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Insurance Services Programs

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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 Louisiana

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 Healthcare Louisiana
High Self	BJ1	129.89	122.31	91.73	30.58	-1.89	281.43	265.01	198.76	66.25	-4.11
High Family	BJ2	301.65	284.08	213.06	71.02	-4.39	653.58	615.51	461.63	153.88	-9.51
Coventry Healthcare Louisiana
High Self	JA1	136.92	170.49	121.40	49.09	14.86	296.66	369.40	263.03	106.37	32.21
High Family	JA2	317.98	395.95	277.09	118.86	39.37	688.96	857.89	600.36	257.53	85.29
Vantage Health Plan
High Self	MV1	162.35	178.03	121.40	56.63	3.58	351.76	385.73	263.03	122.70	7.76
High Family	MV2	435.59	462.87	277.09	185.78	-0.19	943.78	1002.89	600.36	402.53	-0.41

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