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Federal Employees Health Benefits Program 2004 Premiums   
  FEHB Home  |    Non-Postal Premiums
You are here: OPM Home > Insurance > FEHB > 2004 Premiums > Non-postal > Arizona

2004 FEHB Non-Postal Premium Rates for Arizona


HMO Plans 2003 Total Biweekly Premium 2004 Biweekly premium rates 2003 Total Monthly Premium 2004 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 WQ1 104.45 115.49 86.62 28.87 2.76 226.31 250.23 187.67 62.56 5.98
High Family WQ2 286.89 317.23 237.92 79.31 7.59 621.60 687.33 515.50 171.83 16.43
Health Net of Arizona, Inc.
High Self A71 127.59 141.63 106.22 35.41 3.51 276.45 306.87 230.15 76.72 7.61
High Family A72 323.27 358.85 269.14 89.71 8.89 700.42 777.51 583.13 194.38 19.28
Humana CoverageFirst (Consumer Driven Plan)
High Self DB1 New Plan 91.27 68.45 22.82 N/A New Plan 197.75 148.31 49.44 N/A
High Family DB2 New Plan 209.91 157.43 52.48 N/A New Plan 454.81 341.11 113.70 N/A
PacifiCare Desert Region (AZ & NV)
High Self A31 129.96 128.38 96.29 32.09 -0.40 281.58 278.16 208.62 69.54 -0.85
High Family A32 356.94 319.68 239.76 79.92 -27.40 773.37 692.64 519.48 173.16 -59.37
 
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Page updated 09/24/03