MEDICAL & DENTAL RATES
ACTIVE EMPLOYEES
EFFECTIVE JANUARY 1, 2008
All premiums are monthly and listed in dollars and cents. The state
contribution of $489.31 employee only; $969.26 employee + children or spouse; $1107.16
family or $553.58 split per month is deducted from the combined cost of your
life, health, and dental insurance premiums. Coverage is effective the
first day of the month following your date of hire, if enrolled within 31 days
of eligibility. You may enroll your
dependents and/or yourself in the preventive dental and optional dental even if
you are not enrolled in the health insurance.
OPTION I - Active Employee $350 deductible per individual/$700 per family
|
|
Health Premium |
Plus required Preventive Dental Premium |
Optional Dental Premium |
Total Premium Per Month |
|
Employee Only |
$537.89 |
$16.17 |
$10.54 |
$564.60 |
|
Employee plus spouse OR employee plus child(ren) |
$1082.98 |
$35.72 |
$24.70 |
$1143.40 |
|
Family (employee, spouse and child(ren) |
$1245.22 |
$35.72 |
$24.70 |
$1305.64 |
|
Split (state employee and state employed spouse and child(ren) |
$622.61 |
$17.86 |
$12.35 |
$652.82 |
OPTION II - Active Employee $750 deductible per individual/$1500 per family
|
|
Health Premium |
Plus required Preventive Dental Premium |
Optional Dental Premium |
Total Premium Per Month |
|
Employee Only |
$511.00 |
$16.17 |
$10.54 |
$537.71 |
|
Employee plus spouse OR employee plus child(ren) |
$1028.83 |
$35.72 |
$24.70 |
$1089.25 |
|
Family (employee, spouse and child(ren) |
$1182.98 |
$35.72 |
$24.70 |
$1243.40 |
|
Split (state employee and state employed spouse and child(ren) |
$591.49 |
$17.86 |
$12.35 |
$621.70 |
OPTION III - Active Employee $1500 deductible per individual/$3000 per family
|
|
Health Premium |
Plus required Preventive Dental Premium |
Optional Dental Premium |
Total Premium Per Month |
|
Employee Only |
$478.72 |
$16.17 |
$10.54 |
$505.43 |
|
Employee plus spouse OR employee plus child(ren) |
$963.85 |
$35.72 |
$24.70 |
$1024.27 |
|
Family (employee, spouse and child(ren) |
$1108.24 |
$35.72 |
$24.70 |
$1168.66 |
|
Split (state employee and state employed spouse and child(ren) |
$554.12 |
$17.86 |
$12.35 |
$584.33 |
OPTION IV – Active Employee
$2,500 deductible per individual/$5000 per family
|
|
Health Premium |
Plus required Preventive Dental Premium |
Optional Dental Premium |
Total Premium Per Month |
|
Employee Only |
$457.41 |
$16.17 |
$10.54 |
$484.12 |
|
Employee plus spouse OR employee plus child(ren) |
$920.53 |
$35.72 |
$24.70 |
$980.95 |
|
Family (employee, spouse and child(ren) |
$1058.44 |
$35.72 |
$24.70 |
$1118.86 |
|
Split (state employee and state employed spouse and child(ren) |
$529.22 |
$17.86 |
$12.35 |
$559.43 |