ATTACHMENT TO MEMORANDUM 2002-17
OFFICE OF THE STATE COMPTROLLER
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State Employee Health Insurance 7/1/2002 TO 6/30/2003 RATES Bi-Weekly Rates Based on 26 Pay Periods |
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| Medical Plans | ||||||||||||
| Anthem | Health Net | ConnectiCare | ||||||||||
| Blue Cross | State BlueCare | |||||||||||
| State Preferred | Out of Area | POS | POE | POE Plus | Charter POS | Charter HMO | Passport HMO | POS Open Access | HMO Open Access | HMO Personal Care Plan | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Individual | Monthly | $448.39 | $437.40 | $315.18 | $299.09 | $285.62 | $310.98 | $302.31 | $296.24 | $293.99 | $274.27 | $246.05 |
| State Portion | $379.02 | $418.17 | $295.95 | $293.74 | $285.27 | $292.01 | $296.77 | $295.70 | $276.06 | $270.41 | $246.05 | |
| Employee Portion | $69.37 | $19.23 | $19.23 | $5.35 | $0.35 | $18.97 | $5.54 | $0.54 | $17.93 | $3.86 | $0.00 | |
| Semi-Monthly | $224.20 | $218.70 | $157.59 | $149.55 | $142.81 | $155.49 | $151.16 | $148.12 | $147.00 | $137.14 | $123.03 | |
| State Portion | $189.51 | $209.08 | $147.97 | $146.87 | $142.63 | $146.00 | $148.39 | $147.85 | $138.03 | $135.21 | $123.03 | |
| Employee Portion | $34.69 | $9.62 | $9.62 | $2.68 | $0.18 | $9.49 | $2.77 | $0.27 | $8.97 | $1.93 | $0.00 | |
| Bi-Weekly | $206.95 | $201.88 | $145.47 | $138.04 | $131.82 | $143.53 | $139.53 | $136.73 | $135.69 | $126.59 | $113.56 | |
| State Portion | $174.93 | $193.00 | $136.59 | $135.57 | $131.66 | $134.77 | $136.97 | $136.48 | $127.41 | $124.81 | $113.56 | |
| Employee Portion | $32.02 | $8.88 | $8.88 | $2.47 | $0.16 | $8.76 | $2.56 | $0.25 | $8.28 | $1.78 | $0.00 | |
| Subscriber plus 1 | Monthly | $986.46 | $962.28 | $693.40 | $658.00 | $628.36 | $684.16 | $665.08 | $651.73 | $646.78 | $603.39 | $541.31 |
| State Portion | $751.39 | $853.90 | $585.02 | $591.87 | $575.77 | $577.23 | $598.24 | $597.18 | $545.69 | $542.75 | $496.00 | |
| Employee Portion | $235.07 | $108.38 | $108.38 | $66.13 | $52.59 | $106.93 | $66.84 | $54.55 | $101.09 | $60.64 | $45.31 | |
| Semi-Monthly | $493.23 | $481.14 | $346.70 | $329.00 | $314.18 | $342.08 | $332.54 | $325.87 | $323.39 | $301.70 | $270.66 | |
| State Portion | $375.69 | $426.95 | $292.51 | $295.93 | $287.88 | $288.61 | $299.12 | $298.59 | $272.84 | $271.38 | $248.00 | |
| Employee Portion | $117.54 | $54.19 | $54.19 | $33.07 | $26.30 | $53.47 | $33.42 | $27.28 | $50.55 | $30.32 | $22.66 | |
| Bi-Weekly | $455.29 | $444.13 | $320.03 | $303.69 | $290.01 | $315.77 | $306.96 | $300.80 | $298.51 | $278.49 | $249.84 | |
| State Portion | $346.80 | $394.11 | $270.01 | $273.17 | $265.74 | $266.42 | $276.11 | $275.62 | $251.85 | $250.50 | $228.93 | |
| Employee Portion | $108.49 | $50.02 | $50.02 | $30.52 | $24.27 | $49.35 | $30.85 | $25.18 | $46.66 | $27.99 | $20.91 | |
| Family | Monthly | $1,210.65 | $1,180.98 | $850.99 | $807.54 | $771.17 | $839.65 | $816.24 | $799.85 | $793.77 | $740.53 | $664.34 |
| State Portion | $931.47 | $1,053.08 | $723.09 | $713.87 | $698.83 | $713.45 | $721.56 | $724.82 | $674.47 | $654.63 | $602.02 | |
| Employee Portion | $279.18 | $127.90 | $127.90 | $93.67 | $72.34 | $126.20 | $94.68 | $75.03 | $119.30 | $85.90 | $62.32 | |
| Semi-Monthly | $605.33 | $590.49 | $425.50 | $403.77 | $385.59 | $419.83 | $408.12 | $399.93 | $396.89 | $370.27 | $332.17 | |
| State Portion | $465.74 | $526.54 | $361.55 | $356.93 | $349.42 | $356.73 | $360.78 | $362.41 | $337.24 | $327.32 | $301.01 | |
