2022 Benefit Plan Rates

Medical 

Full-time

Rates listed are for full-time (0.80 FTE or greater) active employees. The medical plan rates listed below do not include the $40 per month premium incentive for participation in the health management program, Get Healthy Now. If you plan to participate in Get Healthy Now, deduct $40 from the monthly rate below to get your final cost.

12 Month Employee

EPO PPO PCA High PCA Low ULH
Employee Only $156 $136 $76 $68 $129
Employee + Spouse/QA $502 $464 $331 $203 $341
Employee + Child(ren) $295 $263 $160 $72 $232
Employee + Family $591 $538 $363 $186 $444
Two Employee Family* $164 $134 $65 $63 $180.50

10 Month Employee

EPO PPO PCA High PCA Low ULH
Employee Only $187.20 $163.20 $91.20 $81.60 $154.80
Employee + Spouse/QA $602.40 $556.80 $397.20 $243.60 $409.20
Employee + Child(ren) $354 $315.60 $192 $86.40 $278.40
Employee + Family $709.20 $645.60 $435.60 $223.20 $532.80
Two Employee Family* $196.80 $160.80 $78 $75.60 $216.60

*Spouse/QA must be full-time employee and also have child(ren) covered in plan.

Part-time

Rates listed are for part-time (0.40 - 0.79 FTE) active employees. The medical plan rates listed below do not include the $40 per month premium incentive for participation in the health management program, Get Healthy Now.  If you plan to participate in Get Healthy Now, deduct $40 from the monthly rate below to get your final cost.

12 Month Employee

EPO PPO PCA High PC Low ULH
Employee Only $362 $345 $316 $279 $322.06
Employee + Spouse/QA $795 $758 $780 $626 $708.54
Employee + Child(ren) $651 $620 $562 $455 $579.72
Employee + Family $1084 $1034 $987 $774 $966.19

10 Month Employee

EPO PPO PCA High PCA Low ULH
Employee Only $434.40 $414 $379.20 $334.80 $386.47
Employee + Spouse/QA $954 $909.60 $936 $751.20 $850.25
Employee + Child(ren) $781.20 $744 $674.40 $546 $695.66
Employee + Family $1300.80 $1240.80 $1184.40 $928.80 $1159.42

*Spouse/QA must be full-time employee and also have child(ren) covered in plan.

Dental 

Monthly Rates for 12 Month Full-time and Part-time Active Employees

Basic Dental Plan Enhanced Dental Plan
Employee Coverage $22.43 $34.78
Employee + Spouse/QA $44.82 $69.52
Employee + Children $52.92 $82.05
Employee + Family $81.84 $126.90

Monthly Rates for 10 Month Full-time and Part-time Active Employees

Basic Dental Plan Enhanced Dental Plan
Employee Coverage $26.92 $41.74
Employee + Spouse/QA $53.78 $83.42
Employee + Children $63.50 $98.46
Employee + Family $98.21 $152.28

Vision 

Rates for 12 month for Full-time/Part-time Active Employees

Coverage Level Monthly Rate
Employee Coverage $4.48
Employee + Spouse/QA $8.12
Employee + Children $8.60
Employee + Family $12.35

 Rates for 10 month Full-time/Part-time Active Employees

Coverage Level Monthly Rate
Employee Coverage $5.38
Employee + Spouse/QA $9.74
Employee + Children $10.32
Employee + Family $14.82

 

View the 2022 Benefit Plan Comparison Chart

View the 2022 Cobra rates for medical, dental and vision.