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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 > Texas

2004 FEHB Non-Postal Premium Rates for Texas

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	P11	New Code	127.80	95.85	31.95	N/A	New Code	276.90	207.68	69.22	N/A
High Family	P12	New Code	321.96	241.47	80.49	N/A	New Code	697.58	523.19	174.39	N/A
Aetna Health Inc.
High Self	PU1	New Code	153.58	115.19	38.39	N/A	New Code	332.76	249.57	83.19	N/A
High Family	PU2	New Code	383.42	277.09	106.33	N/A	New Code	830.74	600.36	230.38	N/A
FIRSTCARE
High Self	6U1	123.55	149.84	112.38	37.46	6.57	267.69	324.65	243.49	81.16	14.24
High Family	6U2	265.41	321.89	241.42	80.47	14.12	575.06	697.43	523.07	174.36	30.60
FIRSTCARE
High Self	CK1	176.51	189.09	121.40	67.69	0.48	382.44	409.70	263.03	146.67	1.05
High Family	CK2	379.13	406.17	277.09	129.08	-0.43	821.45	880.04	600.36	279.68	-0.93
HMO Blue Texas
High Self	YM1	138.49	154.79	116.09	38.70	4.08	300.06	335.38	251.54	83.84	8.83
High Family	YM2	339.00	378.93	277.09	101.84	12.46	734.50	821.02	600.36	220.66	27.00
Humana CoverageFirst (Consumer Driven Plan)
High Self	T21	New Plan	115.28	86.46	28.82	N/A	New Plan	249.77	187.33	62.44	N/A
High Family	T22	New Plan	265.16	198.87	66.29	N/A	New Plan	574.51	430.88	143.63	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	T81	New Plan	110.49	82.87	27.62	N/A	New Plan	239.40	179.55	59.85	N/A
High Family	T82	New Plan	254.11	190.58	63.53	N/A	New Plan	550.57	412.93	137.64	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	TP1	New Plan	100.88	75.66	25.22	N/A	New Plan	218.57	163.93	54.64	N/A
High Family	TP2	New Plan	232.01	174.01	58.00	N/A	New Plan	502.69	377.02	125.67	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	TU1	New Plan	96.08	72.06	24.02	N/A	New Plan	208.17	156.13	52.04	N/A
High Family	TU2	New Plan	220.97	165.73	55.24	N/A	New Plan	478.77	359.08	119.69	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	TV1	New Plan	105.68	79.26	26.42	N/A	New Plan	228.97	171.73	57.24	N/A
High Family	TV2	New Plan	243.06	182.30	60.76	N/A	New Plan	526.63	394.97	131.66	N/A
Humana Health Plan of Texas
High Self	UR1	133.78	170.62	121.40	49.22	15.78	289.86	369.68	263.03	106.65	34.19
High Family	UR2	343.86	392.44	277.09	115.35	21.11	745.03	850.29	600.36	249.93	45.74
Standard Self	UR4	107.55	137.00	102.75	34.25	7.36	233.03	296.83	222.62	74.21	15.95
Standard Family	UR5	276.45	315.11	236.33	78.78	9.67	598.98	682.74	512.06	170.68	20.94
Mercy Health Plans/Premier Health Plans
High Self	HM1	174.11	174.11	121.40	52.71	-12.10	377.24	377.24	263.03	114.21	-26.21
High Family	HM2	435.29	435.29	277.09	158.20	-27.47	943.13	943.13	600.36	342.77	-59.52
PacifiCare Southwest Region (OK & TX)
High Self	GF1	143.10	167.10	121.40	45.70	9.93	310.05	362.05	263.03	99.02	21.51
High Family	GF2	371.83	385.95	277.09	108.86	-13.35	805.63	836.23	600.36	235.87	-28.92

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