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Federal Employees Health Benefits Program

2004 Premiums

FEHB Home | Non-Postal Premiums

You are here: OPM Home > Insurance > FEHB > 2004 Premiums > Non-postal > Massachusetts

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		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
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

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