Rates
The OPEH&W Health Plan’s Plan Year runs from July 1, 2019 through June 30, 2020.
Rates and Coverage details are per plan year unless stated otherwise and are valid July 1, 2019 through June 30, 2020.
Rates shown are for Active Employees.

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Health
Dental
Vision
Group Term Life
Additional Term Life


Health
Health Coverage Details
      Diamond
Preferred
Diamond
Choice
Platinum Gold    Silver    Bronze
Member 586.02 626.94 545.58 513.36 484.06 455.34
Child 285.58 305.50 265.88 250.18 235.90 221.90
Children 464.90 497.32 432.82 407.26 384.02 361.24
Spouse 698.88 747.66 650.66 612.22 577.28 543.04
Spouse & Child 984.46 1,053.16 916.54 862.40 813.16 764.94
Spouse & Children    1,163.78 1,244.98 1,083.48 1,019.48 961.28 904.26
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Dental
Dental Coverage Details
Coverage Tier       Rate
Member      42.36
Child      22.82
Children      36.28
Spouse      53.36
Spouse & Child      76.18
Spouse & Children      89.64
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Vision
Vision Coverage Details
Coverage Tier 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
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Group Term Life
Group Term Life Coverage Details
Death Benefit          Rate
20,000 6.00
30,000 9.00
40,000 12.00
50,000 15.00
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Additional Term Life
Additional Term Life Coverage Details
First $20,000 of Death Benefit Coverage
         18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+
With AD&D Coverage    2.00 2.60 3.40 5.20 8.40 13.40 15.40 24.80 41.60 64.20
Without AD&D Coverage 1.40 2.00 2.80 4.60 7.80 12.80 14.80 24.00 41.00 63.60
Each additional $5,000 of Death Benefit Coverage
  18-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+
With AD&D Coverage 0.50 0.65 0.85 1.30 2.10 3.35 3.85 6.20 10.40 16.05
Without AD&D Coverage 0.35 0.50 0.70 1.15 1.95 3.20 3.70 6.05 10.25 15.90
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