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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 > Missouri

2004 FEHB Non-Postal Premium Rates for Missouri


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
BlueCHOICE
High Self 9G1 139.61 153.68 115.26 38.42 3.52 302.49 332.97 249.73 83.24 7.62
High Family 9G2 302.26 332.73 249.55 83.18 7.62 654.90 720.92 540.69 180.23 16.51
Coventry Health Care of Kansas - Kansas City
High Self HA1 113.98 132.36 99.27 33.09 4.60 246.96 286.78 215.09 71.69 9.95
High Family HA2 294.08 341.54 256.16 85.38 11.86 637.17 740.00 555.00 185.00 25.71
Group Health Plan
High Self MM1 166.14 197.52 121.40 76.12 19.28 359.97 427.96 263.03 164.93 41.78
High Family MM2 358.86 426.63 277.09 149.54 40.30 777.53 924.37 600.36 324.01 87.32
Humana CoverageFirst (Consumer Driven Plan)
High Self PH1 New Plan 76.86 57.65 19.21 N/A New Plan 166.53 124.90 41.63 N/A
High Family PH2 New Plan 176.77 132.58 44.19 N/A New Plan 383.00 287.25 95.75 N/A
Humana Health Plan, Inc.
High Self MS1 140.81 170.71 121.40 49.31 14.11 305.09 369.87 263.03 106.84 30.57
High Family MS2 337.82 392.64 277.09 115.55 27.35 731.94 850.72 600.36 250.36 59.26
Standard Self MS4 81.88 122.89 92.17 30.72 10.25 177.41 266.26 199.70 66.56 22.21
Standard Family MS5 196.42 282.64 211.98 70.66 21.56 425.58 612.39 459.29 153.10 46.71
Mercy Health Plans/Premier Health Plans
High Self 7M1 174.24 193.54 121.40 72.14 7.20 377.52 419.34 263.03 156.31 15.61
High Family 7M2 405.29 418.06 277.09 140.97 -14.70 878.13 905.80 600.36 305.44 -31.85

This page can be found on the web at the following url: http://www.opm.gov/insure/archive/health/04rates/html/nonpostal/mo.asp

 
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Page updated 09/24/03