aetna HealthFund 22 22-HMO-NC-003
Aetna HealthFund 22 22-HMO-ND-002
Aetna HealthFund 22 22-HMO-ND-003
Aetna HealthFund 22 22-HMO-NE-002
Aetna HealthFund 22 22-HMO-NE-003
Aetna HealthFund 22 22-HMO-NH-002
Aetna HealthFund 22 22-HMO-NH-003
Aetna HealthFund 22 22-HMO-NJ-002
Aetna HealthFund 22 22-HMO-NJ-003
Aetna HealthFund 22 22-HMO-NM-002
Aetna HealthFund 22 22-HMO-NM-003
Aetna HealthFund 22 22-HMO-NV-002
Aetna HealthFund 22 22-HMO-NV-003
Aetna HealthFund 22 22-HMO-NY-002
Aetna HealthFund 22 22-HMO-NY-003
Aetna HealthFund 22 22-HMO-OH-002
Aetna HealthFund 22 22-HMO-OH-003
Aetna HealthFund 22 22-HMO-OK-002
Aetna HealthFund 22 22-HMO-OK-003
Aetna HealthFund 22 22-HMO-OR-002
Aetna HealthFund 22 22-HMO-OR-003
Aetna HealthFund 22 22-HMO-PA-002
Aetna HealthFund 22 22-HMO-PA-003
Aetna HealthFund 22 22-HMO-RI-002
Aetna HealthFund 22 22-HMO-RI-003
Aetna HealthFund 22 22-HMO-SC-002
Aetna HealthFund 22 22-HMO-SC-003
Aetna HealthFund 22 22-HMO-SD-002
Aetna HealthFund 22 22-HMO-SD-003
Aetna HealthFund 22 22-HMO-TN-002
Aetna HealthFund 22 22-HMO-TN-003
Aetna HealthFund 22 22-HMO-TX-002
Aetna HealthFund 22 22-HMO-TX-003
Aetna HealthFund 22 22-HMO-UT-002
Aetna HealthFund 22 22-HMO-UT-003
Aetna HealthFund 22 22-HMO-VA-002
Aetna HealthFund 22 22-HMO-VA-003
Aetna HealthFund 22
22-HMO-VT-002
Aetna HealthFund 22 22-HMO-VT-003
Aetna HealthFund 22 22-HMO-WA-002
Aetna HealthFund 22 22-HMO-WA-003
Aetna HealthFund 22 22-HMO-WI-002
Aetna HealthFund 22 22-HMO-WI-003
Aetna HealthFund 22 22-HMO-WV-002
Aetna HealthFund 22 22-HMO-WV-003
Aetna HealthFund 22 22-HMO-WY-002
Aetna HealthFund 22 22-HMO-WY-003
HealthAmerica Pennsylvania 26 26-HMO-PA-000
GEHA Benefit Plan 31 31-FFS-AA-000
GEHA Benefit Plan 31 31-FFS-AA-001
NALC 32 32-FFS-AA-000
GEHA High Deductible Health Plan 34 34-FFS-AA-002
Rural Carrier Benefit Plan 38 38-FFS-AA-000
Foreign Service Benefit Plan 40 40-FFS-AA-000
Attachment 1 - 2011 CAHPS FEHB Sub-Code List
3
Guide Name Carrier Code Carrier Subcode
Mail Handlers Benefit Plan Value 41 41-FFS-AA-001
Compass Rose Health Plan 42 42-FFS-AA-000
Panama Canal Area Benefit Plan 43 43-FFS-AA-000
SAMBA 44 44-FFS-AA-000
SAMBA 44 44-FFS-AA-001
Mail Handlers Benefit Plan 45 45-FFS-AA-001
APWU Health Plan 47 47-FFS-AA-000
APWU Health Plan 47 47-FFS-AA-03
Mail Handlers Benefit Plan Consumer Option 48 48-FFS-AA-002
HIP of Greater New York 51 51-HMO-NY-000
HIP of Greater New York 51 51-HMO-NY-001
Health Alliance Plan 52 52-HMO-MI-000
Group Health Cooperative 54 54-HMO-ID-000
Group Health Cooperative 54 54-HMO-ID-001
Group Health Cooperative 54 54-HMO-WA-000
