Rates

Medical, Dental & Vision Plan Rates - ACTIVE

• Active Rates
  • Jan - Jun | 2021
  • Jul - Dec | 2020
  • 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 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
  • COBRA Rate Summary Chart | 2020
  • This is the monthly rate for premiums.
     

Medical, Dental & Vision Plan Rates - RETIREE

• Monthly rates with and without Medicare.
   
• Retiree Rates
  • Jan-Dec | 2021
  • Jan-Dec | 2020
  • 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 | 2020