2018 SPOC Health & Dental Premiums

Monthly Health Premiums

With the wellness premium reduction of $70.00 per month

Alliance Select Total State Share Employee Share
Single $459.49 $437.49 $22.00
Employee and Spouse $941.04 $822.04 $119.00
Employee and Child(ren) $869.81 $765.81 $104.00
Family $1,410.17 $1,198.17 $212.00
Double Spouse Contract Holder $705.09 $634.07 $71.02
Double Spouse Contributing Spouse $705.08 $564.06 $141.02
FT/PT DS Contract Holder $705.09 $634.07 $71.02
FT/PT DS Contributing Spouse $705.08 $564.06 $141.02

Without the wellness premium reduction of $70.00 per month

Alliance Select Total State Share Employee Share
Single $459.49 $367.49 $92.00
Employee and Spouse $941.04 $752.04 $189.00
Employee and Child(ren) $869.81 $695.81 $174.00
Family $1,410.17 $1,128.17 $282.00
Double Spouse Contract Holder $705.09 $564.07 $141.02
Double Spouse Contributing Spouse $705.08 $564.06 $141.02
FT/PT DS Contract Holder $705.09 $654.07 $141.02
FT/PT DS Contributing Spouse $705.08 $564.06 $141.02

Monthly Dental Premiums

Delta Dental  Total State Share Employee Share
Single $32.71 $32.71 $0.00
Family $82.25 $64.53 $17.72
Double Spouse Contract Holder $41.13 $32.27 $8.86
Double Spouse Contributing Spouse $41.12 $32.26 $8.86
FT/PT DS Contract Holder $41.13 $32.27 $8.86
FT/PT DS Contributing Spouse $41.12 $32.26 $8.86

09/26/2017