Group Health Cooperative 54 54-HMO-WA-001
Kaiser Foundation Health Plan of Northwest 57 57-HMO-OR-000
Kaiser Foundation Health Plan of Northwest 57 57-HMO-OR-001
Kaiser Foundation Health Plan of Northwest 57 57-HMO-WA-000
Kaiser Foundation Health Plan of Northwest 57 57-HMO-WA-001
Kaiser Foundation Health Plan of California 59 59-HMO-CA-000
Kaiser Foundation Health Plan of California 59 59-HMO-CA-001
Kaiser Foundation Health Plan of California 62 62-HMO-CA-000
Kaiser Foundation Health Plan of California 62 62-HMO-CA-001
Kaiser Foundation Health Plan of Hawaii 63 63-HMO-HI-000
Kaiser Foundation Health Plan of Hawaii 63 63-HMO-HI-001
Kaiser Foundation Health Plan of Ohio 64 64-HMO-OH-000
Kaiser Foundation Health Plan of Ohio 64 64-HMO-OH-001
Kaiser Foundation Health Plan of Colorado 65 65-HMO-CO-000
Kaiser Foundation Health Plan of Colorado 65 65-HMO-CO-001
Humana Health Plan Inc. 75 75-HMO-IL-000
Humana Health Plan Inc. 75 75-HMO-IL-001
Humana Health Plan Inc. 75 75-HMO-IN-000
Humana Health Plan Inc. 75 75-HMO-IN-001
Union Health Service 76 76-HMO-IL-000
GHI Health Plan 80 80-POS-NJ-000
GHI Health Plan 80 80-POS-NJ-001
GHI Health Plan 80 80-POS-NY-000
GHI Health Plan 80 80-POS-NY-001
Triple-S Salud, Inc. 85 85-POS-VI-000
HMSA 87 87-POS-HI-000
Triple-S Salud, Inc. 89 89-POS-PR-000
Piedmont Community Healthcare 2C 2C-POS-VA-000
CareFirst BlueChoice 2G 2G-HMO-DC-000
CareFirst BlueChoice 2G
2G-HMO-MD-000
CareFirst BlueChoice 2G 2G-HMO-VA-000
Aetna Open Access 2U 2U-HMO-GA-000
Aetna Open Access 2X 2X-HMO-CA-000
AultCare HMO 3A 3A-HMO-OH-000
AultCare HMO/HDHP 3A 3A-HMO-OH-002
Vista Healthplan of South Florida 5E 5E-HMO-FL-000
Vista Healthplan of South Florida 5E 5E-HMO-FL-001
Humana CoverageFirst 6N 6N-HMO-KY-003
GHI HMO Select 6V 6V-HMO-NY-000
UPMC Health Plan 8W 8W-HMO-PA-000
Humana Benefit Plan of Illinois, Inc. formerly OSF 9F 9F-HMO-IL-000
Blue Preferred Plus POS 9G 9G-HMO-IL-000
Blue Preferred Plus POS 9G 9G-HMO-MO-000
Coventry Health Care of Kansas (Kansas City)-HDHP 9H 9H-HMO-KS-002
Coventry Health Care of Kansas (Kansas City)-HDHP 9H 9H-HMO-MO-002
Altius Health Plans 9K 9K-HMO-ID-000
Altius Health Plans 9K 9K-HMO-UT-000
Optima Health Plan 9R 9R-HMO-VA-000
Attachment 1 - 2011 CAHPS FEHB Sub-Code List
4
Guide Name Carrier Code Carrier Subcode
Optima Health Plan 9R 9R-HMO-VA-001
Physicians Health Plan of Mid-Michigan 9U 9U-HMO-MI-001
Health Net of Arizona, Inc. A7 A7-HMO-AZ-000
Health Net of Arizona, Inc. A7 A7-HMO-AZ-001
Humana Benefit Plan of Illinois, Inc.,formerly OSF AB AB-HMO-IL-001
Humana CoverageFirst AD AD-HMO-GA-003
