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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 Massachusetts

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

MA 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

MA BlueChip, Coordinated Health Partners, Inc.

High Self

DA1

182.84

188.4

131.08

57.32

-4.12

396.15

408.2

284.01

124.19

-8.93

High Family

DA2

468.17

499.23

298.23

201

9.92

1014.37

1081.67

646.17

435.5

21.49

MA ConnectiCare

High Self

TE1

152.36

168.29

126.22

42.07

3.98

330.11

364.63

273.47

91.16

8.63

High Family

TE2

399.02

425.79

298.23

127.56

5.63

864.54

922.55

646.17

276.38

12.2

MA Fallon Community Health Plan

High Self

JV1

178.66

188.05

131.08

56.97

-0.29

387.1

407.44

284.01

123.43

-0.64

High Family

JV2

434.23

457.06

298.23

158.83

1.69

940.83

990.3

646.17

344.13

3.66

Standard Self

JV4

New Plan

162.24

121.68

40.56

N/A

New Plan

351.52

263.64

87.88

N/A

Standard Family

JV5

New Plan

394.31

295.73

98.58

N/A

New Plan

854.34

640.76

213.58

N/A


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