Rates

Quick Links:
» About the Rates
» Health
» Dental
» Orthodontic Dental
» Vision - Enhanced
» Vision - Standard
» Group Life
» Additional Life
Top of Page »


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 »