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Federal Employees Health Benefits Program

2004 Premiums

You are here: OPM Home > Insurance > FEHB > 2004 Premiums > Non-postal > Washington

2004 FEHB Non-Postal Premium Rates for Washington

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	8J1	125.93	118.93	89.20	29.73	-1.75	272.85	257.68	193.26	64.42	-3.79
High Family	8J2	320.23	302.42	226.82	75.60	-4.46	693.83	655.24	491.43	163.81	-9.65
Aetna HealthFund (Consumer Driven Plan)
High Self	221	New Plan	129.44	97.08	32.36	N/A	New Code	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
Group Health Cooperative
High Self	541	153.49	169.52	121.40	48.12	3.93	332.56	367.29	263.03	104.26	8.52
High Family	542	346.52	382.68	277.09	105.59	8.69	750.79	829.14	600.36	228.78	18.83
Standard Self	544	New Code	141.91	106.43	35.48	N/A	New Code	307.47	230.60	76.87	7N/A
Standard Family	545	New Code	320.37	240.28	80.09	N/A	New Code	694.14	520.61	173.53	N/A
Group Health Cooperative
High Self	VR1	144.97	159.23	119.42	39.81	3.57	314.10	345.00	258.75	86.25	7.73
High Family	VR2	372.32	388.22	277.09	111.13	-11.57	806.69	841.14	600.36	240.78	-25.07
Standard Self	VR4	New Code	137.99	103.49	34.50	N/A	New Code	298.98	224.24	74.74	N/A
Standard Family	VR5	New Code	317.38	238.04	79.34	N/A	New Code	687.66	515.75	171.91	N/A
Kaiser Permanente
High Self	571	153.30	170.62	121.40	49.22	5.22	332.15	369.68	263.03	106.65	11.32
High Family	572	351.81	391.57	277.09	114.48	12.29	762.26	848.40	600.36	248.04	26.62
Standard Self	574	137.06	149.67	112.25	37.42	3.16	296.96	324.29	243.22	81.07	6.83
Standard Family	575	314.57	343.49	257.62	85.87	7.23	681.57	744.23	558.17	186.06	15.67
KPS Health Plans
High Self	VT1	222.64	178.87	121.40	57.47	-55.87	482.39	387.55	263.03	124.52	-121.05
High Family	VT2	476.23	390.84	277.09	113.75	-112.86	1031.83	846.82	600.36	246.46	-244.53
Standard Self	L11	New Code	143.99	107.99	36.00	N/A	New Code	311.98	233.99	77.99	N/A
Standard Family	L12	New Code	314.63	235.97	78.66	N/A	New Code	681.70	511.28	170.42	N/A
PacifiCare of Oregon
High Self	7Z1	162.08	167.15	121.40	45.75	-7.03	351.17	362.16	263.03	99.13	-15.22
High Family	7Z2	359.10	376.10	277.09	99.01	-10.47	778.05	814.88	600.36	214.52	-22.69

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

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