Rates

Medical, Dental & Vision Plan Rates - ACTIVE

Active Rates

• July-Dec 2021
  • Note: These are complex rate charts intended for agency billing purposes.
• To view the rates in an easy-to-read format -  Active Premium Summary Chart 2021

LWOP - Leave Without Pay

• View the Active Rate charts linked above.
• To calculate the employee premium plus the employer premium, view the "Total 26 Pay" column.
• This is the bi-weekly rate for premiums.

COBRA - Consolidated Omnibus Budget Reconciliation Act

• COBRA Rate Summary Chart | 2021
• This is the monthly rate for premiums.
   

Medical, Dental & Vision Plan Rates - RETIREE

• Retired Employee Enrollment Guide | 2021 - Chart for rates with and without Medicare