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

Federal Employees Health Benefits Program

2004 Premiums

2004 FEHB Non-Postal Premium Rates for New Jersey

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
Aetna Health Inc.
High Self	P31	148.51	158.90	119.18	39.72	0.51	321.77	344.28	258.21	86.07	1.12
High Family	P32	358.34	383.43	277.09	106.34	2.38	776.40	830.77	600.36	230.41	-5.15
Aetna HealthFund (Consumer Driven Plan)
High Self	221	New Plan	129.44	97.08	32.36	N/A	New Plan	280.45	210.34	70.11	N/A
High Family	222	New Plan	297.73	223.30	74.43	N/A	New Code	645.08	483.81	161.27	N/A
AmeriHealth HMO
High Self	FK1	147.27	151.24	113.43	37.81	0.16	319.09	327.69	245.77	81.92	-0.35
High Family	FK2	351.00	361.10	270.83	90.27	11.11	760.50	782.38	586.79	195.59	-24.07
GHI Health Plan
High Self	801	168.65	185.17	121.40	63.77	4.42	365.41	401.20	263.03	138.17	9.58
High Family	802	421.60	462.92	277.09	185.83	13.85	913.47	1002.99	600.36	402.63	30.00

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

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