Sanford Health Plan AU AU-POS-IA-000
Sanford Health Plan AU AU-POS-IA-001
Sanford Health Plan AU AU-POS-SD-000
Sanford Health Plan AU AU-POS-SD-001
United Healthcare of the Midwest, Inc. B9 B9-HMO-IL-000
United Healthcare of the Midwest, Inc. B9 B9-HMO-MO-000
Coventry Health Care of Louisiana BJ BJ-HMO-LA-000
Coventry Health Care of Louisiana BJ BJ-HMO-LA-001
Humana Employers Health of Georgia, Inc. CB CB-HMO-GA-000
Humana Employers Health of Georgia, Inc. CB CB-HMO-GA-001
Firstcare CK CK-HMO-TX-000
PacifiCare of California CY CY-HMO-CA-000
Humana Employers Health of Georgia, Inc. DG DG-HMO-GA-000
Humana Employers Health of Georgia, Inc. DG DG-HMO-GA-001
QualChoice DH DH-HMO-AR-000
QualChoice DH DH-HMO-AR-001
Altius Health Plans DK DK-HMO-ID-001
Altius Health Plans DK DK-HMO-UT-001
Altius Health Plans DK DK-HMO-WY-001
Humana Employers Health of Georgia, Inc. DN DN-HMO-GA-000
Humana Employers Health of Georgia, Inc. DN DN-HMO-GA-001
Physicians Health Plan of Northern Indiana DQ DQ-HMO-IN-000
Kaiser Foundation Health Plan Mid-Atlantic States E3 E3-HMO-DC-000
Kaiser Foundation Health Plan Mid-Atlantic States E3 E3-HMO-DC-001
Kaiser Foundation Health Plan Mid-Atlantic States E3 E3-HMO-MD-000
Kaiser Foundation Health Plan Mid-Atlantic States E3 E3-HMO-MD-001
Kaiser Foundation Health Plan Mid-Atlantic States E3 E3-HMO-VA-000
Kaiser Foundation Health Plan Mid-Atlantic States E3 E3-HMO-VA-001
Capital Health Plan EA EA-HMO-FL-000
Humana, Inc. EE EE-HMO-FL-000
Humana, Inc. EE EE-HMO-FL-001
MercyCare HMO EY EY-HMO-WI-000
Kaiser Foundation Health Plan of Georgia, Inc. F8 F8-HMO-GA-000
Kaiser Foundation Health Plan of Georgia, Inc. F8 F8-HMO-GA-001
Health Alliance HMO FX FX-HMO-IA-000
Health Alliance HMO FX FX-HMO-IL-000
Health Alliance HMO FX FX-HMO-IN-000
MVP Health Care GA GA-HMO-NY-000
MVP Health Care GA
GA-HMO-NY-001
Pacificare of Texas GF GF-HMO-TX-000
Geisinger Health Plan GG GG-HMO-PA-000
MVP Health Care - Western Region GV GV-HMO-NY-000
MVP Health Care - Western Region GV GV-HMO-NY-001
Kaiser Foundation Health Plan of Georgia Inc. HDHP GW GW-HMO-GA-002
Coventry Health Care HDHP GZ GZ-HMO-MD-002
Bluecare Network of MI H6 H6-HMO-MI-000
Coventry Health Care of Kansas HA HA-HMO-KS-000
Coventry Health Care of Kansas HA HA-HMO-KS-001
Coventry Health Care of Kansas HA HA-HMO-MO-000
Coventry Health Care of Kansas HA HA-HMO-MO-001
Coventry Health Care IG IG-HMO-MD-000
Coventry Health Care IG IG-HMO-MD-001
Aetna Open Access IK IK-HMO-IL-000
Aetna Open Access IK IK-HMO-IN-000
Globalhealth, Inc. IM IM-HMO-OK-000
