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Federal Employees Health Benefits Program 2004 Premiums   
  FEHB Home  |    Postal Premiums
You are here: OPM Home > Insurance > FEHB > 2004 Premiums > Postal Premiums > South Dakota

2004 FEHB Postal Premium Rates for South Dakota


HMO Plans 2003 Total Biweekly Premium 2004 Total Biweekly Premium 2004 Biweekly Postal
Premium Rates
Plan - Option - Enrollment Code USPS Pays Postal Empl. Pays Change in employee payment
Avera Health Plans
High Self AV1 118.18 144.77 128.48 16.29 2.99
High Family AV2 275.98 338.08 300.05 38.03 6.98
Sioux Valley Health Plan
High Self AU1 167.09 213.66 143.32 70.34 32.28
High Family AU2 382.64 491.25 327.12 164.13 76.19
Standard Self AU4 New Code 181.32 143.32 38.00 N/A
Standard Family AU5 New Code 416.83 327.12 89.71 N/A

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

 

Page updated 9/25/03