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 Kentucky
| 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 | |||
| 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 |
This page can be found on the web at the following url: http://www.opm.gov/insure/archive/health/04rates/html/nonpostal/ky.asp
U.S. Office of Personnel Management 1900 E Street, NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532