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Health Plan Rates

PlanCoverage Bi-Weekly Employee Rate Bi-Weekly Employer Rate Bi-Weekly Total Rate Annual Employee Rate Annual Employer Rate Annual Employer HSA Contribution
CDHP 1 Single
Family
$65.66
$127.94
$274.02
$814.74
$339.68
$942.68
$1,707.16
$3,326.44
$7,124.52
$21,183.24
$1,124.76
$2,249.52
CDHP 1 w/ Non-Tobacco Use Incentive Single
Family
$30.66
$92.94
$274.02
$814.74
$304.68
$907.68
$797.16
$2,416.44
$7,124.52
$21,183.24
$1,124.76
$2,249.52
CDHP 2 Single
Family
$79.10
$177.44
$286.98
$840.66
$366.08
$1,018.10
$2,056.60
$4,613.44
$7,461.48
$21,857.16
$787.80
$1,575.60
CDHP 2 w/ Non-Tobacco Use Incentive Single
Family
$44.10
$142.44
$286.98
$840.66
$331.08
$983.10
$1,146.60
$3,703.44
$7,461.48
$21,857.16
$787.80
$1,575.60
Traditional Single
Family
$133.28
$372.44
$317.28
$901.26
$450.56
$1,273.70
$3,465.28
$9,683.44
$8,249.28
$23,432.76
$0.00
$0.00
Traditional w/ Non-Tobacco Use Incentive Single
Family
$98.28
$337.44
$317.28
$901.26
$415.56
$1,238.70
$2,555.28
$8,773.44
$8,249.28
$23,432.76
$0.00
$0.00
        
Dental Single
Family
$1.32
$3.42
$10.38
$27.30
$11.70
$30.72
$34.32
$88.92
$269.88
$709.80
$0.00
$0.00
Vision Single
Family
$0.48
$3.36
$1.86
$2.40
$2.34
$5.76
$12.48
$87.36
$48.36
$62.40
$0.00
$0.00

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