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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 Minnesota

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

MN Avera Health Plans

High Self

AV1

144.77

194.74

131.08

63.66

27.47

313.67

421.94

284.01

137.93

59.51

High Family

AV2

338.08

454.78

298.23

156.55

72.03

732.51

985.36

646.17

339.19

156.06

MN HealthPartners Classic

High Self

531

193.43

232.12

131.08

101.04

29.01

419.1

502.93

284.01

218.92

62.85

High Family

532

464.22

557.07

298.23

258.84

71.71

1005.81

1206.99

646.17

560.82

155.37

MN HealthPartners Open Access Deductible

Standard Self

534

163.96

180.36

131.08

49.28

6.72

355.25

390.78

284.01

106.77

14.55

Standard Family

535

393.48

432.85

298.23

134.62

18.23

852.54

937.84

646.17

291.67

39.49

MN HealthPartners Primary Clinic Plan

High Self

HQ1

239.89

288.03

131.08

156.95

38.46

519.76

624.07

284.01

340.06

83.33

High Family

HQ2

575.72

691.27

298.23

393.04

94.41

1247.39

1497.75

646.17

851.58

204.55


Insure Main | FEHB | 2005 Premiums