2016-17 Insurance Rates and Contributions Classified

2016-17 Insurance Rates and Contributions Classified

2016-17 CLASSIFIED INSURANCE RATES AND CONTRIBUTIONS (Tenthly Rates)
Anthem Blue Cross 80-E PPO 1
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $440.62
Employee pays $801.92
Employee pays $1028.01
District contribution
District contribution
District contribution
$323.78
$694.48
$1075.59
Anthem Blue Cross 80-G PPO 2
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $389.02
Employee pays $699.92
Employee pays $882.81
District contribution
District contribution
District contribution
$323.78
$694.48
$1075.59
Anthem Blue Cross 80-M PPO 3
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $107.36
Employee pays $404.72
Employee pays $461.61
District contribution
District contribution
District contribution
$459.05
$694.48
$1075.59
Kaiser Permanente HMO
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $283.42
Employee pays $519.92
Employee pays $630.81
District contribution
District contribution
District contribution
$323.78
$694.48
$1075.59
Anthem Blue Cross HDHP* (HSA)
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $253.42
Employee pays $458.72
Employee pays $568.41
District contribution
District contribution
District contribution
$323.78
$694.48
$1075.59
Vision Service Plan (VSP)
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $ -0Employee pays $ 8.32
Employee pays $ 19.36
District contribution
District contribution
District contribution
$ 11.04
$ 13.76
$ 13.76
Delta Dental Premier PPO
Employee Only
Employee + 1 Dependent
Employee + 2 or More Dependents
Employee pays $ 24.75
Employee pays $ 94.23
Employee pays $154.35
District contribution
District contribution
District contribution
$ 40.05
$ 40.05
$ 40.05
*High Deductible Health Plan