Quick Links
Health
Dental
Vision
Group Life
Additional Life
|
|
Diamond |
|
Diamond |
|
Platinum |
|
Platinum |
|
Gold |
|
Silver |
|
Bronze |
|
Cobalt |
|
|
Advantage |
|
Preferred |
|
Advantage |
|
Preferred |
|
Preferred |
|
Preferred |
|
Preferred |
|
Preferred |
Member |
|
660.20 |
|
776.60 |
|
594.18 |
|
699.04 |
|
667.96 |
|
644.66 |
|
621.36 |
|
0 |
Child |
|
315.40 |
|
371.06 |
|
283.86 |
|
333.96 |
|
319.12 |
|
307.98 |
|
296.84 |
|
0 |
Children |
|
513.46 |
|
604.08 |
|
462.12 |
|
543.68 |
|
519.50 |
|
501.38 |
|
483.26 |
|
0 |
Spouse |
|
771.90 |
|
908.12 |
|
694.70 |
|
817.30 |
|
780.98 |
|
753.74 |
|
726.50 |
|
0 |
Spouse & Child |
|
1,087.30 |
|
1,279.18 |
|
978.56 |
|
1,151.26 |
|
1,100.10 |
|
1,061.72 |
|
1,023.34 |
|
0 |
Spouse & Children |
|
1,285.36 |
|
1,512.20 |
|
1,156.82 |
|
1,360.98 |
|
1,300.48 |
|
1,255.12 |
|
1,209.76 |
|
0 |
|
|
Enhanced |
|
Standard |
Member |
|
49.76 |
|
44.78 |
Child |
|
26.30 |
|
23.66 |
Children |
|
41.80 |
|
37.64 |
Spouse |
|
61.46 |
|
55.32 |
Spouse & Child |
|
87.76 |
|
78.98 |
Spouse & Children |
|
103.26 |
|
92.96 |
|
|
Enhanced |
|
Standard |
Member |
|
7.74 |
|
6.28 |
Child |
|
7.22 |
|
5.82 |
Children |
|
7.22 |
|
5.82 |
Spouse |
|
6.80 |
|
5.50 |
Spouse & Child |
|
18.44 |
|
14.92 |
Spouse & Children |
|
18.44 |
|
14.92 |
Benefit |
|
Rate |
20,000 |
|
6.50 |
30,000 |
|
9.74 |
40,000 |
|
13.00 |
50,000 |
|
16.24 |
Per $5,000 of Coverage
|
|
18-34 |
|
35-39 |
|
40-44 |
|
45-49 |
|
50-54 |
|
55-59 |
|
60-64 |
|
65-69 |
|
70-74 |
|
75+ |
With AD&D |
|
0.50 |
|
0.65 |
|
0.85 |
|
1.30 |
|
2.10 |
|
3.35 |
|
3.85 |
|
6.20 |
|
10.40 |
|
16.05 |
Without AD&D |
|
0.35 |
|
0.50 |
|
0.70 |
|
1.15 |
|
1.95 |
|
3.20 |
|
3.70 |
|
6.05 |
|
10.25 |
|
15.90 |