2003 FEHB Non-Postal Premium Rates for Washington
| 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 | 8J1 | 110.73 | 125.93 | 94.45 | 31.48 | 3.80 | 239.92 | 272.85 | 204.64 | 68.21 | 8.23 |
| High Family | 8J2 | 287.91 | 320.23 | 240.17 | 80.06 | 8.08 | 623.81 | 693.83 | 520.37 | 173.46 | 17.51 |
| Group Health Cooperative | |||||||||||
| High Self | 541 | 128.95 | 153.49 | 109.30 | 44.19 | 11.95 | 279.39 | 332.56 | 236.82 | 95.74 | 25.89 |
| High Family | 542 | 290.97 | 346.52 | 249.62 | 96.90 | 24.16 | 630.44 | 750.79 | 540.84 | 209.95 | 52.34 |
| Group Health Cooperative | |||||||||||
| High Self | VR1 | 119.27 | 144.97 | 108.73 | 36.24 | 6.42 | 258.42 | 314.10 | 235.58 | 78.52 | 13.92 |
| High Family | VR2 | 306.62 | 372.32 | 249.62 | 122.70 | 39.49 | 664.34 | 806.69 | 540.84 | 265.85 | 85.57 |
| Kaiser Permanente | |||||||||||
| High Self | 571 | 134.10 | 153.30 | 109.30 | 44.00 | 7.76 | 290.55 | 332.15 | 236.82 | 95.33 | 16.81 |
| High Family | 572 | 307.75 | 351.81 | 249.62 | 102.19 | 17.85 | 666.79 | 762.26 | 540.84 | 221.42 | 38.69 |
| Standard Self | 574 | 120.00 | 137.06 | 102.80 | 34.26 | 4.26 | 260.00 | 296.96 | 222.72 | 74.24 | 9.24 |
| Standard Family | 575 | 275.40 | 314.57 | 235.93 | 78.64 | 9.79 | 596.70 | 681.57 | 511.18 | 170.39 | 21.22 |
| Kitsap Physicians Service | |||||||||||
| High Self | VT1 | 178.33 | 222.64 | 109.30 | 113.34 | 32.87 | 386.38 | 482.39 | 236.82 | 245.57 | 71.22 |
| High Family | VT2 | 381.44 | 476.23 | 249.62 | 226.61 | 68.58 | 826.45 | 1031.83 | 540.84 | 490.99 | 148.60 |
| Standard Self | VT4 | 134.05 | 156.49 | 109.30 | 47.19 | 11.00 | 290.44 | 339.06 | 236.82 | 102.24 | 23.83 |
| Standard Family | VT5 | 292.91 | 341.94 | 249.62 | 92.32 | 19.09 | 634.64 | 740.87 | 540.84 | 200.03 | 41.37 |
| PacifiCare Health Plans | |||||||||||
| High Self | 7Z1 | 166.91 | 162.08 | 109.30 | 52.78 | -16.27 | 361.64 | 351.17 | 236.82 | 114.35 | -35.26 |
| High Family | 7Z2 | 369.81 | 359.10 | 249.62 | 109.48 | -36.92 | 801.26 | 778.05 | 540.84 | 237.21 | -79.99 |
| PacifiCare Health Plans | |||||||||||
| High Self | WB1 | 130.87 | 147.31 | 109.30 | 38.01 | 5.00 | 283.55 | 319.17 | 236.82 | 82.35 | 10.83 |
| High Family | WB2 | 343.09 | 350.89 | 249.62 | 101.27 | -18.41 | 743.36 | 760.26 | 540.84 | 219.42 | -39.88 |