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| FEHB Home | Non-Postal Premiums |
2004 FEHB Non-Postal Premium Rates for Oklahoma
| 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 | SL1 | New Code | 157.06 | 117.80 | 39.26 | N/A | New Code | 340.30 | 255.23 | 85.07 | N/A |
| High Family | SL2 | New Code | 383.08 | 277.09 | 105.99 | N/A | New Code | 830.01 | 600.36 | 229.65 | N/A |
| PacifiCare Southwest Region (OK & TX) | |||||||||||
| High Self | 2N1 | 148.28 | 162.14 | 121.40 | 40.74 | 1.76 | 321.27 | 351.30 | 263.03 | 88.27 | 3.82 |
| High Family | 2N2 | 374.64 | 390.79 | 277.09 | 113.70 | -11.32 | 811.72 | 846.71 | 600.36 | 246.35 | -24.53 |