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U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

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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 > Louisiana

2004 FEHB Non-Postal Premium Rates for Louisiana


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
Coventry Healthcare Louisiana
High Self BJ1 129.89 122.31 91.73 30.58 -1.89 281.43 265.01 198.76 66.25 -4.11
High Family BJ2 301.65 284.08 213.06 71.02 -4.39 653.58 615.51 461.63 153.88 -9.51
Coventry Healthcare Louisiana
High Self JA1 136.92 170.49 121.40 49.09 14.86 296.66 369.40 263.03 106.37 32.21
High Family JA2 317.98 395.95 277.09 118.86 39.37 688.96 857.89 600.36 257.53 85.29
Vantage Health Plan
High Self MV1 162.35 178.03 121.40 56.63 3.58 351.76 385.73 263.03 122.70 7.76
High Family MV2 435.59 462.87 277.09 185.78 -0.19 943.78 1002.89 600.36 402.53 -0.41
 

Page created 09/10/2003