BENEFITS - HEALTH RATES - NOT ELIGIBLE FOR MEDICARE
| Rates effective July 1, 2011 through June 30, 2012 |
Total Monthly Rate |
State Pays |
Employee Pays |
•Aetna HMO: |
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 |
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| Employee | $537.22 |
$514.56 |
$22.66 |
| Employee & Spouse | $1,132.64 |
$1,064.66 |
$67.98 |
| Employee & Child(ren) | $821.20 |
$782.20 |
$39.60 |
| Family | $1,413.30 |
$1,1330.86 |
$82.44 |
•Aetna CDH Gold: |
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|
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| Employee | $532.56 |
$514.56 |
$18.00 |
| Employee & Spouse | $1,104.26 |
$1,064.66 |
$39.60 |
| Employee & Child(ren) | $813.70 |
$782.20 |
$31.50 |
| Family | $1,402.86 |
$1,1330.86 |
$72.00 |
•BCBSD CDH Gold: |
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|
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| Employee | $532.56 |
$514.56 |
$18.00 |
| Employee & Spouse | $1,104.26 |
$1,064.66 |
$39.60 |
| Employee & Child(ren) | $813.70 |
$782.20 |
$31.50 |
| Family | $1,402.86 |
$1,1330.86 |
$72.00 |
| •FIRST STATE BASIC PLAN: (includes prescription drug coverage at the same level as all other plans) Administered by Blue Cross Blue Shield of Delaware |
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|
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Employee |
$514.56 |
$514.56 |
$0 |
Employee & Spouse |
$1,064.66 |
$1,064.66 |
$0 |
| Employee & Child(ren) | $782.20 |
$782.20 |
$0 |
| Family | $1,330.86 |
$1,330.86 |
$0 |
| •BlueCARE® HMO: Administered by Blue Cross Blue Shield of Delaware |
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|
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Employee |
$537.66 |
$514.56 |
$23.10 |
Employee & Spouse |
$1,136.22 |
$1,064.66 |
$71.56 |
| Employee & Child(ren) | $822.62 |
$782.20 |
$40.42 |
| Family | $1,417.62 |
$1,330.86 |
$86.76 |
| •Comprehensive PPO Plan: Administered by Blue Cross Blue Shield of Delaware |
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|
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Employee |
$587.46 |
$514.56 |
$72.90 |
Employee & Spouse |
$1,219.04 |
$1,064.66 |
$154.38 |
| Employee & Child(ren) | $905.38 |
$782.20 |
$123.18 |
| Family | $1,523.98 |
$1,330.86 |
$193.12 |
•ELIGIBLE PENSIONERS HIRED BY THE STATE ON OR AFTER JULY 1, 1991 THROUGH DECEMBER 31, 2006 (Except those receiving a disability pension or receiving an LTD benefit from The Hartford) |
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| * Including spousal coverage if elected. | |||
| * The Following portion of the "State Share" will be paid by the State: |
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| Less than 10 yrs | 0% | ||
| 10 yrs less than 15 yrs | 50% | ||
| 15 yrs less than 20 yrs | 75% | ||
| 20 yrs or more 100% | 100% | ||
•ELIGIBLE PENSIONERS HIRED BY THE STATE ON OR AFTER JANUARY 1, 2007 (Except those receiving a disability pension or receiving an LTD benefit from The Hartford) |
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| * Including spousal coverage if elected. | |||
| * The Following portion of the "State Share" will be paid by the State: |
|||
| Less than 15 yrs | 0% | ||
| 15 yrs less than 17.5 yrs | 50% | ||
| 17.5 yrs less than 20 yrs | 75% | ||
| 20 yrs or more 100% | 100% | ||
