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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 Postal Premium Rates for Wisconsin

HMO Plans

2004 Total Biweekly Premium

2005 Total Biweekly Premium

2005 Biweekly Postal Premium Rates

Plan

Option

Enrollment Code

USPS Pays

Employee Pays

Change in employee payment

WI Dean Health Plan

High Self

WD1

135.34

156.99

139.33

17.66

2.43

High Family

WD2

365.4

415.99

352.08

63.91

22.8

WI Group Health Cooperative

High Self

WJ1

132.42

136.92

121.52

15.4

0.5

High Family

WJ2

357.96

370.05

328.42

41.63

1.36

WI HealthPartners Classic

High Self

531

193.43

232.12

154.74

77.38

27.27

High Family

532

464.22

557.07

352.08

204.99

67.89

WI HealthPartners Open Access Deductible

Standard Self

534

163.96

180.36

154.74

25.62

4.98

Standard Family

535

393.48

432.85

352.08

80.77

14.41

WI HealthPartners Primary Clinic Plan

High Self

HQ1

239.89

288.03

154.74

133.29

36.72

High Family

HQ2

575.72

691.27

352.08

339.19

90.59

WI Humana CoverageFirst (Consumer Driven Plan)

CDHP Self

FB1

105.68

107.98

95.83

12.15

0.26

CDHP Family

FB2

243.06

248.38

220.44

27.94

0.6

WI PREVEA HEALTH PLAN

High Self

ID1

New Plan

167.15

148.35

18.8

N/A

High Family

ID2

New Plan

415.85

352.08

63.77

N/A