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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 Michigan

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

MI 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

MI Bluecare Network of MI

High Self

K51

158.49

155.56

116.67

38.89

-0.73

343.4

337.05

252.79

84.26

-1.59

High Family

K52

443.59

435.35

298.23

137.12

-29.38

961.11

943.26

646.17

297.09

-63.66

MI Bluecare Network of MI

High Self

KR1

192.86

208.88

131.08

77.8

6.34

417.86

452.57

284.01

168.56

13.73

High Family

KR2

557.12

603.62

298.23

305.39

25.36

1207.09

1307.84

646.17

661.67

54.94

MI Bluecare Network of MI

High Self

LN1

209.53

212.46

131.08

81.38

-6.75

453.98

460.33

284.01

176.32

-14.63

High Family

LN2

504.56

511.63

298.23

213.4

-14.07

1093.21

1108.53

646.17

462.36

-30.49

MI Bluecare Network of MI

High Self

LX1

119.55

130.94

98.21

32.73

2.84

259.03

283.7

212.78

70.92

6.16

High Family

LX2

357.6

391.83

293.87

97.96

8.56

774.8

848.97

636.73

212.24

18.54

MI Grand Valley Health Plan

High Self

RL1

149.8

166.77

125.08

41.69

4.24

324.57

361.34

271.01

90.33

9.19

High Family

RL2

420.54

469.05

298.23

170.82

27.37

911.17

1016.28

646.17

370.11

59.3

MI Health Alliance Plan

High Self

521

134.48

140.85

105.64

35.21

1.59

291.37

305.18

228.89

76.29

3.45

High Family

522

356.34

373.24

279.93

93.31

4.23

772.07

808.69

606.52

202.17

9.15

MI HealthPlus MI

High Self

X51

176.89

201.6

131.08

70.52

15.03

383.26

436.8

284.01

152.79

32.56

High Family

X52

403.96

460.39

298.23

162.16

35.29

875.25

997.51

646.17

351.34

76.45

MI M-Care

High Self

EG1

126.66

134.33

100.75

33.58

1.92

274.43

291.05

218.29

72.76

4.15

High Family

EG2

335.61

355.97

266.98

88.99

5.09

727.16

771.27

578.45

192.82

11.03

MI Total Health Care

High Self

N21

115.69

123.92

92.94

30.98

2.06

250.66

268.49

201.37

67.12

4.46

High Family

N22

284.21

304.4

228.3

76.1

5.05

615.79

659.53

494.65

164.88

10.93


Insure Main | FEHB | 2005 Premiums