Bluecare Network of MI J3 J3-HMO-MI-000
Aetna Open Access JC JC-HMO-NY-000
Attachment 1 - 2011 CAHPS FEHB Sub-Code List
5
Guide Name Carrier Code Carrier Subcode
Aetna Open Access JC JC-HMO-NY-004
Fallon Community Health Plan JG JG-HMO-MA-004
TakeCare JK JK-HMO-GU-000
TakeCare JK JK-HMO-GU-001
Aetna Open Access JN JN-HMO-DC-000
Aetna Open Access JN JN-HMO-DC-004
Aetna Open Access JN JN-HMO-MD-000
Aetna Open Access JN JN-HMO-MD-004
Aetna Open Access JN JN-HMO-VA-000
Aetna Open Access JN JN-HMO-VA-004
M.D. IPA JP JP-HMO-DC-000
M.D. IPA JP JP-HMO-MD-000
M.D. IPA JP JP-HMO-VA-000
Aetna Open Access JR JR-HMO-NJ-000
Aetna Open Access JR JR-HMO-NJ-004
Bluecare Network of MI K5 K5-HMO-MI-000
Bluegrass Family Health KV KV-HMO-IN-002
Bluegrass Family Health KV KV-HMO-KY-002
TakeCare KX KX-HMO-GU-002
KPS Health Plans L1 L1-HMO-WA-001
KPS Health Plans L1 L1-HMO-WA-002
HMO Health Ohio L4 L4-HMO-OH-000
Health Net of California LB LB-HMO-CA-000
Health Net of California LB LB-HMO-CA-001
Humana, Inc. LL LL-HMO-FL-000
Humana, Inc. LL LL-HMO-FL-001
Humana CoverageFirst LM LM-HMO-GA-003
Health Net of California LP LP-HMO-CA-000
Health Net of California LP LP-HMO-CA-001
Physicians Plus LW LW-HMO-WI-000
Bluecare Network of MI LX LX-HMO-MI-000
Medica Health Plan M2 M2-HMO-MN-000
Anthem Blue Cross - HMO M5 M5-HMO-CA-000
MVP Health Care M9 M9-HMO-NY-000
MVP Health Care M9 M9-HMO-NY-001
MVP Health Care MF MF-HMO-NY-000
MVP Health Care MF MF-HMO-NY-001
Humana Health Plan, Inc. MH MH-HMO-IN-000
Humana Health Plan, Inc. MH MH-HMO-IN-001
Humana Health Plan, Inc. MH MH-HMO-KY-000
Humana Health Plan, Inc. MH MH-HMO-KY-001
Humana Health Plan, Inc. MI MI-HMO-KY-000
Humana Health Plan, Inc. MI MI-HMO-KY-001
Humana CoverageFirst MJ MJ-HMO-FL-003
Blue Choice MK
MK-HMO-NY-000
Blue Choice MK MK-HMO-NY-001
Av-Med Health Plan ML ML-HMO-FL-000
Av-Med Health Plan ML ML-HMO-FL-001
Humana Health Plan, Inc. MS MS-HMO-KS-000
Humana Health Plan, Inc. MS MS-HMO-KS-001
Humana Health Plan, Inc. MS MS-HMO-MO-000
Humana Health Plan, Inc. MS MS-HMO-MO-001
Humana CoverageFirst MW MW-HMO-IL-003
Humana CoverageFirst MW MW-HMO-IN-003
MVP Health Care MX MX-HMO-NY-000
MVP Health Care MX MX-HMO-NY-001
Health Plan of Nevada NM NM-HMO-NV-000
New West Health Services NV NV-HMO-MT-000
New West Health Services NV NV-HMO-MT-001
Aetna Open Access P1 P1-HMO-TX-000
Presbyterian Health Plan P2 P2-HMO-NM-000
Aetna Open Access P3 P3-HMO-DE-000
Aetna Open Access P3 P3-HMO-DE-004
Attachment 1 - 2011 CAHPS FEHB Sub-Code List
6
Guide Name Carrier Code Carrier Subcode
Aetna Open Access P3 P3-HMO-NJ-000
