State of Connecticut Office of the State Comptroller MEMORANDUM NO. 2006-14 Attachment

State of Connecticut

Attachment to Comptroller's Memorandum 2006-14

Higher Education Part-Time Professional Employees Health Insurance Rates
7/1/2006 TO 6/30/2007 Employee Share Rates
(Section 5-259c)
  SUBSCRIBER &
  PLAN INDIVIDUAL ONE DEPENDENT FAMILY
1 Blue Cross State Preferred $623.79 $1,372.34 $1,684.25
2 Blue Cross Out of Area $575.32 $1,265.71 $1,553.37
3 State BlueCare POS $476.25 $1,047.76 $1,285.89
4 State BlueCare POE $457.58 $1,006.67 $1,235.46
5 State BlueCare POE Plus $450.57 $991.25 $1,216.54
6 Health Net Charter POS $470.89 $1,035.96 $1,271.41
7 Health Net Charter HMO POE $444.26 $977.38 $1,199.52
8 Health Net Passport HMO POE-G $449.29 $988.45 $1,213.10
9 Oxford Freedom Select POS $465.67 $1,024.47 $1,257.30

10

Oxford HMO Select POE $443.19 $975.01 $1,196.61
11 Oxford HMO POE-G $407.87 $897.32 $1,101.25
12 Oxford USA Out of Area $493.73 $1,086.20 $1,333.06
13 United Basic Dental $29.25 $89.22 $89.22
14 United Enhanced Dental $29.97 $91.05 $91.05
15 Aetna Dental DMO� $19.79 $43.54 $53.43

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