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OPM Home > Insurance > FEHB > 2003 Premiums > Non-postal > California

2003 FEHB Non-Postal Premium Rates for California


HMO Plans 2002 Total Biweekly Premium 2003 Biweekly premium rates 2002 Total Monthly Premium 2003 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 Health Inc.
High Self 2X1 95.99 107.98 80.99 26.99 2.99 207.98 233.96 175.47 58.49 6.50
High Family 2X2 224.22 256.16 192.12 64.04 7.99 485.81 555.01 416.26 138.75 17.30
Blue Cross- HMO
High Self M51 105.27 133.38 100.04 33.34 7.02 228.09 288.99 216.74 72.25 15.23
High Family M52 268.58 340.29 249.62 90.67 23.53 581.92 737.30 540.84 196.46 50.98
Blue Shield of CA Access+
High Self SJ1 112.07 130.94 98.21 32.73 4.71 242.82 283.70 212.78 70.92 10.22
High Family SJ2 278.01 324.80 243.60 81.20 11.70 602.36 703.73 527.80 175.93 25.34
CIGNA HealthCare of California
High Self 9T1 116.64 133.92 100.44 33.48 4.32 252.72 290.16 217.62 72.54 9.36
High Family 9T2 256.61 294.67 221.00 73.67 9.52 555.99 638.45 478.84 159.61 20.61
Health Net
High Self LB1 115.04 125.90 94.43 31.47 2.71 249.25 272.78 204.59 68.19 5.88
High Family LB2 272.33 298.02 223.52 74.50 6.42 590.05 645.71 484.28 161.43 13.92
Kaiser Permanente
High Self 591 106.31 138.11 103.58 34.53 7.95 230.34 299.24 224.43 74.81 17.23
High Family 592 253.78 329.68 247.26 82.42 18.98 549.86 714.31 535.73 178.58 41.12
Kaiser Permanente
High Self 621 111.97 129.31 96.98 32.33 4.34 242.60 280.17 210.13 70.04 9.39
High Family 622 258.77 298.89 224.17 74.72 10.03 560.67 647.60 485.70 161.90 21.73
PacifiCare Health Plans
High Self CY1 93.38 105.60 79.20 26.40 3.06 202.32 228.80 171.60 57.20 6.62
High Family CY2 243.50 273.30 204.98 68.32 7.45 527.58 592.15 444.11 148.04 16.15
UHP Healthcare
High Self C41 79.74 105.40 79.05 26.35 6.42 172.77 228.37 171.28 57.09 13.90
High Family C42 169.90 224.43 168.32 56.11 13.64 368.12 486.27 364.70 121.57 29.54
Universal Care
High Self 6Q1 84.00 104.06 78.05 26.01 5.01 182.00 225.46 169.10 56.36 10.86
High Family 6Q2 221.83 274.73 206.05 68.68 13.22 480.63 595.25 446.44 148.81 28.65


Web page updated at 3:40:15 PM on 9/10/2002
 
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