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2017 Bi-weekly Healthcare Rates
Full-Time Employee Contribution
Coverage
Level
Non-Working Spouse
& Non-Tobacco
Tobacco Only
Spousal
Surcharge /
Non-Tobacco
Spousal
Surcharge &
Tobacco
Part-time
Employee
Contribution
Cigna - Gold
EE
$62.82
$97.43
$216.35
EE/Spouse
$126.84
$161.45
$161.45
$196.07
$441.59
EE/Child
$120.74
$155.35
$420.13
Family
$196.95
$231.56
$231.56
$266.18
$688.27
Cigna HRA Plan - Silver
EE
$42.00
$76.62
$198.24
EE/Spouse
$91.65
$126.26
$126.26
$160.88
$404.44
EE/Child
$87.27
$121.88
$384.80
Family
$142.02
$176.64
$176.64
$211.25
$630.29
Cigna - Bronze
EE
$23.27
$57.89
$161.27
EE/Spouse
$57.14
$91.75
$91.75
$126.37
$328.66
EE/Child
$54.44
$89.06
$312.71
Family
$88.16
$122.77
$122.77
$157.39
$511.99
Coverage Level
Full-time Employee
Contribution
Part-time Employee
Contribution
EE
$3.29
$15.54
EE/Spouse
$10.36
$32.62
EE/Child
$9.38
$29.52
Family
$16.28
$51.27
EE
$1.75
$8.94
EE/Spouse
$5.52
$18.77
EE/Child
$4.99
$16.98
Family
$8.67
$29.49
EE
$0.88
$4.47
EE/Spouse
$2.76
$9.39
EE/Child
$2.50
$8.50
Family
$4.34
$14.76
Cigna PPO Dental - High
Cigna PPO Dental - Low
Avesis Vision