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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 Pennsylvania

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

PA 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

PA Aetna Open Access

High Self

P31

185.14

225.56

139.18

86.38

32.32

401.14

488.71

301.56

187.15

70.02

High Family

P32

446.74

544.23

316.08

228.15

79.64

967.94

1179.17

684.84

494.33

172.56

PA Aetna Open Access

High Self

YE1

134.23

125.2

93.9

31.3

-2.26

290.83

271.27

203.45

67.82

-4.89

High Family

YE2

370.14

345.22

258.92

86.3

-6.23

801.97

747.98

560.99

186.99

-13.5

PA HealthAmerica Pennsylvania

High Self

261

170.32

189.26

139.18

50.08

7.5

369.03

410.06

301.56

108.5

16.24

High Family

262

434.34

482.63

316.08

166.55

30.44

941.07

1045.7

684.84

360.86

65.96

Standard Self

264

158.98

180.53

135.4

45.13

5.39

344.46

391.15

293.36

97.79

11.68

Standard Family

265

405.41

460.39

316.08

144.31

37.13

878.39

997.51

684.84

312.67

80.45

High Deductible Self

Y61

151.89

151.89

113.92

37.97

0

329.1

329.1

246.83

82.27

0

High Deductible Family

Y62

373.42

373.42

280.07

93.35

0

809.08

809.08

606.81

202.27

0

PA HealthAmerica Pennsylvania

High Self

4N1

238.06

247.62

139.18

108.44

1.46

515.8

536.51

301.56

234.95

3.16

High Family

4N2

547.54

569.54

316.08

253.46

4.15

1186.34

1234

684.84

549.16

8.99

Standard Self

4N4

211.05

243.94

139.18

104.76

24.79

457.28

528.54

301.56

226.98

53.71

Standard Family

4N5

485.42

561.06

316.08

244.98

57.79

1051.74

1215.63

684.84

530.79

125.22

High Deductible Self

YN1

190.76

190.76

139.18

51.58

-8.1

413.31

413.31

301.56

111.75

-17.55

High Deductible Family

YN2

431.16

431.16

316.08

115.08

-17.85

934.18

934.18

684.84

249.34

-38.67

PA HealthAmerica Pennsylvania

High Self

PN1

233.6

207.57

139.18

68.39

-34.13

506.13

449.74

301.56

148.18

-73.94

High Family

PN2

536.37

476.58

316.08

160.5

-77.64

1162.14

1032.59

684.84

347.75

-168.22

Standard Self

PN4

209.4

180.26

135.2

45.06

-33.26

453.7

390.56

292.92

97.64

-72.05

Standard Family

PN5

480.7

413.89

310.42

103.47

-79

1041.52

896.76

672.57

224.19

-171.16

High Deductible Self

9N1

183.76

164.44

123.33

41.11

-11.57

398.15

356.29

267.22

89.07

-25.07

High Deductible Family

9N2

414.45

370.17

277.63

92.54

-23.68

897.98

802.04

601.53

200.51

-51.3

PA HealthAmerica Pennsylvania

High Self

SW1

202.73

229

139.18

89.82

18.17

439.25

496.17

301.56

194.61

39.37

High Family

SW2

466.28

526.71

316.08

210.63

42.58

1010.27

1141.21

684.84

456.37

92.27

Standard Self

SW4

186.46

204.85

139.18

65.67

10.29

404

443.84

301.56

142.28

22.29

Standard Family

SW5

428.86

471.18

316.08

155.1

24.47

929.2

1020.89

684.84

336.05

53.02

High Deductible Self

YW1

171.59

171.59

128.69

42.9

0

371.78

371.78

278.84

92.94

0

High Deductible Family

YW2

387.1

387.1

290.33

96.77

0

838.72

838.72

629.04

209.68

0

PA Keystone Health Plan Central

High Self

S41

208.21

213.93

139.18

74.75

-2.38

451.12

463.52

301.56

161.96

-5.15

High Family

S42

496.79

510.43

316.08

194.35

-4.21

1076.38

1105.93

684.84

421.09

-9.12

Standard Self

S44

New Plan

201.82

139.18

62.64

N/A

New Plan

437.28

301.56

135.72

N/A

Standard Family

S45

New Plan

481.55

316.08

165.47

N/A

New Plan

1043.36

684.84

358.52

N/A

PA Keystone Health Plan East

High Self

ED1

164.6

196

139.18

56.82

15.67

356.63

424.67

301.56

123.11

33.95

High Family

ED2

434.06

517.17

316.08

201.09

65.26

940.46

1120.54

684.84

435.7

141.41

PA UPMC Health Plan

High Self

8W1

170.97

187.11

139.18

47.93

5.19

370.44

405.41

301.56

103.85

11.24

High Family

8W2

436.07

477.28

316.08

161.2

23.36

944.82

1034.11

684.84

349.27

50.62


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