2017 Premiums

State Health Benefit Plan

Click here for 2017 State Health Benefit Plan rates.

TRICARE MONTHLY PAYROLL DEDUCTIONS

Employee Only $60.50
Employee + Child(ren) or Spouse $119.50
Family $160.50

 

 

 

Dental Monthly Payroll Deductions

  Standard Dental Coverage Premium Dental Coverage
Employee Only $35.11 $46.96
Employee + Spouse $70.22 $93.91
Employee + Child(ren) $73.54 $98.34
Family $113.07 $151.22

 

Vision Monthly Payroll Deductions

Employee Only
$7.45
Employee + Spouse
$14.92
Employee + Child(ren)
$14.00
Family
$21.44


Voluntary Life Monthly Payroll Deductions

The Voluntary Term Life plan for employee and spouse coverage has a rate table, and monthly deductions are calculated based on coverage amount and age. See monthly sample premiums below.
 
Samples                                      
Employee / Spouse
Benefit Amount
Age 30    Age 40  Age 50   Age 60
$50,000  $3.35 $4.15 $9.00 $23.50
$100,000   $6.70 $8.30 $18.00 $47.00
 
             
Child
Benefit Amount
Monthly cost (all children)
$10,000
$1.50
 

Disability

The disability plan has a rate table, and monthly deductions are based on the benefit start date and coverage level selected.  Below are examples. 
 
Example #1: $30,000 Salary, $500 Benefit            
Elimination Period   Monthly Deduction
7 days $7.54
14 days  $6.23
30 days $4.92
45 days $4.62
60 days $4.09
90 days  $3.90
180 days (LTD only) $2.37
 
Example #2: $30,000 Salary, $1,000 Benefit
Elimination Period   Monthly Deduction
7 days $15.08
14 days  $12.45
30 days $9.83
45 days $9.23
60 days $8.18
90 days  $7.80
180 days (LTD only) $4.73
 
Example #3: $30,000 Salary, $1,500 Benefit (Maximum benefit)
Elimination Period   Monthly Deduction
7 days $22.62
14 days  $18.68
30 days $14.75
45 days $13.85
60 days $12.27
90 days  $11.70
180 days (LTD only) $7.10
 

Critical Illness Insurance Monthly Payroll Deductions

Employee Costs
 

Age

$5,000

$10,000

$15,000

$20,000

$25,000

$30,000

$35,000

$40,000

$45,000

$50,000

18-29

$3.90

$6.07

$8.19

$10.36

$12.48

$14.65

$16.81

$18.94

$21.10

$23.27

30-39

$5.76

$9.75

$13.74

$17.77

$21.75

$25.74

$29.77

$33.76

$37.74

$41.73

40-49

$10.53

$19.37

$28.17

$36.96

$45.76

$54.56

$63.35

$72.15

$80.95

$89.74

50-59

$17.33

$32.93

$48.53

$64.13

$79.73

$95.33

$110.93

$126.53

$142.13

$157.73

60-69

$26.74

$51.74

$76.74

$101.75

$126.75

$151.75

$176.76

$201.76

$226.76

$251.77

Spouse Costs

Age

$5,000

$7,500

$10,000

$12,500

$15,000

$17,500

$20,000

$22,500

$25,000

18-29

$3.90

$4.98

$6.07

$7.11

$8.19

$9.27

$10.36

$11.44

$12.48

30-39

$5.76

$7.76

$9.75

$11.74

$13.74

$15.73

$17.77

$19.76

$21.75

40-49

$10.53

$14.95

$19.37

$23.75

$28.17

$32.54

$36.96

$41.34

$45.76

50-59

$17.33

$25.13

$32.93

$40.73

$48.53

$56.33

$64.13

$71.93

$79.73

60-69

$26.74

$39.26

$51.74

$64.26

$76.74

$89.27

$101.75

$114.27

$126.75

 

Accident Insurance Monthly Payroll Deductions

Employee Only
$11.22
Employee + Spouse
$16.16
Employee + Child(ren)
$23.92
Family
$28.82

 

Group Legal Monthly Payroll Deductions

$18.00 per employee
 

ID Watchdog IDENTITY THEFT MONTHLY PAYROLL DEDUCTIONS

Employee Only $8.95
Family $17.95