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 Puerto Rico
| 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 | |||
| Humana Health Plans of Puerto Rico | |||||||||||
| High Self | ZJ1 | 75.91 | 83.50 | 62.63 | 20.87 | 1.89 | 164.47 | 180.92 | 135.69 | 45.23 | 4.11 |
| High Family | ZJ2 | 174.60 | 192.06 | 144.05 | 48.01 | 4.36 | 378.30 | 416.13 | 312.10 | 104.03 | 9.46 |
| Triple-S | |||||||||||
| High Self | 891 | 95.70 | 112.92 | 84.69 | 28.23 | 4.31 | 207.35 | 244.66 | 183.50 | 61.16 | 9.32 |
| High Family | 892 | 205.55 | 242.55 | 181.91 | 60.64 | 9.25 | 445.36 | 525.53 | 394.15 | 131.38 | 20.04 |
This page can be found on the web at the following url: http://www.opm.gov/insure/archive/health/04rates/html/nonpostal/pr.asp
U.S. Office of Personnel Management 1900 E Street, NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532