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OPM Home > Insurance > FEHB > 2003 Premiums > Non-postal > Fee For Service

2003 FEHB Non-Postal Fee-for-Service Premium Rates


Fee for Service Plans (FSS) 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
Alliance Health Plan
High Self 1R1 158.08 181.79 109.30 72.49 12.27 342.51 393.88 236.82 157.06 26.58
High Family 1R2 335.13 385.40 249.62 135.78 24.06 726.12 835.03 540.84 294.19 52.13
APWU Health Plan
High Self 471 146.70 161.38 109.30 52.08 3.24 317.85 349.66 236.82 112.84 7.02
High Family 472 321.95 354.15 249.62 104.53 5.99 697.56 767.33 540.84 226.49 12.99
Consumer-Driven Self 474 N/A 145.60 109.20 36.40 36.40 N/A 315.47 236.60 78.87 78.87
Consumer-Driven Family 475 N/A 335.92 249.62 86.30 86.30 N/A 727.83 540.84 186.99 186.99
Blue Cross and Blue Shield Service Benefit Plan
Standard Self 104 138.98 154.96 109.30 45.66 4.54 301.12 335.75 236.82 98.93 9.84
Standard Family 105 318.24 354.84 249.62 105.22 10.39 689.52 768.82 540.84 227.98 22.52
Blue Cross and Blue Shield Service Benefit Plan
Basic Self 111 126.46 139.98 104.99 34.99 3.38 274.00 303.29 227.47 75.82 7.32
Basic Family 112 299.15 329.10 246.83 82.27 6.53 648.16 713.05 534.79 178.26 14.16
GEHA Benefit Plan
High Self 311 157.56 176.47 109.30 67.17 7.47 341.38 382.35 236.82 145.53 16.18
High Family 312 342.91 384.06 249.62 134.44 14.94 742.97 832.13 540.84 291.29 32.38
Standard Self 314 110.00 110.00 82.50 27.50 0.00 238.33 238.33 178.75 59.58 0.00
Standard Family 315 250.00 250.00 187.50 62.50 0.00 541.67 541.67 406.25 135.42 0.00
Mail Handlers
High Self 451 152.94 173.59 109.30 64.29 9.21 331.37 376.11 236.82 139.29 19.95
High Family 452 322.61 366.16 249.62 116.54 17.34 698.99 793.35 540.84 252.51 37.58
Standard Self 454 102.61 112.35 84.26 28.09 2.44 222.32 243.43 182.57 60.86 5.28
Standard Family 455 222.72 243.89 182.92 60.97 5.29 482.56 528.43 396.32 132.11 11.47
NALC
High Self 321 143.73 157.74 109.30 48.44 2.57 311.42 341.77 236.82 104.95 5.56
High Family 322 307.13 337.07 249.62 87.45 3.73 665.45 730.32 540.84 189.48 8.09
PBP Health Plan
High Self 361 261.28 269.12 109.30 159.82 -3.60 566.11 583.09 236.82 346.27 -7.81
High Family 362 563.73 580.64 249.62 331.02 -9.30 1221.42 1258.05 540.84 717.21 -20.15
Standard Self 364 148.81 157.75 109.30 48.45 -2.50 322.42 341.79 236.82 104.97 -5.42
Standard Family 365 321.91 357.32 249.62 107.70 9.20 697.47 774.19 540.84 233.35 19.94
Association Benefit Plan
High Self 421 145.13 163.85 109.30 54.55 7.28 314.45 355.01 236.82 118.19 15.77
High Family 422 334.33 377.46 249.62 127.84 16.92 724.38 817.83 540.84 276.99 36.67
Foreign Service Benefit Plan
High Self 401 135.30 148.56 109.30 39.26 1.82 293.15 321.88 236.82 85.06 3.94
High Family 402 328.60 360.81 249.62 111.19 6.00 711.97 781.76 540.84 240.92 13.01
Panama Canal Area Benefit Plan
High Self 431 135.47 144.96 108.72 36.24 -1.37 293.52 314.08 235.56 78.52 -2.97
High Family 432 293.78 302.59 226.94 75.65 2.21 636.52 655.61 491.71 163.90 4.77
Rural Carrier Benefit Plan
High Self 381 158.02 179.98 109.30 70.68 10.52 342.38 389.96 236.82 153.14 22.79
High Family 382 321.86 366.60 249.62 116.98 18.53 697.36 794.30 540.84 253.46 40.16
SAMBA
High Self 441 164.83 182.96 109.30 73.66 6.69 357.13 396.41 236.82 159.59 14.49
High Family 442 388.17 430.88 249.62 181.26 16.50 841.04 933.57 540.84 392.73 35.75
Secret Service
High Self Y71 123.34 146.45 109.30 37.15 6.32 267.24 317.31 236.82 80.49 13.68
High Family Y72 292.32 347.08 249.62 97.46 24.38 633.36 752.01 540.84 211.17 52.83


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