U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce
Insurance Services Programs
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| FEHB Home | Non-Postal Premiums |
2004 FEHB Non-Postal Premium Rates for Connecticut
| 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 HealthFund (Consumer Driven Plan) | |||||||||||
| High Self | 221 | New Plan | 129.44 | 97.08 | 32.36 | N/A | New Code | 280.45 | 210.34 | 70.11 | N/A |
| High Family | 222 | New Plan | 297.73 | 223.30 | 74.43 | N/A | New Code | 645.08 | 483.81 | 161.27 | N/A |
| ConnectiCare | |||||||||||
| High Self | TE1 | 134.67 | 152.36 | 114.27 | 38.09 | 4.42 | 291.79 | 330.11 | 247.58 | 82.53 | 9.58 |
| High Family | TE2 | 352.67 | 399.02 | 277.09 | 121.93 | 18.88 | 764.12 | 864.54 | 600.36 | 264.18 | 40.90 |
U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532