CORE BENEFIT RATE SHEET Use this sheet to provide a general estimate of your monthly benefit costs for the upcoming plan year. This is a great place to start planning for your, and your family’s, health and wellness for next year.
MEDICAL PLANS - MONTHLY RATES
EMPLOYEE ONLY EMPLOYEE & SPOUSE EMPLOYEE & CHILDREN EMPLOYEE & FAMILY
EMPLOYEE ONLY EMPLOYEE & SPOUSE EMPLOYEE & CHILDREN EMPLOYEE & FAMILY
CLASSIC SILVER
VALUE GOLD
HDHP 1500
$109.50 $758.50 $571.50 $1,176.50
$72.50 $685.50 $508.50 $1,077.50
$0.00 $536.00 $381.00 $881.00
DENTAL PLAN
VISION
$0.00 $30.82 $37.44 $68.17
$0.00 $5.67 $3.94 $10.16
14
