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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 Nevada

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

NV Aetna

High Self

Y11

134.5

154.67

116

38.67

5.05

291.42

335.12

251.34

83.78

10.93

High Family

Y12

334.89

385.13

288.85

96.28

12.56

725.6

834.45

625.84

208.61

27.21

NV 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

NV Health Plan of Nevada

High Self

2L1

New Plan

157.62

118.22

39.4

N/A

New Plan

341.51

256.13

85.38

N/A

High Family

2L2

New Plan

403.53

298.23

105.3

N/A

New Plan

874.32

646.17

228.15

N/A

NV Health Plan of Nevada

High Self

NM1

91.96

92.61

69.46

23.15

0.16

199.25

200.66

150.5

50.16

0.35

High Family

NM2

235.45

237.12

177.84

59.28

0.42

510.14

513.76

385.32

128.44

0.91

NV NEVADACARE

High Self

IF1

New Plan

165.46

124.1

41.36

N/A

New Plan

358.5

268.88

89.62

N/A

High Family

IF2

New Plan

402.74

298.23

104.51

N/A

New Plan

872.6

646.17

226.43

N/A

NV PACIFICARE OF NEVADA

High Self

K91

125.1

139.07

104.3

34.77

3.5

271.05

301.32

225.99

75.33

7.57

High Family

K92

283.97

315.69

236.77

78.92

7.93

615.27

684

513

171

17.18


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