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

Federal Employees Health Benefits Program

2004 Premiums

2004 FEHB Non-Postal Premium Rates for Kansas

HMO Plans		2003 Total Biweekly Premium	2004 Biweekly premium rates				2003 Total Monthly Premium	2004 Monthly premium rates
Plan - Option - Enrollment Code		2003 Total Biweekly Premium	Total Premium	Gov't Pays	Empl. Pays	Change in employee payment	2003 Total Monthly Premium	Total Premium	Gov't Pays	Empl. Pays	Change in employee payment
Coventry Health Care of Kansas
High Self	7W1	156.49	150.91	113.18	37.73	-9.46	339.06	326.97	245.23	81.74	-20.50
High Family	7W2	399.04	384.84	277.09	107.75	-41.67	864.59	833.82	600.36	233.46	-90.29
Coventry Health Care of Kansas - Kansas City
High Self	HA1	113.98	132.36	99.27	33.09	4.60	246.96	286.78	215.09	71.69	9.95
High Family	HA2	294.08	341.54	256.16	85.38	11.86	637.17	740.00	555.00	185.00	25.71
Humana CoverageFirst (Consumer Driven Plan)
High Self	PH1	New Plan	76.86	57.65	19.21	N/A	New Plan	166.53	124.90	41.63	N/A
High Family	PH2	New Plan	176.77	132.58	44.19	N/A	New Plan	383.00	287.25	95.75	N/A
Humana Health Plan, Inc.
High Self	MS1	140.81	170.71	121.40	49.31	14.11	305.09	369.87	263.03	106.84	30.57
High Family	MS2	337.82	392.64	277.09	115.55	27.35	731.94	850.72	600.36	250.36	59.26
Standard Self	MS4	81.88	122.89	92.17	30.72	10.25	177.41	266.26	199.70	66.56	22.21
Standard Family	MS5	196.42	282.64	211.98	70.66	21.56	425.58	612.39	459.29	153.10	46.71
Preferred Plus of Kansas
High Self	VA1	146.16	212.27	121.40	90.87	54.01	316.68	459.92	263.03	196.89	117.03
High Family	VA2	388.79	564.64	277.09	287.55	148.38	842.38	1223.39	600.36	623.03	321.49

This page can be found on the web at the following url: http://www.opm.gov/insure/archive/health/04rates/html/nonpostal/ks.asp

U.S. Office of Personnel Management 1900 E Street, NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532