Total Cost for Health Insurance Premiums

CLASSIC PLAN

  FY20   12 Month:  75% - 100% Appointed  FY21   12 Month:  75% - 100% Appointed FY20   9 Month: 75% - 100% Appointed FY21   9 Month: 75-100% Appointed FY20   12 Month: 50%-74% Appointed FY21   12 Month 50%-74% Appointed FY20   9 Month: 50% - 74% Appointed FY21   9 month: 50%-74% Appointed

Below 28,000

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

Employee Only 69.76 358.74 428.50 76.04 391.03 467.07 76.04 391.03 93.01 478.32 571.33 101.39 521.36 622.75 101.39 521.37 141.51 286.99 428.50 164.02 303.04 467.07 173.80 293.27 188.68 382.65 571.33 218.69 404.06 622.75 231.73 391.02
Emp & Sp 214.66 759.24 973.90 256.56 834.21 1,090.77 272.69 818.08 286.21 1,012.32 1,298.53 342.08 1,112.28 1,454.36 363.59 1,090.77 366.51 607.39 973.90 443.85 646.92 1,090.77 477.21 613.56 488.67 809.86 1,298.53 591.80 862.56 1,454.36 636.28 818.08
Emp & Ch(ren) 163.96 637.70 801.66 189.84 683.96 873.81 200.98 672.83 218.62 850.26 1,068.88 253.12 911.96 1,165.08 267.97 897.11 291.50 510.16 801.66 343.46 530.35 873.81 369.19 504.62 388.67 680.21 1,068.88 457.95 707.13 1,165.08 492.25 672.83
Emp, Sp & Ch(ren) 287.31 1,069.99 1,357.30 340.25 1,166.36 1,506.60 361.58 1,145.02 383.08 1,426.65 1,809.73 453.67 1,555.13 2,008.80 482.11 1,526.69 501.31 855.99 1,357.30 602.15 904.46 1,506.60 647.84 858.76 668.41 1,141.32 1,809.73 802.87 1,205.93 2,008.80 863.78 1,145.02
28,000 - 38,999                                
Employee Only 69.76 358.74 428.50 76.04 391.03 467.07 76.04 391.03 93.01 478.32 571.33 101.39 521.36 622.75 101.39 521.37 141.51 286.99 428.50 164.02 303.04 467.07 173.80 293.27 188.68 382.65 571.33 218.69 404.06 622.75 231.73 391.02
Emp & Sp 237.52 736.38 973.90 285.72 805.05 1,090.77 305.42 785.35 316.70 981.83 1,298.53 380.96 1,073.40 1,454.36 407.22 1,047.14 384.80 589.10 973.90 466.36 624.40 1,090.77 501.76 589.01 513.06 785.47 1,298.53 621.81 832.55 1,454.36 669.00 785.36
Emp & Ch(ren) 177.32 624.34 801.66 205.87 667.94 873.81 218.45 655.36 236.43 832.45 1,068.88 274.49 890.59 1,165.08 291.27 873.81 302.19 499.47 801.66 355.84 517.97 873.81 382.29 491.52 402.92 665.96 1,068.88 474.45 690.63 1,165.08 509.73 655.35
Emp, Sp & Ch(ren) 309.99 1,047.31 1,357.30 367.90 1,138.70 1,506.60 391.71 1,114.89 413.32 1,396.41 1,809.73 490.53 1,518.27 2,008.80 522.29 1,486.51 519.46 837.84 1,357.30 623.52 883.08 1,506.60 670.44 836.16 692.61 1,117.12 1,809.73 831.36 1,177.44 2,008.80 893.92 1,114.88
39,000 - 54,999                                
Employee Only 76.74 351.76 428.50 83.65 383.42 467.07 83.65 383.42 102.31 469.02 571.33 111.53 511.22 622.75 111.53 511.23 147.09 281.41 428.50 169.91 297.15 467.07 179.50 287.57 196.12 375.21 571.33 226.55 396.20 622.75 239.33 383.42
Emp & Sp 253.66 720.24 973.90 305.66 785.10 1,090.77 327.23 763.54 338.22 960.31 1,298.53 407.55 1,046.81 1,454.36 436.31 1,018.05 397.71 576.19 973.90 481.78 608.99 1,090.77 518.12 572.65 530.28 768.25 1,298.53 642.37 811.99 1,454.36 690.82 763.54
Emp & Ch(ren) 193.14 608.52 801.66 225.41 648.40 873.81 240.30 633.51 257.53 811.35 1,068.88 300.55 864.53 1,165.08 320.40 844.68 314.85 486.81 801.66 370.93 502.88 873.81 398.68 475.13 419.80 649.08 1,068.88 494.57 670.51 1,165.08 531.57 633.51