| Employee Portion | $139.59 | $63.95 | $63.95 | $46.84 | $36.17 | $63.10 | $47.34 | $37.52 | $59.65 | $42.95 | $31.16 | |
| Bi-Weekly | $558.76 | $545.07 | $392.76 | $372.71 | $355.92 | $387.53 | $376.73 | $369.16 | $366.36 | $341.78 | $306.62 | |
| State Portion | $429.91 | $486.04 | $333.73 | $329.48 | $322.53 | $329.28 | $333.03 | $334.53 | $311.30 | $302.13 | $277.86 | |
| Employee Portion | $128.85 | $59.03 | $59.03 | $43.23 | $33.39 | $58.25 | $43.70 | $34.63 | $55.06 | $39.65 | $28.76 | |
| FLES | Monthly | $762.26 | $743.58 | $535.81 | $508.45 | $485.55 | $528.67 | $513.93 | $503.61 | $499.78 | $466.26 | $418.29 |
| State Portion | $606.45 | $695.57 | $487.80 | $469.86 | $455.79 | $481.30 | $474.92 | $472.74 | $455.00 | $430.87 | $392.65 | |
| Employee Portion | $155.81 | $48.01 | $48.01 | $38.59 | $29.76 | $47.37 | $39.01 | $30.87 | $44.78 | $35.39 | $25.64 | |
| Semi-Monthly | $381.13 | $371.79 | $267.91 | $254.23 | $242.78 | $264.34 | $256.97 | $251.81 | $249.89 | $233.13 | $209.15 | |
| State Portion | $303.22 | $347.78 | $243.90 | $234.93 | $227.90 | $240.65 | $237.46 | $236.37 | $227.50 | $215.43 | $196.33 | |
| Employee Portion | $77.91 | $24.01 | $24.01 | $19.30 | $14.88 | $23.69 | $19.51 | $15.44 | $22.39 | $17.70 | $12.82 | |
| Bi-Weekly | $351.81 | $343.19 | $247.30 | $234.67 | $224.10 | $244.00 | $237.20 | $232.44 | $230.67 | $215.20 | $193.06 | |
| State Portion | $279.90 | $321.03 | $225.14 | $216.86 | $210.36 | $222.14 | $219.20 | $218.19 | $210.00 | $198.87 | $181.23 | |
| Employee Portion | $71.91 | $22.16 | $22.16 | $17.81 | $13.74 | $21.86 | $18.00 | $14.25 | $20.67 | $16.33 | $11.83 | |
|
State Employee Health Insurance 7/1/2002 TO 6/30/2003 RATES Bi-Weekly Rates Based on 26 Pay Periods |
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| Dental Plans | ||||
| Blue Cross Indemnity | ||||
| A & C | A, B & C | CIGNA | ||
|---|---|---|---|---|
| Individual | Monthly | $25.48 | $32.25 | $16.59 |
| State Portion | $25.48 | $25.48 | $16.59 | |
| Employee Portion | $0.00 | $6.77 | $0.00 | |
| Semi-Monthly | $12.74 | $16.13 | $8.30 | |
| State Portion | $12.74 | $12.74 | $8.30 | |
| Employee Portion | $0.00 | $3.39 | $0.00 | |
| Bi-Weekly | $11.76 | $14.88 | $7.66 | |
| State Portion | $11.76 | $11.76 | $7.66 | |
| Employee Portion | $0.00 | $3.12 | $0.00 | |
|
Subscriber plus 1 |
Monthly | $77.83 | $90.47 | $36.50 |
| State Portion | $62.13 | $62.13 | $30.53 | |
| Employee Portion | $15.70 | $28.34 | $5.97 | |
| Semi-Monthly | $38.92 | $45.24 | $18.25 | |
| State Portion | $31.07 | $31.07 | $15.27 | |
| Employee Portion | $7.85 | $14.17 | $2.98 | |
| Bi-Weekly | $35.92 | $41.76 | $16.85 | |
| State Portion | $28.67 | $28.67 | $14.09 | |
| Employee Portion | $7.25 | $13.09 | $2.76 | |
| Family | Monthly | $77.83 | $90.47 | $44.79 |
| State Portion | $62.13 | $62.13 | $36.33 | |
| Employee Portion | $15.70 | $28.34 | $8.46 | |
| Semi-Monthly | $38.92 | $45.24 | $22.40 | |
| State Portion | $31.07 | $31.07 | $18.17 | |
| Employee Portion | $7.85 | $14.17 | $4.23 | |
| Bi-Weekly | $35.92 | $41.76 | $20.67 | |
| State Portion | $28.67 | $28.67 | $16.77 | |
| Employee Portion | $7.25 | $13.09 | $3.90 | |
| FLES | Monthly | $52.35 | $58.22 | $28.20 |
| State Portion | $44.29 | $44.29 | $24.72 | |
| Employee Portion | $8.06 | $13.93 | $3.48 | |
| Semi-Monthly | $26.18 | $29.11 | $14.10 | |
| State Portion | $22.15 | $22.15 | $12.36 | |
| Employee Portion | $4.03 | $6.96 | $1.74 | |
| Bi-Weekly | $24.16 | $26.88 | $13.01 | |
| State Portion | $20.44 | $20.44 | $11.41 | |
| Employee Portion | $3.72 | $6.44 | $1.60 | |
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