U.S. Office of Personnel Management www.opm.gov - Recruiting, Retaining and Honoring a World-Class Workforce to Serve the American People
Insurance Services Programs
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| FEHB Home | Non-Postal Premiums |
2004 FEHB Non-Postal Premium Rates for Guam
| HMO Plans | 2003 Total Biweekly Premium | 2004 Biweekly premium rates | 2003 Total Monthly Premium | 2004 Monthly premium rates | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Plan - Option - Enrollment Code | Total Premium | Gov't Pays | Empl. Pays | Change in employee payment | Total Premium | Gov't Pays | Empl. Pays | Change in employee payment | |||
| PacifiCare Asia Pacific | |||||||||||
| High Self | JK1 | 118.50 | 144.58 | 108.44 | 36.14 | 6.52 | 256.75 | 313.26 | 234.95 | 78.31 | 14.12 |
| High Family | JK2 | 311.38 | 379.92 | 277.09 | 102.83 | 24.99 | 674.66 | 823.16 | 600.36 | 222.80 | 54.14 |
| Standard Self | JK4 | 101.10 | 113.98 | 85.49 | 28.49 | 3.22 | 219.05 | 246.96 | 185.22 | 61.74 | 6.98 |
| Standard Family | JK5 | 266.96 | 301.00 | 225.75 | 75.25 | 8.51 | 578.41 | 652.17 | 489.13 | 163.04 | 18.44 |
This page can be found on the web at the following url: http://www.opm.gov/insure/archive/health/04rates/html/nonpostal/gu.asp
U.S. Office of Personnel Management 1900 E Street, NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532