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Home / Coordinators / Benefit Coordinator / Premium / Former Rates

Oklahoma State and Education Employees Group Insurance Board

Monthly Premiums for Former Employees and Surviving Dependents

Plan Year January 1, 2010 - December 31, 2010

Printable PDF Version
HEALTH PLANS MEMBER SPOUSE CHILD CHILDREN
HealthChoice High $442.80 $625.88 $228.32 $342.44
HealthChoice Basic $384.22 $546.84 $200.36 $300.88
HealthChoice S-Account $365.80 $513.68 $190.32 $283.98
HealthChoice USA $678.57 $678.57 $226.33 $339.31
Aetna Standard HMO $715.40 $951.38 $488.78 $782.04
Aetna Alternative HMO $502.32 $668.02 $343.20 $549.12
CommunityCare Standard HMO $775.08 $1108.34 $387.54 $620.06
CommunityCare Alternative HMO $534.54 $764.38 $267.28 $427.64
GlobalHealth Standard HMO $344.18 $510.70 $184.56 $294.30
GlobalHealth Alternative HMO $312.90 $464.30 $167.82 $267.54
PacifiCare Standard HMO $605.20 $870.16 $302.38 $483.92
PacifiCare Alternative HMO $417.38 $600.10 $208.52 $333.72
DENTAL PLANS MEMBER SPOUSE CHILD CHILDREN
HealthChoice Dental $30.28 $30.28 $25.24 $65.50
Assurant Freedom Preferred $26.33 $26.18 $19.63 $52.79
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 (POS) $30.48 $30.50 $26.80 $68.22
Delta’s Choice (PPO) $13.40 $30.44 $30.68 $74.46
VISION PLANS 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) $8.96 $6.00 $5.74 $12.92
LIFE PLANS PRE-MEDICARE RETIREE/VESTS
From $5,000 to $40,000 $1.94 Per $1,000
Age-Rated Supplemental Life Cost Per $1,000 for $41,000 and Up
< 30 ---------- $0.05 45 - 49 ------- $ 0.19 65 - 69 ------- $0.99
30 - 34 ------- $0.05 50 - 54 ------- $ 0.32 70 - 74 ------- $1.67
35 - 39 ------- $0.08 55 - 59 ------- $0.52 75+ ----------- $2.60
40 - 44 ------- $0.12 60 - 64 ------- $0.60  
DEPENDENT LIFE $0.97 Per $500 Unit, Per Dependent
SURVIVING DEPENDENTS OF CURRENT EMPLOYEES LOW OPTION
$2.60
STANDARD OPTION
$4.32
PREMIER OPTION
$8.64
Spouse $6,000 $10,000 $20,000
Child (age 6 months to 25) $3,000 $5,000 $10,000
Child (live birth to 6 months) $1,000 $1,000 $1,000
SURVIVING DEPENDENTS OF FORMER EMPLOYEES $0.97 Per $500 Unit, Per Dependent
Rates do not reflect any retirement system contribution
Last Modified on 05/07/2010
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