2001 FEHB Non-Postal Premium Rates for Indiana
                             
HMO Plans   2000 Total Biweekly Premium 2001 Biweekly premium rates 2000 Total Monthly Premium 2001 Monthly premium rates
Location - Plan  -  Option -   Total Premium Gov't Pays Empl. Pays Change in employee payment Total Premium Gov't Pays Empl. Pays Change in employee payment
Enrollment Code  
IN     Aetna U.S. Healthcare    
High Self 7L1 New Area   99.22   74.42   24.80 N/A New Area   214.98   161.24   53.74 N/A
High Family 7L2 New Area   245.12   183.84   61.28 N/A New Area   531.09   398.32   132.77 N/A
IN     Aetna U.S. Healthcare    
High Self RD1   104.29   112.56   84.42   28.14   2.07   225.96   243.88   182.91   60.97   4.48
High Family RD2   258.14   284.70   195.82   88.88   6.71   559.30   616.85   424.28   192.57   14.54
IN     Aetna U.S. Healthcare    
High Self XC1   70.08   71.61   53.71   17.90   0.38   151.84   155.16   116.37   38.79   0.83
High Family XC2   221.98   227.98   170.99   56.99   1.50   480.96   493.96   370.47   123.49   3.25
IN     Arnett HMO    
High Self G21   106.43   121.20   86.59   34.61   7.01   230.60   262.60   187.61   74.99   15.19
High Family G22   276.75   315.14   195.82   119.32   18.54   599.63   682.80   424.28   258.52   40.16
IN     Health Alliance HMO    
High Self FX1   110.73   121.80   86.59   35.21   3.31   239.92   263.90   187.61   76.29   7.17
High Family FX2   258.46   284.30   195.82   88.48   5.99   560.00   615.98   424.28   191.70   12.97
IN     Humana Health Plan    
High Self D21   107.94   115.09   86.32   28.77   -0.34   233.87   249.36   187.02   62.34   -0.73
High Family D22   269.83   287.73   195.82   91.91   -1.95   584.63   623.42   424.28   199.14   -4.22
IN     Humana Health Plan Inc.    
High Self 751   100.03   111.90   83.93   27.97   2.96   216.73   242.45   181.84   60.61   6.43
High Family 752   239.90   268.36   195.82   72.54   8.61   519.78   581.45   424.28   157.17   18.66
IN     M*Plan    
High Self IN1   103.83   120.62   86.59   34.03   8.07   224.97   261.34   187.61   73.73   17.49
High Family IN2   231.16   269.25   195.82   73.43   15.64   500.85   583.38   424.28   159.10   33.89
IN     Maxicare Indiana    
High Self GK1   96.34   106.60   79.95   26.65   2.57   208.74   230.97   173.23   57.74   5.56
High Family GK2   226.21   250.54   187.91   62.63   6.08   490.12   542.84   407.13   135.71   13.18
IN     Physicians HP of N. Indiana    
High Self DQ1   105.33   123.50   86.59   36.91   10.41   228.22   267.58   187.61   79.97   22.55
High Family DQ2   237.41   278.04   195.82   82.22   20.78   514.39   602.42   424.28   178.14   45.02
IN     Sagmore Advantage HMO, Inc.    
High Self 6Y1 New Plan   106.11   79.58   26.53 N/A New Plan   229.91   172.43   57.48 N/A
High Family 6Y2 New Plan   249.15   186.86   62.29 N/A New Plan   539.83   404.87   134.96 N/A
IN     UNICARE Health Plans of the Mid-West    
High Self 171   88.90   83.03   62.27   20.76   -1.46   192.62   179.90   134.93   44.97   -3.18
High Family 172   230.72   215.52   161.64   53.88   -3.80   499.89   466.96   350.22   116.74   -8.23
IN     Welborn HMO    
High Self H31   93.06   117.73   86.59   31.14   7.88   201.63   255.08   187.61   67.47   17.06
High Family H32   240.56   304.32   195.82   108.50   43.91   521.21   659.36   424.28   235.08   95.14

Web page created 14 Sept 2000