Emp, Sp & Ch(ren) 332.28 1,025.02 1,357.30 395.34 1,111.26 1,506.60 421.85 1,084.75 443.04 1,366.69 1,809.73 527.12 1,481.68 2,008.80 562.46 1,446.34 537.29 820.01 1,357.30 644.72 861.89 1,506.60 693.03 813.57 716.38 1,093.35 1,809.73 859.63 1,149.17 2,008.80 924.05 1,084.75
55,000 - 99,999                                
Employee Only 83.01 345.49 428.50 90.48 376.58 467.07 90.48 376.58 110.68 460.65 571.33 120.64 502.11 622.75 120.64 502.12 152.11 276.39 428.50 175.21 291.85 467.07 184.63 282.44 202.81 368.52 571.33 233.61 389.14 622.75 246.17 376.58
Emp & Sp 270.03 703.87 973.90 325.74 765.03 1,090.77 349.05 741.72 360.04 938.49 1,298.53 434.32 1,020.04 1,454.36 465.40 988.96 410.81 563.09 973.90 497.29 593.47 1,090.77 534.48 556.29 547.74 750.79 1,298.53 663.05 791.31 1,454.36 712.63 741.73
Emp & Ch(ren) 209.18 592.48 801.66 245.08 628.73 873.81 262.14 611.67 278.90 789.98 1,068.88 326.77 838.31 1,165.08 349.52 815.56 327.67 473.99 801.66 386.11 487.70 873.81 415.06 458.75 436.90 631.98 1,068.88 514.81 650.27 1,165.08 553.41 611.67
Emp, Sp & Ch(ren) 363.99 993.31 1,357.30 435.54 1,071.06 1,506.60 467.04 1,039.56 485.32 1,324.41 1,809.73 580.72 1,428.08 2,008.80 622.73 1,386.07 562.65 794.65 1,357.30 675.74 830.86 1,506.60 726.93 779.67 750.20 1,059.53 1,809.73 900.99 1,107.81 2,008.80 969.25 1,039.55
100,000 - 149,999                                
Employee Only 84.41 344.09 428.50 92.01 375.06 467.07 92.01 375.06 112.54 458.79 571.33 122.68 500.07 622.75 122.68 500.08 153.22 275.28 428.50 176.39 290.68 467.07 185.77 281.30 204.30 367.03 571.33 235.19 387.56 622.75 247.69 375.06
Emp & Sp 287.73 686.17 973.90 346.56 744.21 1,090.77 370.86 719.91 383.64 914.89 1,298.53 462.08 992.28 1,454.36 494.48 959.88 424.96 548.94 973.90 513.40 577.37 1,090.77 550.84 539.93 566.62 731.91 1,298.53 684.53 769.83 1,454.36 734.45 719.91
Emp & Ch(ren) 223.42 578.24 801.66 261.57 612.24 873.81 279.62 594.19 297.90 770.98 1,068.88 348.76 816.32 1,165.08 372.83 792.25 339.07 462.59 801.66 398.88 474.93 873.81 428.17 445.64 452.09 616.79 1,068.88 531.84 633.24 1,165.08 570.89 594.19
Emp, Sp & Ch(ren) 392.93 964.37 1,357.30 470.43 1,036.17 1,506.60 504.71 1,001.89 523.90 1,285.83 1,809.73 627.24 1,381.56 2,008.80 672.95 1,335.85 585.80 771.50 1,357.30 702.71 803.89 1,506.60 755.18 751.42 781.06 1,028.67 1,809.73 936.95 1,071.85 2,008.80 1,006.91 1,001.89
Above 150,000                                
Employee Only 85.80 342.70 428.50 93.52 373.54 467.07 93.52 373.54 114.40 456.93 571.33 124.69 498.06 622.75 124.69 498.07 154.34 274.16 428.50 177.57 289.50 467.07 186.92 280.15 205.79 365.54 571.33 236.76 385.99 622.75 249.21 373.54
Emp & Sp 310.88 663.02 973.90 375.89 714.88 1,090.77 403.59 687.18 414.50 884.03 1,298.53 501.19 953.17 1,454.36 538.11 916.25 443.48 530.42 973.90 536.04 554.73 1,090.77 575.38 515.39 591.31 707.22 1,298.53 714.72 739.64 1,454.36 767.17 687.19
Emp & Ch(ren) 242.46 559.20 801.66 285.06 588.75 873.81 305.83 567.98 323.28 745.60 1,068.88 380.08 785.00 1,165.08 407.78 757.30 354.30 447.36 801.66 417.01 456.80 873.81 447.83 425.98 472.40 596.48 1,068.88 556.01 609.07 1,165.08 597.10 567.98
Emp, Sp & Ch(ren) 420.47 936.83 1,357.30 504.55 1,002.05 1,506.60 542.37 964.23 560.62 1,249.11 1,809.73 672.73 1,336.07 2,008.80 723.17 1,285.63 607.83 749.47 1,357.30 729.06 777.54 1,506.60 783.43 723.17 810.44 999.29 1,809.73 972.08 1,036.72 2,008.80 1,044.58 964.22

