2023 Rates
Medical Monthly Rates
Salary/Tier
Employee Only
Less than $50,000
$130
$50,001–$75,000
$169
$75,001–$100,000
$194
Over $100,000
$211
Salary/Tier
Employee Only
Less than $50,000
$94
$50,001–$75,000
$127
$75,001–$100,000
$148
Over $100,000
$168
Salary/Tier
Employee + Spouse/DP
Less than $50,000
$290
$50,001–$75,000
$387
$75,001–$100,000
$429
Over $100,000
$470
Salary/Tier
Employee + Spouse/DP
Less than $50,000
$225
$50,001–$75,000
$295
$75,001–$100,000
$331
Over $100,000
$365
Salary/Tier
Employee + Child(ren)
Less than $50,000
$271
$50,001–$75,000
$330
$75,001–$100,000
$375
Over $100,000
$410
Salary/Tier
Employee + Child(ren)
Less than $50,000
$202
$50,001–$75,000
$263
$75,001–$100,000
$288
Over $100,000
$314
Salary/Tier
Family
Less than $50,000
$414
$50,001–$75,000
$531
$75,001–$100,000
$604
Over $100,000
$649
Salary/Tier
Family
Less than $50,000
$325
$50,001–$75,000
$394
$75,001–$100,000
$463
Over $100,000
$522
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