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U.S. Office of Personnel Management - Recruiting, Retaining and Honoring a World-Class Workforce to Serve the American People

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Federal Employees Health Benefits Program

2005 FEHB Non-Postal Premium Rates for Florida

HMO Plans

2004 Total Biweekly Premium

2005 Biweekly premium rates

2004 Total Monthly Premium

2005 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

FL Aetna HealthFund (CDHP/HDHP)

CDHP Self

221

129.44

136.8

102.6

34.2

1.84

280.45

296.4

222.3

74.1

3.99

CDHP Family

222

297.73

314.65

235.99

78.66

4.23

645.08

681.74

511.31

170.43

9.16

HDHP Self

224

New Plan

153.73

115.3

38.43

N/A

New Plan

333.08

249.81

83.27

N/A

HDHP Family

225

New Plan

353.59

265.19

88.4

N/A

New Plan

766.11

574.58

191.53

N/A

FL Av-Med Health Plan

High Self

ML1

146.82

157.08

117.81

39.27

2.57

318.11

340.34

255.26

85.08

5.55

High Family

ML2

403.68

408.39

298.23

110.16

-16.43

874.64

884.85

646.17

238.68

-35.6

Standard Self

ML4

New Plan

125.52

94.14

31.38

N/A

New Plan

271.96

203.97

67.99

N/A

Standard Family

ML5

New Plan

326.33

244.75

81.58

N/A

New Plan

707.05

530.29

176.76

N/A

FL Capital Health Plan

High Self

EA1

148.52

163.02

122.27

40.75

3.62

321.79

353.21

264.91

88.3

7.85

High Family

EA2

393.61

432

298.23

133.77

17.25

852.82

936

646.17

289.83

37.37

FL Humana CoverageFirst (Consumer Driven Plan)

CDHP Self

MJ1

100.88

103.08

77.31

25.77

0.55

218.57

223.34

167.51

55.83

1.19

CDHP Family

MJ2

232.01

237.09

177.82

59.27

1.27

502.69

513.7

385.28

128.42

2.75

FL Humana CoverageFirst (Consumer Driven Plan)

CDHP Self

MQ1

105.68

107.98

80.99

26.99

0.57

228.97

233.96

175.47

58.49

1.25

CDHP Family

MQ2

243.06

248.38

186.29

62.09

1.33

526.63

538.16

403.62

134.54

2.88

FL Humana CoverageFirst (Consumer Driven Plan)

CDHP Self

QP1

96.08

98.18

73.64

24.54

0.52

208.17

212.72

159.54

53.18

1.14

CDHP Family

QP2

220.97

225.8

169.35

56.45

1.21

478.77

489.23

366.92

122.31

2.62

FL Humana CoverageFirst (Consumer Driven Plan)

CDHP Self

YG1

New Plan

112.91

84.68

28.23

N/A

New Plan

244.64

183.48

61.16

N/A

CDHP Family

YG2

New Plan

259.67

194.75

64.92

N/A

New Plan

562.62

421.97

140.65

N/A

FL Humana Medical Plan

High Self

EE1

150.59

151.86

113.9

37.96

0.31

326.28

329.03

246.77

82.26

0.69

High Family

EE2

346.38

349.28

261.96

87.32

0.73

750.49

756.77

567.58

189.19

1.57

FL JMH Health Plan

High Self

J81

132.66

146.92

110.19

36.73

3.57

287.43

318.33

238.75

79.58

7.72

High Family

J82

328.29

363.52

272.64

90.88

8.81

711.3

787.63

590.72

196.91

19.09

FL Total Health Choice

High Self

4A1

116.79

132.64

99.48

33.16

3.96

253.05

287.39

215.54

71.85

8.59

High Family

4A2

291

330.48

247.86

82.62

9.87

630.5

716.04

537.03

179.01

21.39

FL Vista Healthplan

High Self

3N1

162.29

179.64

131.08

48.56

7.67

351.63

389.22

284.01

105.21

16.61

High Family

3N2

446.18

493.88

298.23

195.65

26.56

966.72

1070.07

646.17

423.9

57.54

FL Vista Healthplan

High Self

UL1

126.45

157.61

118.21

39.4

7.79

273.98

341.49

256.12

85.37

16.88

High Family

UL2

337.63

420.83

298.23

122.6

38.19

731.53

911.8

646.17

265.63

82.75

FL Vista Healthplan

High Self

Y91

119.15

132.19

99.14

33.05

3.26

258.16

286.41

214.81

71.6

7.06

High Family

Y92

318.16

353

264.75

88.25

8.71

689.35

764.83

573.62

191.21

18.87

FL Vista Healthplan of South Florida

High Self

5E1

112.51

134.08

100.56

33.52

5.39

243.77

290.51

217.88

72.63

11.69

High Family

5E2

309.41

368.73

276.55

92.18

14.83

670.39

798.92

599.19

199.73

32.13


Insure Main | FEHB | 2005 Premiums