 

HEALTH SAVINGS PLAN

  FY20   12 Month:  75% - 100% Appointed  FY21   12 Month:  75% - 100% Appointed FY20   9 Month: 75% - 100% Appointed FY21   9 Month: 75-100% Appointed FY20   12 Month: 50%-74% Appointed FY21   12 Month 50%-74% Appointed FY20   9 Month: 50% - 74% Appointed FY21   9 month: 50%-74% Appointed

Below 28,000

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

Employee Only 36.82 358.74 395.56 14.42 391.03 405.45 14.42 391.03 49.09 478.32 527.41 19.23 521.37 540.60 19.23 521.37 108.57 286.99 395.56 111.73 293.72 405.45 112.18 293.27 144.76 382.65 527.41 148.97 391.63 540.60 149.57 391.03
Emp & Sp 140.98 759.24 900.22 104.65 818.08 922.73 104.65 818.08 187.97 1,012.32 1,200.29 139.53 1,090.77 1,230.30 139.53 1,090.77 292.83 607.39 900.22 304.66 618.07 922.73 309.17 613.56 390.44 809.85 1,200.29 406.21 824.09 1,230.30 412.22 818.08
Emp & Ch(ren) 103.74 637.70 741.44 87.15 672.83 759.98 87.15 672.83 138.32 850.27 988.59 116.20 897.10 1,013.30 116.20 897.11 231.28 510.16 741.44 246.21 513.77 759.98 255.36 504.62 308.38 680.21 988.59 328.28 685.02 1,013.30 340.48 672.82
Emp, Sp & Ch(ren) 186.15 1,069.99 1,256.14 142.52 1,145.02 1,287.54 142.52 1,145.02 248.20 1,426.65 1,674.85 190.03 1,526.69 1,716.72 190.03 1,526.69 400.15 855.99 1,256.14 419.47 868.08 1,287.54 428.77 858.77 533.53 1,141.32 1,674.85 559.29 1,157.43 1,716.72 571.71 1,145.01
28,000 - 38,999
Employee Only 36.82 358.74 395.56 14.42 391.03 405.45 14.42 391.03 49.09 478.32 527.41 19.23 521.37 540.60 19.23 521.37 108.57 286.99 395.56 111.73 293.72 405.45 112.18 293.27 144.76 382.65 527.41 148.97 391.63 540.60 149.57 391.03
Emp & Sp 163.84 736.38 900.22 137.38 785.35 922.73 137.38 785.35 218.45 981.84 1,200.29 183.17 1,047.13 1,230.30 183.17 1,047.14 311.12 589.10 900.22 326.31 596.42 922.73 333.72 589.01 414.83 785.46 1,200.29 435.08 795.22 1,230.30 444.95 785.35
Emp & Ch(ren) 117.10 624.34 741.44 104.62 655.36 759.98 104.62 655.36 156.13 832.46 988.59 139.49 873.81 1,013.30 139.49 873.82 241.97 499.47 741.44 258.24 501.74 759.98 268.46 491.52 322.63 665.96 988.59 344.32 668.98 1,013.30 357.94 655.36
Emp, Sp & Ch(ren) 208.83 1,047.31 1,256.14 172.65 1,114.89 1,287.54 172.65 1,114.89 278.44 1,396.41 1,674.85 230.20 1,486.52 1,716.72 230.20 1,486.52 418.30 837.84 1,256.14 440.07 847.48 1,287.54 451.37 836.17 557.73 1,117.12 1,674.85 586.76 1,129.96 1,716.72 601.84 1,114.88
39,000 - 54,999
Employee Only 43.80 351.76 395.56 22.03 383.42 405.45 22.03 383.42 58.40 469.01 527.41 29.37 511.23 540.60 29.37 511.23 114.15 281.41 395.56 117.44 288.01 405.45 117.88 287.57 152.20 375.21 527.41 156.59 384.01 540.60 157.18 383.42
Emp & Sp 179.98 720.24 900.22 159.19 763.54 922.73 159.19 763.54 239.97 960.32 1,200.29 212.25 1,018.05 1,230.30 212.25 1,018.06 324.03 576.19 900.22 341.10 581.62 922.73 350.07 572.66 432.04 768.25 1,200.29 454.80 775.50 1,230.30 466.76 763.54
Emp & Ch(ren) 132.92 608.52 741.44 126.47 633.51 759.98 126.47 633.51 177.23 811.36 988.59 168.63 844.67 1,013.30 168.63 844.67 254.63 486.81 741.44 272.92 487.06 759.98 284.85 475.13 339.51 649.08 988.59 363.89 649.41 1,013.30 379.79 633.51
