2014 Rates
| Plan | Coverage | Bi-Weekly Employee Rate | Bi-Weekly Employer Rate | Bi-Weekly Total Rate | Annual Employee Rate | Annual Employer Rate |
|---|---|---|---|---|---|---|
| CDHP 1 | Single Family |
$46.94 $73.16 |
$173.28 $518.58 |
$220.22 $591.74 |
$1,220.44 $1,902.16 |
$4,505.28 $13,483.08 |
| CDHP 1 w/ Non-Tobacco Use | Single Family |
$11.94 $38.16 |
$173.28 $518.58 |
$185.22 $556.74 |
$310.44 $992.16 |
$4,505.28 $13,483.08 |
| CDHP 2 | Single Family |
$89.72 $193.04 |
$190.56 $553.26 |
$280.28 $711.30 |
$2,332.72 $5,019.04 |
$4,954.56 $14,384.76 |
| CDHP 2 w/ Non-Tobacco Use | Single Family |
$54.72 $158.04 |
$190.56 $553.26 |
$245.28 $746.30 |
$1,422.72 $4,109.04 |
$4,954.56 $14,384.76 |
| Trad PPO | Single Family |
$213.74 $540.32 |
$216.48 $605.10 |
$430.22 $1,145.42 |
$5,557.24 $14,048.32 |
$5,628.48 $15,732.60 |
| Trad PPO w/ Non-Tobacco Use | Single Family |
$178.74 $505.32 |
$216.48 $605.10 |
$395.22 $1,110.42 |
$4,647.24 $13,138.32 |
$5,628.48 $15,732.60 |
| Dental | Single Family |
$1.20 $3.16 |
$10.02 $26.36 |
$11.22 $29.52 |
$31.20 $82.16 |
$260.52 $685.36 |
| Vision | Single Family |
$0.17 $2.52 |
$1.47 $1.64 |
$1.64 $4.16 |
$4.42 $65.52 |
$38.22 $42.64 |
| Flexible Spending Accounts | Medical Limited Purpose Medical (HSA Holders) and/or Dependent Care Admin Fee |
$2.00 | $0.00 | $2.00 | $52.00 | $0.00 |
To view rates for early retirees, COBRA and the annual total rates: View entire rate chart
