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 Massachusetts
| 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 | |||
| Blue Chip, Coord Hlth Partners | |||||||||||
| High Self | DA1 | 162.39 | 182.84 | 121.40 | 61.44 | 8.35 | 351.85 | 396.15 | 263.03 | 133.12 | 18.09 |
| High Family | DA2 | 415.78 | 468.17 | 277.09 | 191.08 | 24.92 | 900.86 | 1014.37 | 600.36 | 414.01 | 53.99 |
| ConnectiCare | |||||||||||
| High Self | TE1 | 134.67 | 152.36 | 114.27 | 38.09 | 4.42 | 291.79 | 330.11 | 247.58 | 82.53 | 9.58 |
| High Family | TE2 | 352.67 | 399.02 | 277.09 | 121.93 | 18.88 | 764.12 | 864.54 | 600.36 | 264.18 | 40.90 |
| Fallon Community Health Plan | |||||||||||
| High Self | JV1 | 141.30 | 178.66 | 121.40 | 57.26 | 21.94 | 306.15 | 387.10 | 263.03 | 124.07 | 47.53 |
| High Family | JV2 | 363.15 | 434.23 | 277.09 | 157.14 | 43.61 | 786.83 | 940.83 | 600.36 | 340.47 | 94.48 |
This page can be found on the web at the following url: http://www.opm.gov/insure/archive/health/04rates/html/nonpostal/ma.asp
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