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Medical & Dental Rates
(Effective 7/1/07)
Core Plan Medical Rates
Level of Coverage |
Monthly
Premium |
Monthly
Full Cost |
Bi-Weekly
Premium |
Bi-Weekly
Full Cost |
COBRA |
Employee |
$121.05 |
$403.50 |
$55.87 |
$186.23 |
$411.57 |
Employee plus Spouse/Partner |
$311.63 |
$890.36 |
$143.83 |
$410.94 |
$908.17 |
Employee plus Child |
$204.25 |
$583.57 |
$94.27 |
$269.34 |
$595.24 |
Employee plus Children |
$269.14 |
$768.97 |
$124.22 |
$354.91 |
$784.35 |
Family |
$387.36 |
$1,106.74 |
$178.78 |
$510.80 |
$1,128.87 |
Value Plan Medical Rates
Level of Coverage |
Monthly
Premium |
Monthly
Full Cost |
Bi-Weekly
Premium |
Bi-Weekly
Full Cost |
COBRA |
Employee |
$67.74 |
$338.72 |
$31.26 |
$156.33 |
$345.49 |
Employee plus Spouse/Partner |
$186.86 |
$747.42 |
$86.24 |
$344.96 |
$762.37 |
Employee plus Child |
$122.47 |
$489.88 |
$56.52 |
$226.10 |
$499.68 |
Employee plus Children |
$161.38 |
$645.52 |
$74.48 |
$297.93 |
$658.43 |
Family |
$232.27 |
$929.06 |
$107.20 |
$428.80 |
$947.64 |
High Option Dental Rates
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Level of Coverage |
Monthly
Premium |
Bi-Weekly
Premium |
COBRA |
Employee |
$14.07 |
$6.49 |
$35.90 |
Employee plus Spouse/Partner |
$29.74 |
$13.72 |
$75.83 |
Employee plus Child |
$23.40 |
$10.80 |
$59.69 |
Employee plus Children |
$31.43 |
$14.51 |
$80.15 |
Family |
$45.22 |
$20.87 |
$115.30 |
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Low Option Dental Rates
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Level of Coverage |
Monthly
Premium |
Bi-Weekly
Premium |
COBRA |
Employee |
$7.13 |
$3.29 |
$18.19 |
Employee plus Spouse/Partner |
$15.06 |
$6.95 |
$38.41 |
Employee plus Child |
$11.85 |
$5.47 |
$30.24 |
Employee plus Children |
$15.91 |
$7.34 |
$40.60 |
Family |
$22.90 |
$10.57 |
$58.42 |
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