Quick Links
Health
Dental
Vision
Group Life
Additional Life
| |
|
Diamond |
|
Platinum |
|
Gold |
|
Silver |
|
Bronze |
|
Cobalt |
| Member |
|
743.26 |
|
668.94 |
|
639.20 |
|
616.90 |
|
594.60 |
|
538.86 |
| Child |
|
355.08 |
|
319.58 |
|
305.36 |
|
294.72 |
|
284.06 |
|
257.44 |
| Children |
|
578.06 |
|
520.26 |
|
497.14 |
|
479.78 |
|
462.44 |
|
419.10 |
| Spouse |
|
869.02 |
|
782.12 |
|
747.36 |
|
721.28 |
|
695.22 |
|
630.04 |
| Spouse & Child |
|
1,224.10 |
|
1,101.70 |
|
1,052.72 |
|
1,016.00 |
|
979.28 |
|
887.48 |
| Spouse & Children |
|
1,447.08 |
|
1,302.38 |
|
1,224.50 |
|
1,201.06 |
|
1,180.82 |
|
1,049.14 |
|
|
Enhanced |
|
Standard |
| Member |
|
47.62 |
|
42.86 |
| Child |
|
25.16 |
|
22.64 |
| Children |
|
40.00 |
|
36.02 |
| Spouse |
|
58.82 |
|
52.94 |
| Spouse & Child |
|
83.98 |
|
75.58 |
| Spouse & Children |
|
98.82 |
|
88.96 |
|
|
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 |