Emp, Sp & Ch(ren) 231.12 1,025.02 1,256.14 202.79 1,084.75 1,287.54 202.79 1,084.75 308.16 1,366.69 1,674.85 270.39 1,446.33 1,716.72 270.39 1,446.33 436.13 820.01 1,256.14 460.51 827.04 1,287.54 473.98 813.56 581.50 1,093.35 1,674.85 614.01 1,102.71 1,716.72 631.97 1,084.75
55,000 - 99,999
Employee Only 50.07 345.49 395.56 28.87 376.58 405.45 28.87 376.58 66.76 460.65 527.41 38.49 502.11 540.60 38.49 502.11 119.17 276.39 395.56 122.58 282.87 405.45 123.01 282.44 158.89 368.52 527.41 163.44 377.16 540.60 164.02 376.58
Emp & Sp 196.35 703.87 900.22 181.01 741.72 922.73 181.01 741.72 261.80 938.49 1,200.29 241.35 988.95 1,230.30 241.35 988.96 337.13 563.09 900.22 356.00 566.73 922.73 366.44 556.29 449.51 750.78 1,200.29 474.67 755.63 1,230.30 488.58 741.72
Emp & Ch(ren) 148.96 592.48 741.44 148.31 611.67 759.98 148.31 611.67 198.62 789.97 988.59 197.75 815.55 1,013.30 197.75 815.55 267.45 473.99 741.44 287.68 472.30 759.98 301.23 458.75 356.60 631.99 988.59 383.57 629.73 1,013.30 401.63 611.67
Emp, Sp & Ch(ren) 262.83 993.31 1,256.14 247.98 1,039.56 1,287.54 247.98 1,039.56 350.44 1,324.41 1,674.85 330.64 1,386.08 1,716.72 330.64 1,386.08 461.49 794.65 1,256.14 490.45 797.09 1,287.54 507.87 779.67 615.32 1,059.53 1,674.85 653.93 1,062.79 1,716.72 677.17 1,039.55
100,000 - 149,999
Employee Only 51.47 344.09 395.56 30.39 375.06 405.45 30.39 375.06 68.62 458.79 527.41 40.52 500.08 540.60 40.52 500.08 120.28 275.28 395.56 123.72 281.73 405.45 124.15 281.30 160.37 367.04 527.41 164.96 375.64 540.60 165.54 375.06
Emp & Sp 214.05 686.17 900.22 202.82 719.91 922.73 202.82 719.91 285.40 914.89 1,200.29 270.42 959.88 1,230.30 270.42 959.89 351.28 548.94 900.22 371.43 551.30 922.73 382.80 539.93 468.37 731.92 1,200.29 495.24 735.06 1,230.30 510.39 719.91
Emp & Ch(ren) 163.20 578.24 741.44 165.79 594.19 759.98 165.79 594.19 217.60 770.99 988.59 221.05 792.25 1,013.30 221.05 792.26 278.85 462.59 741.44 300.08 459.90 759.98 314.34 445.64 371.80 616.79 988.59 400.11 613.19 1,013.30 419.11 594.19
Emp, Sp & Ch(ren) 291.77 964.37 1,256.14 285.65 1,001.89 1,287.54 285.65 1,001.89 389.02 1,285.83 1,674.85 380.87 1,335.85 1,716.72 380.87 1,335.85 484.64 771.50 1,256.14 516.44 771.10 1,287.54 536.12 751.42 646.18 1,028.67 1,674.85 688.59 1,028.13 1,716.72 714.83 1,001.89
Above 150,000
Employee Only 52.86 342.70 395.56 31.91 373.54 405.45 31.91 373.54 70.48 456.93 527.41 42.55 498.05 540.60 42.55 498.05 121.40 274.16 395.56 124.86 280.59 405.45 125.29 280.16 161.86 365.55 527.41 166.48 374.12 540.60 167.06 373.54
Emp & Sp 237.20 663.02 900.22 235.55 687.18 922.73 235.55 687.18 316.27 884.02 1,200.29 314.06 916.24 1,230.30 314.06 916.24 369.80 530.42 900.22 393.19 529.53 922.73 407.34 515.39 493.07 707.22 1,200.29 524.25 706.05 1,230.30 543.12 687.18
Emp & Ch(ren) 182.24 559.20 741.44 192.00 567.98 759.98 192.00 567.98 242.99 745.60 988.59 256.00 757.30 1,013.30 256.00 757.30 294.08 447.36 741.44 317.71 442.26 759.98 333.99 425.99 392.11 596.48 988.59 423.61 589.69 1,013.30 445.32 567.98
Emp, Sp & Ch(ren) 319.31 936.83 1,256.14 323.31 964.23 1,287.54 323.31 964.23 425.74 1,249.11 1,674.85 431.08 1,285.64 1,716.72 431.08 1,285.64 506.67 749.47 1,256.14 541.85 745.69 1,287.54 564.37 723.17 675.56 999.29 1,674.85 722.47 994.25 1,716.72 752.50 964.22

