| Plan | Coverage | 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 | $68.06 $135.32 | $331.80 $983.94 | $399.86 $1,119.26 | $1,769.56 $3,518.32 | $8,626.80 $25,582.44 |
$1,124.76 $2,249.52 |
| CDHP 1 w/ Non-Tobacco Use Incentive |
Single Family | $33.06 $100.32 | $331.80 $983.94 | $364.86 $1,084.26 | $859.56 $2,608.32 | $8,626.80 $25,582.44 |
$1,124.76 $2,249.52 |
| CDHP 2 |
Single Family | $82.58 $188.66 | $344.76 $1,009.86 | $427.34 $1,198.52 | $2,147.08 $4,905.16 | $8,963.76 $26,256.36 |
$787.80 $1,575.60 |
| CDHP 2 w/ Non-Tobacco Use Incentive |
Single Family | $47.58 $153.66 | $344.76 $1,009.86 | $392.34 $1,163.52 | $1,237.08 $3,995.16 | $8,963.76 $26,256.36 |
$787.80 $1,575.60 |
| Traditional |
Single Family | $141.02 $399.08 | $375.06 $1,070.46 | $516.08 $1,469.54 | $3,666.52 $10,376.08 | $9,751.56 $27,831.96 |
$0.00 $0.00 |
| Traditional w/ Non-Tobacco Use Incentive |
Single Family | $106.02 $364.08 | $375.06 $1,070.46 | $481.08 $1,434.54 | $2,756.52 $9,466.08 | $9,751.56 $27,831.96 |
$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 |
*Initial contribution as listed above applies to employees with a CDHP effective between January 1, 2026 through June 1, 2026, and with an open HSA. CDHPs effective after June 1, 2026 but before December 1, 2026, and with an open HSA will receive half of the initial contribution.
Spousal Surcharge: Employees who choose to cover a spouse who has access to health coverage through their own employer but elects not to enroll in that coverage will pay a $75 per pay-period Spousal Surcharge in addition to their regular premium. If you cover a spouse on the State’s medical plan you will be automatically charged the Spousal Surcharge unless you provide certification that is approved.
