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Federal Employees Health Benefits Program

2004 Premiums

FEHB Home | Non-Postal Premiums

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2004 FEHB Non-Postal Premium Rates for Kentucky

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
Humana CoverageFirst (Consumer Driven Plan)
High Self	BM1	New Plan	115.28	86.46	28.82	N/A	New Plan	249.77	187.33	62.44	N/A
High Family	BM2	New Plan	265.16	198.87	66.29	N/A	New Plan	574.51	430.88	143.63	N/A
Humana Health Plan
High Self	D21	146.69	178.07	121.40	56.67	19.28	317.83	385.82	263.03	122.79	41.78
High Family	D22	366.78	409.53	277.09	132.44	15.28	794.69	887.32	600.36	286.96	33.11
United Healthcare of Ohio, Inc.
High Self	3U1	177.82	197.49	121.40	76.09	7.57	385.28	427.90	263.03	164.87	16.41
High Family	3U2	409.00	454.23	277.09	177.14	17.76	886.17	984.17	600.36	383.81	38.48

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