U. S. Office of Personnel Management
2002 FEHB Non-Postal Premium Rates for New York

HMO Plans 2001 Total Biweekly Premium 2002 Biweekly premium rates 2001 Total Monthly Premium 2002 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
Aetna U. S. Healthcare, Inc.
  High Self JC1 106.31 112.09 84.07 28.02 1.44 230.34 242.86 182.15 60.71 3.13
High Family JC2 266.07 281.88 211.41 70.47 0.22 576.49 610.74 458.06 152.68 0.47
Aetna U. S. Healthcare, Inc.
  High Self TG1 103.72 100.65 75.49 25.16 -0.77 224.73 218.08 163.56 54.52 -1.66
High Family TG2 260.15 253.88 190.41 63.47 -1.57 563.66 550.07 412.55 137.52 -3.39
Blue Choice
  High Self MK1 109.35 131.91 97.86 34.05 6.71 236.93 285.81 212.03 73.78 14.55
High Family MK2 273.68 330.53 223.41 107.12 29.26 592.97 716.15 484.06 232.09 63.40
C.D.P.H.P.
  High Self PW1 104.53 118.91 89.18 29.73 3.60 226.48 257.64 193.23 64.41 7.79
High Family PW2 266.60 304.40 223.41 80.99 10.21 577.63 659.53 484.06 175.47 22.12
C.D.P.H.P.
  High Self QB1 116.38 123.68 92.76 30.92 1.13 252.16 267.97 200.98 66.99 2.44
High Family QB2 298.99 317.55 223.41 94.14 -9.03 647.81 688.03 484.06 203.97 -19.56
C.D.P.H.P.
  High Self SG1 104.02 117.81 88.36 29.45 3.45 225.38 255.26 191.45 63.81 7.47
High Family SG2 266.42 301.77 223.41 78.36 7.76 577.24 653.84 484.06 169.78 16.82
GHI Health Plan
  High Self 801 117.19 144.14 97.86 46.28 15.68 253.91 312.30 212.03 100.27 33.97
High Family 802 292.96 360.34 223.41 136.93 39.79 634.75 780.74 484.06 296.68 86.21
GHI HMO Select
  High Self 6V1 151.17 128.19 96.14 32.05 -32.53 327.54 277.75 208.31 69.44 -70.49
High Family 6V2 332.22 322.32 223.41 98.91 -37.49 719.81 698.36 484.06 214.30 -81.23
GHI HMO Select
  High Self X41 104.00 114.23 85.67 28.56 2.56 225.33 247.50 185.63 61.87 5.54
High Family X42 257.21 294.49 220.87 73.62 9.32 557.29 638.06 478.55 159.51 20.19
Health Net, Inc.
  High Self PD1 121.46 168.88 97.86 71.02 36.15 263.16 365.91 212.03 153.88 78.33
High Family PD2 313.98 436.54 223.41 213.13 94.97 680.29 945.84 484.06 461.78 205.77
HIP of Greater New York
  High Self 511 93.27 108.93 81.70 27.23 3.91 202.09 236.02 177.02 59.00 8.48
High Family 512 279.81 326.79 223.41 103.38 19.39 606.26 708.05 484.06 223.99 42.01
HMO Blue
  High Self AH1 120.98 123.75 92.81 30.94 -3.45 262.12 268.13 201.10 67.03 -7.48
High Family AH2 307.29 316.95 223.41 93.54 -17.93 665.80 686.73 484.06 202.67 -38.85
HMO-CNY
  High Self EB1 110.83 131.70 97.86 33.84 6.13 240.13 285.35 212.03 73.32 13.29
High Family EB2 293.83 349.27 223.41 125.86 27.85 636.63 756.75 484.06 272.69 60.34
Independent Health Assoc
  High Self QA1 76.24 93.96 70.47 23.49 4.43 165.19 203.58 152.69 50.89 9.59
High Family QA2 214.03 261.94 196.46 65.48 11.97 463.73 567.54 425.66 141.88 25.95
MVP Health Plan
  High Self GA1 101.87 114.71 86.03 28.68 3.21 220.72 248.54 186.41 62.13 6.95
High Family GA2 262.65 296.28 222.21 74.07 7.24 569.08 641.94 481.46 160.48 15.68
MVP Health Plan
  High Self M91 101.42 118.39 88.79 29.60 4.25 219.74 256.51 192.38 64.13 9.20
High Family M92 261.52 305.73 223.41 82.32 16.62 566.63 662.42 484.06 178.36 36.01
MVP Health Plan
  High Self MX1 113.84 129.66 97.25 32.41 3.95 246.65 280.93 210.70 70.23 8.57
High Family MX2 293.55 334.88 223.41 111.47 13.74 636.03 725.57 484.06 241.51 29.76
Preferred Care
  High Self GV1 101.72 118.82 89.12 29.70 4.27 220.39 257.44 193.08 64.36 9.26
High Family GV2 258.03 317.34 223.41 93.93 29.42 559.07 687.57 484.06 203.51 63.74
Univera Healthcare - CNY
  High Self QE1 108.51 130.32 97.74 32.58 5.45 235.11 282.36 211.77 70.59 11.81
High Family QE2 287.79 345.51 223.41 122.10 30.13 623.55 748.61 484.06 264.55 65.28
Univera Healthcare - CNY
  High Self SH1 106.88 130.32 97.74 32.58 5.86 231.57 282.36 211.77 70.59 12.70
High Family SH2 283.45 345.51 223.41 122.10 34.47 614.14 748.61 484.06 264.55 74.69
Univera Healthcare - WNY
  High Self Q81 81.63 102.71 77.03 25.68 5.27 176.87 222.54 166.91 55.63 11.41
High Family Q82 231.30 291.28 218.46 72.82 15.00 501.15 631.11 473.33 157.78 32.49
Vytra Health Plans
  High Self J61 125.93 148.36 97.86 50.50 11.16 272.85 321.45 212.03 109.42 24.18
High Family J62 330.00 388.73 223.41 165.32 31.14 715.00 842.25 484.06 358.19 67.47

Web page updated 27 October 2001