2022 Rates
Medical Monthly Rates
Salary/Tier
Employee Only
Less than $50,000
$128
$50,001–$75,000
$166
$75,001–$100,000
$191
Over $100,000
$207
Salary/Tier
Employee Only
Less than $50,000
$92
$50,001–$75,000
$125
$75,001–$100,000
$145
Over $100,000
$165
Salary/Tier
Employee + Spouse/DP
Less than $50,000
$285
$50,001–$75,000
$380
$75,001–$100,000
$422
Over $100,000
$462
Salary/Tier
Employee + Spouse/DP
Less than $50,000
$221
$50,001–$75,000
$290
$75,001–$100,000
$325
Over $100,000
$359
Salary/Tier
Employee + Child(ren)
Less than $50,000
$266
$50,001–$75,000
$324
$75,001–$100,000
$369
Over $100,000
$403
Salary/Tier
Employee + Child(ren)
Less than $50,000
$199
$50,001–$75,000
$258
$75,001–$100,000
$283
Over $100,000
$309
Salary/Tier
Employee + Family
Less than $50,000
$407
$50,001–$75,000
$522
$75,001–$100,000
$594
Over $100,000
$638
Salary/Tier
Employee + Family
Less than $50,000
$319
$50,001–$75,000
$387
$75,001–$100,000
$455
Over $100,000
$513
Consumer Choice 500
Consumer Choice 250
Dental Monthly Rates
Tier
High PPO
Employee Only
$16.05
Employee + Spouse/DP
$34.89
Employee + Child(ren)
$39.21
Employee + Family
$65.75
Tier
Low PPO
Employee Only
$11.72
Employee + Spouse/DP
$23.61
Employee + Child(ren)
$24.32
Employee + Family
$38.52