JULY 2024 – JUNE 2025
MONTHLY EMPLOYEE CONTRIBUTIONS
If you are looking for 2023-2024 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 | $772 | $904 | $771 | $816 | $27 | $27 | $42 | $9 |
| Single – one incentive | $757 | $889 | $756 | $801 | N/A**** | N/A**** | N/A**** | N/A**** |
| Single – two incentives | $742 | $874 | $741 | $786 | N/A**** | N/A**** | N/A**** | N/A**** |
| Family – no incentive | $1,972 | $2,442 | $2,086 | $2,210 | $53 | $53 | $82 | $24 |
| Family – one incentive | $1,942 | $2,412 | $2,056 | $2,180 | N/A**** | N/A**** | N/A**** | N/A**** |
| Family – two incentives | $1,912 | $2,382 | $2,026 | $2,150 | N/A**** | N/A**** | N/A**** | N/A**** |
| MedAdvantage (Medicare) | N/A | $209 | N/A | N/A | $27 ***** | $27 ***** | $42***** | $9***** |
| Normal Employee Cost – No Incentive | ||||||||
| Single | $84 | $216 | $181 | $192 | $0 | $0 | $15 | $9 |
| Family | $320 | $790 | $665 | $706 | $0 | $0 | $29 | $24 |
| Normal Employee Cost – One Incentive | ||||||||
| Single | $69 | $201 | $166 | $177 | N/A**** | N/A**** | N/A**** | N/A**** |
| Family | $290 | $760 | $635 | $676 | N/A**** | N/A**** | N/A**** | N/A**** |
| Normal Employee Cost – Two Incentives | ||||||||
| Single | $54 | $186 | $151 | $162 | N/A**** | N/A**** | N/A**** | N/A**** |
| Family | $260 | $730 | $605 | $646 | N/A**** | N/A**** | N/A**** | N/A**** |
| Employer Cost – All Incentives*** | ||||||||
| Single | $688 | $688 | $590 | $624 | $27 | $27 | $27 | $0 |
| Family | $1,652 | $1,652 | $1,421 | $1,504 | $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.