 

PREMIER PLAN

  FY20   12 Month:  75% - 100% Appointed  FY21   12 Month:  75% - 100% Appointed FY20   9 Month: 75% - 100% Appointed FY21   9 Month: 75-100% Appointed FY20   12 Month: 50%-74% Appointed FY21   12 Month 50%-74% Appointed FY20   9 Month: 50% - 74% Appointed FY21   9 month: 50%-74% Appointed

Below 28,000

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

7/1/2019

Employee

7/1/2019

Employer

7/1/2019

TOTAL PREMIUM

7/1/2020

Employee

7/1/2020

Employer

7/1/2020

TOTAL PREMIUM

1/1/2021*

Employee

1/1/2021*

Employer

Employee Only 149.78 358.74 508.52 181.87 387.67 569.54 181.87 387.67 199.70 478.32 678.02 242.49 516.90 759.39 242.49 516.90 239.46 269.06 508.52 273.49 290.75 569.54 278.79 290.75 319.28 358.74 678.02 364.65 394.74 759.39 371.72 387.66
Emp & Sp 430.89 730.43 1,161.32 526.42 774.26 1,300.68 570.25 730.43 574.52 973.91 1,548.43 701.89 1,032.35 1,734.24 760.33 973.91 613.50 547.82 1,161.32 719.99 580.69 1,300.68 752.86 547.82 818.00 730.43 1,548.43 959.99 774.25 1,734.24 1,003.81 730.43
Emp & Ch(ren) 334.96 617.28 952.24 412.19 654.32 1,066.51 449.23 617.28 446.62 823.04 1,269.66 549.59 872.42 1,422.01 598.97 823.04 489.28 462.96 952.24 575.77 490.74 1,066.51 603.55 462.96 652.38 617.28 1,269.66 767.69 654.32 1,422.01 804.74 617.27
Emp, Sp & Ch(ren) 578.99 1,031.55 1,610.54 710.36 1,093.44 1,803.80 772.25 1,031.55 771.99 1,375.40 2,147.39 947.15 1,457.92 2,405.07 1,029.67 1,375.40 836.88 773.66 1,610.54 983.73 820.08 1,803.80 1,030.14 773.66 1,115.84 1,031.55 2,147.39 1,311.64 1,093.43 2,405.07 1,373.52 1,031.55
28,000 - 38,999
Employee Only 149.78 358.74 508.52 181.87 387.67 569.54 181.87 387.67 199.70 478.32 678.02 242.49 516.90 759.39 242.49 516.90 239.46 269.06 508.52 273.49 290.75 569.54 278.79 290.75 319.28 358.74 678.02 364.65 387.67 759.39 371.72 387.67
Emp & Sp 460.11 701.21 1,161.32 557.40 743.28 1,300.68 599.47 701.21 613.48 934.95 1,548.43 743.20 991.04 1,734.24 799.29 934.95 635.41 525.91 1,161.32 743.21 557.46 1,300.68 774.77 525.91 847.22 701.21 1,548.43 990.95 743.28 1,734.24 1,033.03 701.21
Emp & Ch(ren) 350.99 601.25 952.24 429.18 637.32 1,066.51 465.26 601.25 467.99 801.67 1,269.66 572.24 849.77 1,422.01 620.34 801.67 501.30 450.94 952.24 588.51 478.00 1,066.51 615.57 450.94 668.41 601.25 1,269.66 784.68 637.32 1,422.01 820.77 601.24
