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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 > District of Columbia

2004 FEHB Non-Postal Premium Rates for District of Columbia


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 JN1 141.44 160.96 120.72 40.24 4.88 306.45 348.75 261.56 87.19 10.58
High Family JN2 318.55 362.51 271.88 90.63 10.99 690.19 785.44 589.08 196.36 23.81
Standard Self JN4 105.74 105.75 79.31 26.44 0.01 229.10 229.13 171.85 57.28 0.01
Standard Family JN5 247.46 247.47 185.60 61.87 0.01 536.16 536.19 402.14 134.05 0.01
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
CareFirst BlueChoice
High Self 2G1 160.71 181.64 121.40 60.24 8.83 348.21 393.55 263.03 130.52 19.13
High Family 2G2 361.58 408.63 277.09 131.54 19.58 783.42 885.37 600.36 285.01 42.43
Kaiser Permanente
High Self E31 123.23 145.98 109.49 36.49 5.68 267.00 316.29 237.22 79.07 12.32
High Family E32 293.29 347.45 260.59 86.86 13.54 635.46 752.81 564.61 188.20 29.34
M.D. IPA
High Self JP1 138.80 146.81 110.11 36.70 2.00 300.73 318.09 238.57 79.52 4.34
High Family JP2 333.17 352.37 264.28 88.09 4.54 721.87 763.47 572.60 190.87 9.84
 
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Page updated 09/24/03