Skip to content
JULY 2021 – JUNE 2022
MONTHLY EMPLOYEE CONTRIBUTIONS
If you are looking for 2019-2020 rates, click here
If you are looking for 2020-2021 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 $522 $776 $659 $698 $27 $27 $42 $9
Single – one incentive $507 $761 $644 $683 N/A**** N/A**** N/A**** N/A****
Single – two incentives $492 $746 $629 $668 N/A**** N/A**** N/A**** N/A****
Family – no incentive $1,331 $2,102 $1,779 $1,884 $53 $53 $82 $24
Family – one incentive $1,301 $2,072 $1,749 $1,854 N/A**** N/A**** N/A**** N/A****
Family – two incentives $1,271 $2,042 $1,719 $1,824 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 $55 $185 $152 $162 $0 $0 $15 $9
Family $209 $677 $559 $593 $0 $0 $29 $24
Normal Employee Cost – One Incentive
Single $40 $170 $137 $147 N/A**** N/A**** N/A**** N/A****
Family $179 $647 $529 $563 N/A**** N/A**** N/A**** N/A****
Normal Employee Cost – Two Incentives
Single  $25  $155  $122  $132 N/A**** N/A**** N/A**** N/A****
Family  $149  $617  $499  $533 N/A**** N/A**** N/A**** N/A****
Employer Cost – All Incentives
Single $467 $591 $507 $536 $27 $27 $27 $0
Family $1,122 $1,425 $1,220 $1,291 $53 $53 $53 $0
                 

* Rate paid by employer for participant not selecting a medical plan. PPO and 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.
*** Employer cost remains the same regardless of the incentives earned by  the employee.
****Incentives do not apply to dental only and vision coverage only.
***** Participants in the MedAdvantage Plan pay the entire cost for dental.