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Medical & Dental Rates
(Effective 7/1/08)
Core Plan Medical Rates
| Level of Coverage |
Monthly Premium |
Monthly
Full Cost |
Bi-Weekly Premium |
Bi-Weekly
Full Cost |
COBRA |
| Employee |
$131.84 |
$443.46 |
$60.85 |
$204.67 |
$452.33 |
| Employee plus Spouse/Partner |
$339.40 |
$978.53 |
$156.65 |
$451.63 |
$998.10 |
| Employee plus Child |
$222.46 |
$641.36 |
$102.67 |
$296.01 |
$654.19 |
| Employee plus Children |
$293.13 |
$845.13 |
$135.29 |
$390.06 |
$862.03 |
| Family |
$421.89 |
$1,216.34 |
$194.72 |
$561.39 |
$1,240.67 |
Value Plan Medical Rates
| Level of Coverage |
Monthly Premium |
Monthly
Full Cost |
Bi-Weekly Premium |
Bi-Weekly
Full Cost |
COBRA |
| Employee |
$73.49 |
$368.17 |
$33.92 |
$169.92 |
$375.53 |
| Employee plus Spouse/Partner |
$202.69 |
$812.40 |
$93.55 |
$374.95 |
$828.65 |
| Employee plus Child |
$132.85 |
$532.47 |
$61.32 |
$245.76 |
$543.12 |
| Employee plus Children |
$175.06 |
$701.65 |
$80.80 |
$323.84 |
$715.68 |
| Family |
$251.95 |
$1,009.84 |
$116.28 |
$466.08 |
$1,030.04 |
High Option Dental Rates
| Level of Coverage |
Monthly Premium |
Bi-Weekly Premium |
COBRA |
| Employee |
$14.11 |
$6.51 |
$35.99 |
| Employee plus Spouse/Partner |
$29.83 |
$13.77 |
$76.00 |
| Employee plus Child |
$23.47 |
$10.83 |
$59.82 |
| Employee plus Children |
$31.52 |
$14.55 |
$80.34 |
| Family |
$45.36 |
$20.94 |
$115.57 |
Low Option Dental Rates
| Level of Coverage |
Monthly Premium |
Bi-Weekly Premium |
COBRA |
| Employee |
$7.15 |
$3.30 |
$18.23 |
| Employee plus Spouse/Partner |
$15.11 |
$6.97 |
$38.51 |
| Employee plus Child |
$11.89 |
$5.49 |
$30.31 |
| Employee plus Children |
$15.96 |
$7.37 |
$40.69 |
| Family |
$22.97 |
$10.60 |
$58.55 |
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