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2007 Benefits
Service Benefit Plan

2007

Blue Cross And Blue Shield
Service Benefit
Plan

Medicare Part D
Notice

Introduction

Contents

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REFERENCE:

2007 Rates

2007 Changes

Standard Option
Summary

Basic Option
Summary

2007 Rates:
2007 Rate Information
For Blue Cross and Blue Shield
Service Benefit Plan

Non-Postal rates apply to most non-Postal enrollees. If you are in a special enrollment category, refer to the FEHB Guide for that category or contact the agency that maintains your health benefits enrollment.

Postal rates apply to career Postal Service employees. Most employees should refer to the FEHB Guide for United States Postal Service Employees, RI 70-2. Different postal rates apply and a special FEHB guide is published for Postal Service Inspectors and Office of Inspector General (OIG) employees (see RI 70-2IN).

Postal rates do not apply to non-career postal employees, postal retirees, or associate members of any postal employee organization who are not career postal employees. Refer to the applicable FEHB Guide.

Non-Postal Premium

BIWEEKLY
MONTHLY
Type of Enrollment
Code
Gov't Share
Your
Share
Gov't Share
Your
Share
Standard Option Self Only
104
$141.92
$57.30
$307.49
$124.15
Standard Option Self And Family
105
$321.89
$134.30
$697.43
$290.98
Basic Option Self Only
111
$113.99
$37.99
$246.97
$82.32
Basic Option Self And Family
112
$266.99
$88.99
$578.47
$192.82

Postal Premium

BIWEEKLY
Type of Enrollment
Code
USPS
Share
Your
Share
Standard Option Self Only
104
$167.54
$31.98
Standard Option Self And Family
105
$380.01
$76.18
Basic Option Self Only
111
$134.88
$17.10
Basic Option Self And Family
112
$315.93
$40.05

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2007 BENEFITS

BENEFITS