Emp, Sp & Ch(ren) 606.14 1,004.40 1,610.54 739.14 1,064.66 1,803.80 799.40 1,004.40 808.19 1,339.20 2,147.39 985.52 1,419.55 2,405.07 1,065.87 1,339.20 857.24 753.30 1,610.54 1,005.31 798.50 1,803.80 1,050.50 753.30 1,142.99 1,004.40 2,147.39 1,340.41 1,064.66 2,405.07 1,400.67 1,004.40
39,000 - 54,999
Employee Only 156.76 351.76 508.52 189.62 379.92 569.54 189.62 379.92 209.01 469.01 678.02 252.83 506.56 759.39 252.83 506.56 244.70 263.82 508.52 279.33 284.94 569.54 284.60 284.94 326.26 351.76 678.02 372.44 386.95 759.39 379.47 379.92
Emp & Sp 479.59 681.73 1,161.32 578.04 722.63 1,300.68 618.95 681.73 639.45 908.98 1,548.43 770.72 963.52 1,734.24 825.27 908.97 650.02 511.30 1,161.32 758.70 541.98 1,300.68 789.38 511.30 866.70 681.73 1,548.43 1,011.60 722.63 1,734.24 1,052.51 681.73
Emp & Ch(ren) 371.04 581.20 952.24 450.44 616.07 1,066.51 485.31 581.20 494.72 774.94 1,269.66 600.59 821.42 1,422.01 647.08 774.93 516.34 435.90 952.24 604.46 462.05 1,066.51 630.61 435.90 688.46 581.20 1,269.66 805.95 616.06 1,422.01 840.82 581.19
Emp, Sp & Ch(ren) 633.29 977.25 1,610.54 767.92 1,035.88 1,803.80 826.55 977.25 844.39 1,303.00 2,147.39 1,023.89 1,381.18 2,405.07 1,102.07 1,303.00 877.60 732.94 1,610.54 1,026.89 776.92 1,803.80 1,070.86 732.94 1,170.14 977.25 2,147.39 1,369.19 1,035.88 2,405.07 1,427.82 977.25
55,000 - 99,999
Employee Only 163.03 345.49 508.52 197.22 372.32 569.54 197.22 372.32 217.37 460.65 678.02 262.96 496.43 759.39 262.96 496.43 249.40 259.12 508.52 284.81 279.24 569.54 290.30 279.24 332.53 345.49 678.02 379.75 379.64 759.39 387.07 372.32
Emp & Sp 499.07 662.25 1,161.32 598.69 701.99 1,300.68 638.43 662.25 665.43 883.00 1,548.43 798.25 935.99 1,734.24 851.24 883.00 664.63 496.69 1,161.32 774.19 526.49 1,300.68 803.99 496.69 886.18 662.25 1,548.43 1,032.25 701.99 1,734.24 1,071.99 662.25
Emp & Ch(ren) 391.08 561.16 952.24 471.68 594.83 1,066.51 505.35 561.16 521.44 748.22 1,269.66 628.91 793.10 1,422.01 673.80 748.21 531.37 420.87 952.24 620.39 446.12 1,066.51 645.64 420.87 708.50 561.16 1,269.66 827.19 594.82 1,422.01 860.86 561.15
Emp, Sp & Ch(ren) 674.00 936.54 1,610.54 811.07 992.73 1,803.80 867.26 936.54 898.67 1,248.72 2,147.39 1,081.43 1,323.64 2,405.07 1,156.35 1,248.72 908.13 702.41 1,610.54 1,059.25 744.55 1,803.80 1,101.39 702.41 1,210.85 936.54 2,147.39 1,412.33 992.74 2,405.07 1,468.53 936.54
