2023/24 Plan Year Rates
for Current & Former Employees


  Quick Links
  All-in-One Rate Sheet  
  Health
  Dental
  Vision
  Group Life
  Additional Life



Health
  Health Coverage Details  

  Diamond Platinum Gold Silver Bronze
Member 707.86 665.38 630.00 601.68 566.28
Child 338.18 317.88 300.98 287.46 270.54
Children 550.54 517.50 489.98 467.96 440.44
Spouse 827.64 777.98 736.60 703.50 662.12
Spouse & Child 1,165.82 1,095.86 1,037.58 990.96 932.66
Spouse & Children    1,378.18 1,295.48 1,226.58 1,171.46 1,102.56


Dental
  Dental Coverage Details  

Enhanced Standard
Member 45.36 40.82
Child 23.96 21.56
Children 38.10 34.30
Spouse 56.02 50.42
Spouse & Child 79.98 71.98
Spouse & Children 94.12 84.72


Vision
  Vision Coverage Details  

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


Group Life
  Group Life Coverage Details  

Benefit          Rate
20,000 6.00
30,000 9.00
40,000 12.00
50,000 15.00


Additional Life
  Additional Life Coverage Details  
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