Rates
About the Rates
Rates Shown Below Are: » Monthly Rates » For Active Employees Only » For the 2016/17 Plan Year » Running from July 1, 2016 through June 30, 2017 » Contact the Administration Office for Retiree, COBRA or Disability COBRA Rates Top of Page »
Health
Health Coverage Details: Click Here $ 511.86 Employee Only $ 1,070.00 Employee & Spouse $ 761.28 Employee & Child $ 917.88 Employee & Children $ 1,119.90 Employee, Spouse & Child $ 1,301.38 Employee, Spouse & Children Top of Page »
Dental
Dental Coverage Details: Click Here $ 36.98 Employee Only $ 79.58 Employee & Spouse $ 56.90 Employee & Child $ 65.46 Employee & Children $ 83.46 Employee, Spouse & Child $ 99.62 Employee, Spouse & Children Top of Page »
Orthodontic Dental
Orthodontic Dental Coverage Details: Click Here $ 53.28 Employee Only $ 109.79 Employee & Spouse $ 121.99 Employee & Child $ 121.99 Employee & Children $ 191.86 Employee, Spouse & Child $ 191.86 Employee, Spouse & Children Top of Page »
Vision - Enhanced
Vision Coverage - Enhanced Plan Details: Click Here $ 7.74 Employee Only $ 14.54 Employee & Spouse $ 14.96 Employee & Child $ 14.96 Employee & Children $ 26.18 Employee, Spouse & Child $ 26.18 Employee, Spouse & Children Top of Page »
Vision - Standard
Vision Coverage - Standard Plan Details: Click Here $ 6.28 Employee Only $ 11.78 Employee & Spouse $ 12.10 Employee & Child $ 12.10 Employee & Children $ 21.20 Employee, Spouse & Child $ 21.20 Employee, Spouse & Children Top of Page »
Group Life
Group Life Coverage Details: Click Here $ 6.00 $20,000 $ 9.00 $30,000 $12.00 $40,000 $15.00 $50,000 Top of Page »
Additional Life
Additional Coverage Details: Click Here » Per $5,000 Unit of Coverage » Initial Age Rate is Determined as the Employee or Spouse Age on the Date the Coverage Begins » Thereafter Age Rating is Re-Calculated & Adjusted if Necessary at the Start of Each Plan Year (July 1st)
Rate per 5k 5k With AD&D Rate per 1k $ 0.35 34 & Under $ 0.50 $0.07 $ 0.50 35 - 39 $ 0.65 $0.10 $ 0.70 40 - 44 $ 0.85 $0.14 $ 1.15 45 - 49 $ 1.30 $0.23 $ 1.95 50 - 54 $ 2.10 $0.39 $ 3.20 55 - 59 $ 3.35 $0.64 $ 3.70 60 - 64 $ 3.85 $0.74 $ 6.05 65 - 69 $ 6.20 $1.21 $10.25 70 - 74 $10.40 $2.05 $15.90 75 & Over $16.05 $3.18
Non-Age Rated Initial $20,000 of Coverage $ 3.60 N/A $ 4.80 » Only Available to New Employer Groups Joining from the State Insurance Pool & for Employees Enrolling During the Employer Group's Initial Enrollment when the Employee had Similar Coverage In-Force Top of Page »