100,000 - 149,999
Employee Only 164.43 344.09 508.52 204.67 364.87 569.54 204.67 364.87 219.23 458.79 678.02 272.89 486.49 759.39 272.89 486.49 250.45 258.07 508.52 288.19 273.65 569.54 295.89 273.65 333.93 344.09 678.02 384.25 375.14 759.39 394.52 364.87
Emp & Sp 518.55 642.77 1,161.32 619.34 681.34 1,300.68 657.91 642.77 691.40 857.03 1,548.43 825.79 908.45 1,734.24 877.21 857.03 679.24 482.08 1,161.32 789.67 511.00 1,300.68 818.60 482.08 905.66 642.77 1,548.43 1,052.89 681.35 1,734.24 1,091.47 642.77
Emp & Ch(ren) 407.11 545.13 952.24 488.67 577.84 1,066.51 521.38 545.13 542.82 726.84 1,269.66 651.56 770.45 1,422.01 695.17 726.84 543.39 408.85 952.24 633.13 433.38 1,066.51 657.66 408.85 724.53 545.13 1,269.66 844.17 577.84 1,422.01 876.89 545.12
Emp, Sp & Ch(ren) 707.94 902.60 1,610.54 847.05 956.76 1,803.80 901.20 902.60 943.92 1,203.47 2,147.39 1,129.40 1,275.67 2,405.07 1,201.60 1,203.47 933.59 676.95 1,610.54 1,086.24 717.57 1,803.80 1,126.85 676.95 1,244.79 902.60 2,147.39 1,448.32 956.75 2,405.07 1,502.47 902.60
Above 150,000
Employee Only 165.82 342.70 508.52 211.97 357.57 569.54 211.97 357.57 221.09 456.93 678.02 282.63 476.76 759.39 282.63 476.76 251.49 257.03 508.52 291.51 268.18 569.54 301.36 268.18 335.32 342.70 678.02 388.68 370.71 759.39 401.82 357.57
Emp & Sp 547.76 613.56 1,161.32 650.30 650.37 1,300.68 687.12 613.56 730.35 818.08 1,548.43 867.07 867.17 1,734.24 916.16 818.08 701.15 460.17 1,161.32 812.90 487.78 1,300.68 840.51 460.17 934.87 613.56 1,548.43 1,083.87 650.37 1,734.24 1,120.68 613.56
Emp & Ch(ren) 431.16 521.08 952.24 514.16 552.34 1,066.51 545.43 521.08 574.88 694.78 1,269.66 685.55 736.46 1,422.01 727.24 694.77 561.43 390.81 952.24 652.25 414.26 1,066.51 675.70 390.81 748.58 521.08 1,269.66 869.67 552.34 1,422.01 900.94 521.07
Emp, Sp & Ch(ren) 741.87 868.67 1,610.54 883.02 920.79 1,803.80 935.13 868.67 989.16 1,158.23 2,147.39 1,177.36 1,227.71 2,405.07 1,246.84 1,158.23 959.04 651.50 1,610.54 1,113.22 690.59 1,803.80 1,152.30 651.50 1,278.72 868.67 2,147.39 1,484.29 920.78 2,405.07 1,536.40 868.67

 

* Note: Premiums listed for 1/1/2021 may be subject to change, and the total premium for 1/1/2021 is not yet available.