Monthly Premiums for Current Employees
Plan Year January 1, 2011 - December 31, 2011
| HEALTH PLANS | MEMBER | SPOUSE | CHILD | CHILDREN |
| HealthChoice High | $ 449.48 | $ 682.74 | $ 228.20 | $ 352.08 |
| HealthChoice Basic | $ 391.64 | $ 598.48 | $ 201.82 | $ 310.80 |
| HealthChoice S-Account | $ 382.56 | $ 562.74 | $ 190.18 | $ 291.90 |
| HealthChoice USA | $ 688.82 | $ 688.82 | $ 226.22 | $ 348.86 |
| CommunityCare Standard HMO | $ 772.34 | $ 1,104.42 | $ 386.16 | $ 617.86 |
| CommunityCare Alternative HMO | $ 532.66 | $ 761.68 | $ 266.34 | $ 426.12 |
| GlobalHealth Standard HMO | $ 366.56 | $ 601.22 | $ 193.12 | $ 307.96 |
| GlobalHealth Alternative HMO | $ 333.26 | $ 546.58 | $ 175.62 | $ 279.98 |
| PacifiCare Standard HMO | $ 686.42 | $ 986.94 | $ 342.96 | $ 548.86 |
| PacifiCare Alternative HMO | $ 473.39 | $ 680.63 | $ 236.51 | $ 378.51 |
| DISABILITY (Employee only) | $9.10 (Limited county participation only) | |||
| DENTAL PLANS | MEMBER | SPOUSE | CHILD | CHILDREN |
| HealthChoice Dental | $29.84 | $29.84 | $24.88 | $64.56 |
| Assurant Freedom Preferred | $28.83 | $28.67 | $21.50 | $57.80 |
| Assurant Heritage Plus with SBA (Prepaid) | $11.74 | $ 8.86 | $ 7.60 | $15.20 |
| Assurant Heritage Secure (Prepaid) | $ 7.20 | $ 5.98 | $ 5.20 | $10.38 |
| CIGNA Dental Care Plan (Prepaid) | $ 9.26 | $ 6.06 | $ 7.08 | $15.32 |
| Delta Dental PPO | $31.14 | $31.14 | $27.10 | $68.56 |
| Delta Dental Premier | $35.52 | $35.52 | $30.90 | $78.20 |
| Delta Dental PPO - Choice | $13.94 | $31.64 | $31.90 | $77.42 |
| VISION PLANS - Employee Paid | MEMBER | SPOUSE | CHILD | CHILDREN |
| Humana/CompBenefits VisionCare Plan | $6.76 | $5.06 | $3.57 | $ 4.46 |
| Primary Vision Care Services | $9.25 | $8.00 | $8.50 | $10.75 |
| Superior Vision Services | $6.98 | $6.90 | $6.60 | $ 6.60 |
| UnitedHealthcare Vision | $8.18 | $5.79 | $4.59 | $ 6.98 |
| Vision Service Plan (VSP) | $8.76 | $5.87 | $5.62 | $12.64 |
| LIFE | ||||
| HealthChoice Basic Life ($20,000) $4.56 | First $20,000 of Supplemental Life $4.56 | |||
| Age-Rated Supplemental Life – Cost Per $20,000 | ||||
| < 30 ---------- $1.00 | 45 - 49 ------- $ 3.80 | 65 - 69 ------- $19.80 | ||
| 30 - 34 ------- $1.00 | 50 - 54 ------- $ 6.40 | 70 - 74 ------- $33.40 | ||
| 35 - 39 ------- $1.60 | 55 - 59 ------- $10.40 | 75+ ----------- $52.00 | ||
| 40 - 44 ------- $2.40 | 60 - 64 ------- $12.00 | |||
| DEPENDENT | LOW OPTION - $2.60 | STANDARD OPTION - $4.32 | PREMIER OPTION - $8.64 | |
| Spouse | $6,000 | $10,000 | $20,000 | |
| Child (age 6 months to 26) | $3,000 | $5,000 | $10,000 | |
| Child (live birth to 6 months) | $1,000 | $1,000 | $1,000 | |
Last Modified on 09/16/2010