Aetna Open Access P3 P3-HMO-NJ-004
Aetna Open Access P3 P3-HMO-PA-000
Aetna Open Access P3 P3-HMO-PA-004
Humana CoverageFirst PH PH-HMO-KS-003
Humana CoverageFirst PH PH-HMO-MO-003
Lovelace Health Plan Q1 Q1-HMO-NM-000
Univera Healthcare Q8 Q8-HMO-NY-000
Independent Health Assoc QA QA-HMO-NY-000
Humana CoverageFirst QP QP-HMO-FL-003
Grand Valley Health Plan RL RL-HMO-MI-000
Grand Valley Health Plan RL RL-HMO-MI-001
Heart of America Health Plan RU RU-HMO-ND-000
SelectHealth SF SF-HMO-UT-000
CDPHP Universal Benefits, Inc. SG SG-HMO-NY-000
CDPHP Universal Benefits, Inc. SG SG-HMO-NY-001
Blue Shield of CA Access+HMO SI SI-HMO-CA-000
Coventry Health Care of Iowa SV SV-HMO-IA-000
Coventry Health Care of Iowa SV SV-HMO-IA-002
HealthAmerica Pennsylvania SW SW-HMO-PA-000
Coventry Health Care of Iowa SY SY-HMO-IA-001
Humana CoverageFirst TP TP-HMO-TX-003
Humana CoverageFirst TU TU-HMO-TX-003
Humana CoverageFirst TV TV-HMO-TX-003
The Health Plan of the Upper Ohio Valley U4 U4-HMO-OH-000
The Health Plan of the Upper Ohio Valley U4 U4-HMO-WV-000
Aetna Open Access UB UB-HMO-TN-000
Humana Health Plan of Texas UC UC-HMO-TX-000
Humana Health Plan of Texas UC UC-HMO-TX-001
Humana Health Plan of Texas UR UR-HMO-TX-000
Humana Health Plan of Texas UR UR-HMO-TX-001
Humana Health Plan of Texas UU UU-HMO-TX-000
Humana Health Plan of Texas UU UU-HMO-TX-001
UPMC Health Plan UW UW-HMO-PA-001
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-IA-000
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-IA-001
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-MN-000
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-MN-001
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-ND-000
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-ND-001
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-SD-000
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-SD-001
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-WI-000
HealthPartners Open Access Copay/3 for Free V3 V3-HMO-WI-001
KPS Health Plans VT VT-HMO-WA-000
Welborn Health Plans W1 W1-HMO-IN-000
Dean Health Plan WD WD-HMO-WI-000
Group Health Cooperative WJ WJ-HMO-WI-000
Aetna Open Access WQ WQ-HMO-AZ-000
GHI HMO Select X4 X4-HMO-NY-000
HealthPlus MI X5 X5-HMO-MI-000
HealthAmerica Pennsylvania - HDHP Y6 Y6-HMO-PA-002
Aetna Open Access YE YE-HMO-PA-000
UnitedHealthcare Plan of the River Valley Inc. YH YH-HMO-IA-000
UnitedHealthcare Plan of the River Valley Inc. YH YH-HMO-IL-000
HealthAmerica Pennsylvania-HDHP YW YW-HMO-PA-002
Humana Health Plans of Puerto Rico, Inc. ZJ ZJ-HMO-PR-000