2022 GEHA Dental Benefits Guide

Step 1: Use your ZIP code to find your rate code Find your state and the first three digits of your ZIP in the chart below to determine your rate code. Use that code on the next page to determine your 2022 dental premium. geha.com/DentalRates

First 3 digits of ZIP code

Rate code

First 3 digits of ZIP code

Rate code

First 3 digits of ZIP code

Rate code

State

State

State

IN

Rest of state 660-662, 666 Rest of state

1 2 1 2 1 2 4

NY

Rest of state

2

AL, AR, GU, IA, MS, ND, NE, PR, VI ID, LA, MO, MT, NC, OK, SC, SD, TN, UT, VT

Entire state or territory

1

KS KS KY KY

430-433, 437, 440-443, 446, 447, 450-455, 459

OH

2

410

Entire state

2

OH PA PA PA PA

Rest of state

1 4 5 3 1

Rest of state

172-174

DE, HI, NM, OR Entire state or territory

3

MA MA

012

180-181, 183

Rest of state 205-212, 214, 216, 217

CO, DC, NH, RI

Entire state Entire state

4 5 3 2

189-196

AK AZ AZ

MD

4

Rest of state

850-853, 864 Rest of state

755-759, 763-769, 776-779, 783-785, 788-799, 885

MD MD ME ME

219

3 2 4 3 3 2 3 2 3 5 5

TX

1

Rest of state

900-931, 933-935, 939-952, 954, 956-959

TX TX

733, 786-787 Rest of state 201, 203, 205, 220-227 Rest of state

3 2

039-042

CA

5

Rest of state

CA CT CT

Rest of state

4 5 4 3 2

MI MI

480-485

VA

4

064-069

Rest of state 550-555, 563 Rest of state

VA

2 5 3 4 3 2 4 1 2 1 5

Rest of state 329-334, 349 Rest of state

MN MN

WA WA WA

980-985

FL FL

986

NJ NJ

080-084

Rest of state

300-303, 305, 306, 311, 399

GA

3

Rest of state

WI WI

540

GA

Rest of state 600-609, 613

2 3 2 1

NV

897

Rest of state

IL IL IL

WV WV WY WY INTL

254

NV

Rest of state

3

620, 622

Rest of state

005, 100-119, 124-126

NY

5

Rest of state

834

460-462, 470, 472, 473

Rest of state

NY

063

4

IN

2

All international

127, 129-139, 144-149

NY

1

463,464

IN

3

10 2022 GEHA DENTAL PLANS

Powered by