2013 Active Employee Cumulative Premium Rates
| MEDICAL | Employee | Add Spouse | Add Spouse & 1 Child | Add Spouse & Children | Employee & Child | Employee & Children |
|---|---|---|---|---|---|---|
| HealthChoice High | $463.99 | $1,145.95 | $1,381.52 | $1,509.40 | $699.56 | $827.44 |
| HealthChoice High Alternative | $463.99 | $1,145.95 | $1,381.52 | $1,509.40 | $699.56 | $827.44 |
| HealthChoice Basic | $402.98 | $996.50 | $1,204.16 | $1,316.30 | $610.64 | $722.78 |
| HealthChoice Basic Alternative | $402.98 | $996.50 | $1,204.16 | $1,316.30 | $610.64 | $722.78 |
| HealthChoice S-Account | $382.56 | $898.00 | $1,088.18 | $1,189.90 | $572.74 | $674.46 |
| HealthChoice USA | $710.21 | $1,420.42 | $1,653.67 | $1,780.12 | $943.46 | $1,069.91 |
| CommunityCareHMO | $543.82 | $1,335.96 | $1,612.94 | $1,779.12 | $820.80 | $986.98 |
| GlobalHealthHMO | $398.84 | $1,052.98 | $1,263.16 | $1,388.06 | $609.02 | $733.92 |
| DENTAL | Employee | Add Spouse | Add Spouse & 1 Child | Add Spouse & Children | Employee & Child | Employee & Children |
|---|---|---|---|---|---|---|
| HealthChoice | $31.38 | $62.76 | $89.66 | $129.72 | $58.28 | $98.34 |
| Assurant Freedom Preferred | $28.83 | $57.50 | $79.00 | $115.30 | $50.33 | $86.63 |
| Assurant Heritage Plus (Prepaid) | $11.74 | $20.60 | $28.20 | $35.80 | $19.34 | $26.94 |
| Assurant Heritage Secure (Prepaid) | $7.20 | $13.18 | $18.38 | $23.56 | $12.40 | $17.58 |
| CIGNA Dental Care Plan (Prepaid) | $9.26 | $15.32 | $22.40 | $30.64 | $16.34 | $24.58 |
| Delta Dental PPO | $33.64 | $67.26 | $96.52 | $141.30 | $62.90 | $107.68 |
| Delta Dental Premier | $40.66 | $81.32 | $116.72 | $170.86 | $76.06 | $130.20 |
| Delta Dental PPO - Choice | $15.06 | $49.24 | $83.68 | $132.84 | $49.50 | $98.66 |
| VISION | Employee | Add Spouse | Add Spouse & 1 Child | Add Spouse & Children | Employee & Child | Employee & Children |
|---|---|---|---|---|---|---|
| Humana/CompBenefits VisionCare | $6.76 | $11.82 | $15.39 | $16.28 | $10.33 | $11.22 |
| Primary Vision Care Services | $9.25 | $17.25 | $25.75 | $28.00 | $17.75 | $20.00 |
| Superior Vision Services | $7.14 | $14.24 | $20.96 | $28.04 | $13.86 | $20.94 |
| United Healthcare Vision | $8.18 | $13.97 | $18.56 | $20.95 | $12.77 | $15.16 |
| Vision Service Plan (VSP) | $8.93 | $14.91 | $20.64 | $27.79 | $14.66 | $21.81 |
| LIFE | ||||||
|---|---|---|---|---|---|---|
| Basic Life (First $20,000) $4.00 Includes AD&D First Supplemental (Next $20,000) $4.00 Includes AD&D | ||||||
| Age-Rated Supplemental Life - Cost Per $20,000 | 45 - 49 ------- $2.00 | 65 - 69 ------- $10.40 | ||||
| < 34 ------- $0.80 | 50 - 54 ------- $3.60 | 70 - 74 ------- $17.60 | ||||
| 35 - 39 ------- $0.80 | 55 - 59 ------- $5.60 | 75+ ----------- $27.20 | ||||
| 40 - 44 ------- $1.20 | 60 - 64 ------- $6.40 | |||||
| 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 09/14/2012