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JULY 2022 – JUNE 2023
MONTHLY EMPLOYEE CONTRIBUTIONS
If you are looking for 2020-2021 rates, click here
If you are looking for 2021-2022 rates, click here
  MMO PPO/HSA MMO PPO SkyCare EPO MMO MedFlex EPO Standard Dental* PPO Dental* High Option PPO Dental** VSP
Total Plan Cost (Normal part-time employee rate)
Single – no incentive $724 $846 $723 $765 $27 $27 $42 $9
Single – one incentive $709 $831 $708 $750 N/A**** N/A**** N/A**** N/A****
Single – two incentives $694 $816 $693 $735 N/A**** N/A**** N/A**** N/A****
Family – no incentive $1,849 $2,284 $1,952 $2,067 $53 $53 $82 $24
Family – one incentive $1,819 $2,254 $1,922 $2,037 N/A**** N/A**** N/A**** N/A****
Family – two incentives $1,789 $2,224 $1,892 $2,007 N/A**** N/A**** N/A**** N/A****
MedAdvantage (Medicare) N/A $187.57 N/A N/A $27 ***** $27 ***** $42***** $9*****
Normal Employee Cost – No Incentive
Single $77 $199 $168 $178 $0 $0 $15 $9
Family $296 $731 $615 $652 $0 $0 $29 $24
Normal Employee Cost – One Incentive
Single $62 $184 $153 $163 N/A**** N/A**** N/A**** N/A****
Family $266 $701 $585 $622 N/A**** N/A**** N/A**** N/A****
Normal Employee Cost – Two Incentives
Single  $47  $169  $138  $148 N/A**** N/A**** N/A**** N/A****
Family  $236  $671  $555  $592 N/A**** N/A**** N/A**** N/A****
Employer Cost – All Incentives***
Single $647 $647 $555 $587 $27 $27 $27 $0
Family $1,553 $1,553 $1,337 $1,415 $53 $53 $53 $0
  A spousal surcharge, where applicable, adds
$750 per month to the family plan premiums
stated in the table.
       

* Rate paid by employer for participant not selecting a medical plan. PPO, EPO rates include choice of Standard or PPO Dental.
** Employees covered with a medical plan pay the difference in cost for the High Option PPO Dental, $15 Single and $29 Family Dental.
*** Employer cost remains the same regardless of the incentives earned by the employee.
**** Incentives do not apply to dental or vision coverage only.
***** Participants in the MedAdvantage Plan pay the entire cost for dental.
****** Participants with single medical and family dental must pay the difference between single dental and family dental:
+$26 for Standard Dental, +$55 for High Option Dental.