2010 Rate Information for SAMBA Health Benefit Plan

Non-Postal rates apply to most non-Postal employees. If you are in a special enrollment category, refer to the Guide to Federal Benefits 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 Guide to Benefits for Career United States Postal Service Employees, RI 70-2, and to the rates shown below.

The rates shown below do not apply to Postal Service Inspectors, Office of Inspector General (OIG) employees and Postal Service Nurses. Rates for members of these groups are published in special Guides. Postal Service Inspectors and OIG employees should refer to the Guide to Benefits for United States Postal Inspectors and Office of Inspector General Employees (RI 70-2IN). Postal Service Nurses should refer to the Guide to Benefits for United States Postal Nurses (RI 70-2NU).

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 Guide to Federal Benefits.
Type of
Enrollment		 Enrollment
Code		 Non-Postal Premium Postal Premium
Biweekly Monthly Biweekly
Gov't
Share		 Your
Share		 Gov't
Share		 Your
Share		 USPS
Share		 Your
Share
High Option
Self Only		 441 $167.61 $108.76 $363.16 $235.64 $190.89 $85.48
High Option
Self and Family		 442 $376.04 $274.81 $814.75 $595.43 $428.27 $222.58
Standard Option
Self Only		 444 $150.38 $50.12 $325.82 $108.60 $171.43 $29.07
Standard Option
Self and Family		 445 $343.44 $114.48 $744.12 $248.04 $391.52 $66.40

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