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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 > Texas

2004 FEHB Non-Postal Premium Rates for Texas


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 P11 New Code 127.80 95.85 31.95 N/A New Code 276.90 207.68 69.22 N/A
High Family P12 New Code 321.96 241.47 80.49 N/A New Code 697.58 523.19 174.39 N/A
Aetna Health Inc.
High Self PU1 New Code 153.58 115.19 38.39 N/A New Code 332.76 249.57 83.19 N/A
High Family PU2 New Code 383.42 277.09 106.33 N/A New Code 830.74 600.36 230.38 N/A
FIRSTCARE
High Self 6U1 123.55 149.84 112.38 37.46 6.57 267.69 324.65 243.49 81.16 14.24
High Family 6U2 265.41 321.89 241.42 80.47 14.12 575.06 697.43 523.07 174.36 30.60
FIRSTCARE
High Self CK1 176.51 189.09 121.40 67.69 0.48 382.44 409.70 263.03 146.67 1.05
High Family CK2 379.13 406.17 277.09 129.08 -0.43 821.45 880.04 600.36 279.68 -0.93
HMO Blue Texas
High Self YM1 138.49 154.79 116.09 38.70 4.08 300.06 335.38 251.54 83.84 8.83
High Family YM2 339.00 378.93 277.09 101.84 12.46 734.50 821.02 600.36 220.66 27.00
Humana CoverageFirst (Consumer Driven Plan)
High Self T21 New Plan 115.28 86.46 28.82 N/A New Plan 249.77 187.33 62.44 N/A
High Family T22 New Plan 265.16 198.87 66.29 N/A New Plan 574.51 430.88 143.63 N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self T81 New Plan 110.49 82.87 27.62 N/A New Plan 239.40 179.55 59.85 N/A
High Family T82 New Plan 254.11 190.58 63.53 N/A New Plan 550.57 412.93 137.64 N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self TP1 New Plan 100.88 75.66 25.22 N/A New Plan 218.57 163.93 54.64 N/A
High Family TP2 New Plan 232.01 174.01 58.00 N/A New Plan 502.69 377.02 125.67 N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self TU1 New Plan 96.08 72.06 24.02 N/A New Plan 208.17 156.13 52.04 N/A
High Family TU2 New Plan 220.97 165.73 55.24 N/A New Plan 478.77 359.08 119.69 N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self TV1 New Plan 105.68 79.26 26.42 N/A New Plan 228.97 171.73 57.24 N/A
High Family TV2 New Plan 243.06 182.30 60.76 N/A New Plan 526.63 394.97 131.66 N/A
Humana Health Plan of Texas
High Self UR1 133.78 170.62 121.40 49.22 15.78 289.86 369.68 263.03 106.65 34.19
High Family UR2 343.86 392.44 277.09 115.35 21.11 745.03 850.29 600.36 249.93 45.74
Standard Self UR4 107.55 137.00 102.75 34.25 7.36 233.03 296.83 222.62 74.21 15.95
Standard Family UR5 276.45 315.11 236.33 78.78 9.67 598.98 682.74 512.06 170.68 20.94
Mercy Health Plans/Premier Health Plans
High Self HM1 174.11 174.11 121.40 52.71 -12.10 377.24 377.24 263.03 114.21 -26.21
High Family HM2 435.29 435.29 277.09 158.20 -27.47 943.13 943.13 600.36 342.77 -59.52
PacifiCare Southwest Region (OK & TX)
High Self GF1 143.10 167.10 121.40 45.70 9.93 310.05 362.05 263.03 99.02 21.51
High Family GF2 371.83 385.95 277.09 108.86 -13.35 805.63 836.23 600.36 235.87 -28.92
 
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Page updated 09/24/03