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

2003 FEHB Non-Postal Premium Rates for Indiana


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
Advantage Health Plan, Inc.
High Self 6Y1 122.57 146.02 109.30 36.72 6.08 265.57 316.38 236.82 79.56 13.17
High Family 6Y2 287.79 342.85 249.62 93.23 21.28 623.55 742.84 540.84 202.00 46.11
Aetna Health Inc.
High Self RD1 141.42 139.97 104.98 34.99 -8.57 306.41 303.27 227.45 75.82 -18.56
High Family RD2 357.69 343.99 249.62 94.37 -39.91 775.00 745.31 540.84 204.47 -86.47
Arnett HMO
High Self G21 125.25 139.82 104.87 34.95 3.64 271.38 302.94 227.21 75.73 7.89
High Family G22 325.67 363.57 249.62 113.95 11.69 705.62 787.74 540.84 246.90 25.34
Health Alliance HMO
High Self FX1 138.25 151.25 109.30 41.95 1.56 299.54 327.71 236.82 90.89 3.38
High Family FX2 322.68 353.01 249.62 103.39 4.12 699.14 764.86 540.84 224.02 8.94
Humana Health Plan
High Self D21 124.82 146.69 109.30 37.39 6.19 270.44 317.83 236.82 81.01 13.40
High Family D22 312.08 366.78 249.62 117.16 28.49 676.17 794.69 540.84 253.85 61.74
Humana Health Plan Inc.
High Self 751 109.06 134.52 100.89 33.63 6.37 236.30 291.46 218.60 72.86 13.79
High Family 752 261.56 322.63 241.97 80.66 15.27 566.71 699.03 524.27 174.76 33.08
Standard Self 754 N/A 102.11 76.58 25.53 25.53 N/A 221.24 165.93 55.31 55.31
Standard Family 755 N/A 244.89 183.67 61.22 61.22 N/A 530.60 397.95 132.65 132.65
M*Plan
High Self IN1 139.52 169.54 109.30 60.24 18.58 302.29 367.34 236.82 130.52 40.26
High Family IN2 320.16 389.11 249.62 139.49 42.74 693.68 843.07 540.84 302.23 92.61
Physicians Health Plan of Northern Indiana
High Self DQ1 122.34 129.52 97.14 32.38 1.80 265.07 280.63 210.47 70.16 3.89
High Family DQ2 274.91 291.09 218.32 72.77 4.04 595.64 630.70 473.03 157.67 8.76
Welborn HMO
High Self H31 134.36 135.72 101.79 33.93 -2.57 291.11 294.06 220.55 73.51 -5.57
High Family H32 347.35 350.88 249.62 101.26 -22.68 752.59 760.24 540.84 219.40 -49.13


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