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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 New Jersey

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

NJ Aetna

High Self

P31

158.9

185.14

131.08

54.06

14.34

344.28

401.14

284.01

117.13

31.06

High Family

P32

383.43

446.74

298.23

148.51

42.17

830.77

967.94

646.17

321.77

91.36

NJ 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

NJ AmeriHealth HMO

High Self

FK1

151.24

164.81

123.61

41.2

3.39

327.69

357.09

267.82

89.27

7.35

High Family

FK2

361.1

393.35

295.01

98.34

8.07

782.38

852.26

639.2

213.06

17.47

NJ Coventry Health Care of Delaware (HDHP)

High Self

2J1

New Plan

193.32

131.08

62.24

N/A

New Plan

418.86

284.01

134.85

N/A

High Family

2J2

New Plan

488.13

298.23

189.9

N/A

New Plan

1057.62

646.17

411.45

N/A

HDHP Self

2J4

New Plan

159.4

119.55

39.85

N/A

New Plan

345.37

259.03

86.34

N/A

HDHP Family

2J5

New Plan

391.87

293.9

97.97

N/A

New Plan

849.05

636.79

212.26

N/A

NJ GHI Health Plan

High Self

801

185.17

200.91

131.08

69.83

6.06

401.2

435.31

284.01

151.3

13.13

High Family

802

462.92

502.28

298.23

204.05

18.22

1002.99

1088.27

646.17

442.1

39.47


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