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2004 Premiums

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2004 FEHB Postal Premium Rates for Texas

HMO Plans		2003 Total Biweekly Premium	2004 Total Biweekly Premium	2004 Biweekly Postal Premium Rates
Plan - Option - Enrollment Code		2003 Total Biweekly Premium	2004 Total Biweekly Premium	USPS Pays	Postal Empl. Pays	Change in employee payment
Aetna Health Inc.
High Self	P11	New Code	127.80	113.42	14.38	N/A
High Family	P12	New Code	321.96	285.74	36.22	N/A
Aetna Health Inc.
High Self	PU1	New Code	153.58	136.30	17.28	N/A
High Family	PU2	New Code	383.42	327.12	56.30	N/A
FIRSTCARE
High Self	6U1	123.55	149.84	132.98	16.86	2.96
High Family	6U2	265.41	321.89	285.68	36.21	6.35
FIRSTCARE
High Self	CK1	176.51	189.09	143.32	45.77	-1.71
High Family	CK2	379.13	406.17	327.12	79.05	-5.38
HMO Blue Texas
High Self	YM1	138.49	154.79	137.38	17.41	1.83
High Family	YM2	339.00	378.93	327.12	51.81	7.51
Humana CoverageFirst (Consumer Driven Plan)
High Self	T21	New Plan	115.28	102.31	12.97	N/A
High Family	T22	New Plan	265.16	235.33	29.83	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	T81	New Plan	110.49	98.06	12.43	N/A
High Family	T82	New Plan	254.11	225.52	28.59	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	TP1	New Plan	100.88	89.53	11.35	N/A
High Family	TP2	New Plan	232.01	205.91	26.10	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	TU1	New Plan	96.08	85.27	10.81	N/A
High Family	TU2	New Plan	220.97	196.11	24.86	N/A
Humana CoverageFirst (Consumer Driven Plan)
High Self	TV1	New Plan	105.68	93.79	11.89	N/A
High Family	TV2	New Plan	243.06	215.72	27.34	N/A
Humana Health Plan of Texas
High Self	UR1	133.78	170.62	143.32	27.30	12.25
High Family	UR2	343.86	392.44	327.12	65.32	16.16
Standard Self	UR4	107.55	137.00	121.59	15.41	3.31
Standard Family	UR5	276.45	315.11	279.66	35.45	4.35
Mercy Health Plans/Premier Health Plans
High Self	HM1	174.11	174.11	143.32	30.79	-14.29
High Family	HM2	435.29	435.29	327.12	108.17	-32.42
PacifiCare Southwest Region (OK & TX)
High Self	GF1	143.10	167.10	143.32	23.78	7.68
High Family	GF2	371.83	385.95	327.12	58.83	-18.30

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