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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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