About the NALC Health Benefit Plan
Our Mission
NALC Health Benefit Plan is:
- Union-Owned
- Union-Operated
- Not-for-Profit
Our mission is simple but powerful: to provide our members with access to quality medical care—while maintaining a comprehensive and affordable benefits package.
We are proud to deliver excellent benefits with some of the most affordable premiums available—serving our members with integrity, transparency, and commitment.
What We Do
At the NALC Health Benefit Plan, we’re proud to serve the hardworking members of the National Association of Letter Carriers—both active and retired.
Since 1950, we’ve been a trusted part of the National Association of Letter Carriers program. We continue to evolve to meet the needs of our members.
- The High Option Plan
- The Consumer Driven Health Plan (CDHP)
- And the Aetna Medicare Advantage Plan for High Option annuitants
Our History
We started our own independent health benefit plan.
Back in 1950, we launched our independent health benefit plan with just two employees working in a single room. Our membership then totaled 4,116.
Our membership grew, and we expanded our space.
By the mid-'50s, our membership had grown significantly to 30,000. Our independent health plan now employed 26 people and occupied three rooms within the NALC Headquarters building in Washington, D.C.
We became part of the Federal Employees Health Benefit Program.
In the early '60s, we proudly became part of the Federal Employees Health Benefit Program. Our enrollment quadrupled to 101,503 members, and we used every available office space at the headquarters building – even turning the auditorium into a file room!
We continued to grow and moved to Reston, Virginia.
The NALC HBP continued to grow. By the end of 1972, our entire Plan moved to Reston, Virginia. Our staff was comprised of 229 employees, and our membership totaled 141,177.
The computer age arrived for our claims processing.
The computer age hit the Plan in the 1980s. All our analysts were equipped with computer terminals, and we started processing claims through a new computerized system.
We outgrew our Reston building and moved to Ashburn, Virginia.
By 1990, the NALC HBP was "bustin' at the seams" with 520 employees and a membership of 220,000. Our Reston building was no longer adequate, so we moved to Ashburn, Virginia, on June 8, 1990.
We celebrated our 60th Anniversary!
2010 marked our 60th Anniversary! We've endured, prospered, and we continue to grow.
We achieved our first AAAHC accreditation.
We achieved a three-year accreditation on June 22, 2016, from the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC). Our Plan was the first of the Federal Employees Health Benefits (FEHB) Plans to go through the process and achieve accreditation through the AAAHC. Our accreditation is proof of our commitment and dedication to excellence. We have since received re-accreditation through the AAAHC as needed.
We teamed up with Aetna for enhanced annuitant coverage.
The NALC Health Benefit Plan and Aetna® teamed up to offer our NALC Health Benefit Plan High Option annuitants enhanced medical and prescription drug coverage all in one plan. It’s called the NALC High Option Plan—Aetna Medicare Advantage. This is a Medicare Advantage plan with Medicare Part D prescription drug coverage—designed exclusively for our NALC Health Benefit Plan High Option annuitants.
We're approved for the new Postal Service Health Benefits Program.
The NALC Health Benefit Plan was approved as a carrier in the Postal Service Health Benefits Program (PSHB)! The new PSHB High Option and CDHP Plans began servicing Active and Retired postal members on January 1, 2025.
We proudly celebrate our 75th Anniversary and continue to grow!
This year marks a significant milestone as we proudly celebrate our 75th Anniversary! From our beginnings in 1950—we have grown and adapted—remaining dedicated to providing quality health benefits and service to our valued members. We look forward to many more years of serving our community.
Accreditation & Certifications
Health Plan Accreditation
We take immense pride in the quality of benefits we deliver to our members and their families. To really show the quality we offer, we went through a rigorous accreditation process in 2016 with the Accreditation Association for Ambulatory Health Care (AAAHC).We're so proud to have been the very first FEHB plan to become accredited in 2016! Building on that achievement, we successfully earned our fourth, three-year AAAHC accreditation in May 2025! Learn more about our latest 2025 accreditation award.
Measuring, Improving, and Increasing Quality of Care
Starting in 2007, the U.S. Office of Personnel Management (OPM) required all PSHB plans to participate in a quality measurement system called the Healthcare Effectiveness Data and Information Set, or HEDIS.We're audited each year by a HEDIS Certified Auditor to verify that the quality of our benefits consistently meets the strict requirements set by HEDIS guidelines. Any areas that we identify through our HEDIS rates are thoroughly discussed with our Plan’s Quality Improvement Committee.As a testament to our completion of the HEDIS audit process, we were awarded this seal by the National Committee for Quality Assurance (NCQA), which develops and enhances HEDIS every year.
Secured Data, Enhanced Provider Communication
At the NALC Health Benefit Plan, we make sure the data entrusted to our care is fully safeguarded by being Council for Affordable Quality Healthcare (CAQH) CORE Certified. Being CORE-certified means our systems conform to all applicable operating rules—ensuring your data is secure and our communications with providers are enhanced.Below, we proudly display our latest CAQH CORE certification seal. You can learn more about what it means to be CORE certified here.
Health Plan Accreditation
We take immense pride in the quality of benefits we deliver to our members and their families. To really show the quality we offer, we went through a rigorous accreditation process in 2016 with the Accreditation Association for Ambulatory Health Care (AAAHC).We're so proud to have been the very first FEHB plan to become accredited in 2016! Building on that achievement, we successfully earned our fourth, three-year AAAHC accreditation in May 2025! Learn more about our latest 2025 accreditation award.
Measuring, Improving, and Increasing Quality of Care
Starting in 2007, the U.S. Office of Personnel Management (OPM) required all PSHB plans to participate in a quality measurement system called the Healthcare Effectiveness Data and Information Set, or HEDIS.We're audited each year by a HEDIS Certified Auditor to verify that the quality of our benefits consistently meets the strict requirements set by HEDIS guidelines. Any areas that we identify through our HEDIS rates are thoroughly discussed with our Plan’s Quality Improvement Committee.As a testament to our completion of the HEDIS audit process, we were awarded this seal by the National Committee for Quality Assurance (NCQA), which develops and enhances HEDIS every year.
Secured Data, Enhanced Provider Communication
At the NALC Health Benefit Plan, we make sure the data entrusted to our care is fully safeguarded by being Council for Affordable Quality Healthcare (CAQH) CORE Certified. Being CORE-certified means our systems conform to all applicable operating rules—ensuring your data is secure and our communications with providers are enhanced.Below, we proudly display our latest CAQH CORE certification seal. You can learn more about what it means to be CORE certified here.
Transparency in Coverage: Your Access to Healthcare Costs
We’re committed to transparency when it comes to healthcare costs. Below are links to machine-readable files (MRFs).These files are in response to the federal Transparency in Coverage Rule. They include detailed information about rates we’ve negotiated with healthcare providers.
Feel free to contact us if you have any questions!