Part-Time Employee Premiums

2017 Plan Year Benefit Rates

January 1, 2017 - December 31, 2017

 

Bi-weekly payroll deduction rates

 

Medical Traditional

GOLD

SILVER

BRONZE

Employee Only

$148.24

$168.60

$198.53

Employee + Spouse

$350.88

$367.65

$403.90

Employee + Child(ren)

$262.48

$275.03

$312.01

Employee + Family

$440.64

$461.70

$532.68


Medical - Liberty

GOLD

SILVER

BRONZE

Employee Only

$137.34

$153.94

$182.40

Employee + Spouse

$325.08

$338.24

$387.14

Employee + Child(ren)

$243.18

$253.02

$286.05

Employee + Family

$408.24

$424.76

$488.79

 

Dental

Low Plan

High Plan

Employee Only

$6.51

$8.42

Employee + Spouse

$14.25

$19.07

Employee + Child(ren)

$15.44

$21.42

Employee + Family

$25.70

$34.56

 

Vision *(same rates for full and part-time)

Employee Only

$3.78

Employee + Spouse

$7.38

Employee + Child(ren)

$7.94

Employee + Family

$8.43