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Federal Employees Health Benefits Program 2004 Premiums   
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You are here: OPM Home > Insurance > FEHB > 2004 Premiums > Postal Premiums > Iowa

2004 FEHB Postal Premium Rates for Iowa


HMO Plans 2003 Total Biweekly Premium 2004 Total Biweekly Premium 2004 Biweekly Postal
Premium Rates
Plan - Option - Enrollment Code USPS Pays Postal Empl. Pays Change in employee payment
Avera Health Plans
High Self AV1 118.18 144.77 128.48 16.29 2.99
High Family AV2 275.98 338.08 300.05 38.03 6.98
Coventry Health Care of Iowa
High Self SV1 116.65 134.14 119.05 15.09 1.97
High Family SV2 315.02 362.26 321.51 40.75 5.31
Health Alliance HMO
High Self FX1 151.25 169.40 143.32 26.08 3.86
High Family FX2 353.01 395.37 327.12 68.25 9.94
John Deere Health Plan
High Self YH1 124.17 142.23 126.23 16.00 2.03
High Family YH2 304.21 348.46 309.26 39.20 4.98
Sioux Valley Health Plan
High Self AU1 167.09 213.66 143.32 70.34 32.28
High Family AU2 382.64 491.25 327.12 164.13 76.19
Standard Self AU4 New Code 181.32 143.32 38.00 N/A
Standard Family AU5 New Code 416.83 327.12 89.71 N/A
 
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Page updated 9/25/03