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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

2006 FEHB Non-Postal Premium Rates for Indiana

HMO Plans

2005 Total Biweekly Premium

2006 Biweekly premium rates

2005 Total Monthly Premium

2006 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

IN Advantage Health Solutions, Inc.

High Self

6Y1

183.68

215.48

139.18

76.3

23.7

397.97

466.87

301.56

165.31

51.35

High Family

6Y2

431.28

505.94

316.08

189.86

56.81

934.44

1096.2

684.84

411.36

123.09

High Deductible Self

6Y4

174.45

173.98

130.49

43.49

-0.12

377.98

376.96

282.72

94.24

-0.25

High Deductible Family

6Y5

396.49

390.87

293.15

97.72

-1.4

859.06

846.89

635.17

211.72

-3.04

IN Aetna HealthFund

Consumer Driven Self

221

136.8

135.55

101.66

33.89

-0.31

296.4

293.69

220.27

73.42

-0.68

Consumer Driven Family

222

314.65

311.79

233.84

77.95

-0.71

681.74

675.55

506.66

168.89

-1.54

High Deductible Self

224

153.73

150.58

112.94

37.64

-0.79

333.08

326.26

244.7

81.56

-1.71

High Deductible Family

225

353.59

343.31

257.48

85.83

-2.57

766.11

743.84

557.88

185.96

-5.57

IN Aetna Open Access

High Self

IK1

152.11

159.74

119.81

39.93

1.9

329.57

346.1

259.58

86.52

4.13

High Family

IK2

375.42

405.45

304.09

101.36

7.51

813.41

878.48

658.86

219.62

16.27

IN Aetna Open Access

High Self

RD1

162.03

162.51

121.88

40.63

0.12

351.07

352.11

264.08

88.03

0.26

High Family

RD2

393.74

401.79

301.34

100.45

2.02

853.1

870.55

652.91

217.64

4.37

IN Arnett HMO

High Self

G21

144.38

164.6

123.45

41.15

5.06

312.82

356.63

267.47

89.16

10.96

High Family

G22

375.4

427.97

316.08

111.89

18.04

813.37

927.27

684.84

242.43

39.09

IN Health Alliance HMO

High Self

FX1

181.36

197.67

139.18

58.49

8.21

392.95

428.29

301.56

126.73

17.79

High Family

FX2

423.25

461.34

316.08

145.26

20.24

917.04

999.57

684.84

314.73

43.86

IN Humana CoverageFirst

Consumer Driven Self

BM1

117.81

129.56

97.17

32.39

2.94

255.26

280.71

210.53

70.18

6.37

Consumer Driven Family

BM2

270.96

297.99

223.49

74.5

6.76

587.08

645.65

484.24

161.41

14.64

IN Humana CoverageFirst

Consumer Driven Self

HZ1

New Plan

107.97

80.98

26.99

N/A

New Plan

233.94

175.46

58.48

N/A

Consumer Driven Family

HZ2

New Plan

248.34

186.26

62.08

N/A

New Plan

538.07

403.55

134.52

N/A

IN Humana CoverageFirst

Consumer Driven Self

L81

98.18

97.18

72.89

24.29

-0.25

212.72

210.56

157.92

52.64

-0.54

Consumer Driven Family

L82

225.8

223.51

167.63

55.88

-0.57

489.23

484.27

363.2

121.07

-1.24

IN Humana CoverageFirst

Consumer Driven Self

MW1

78.54

91.78

68.84

22.94

3.31

170.17

198.86

149.15

49.71

7.17

Consumer Driven Family

MW2

180.64

211.09

158.32

52.77

7.61

391.39

457.36

343.02

114.34

16.49

IN Humana Health Plan Inc.

High Self

751

171.78

179.04

134.28

44.76

1.82

372.19

387.92

290.94

96.98

3.93

High Family

752

395.11

411.78

308.84

102.94

4.16

856.07

892.19

669.14

223.05

9.03

Standard Self

754

121.84

127.72

95.79

31.93

1.47

263.99

276.73

207.55

69.18

3.18

Standard Family

755

280.22

293.77

220.33

73.44

3.39

607.14

636.5

477.38

159.12

7.34

IN M*Plan

High Self

IN1

New Plan

183.59

137.69

45.9

N/A

New Plan

397.78

298.34

99.44

N/A

High Family

IN2

New Plan

417.6

313.2

104.4

N/A

New Plan

904.8

678.6

226.2

N/A

IN Physicians Health Plan of Northern Indiana

High Self

DQ1

216.09

196.62

139.18

57.44

-27.57

468.2

426.01

301.56

124.45

-59.74

High Family

DQ2

485.23

439.7

316.08

123.62

-63.38

1051.33

952.68

684.84

267.84

-137.32

IN Unicare HMO

High Self

171

167.51

193.9

139.18

54.72

12.84

362.94

420.12

301.56

118.56

27.83

High Family

172

430.02

430.02

316.08

113.94

-17.85

931.71

931.71

684.84

246.87

-38.67

Standard Self

174

New Plan

174.9

131.18

43.72

N/A

New Plan

378.95

284.21

94.74

N/A

Standard Family

175

New Plan

387.88

290.91

96.97

N/A

New Plan

840.41

630.31

210.1

N/A

High Deductible Self

721

New Plan

224.7

139.18

85.52

N/A

New Plan

486.85

301.56

185.29

N/A

High Deductible Family

722

New Plan

487.45

316.08

171.37

N/A

New Plan

1056.14

684.84

371.3

N/A


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