Rates

Medical, Dental & Vision Plan Rates - ACTIVE

• LWOP - Leave Without Pay
  • 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
  •  To calculate the COBRA rate (employee premium plus the employer premium plus a 2% COBRA admin fee), view the "COBRA/Month" column.
  • This is the monthly rate for premiums.
     
• Active Rates
  • Jan - Jun | 2020
  • Jul - Dec | 2019
  • Note: These are complex rate charts intended for agency billing purposes.
     
  • To view the rates in an easy-to-read format see the following:
    • Active Employee Enrollment Guide | 2019
    • Active Employee Enrollment Guide | 2020

Medical, Dental & Vision Plan Rates - RETIREE

• Monthly rates with and without Medicare.
   
• Retiree Rates
  • Jan - Dec | 2019
  • Note: These are complex rate charts intended for billing purposes.
  • To view the rates in an easy-to-read format see the following:
    • Retired Employee Enrollment Guide | 2019
    • Retired Employee Enrollment Guide | 2020