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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 Oklahoma

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	SL1	New Code	157.06	117.80	39.26	N/A	New Code	340.30	255.23	85.07	N/A
High Family	SL2	New Code	383.08	277.09	105.99	N/A	New Code	830.01	600.36	229.65	N/A
PacifiCare Southwest Region (OK & TX)
High Self	2N1	148.28	162.14	121.40	40.74	1.76	321.27	351.30	263.03	88.27	3.82
High Family	2N2	374.64	390.79	277.09	113.70	-11.32	811.72	846.71	600.36	246.35	-24.53

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