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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 > New Jersey

2004 FEHB Non-Postal Premium Rates for New Jersey


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 P31 148.51 158.90 119.18 39.72 0.51 321.77 344.28 258.21 86.07 1.12
High Family P32 358.34 383.43 277.09 106.34 2.38 776.40 830.77 600.36 230.41 -5.15
Aetna HealthFund (Consumer Driven Plan)
High Self 221 New Plan 129.44 97.08 32.36 N/A New Plan 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
AmeriHealth HMO
High Self FK1 147.27 151.24 113.43 37.81 0.16 319.09 327.69 245.77 81.92 -0.35
High Family FK2 351.00 361.10 270.83 90.27 11.11 760.50 782.38 586.79 195.59 -24.07
GHI Health Plan
High Self 801 168.65 185.17 121.40 63.77 4.42 365.41 401.20 263.03 138.17 9.58
High Family 802 421.60 462.92 277.09 185.83 13.85 913.47 1002.99 600.36 402.63 30.00
 
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Page updated 09/29/03