| State Employee Health Insurance | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7/1/2006 TO 6/30/2007 Employee Share Rates Based on Final Premium Rates for Contributions | ||||||||||||||||||
| Bi-Weekly Rates Based on 26 Pay Periods | ||||||||||||||||||
| Medical Plans Including Rx Drug | Dental | |||||||||||||||||
| Anthem | Health Net | Oxford | UnitedHealthcare | Aetna | ||||||||||||||
| State Preferred POS |
State Blue Care POS |
State Blue Care POE |
State Blue Care POE-G |
Out of Area | Charter POS | Charter HMO POE | Passport HMO POE-G | Freedom Select POS | HMO Select POE | HMO POE-G | Out of Area | Basic | Judges |
En- hanced |
DMO | |||
|
Indiv- idual |
Monthly | Premium | $623.79 | $476.25 | $457.58 | $450.57 | $575.32 | $470.89 | $444.26 | $449.29 | $465.67 | $443.19 | $407.87 | $493.73 | $29.25 | $29.97 | $26.91 | $19.79 |
| Employee Share | $96.50 | $29.05 | $14.86 | $9.86 | $29.05 | $28.72 | $14.06 | $9.06 | $28.41 | $13.99 | $8.99 | $28.41 | $0.00 | $0.72 | $0.00 | $0.00 | ||
|
Semi- Monthly |
Premium | $311.90 | $238.13 | $228.79 | $225.29 | $287.66 | $235.45 | $222.13 | $224.65 | $232.84 | $221.60 | $203.94 | $246.87 | $14.63 | $14.99 | $13.46 | $9.90 | |
| Employee Share | $48.25 | $14.53 | $7.43 | $4.93 | $14.53 | $14.36 | $7.03 | $4.53 | $14.21 | $7.00 | $4.50 | $14.21 | $0.00 | $0.36 | $0.00 | $0.00 | ||
|
Bi- Weekly |
Premium | $287.90 | $219.81 | $211.19 | $207.96 | $265.53 | $217.33 | $205.04 | $207.36 | $214.92 | $204.55 | $188.25 | $227.88 | $13.50 | N/A | $12.42 | $9.13 | |
| Employee Share | $44.54 | $13.41 | $6.86 | $4.55 | $13.41 | $13.26 | $6.49 | $4.18 | $13.11 | $6.46 | $4.15 | $13.11 | $0.00 | N/A | $0.00 | $0.00 | ||
|
Sub- scriber+1 |
Monthly | Premium | $1,372.34 | $1,047.76 | $1,006.68 | $991.27 | $1,265.71 | $1,035.96 | $977.37 | $988.44 | $1,024.47 | $975.02 | $897.31 | $1,086.21 | $89.22 | $91.05 | $82.07 | $43.54 |
| Employee Share | $327.03 | $163.76 | $101.17 | $82.97 | $163.76 | $161.92 | $98.23 | $82.73 | $160.12 | $97.99 | $75.10 | $160.12 | $17.99 | $19.82 | $16.55 | $7.12 | ||
|
Semi- Monthly |
Premium | $686.17 | $523.88 | $503.34 | $495.64 | $632.86 | $517.98 | $488.69 | $494.22 | $512.24 | $487.51 | $448.66 | $543.11 | $44.61 | $45.53 | $41.04 | $21.77 | |
| Employee Share | $163.52 | $81.88 | $50.59 | $41.49 | $81.88 | $80.96 | $49.12 | $41.37 | $80.06 | $49.00 | $37.55 | $80.06 | $8.99 | $9.91 | $8.27 | $3.56 | ||
|
Bi- Weekly |
Premium | $633.39 | $483.58 | $464.62 | $457.51 | $584.17 | $478.14 | $451.09 | $456.20 | $472.83 | $450.01 | $414.14 | $501.33 | $41.18 | N/A | $37.88 | $20.10 | |
| Employee Share | $150.94 | $75.58 | $46.69 | $38.29 | $75.58 | $74.73 | $45.34 | $38.18 | $73.90 | $45.23 | $34.66 | $73.90 | $8.30 | N/A | $7.64 | $3.29 | ||
| Family | Monthly | Premium | $1,684.23 | $1,285.89 | $1,235.48 | $1,216.55 | $1,553.38 | $1,271.40 | $1,199.50 | $1,213.08 | $1,257.31 | $1,196.61 | $1,101.25 | $1,333.07 | $89.22 | $91.05 | $82.07 | $53.43 |
| Employee Share | $388.38 | $193.27 | $143.32 | $114.11 | $193.27 | $191.09 | $139.14 | $113.79 | $188.97 | $138.81 | $103.30 | $188.97 | $17.99 | $19.82 | $16.55 | $10.09 | ||
|
Semi- Monthly |
Premium | $842.12 | $642.95 | $617.74 | $608.28 | $776.69 | $635.70 | $599.75 | $606.54 | $628.66 | $598.31 | $550.63 | $666.54 | $44.61 | $45.53 | $41.04 | $26.72 | |
| Employee Share | $194.19 | $96.64 | $71.66 | $57.06 | $96.64 | $95.55 | $69.57 | $56.90 | $94.49 | $69.41 | $51.65 | $94.49 | $8.99 | $9.91 | $8.27 | $5.05 | ||
|
Bi- Weekly |
Premium | $777.34 | $593.49 | $570.22 | $561.48 | $716.94 | $586.80 | $553.62 | $559.88 | $580.30 | $552.28 | $508.27 | $615.26 | $41.18 | N/A | $37.88 | $24.66 | |
| Employee Share | $179.25 | $89.20 | $66.15 | $52.67 | $89.20 | $88.20 | $64.22 | $52.52 | $87.22 | $64.07 | $47.68 | $87.22 | $8.30 | N/A | $7.64 | $4.66 | ||
| FLES | Monthly | Premium | $1,060.44 | $809.64 | $777.90 | $765.98 | $978.06 | $800.51 | $755.24 | $763.79 | $791.64 | $753.42 | $693.38 | $839.34 | $59.97 | $61.08 | $55.16 | $33.64 |
| Employee Share | $216.75 | $72.54 | $59.04 | $46.95 | $72.54 | $71.73 | $57.32 | $46.82 | $70.93 | $57.18 | $42.50 | $70.93 | $9.22 | $10.33 | $8.47 | $4.15 | ||
|
Semi- Monthly |
Premium | $530.22 | $404.82 | $388.95 | $382.99 | $489.03 | $400.26 | $377.62 | $381.90 | $395.82 | $376.71 | $346.69 | $419.67 | $29.98 | $30.54 | $27.58 | $16.82 | |
| Employee Share | $108.38 | $36.27 | $29.52 | $23.48 | $36.27 | $35.87 | $28.66 | $23.41 | $35.47 | $28.59 | $21.25 | $35.47 | $4.60 | $5.16 | $4.24 | $2.08 | ||
|
Bi- Weekly |
Premium | $489.43 | $373.68 | $359.03 | $353.53 | $451.41 | $369.47 | $348.57 | $352.52 | $365.37 | $347.73 | $320.02 | $387.39 | $27.68 | N/A | $25.46 | $15.53 | |
| Employee Share | $100.04 | $33.48 | $27.25 | $21.67 | $33.48 | $33.11 | $26.46 | $21.61 | $32.74 | $26.39 | $19.62 | $32.74 | $4.25 | N/A | $3.91 | $1.92 | ||
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