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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 Georgia

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

GA Aetna

High Self

2U1

133.61

152.77

114.58

38.19

4.79

289.49

331

248.25

82.75

10.38

High Family

2U2

322.31

368.52

276.39

92.13

11.55

698.34

798.46

598.85

199.61

25.03

GA 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

GA Coventry Health Care of Georgia (HDHP)

HDHP Self

L51

New Plan

112.58

84.44

28.14

N/A

New Plan

243.92

182.94

60.98

N/A

HDHP Family

L52

New Plan

258.95

194.21

64.74

N/A

New Plan

561.06

420.8

140.26

N/A

GA Kaiser Permanente

High Self

F81

128.53

140.97

105.73

35.24

3.11

278.48

305.44

229.08

76.36

6.74

High Family

F82

326.31

357.9

268.43

89.47

7.89

707.01

775.45

581.59

193.86

17.11

Standard Self

F84

New Plan

106.11

79.58

26.53

N/A

New Plan

229.91

172.43

57.48

N/A

Standard Family

F85

New Plan

269.39

202.04

67.35

N/A

New Plan

583.68

437.76

145.92

N/A


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