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Current Premium Rates

Rates Effective January 2017

CIGNA POS Medical 2017 Rates

CIGNA POS Rates

Coverage Type Monthly Rate Quarterly Rate
Covered by Employment N/A $100.00
One Dep $908.61 $2,725.83
Two or More Deps $1471.09 $4,413.27
Self-pay Ee Only $935.34 $2,806.02
Self-pay Ee+1Dep $1,867.70 $5,603.10
Self-pay Ee+2 or More Deps $2,444.90 $7,334.70
Self-pay Ee Medicare $469.01 $1,407.03
Self-pay Ee & Dep Medicare $919.40 $2,758.20
Self-pay Ee Medicare, Dep Not $1,401.38 $4,204.14
Self-pay Dep Medicare, Ee Not $1,404.35 $4,213.05

PPO Dental 2017 Rates

PPO Dental Rates

Coverage Type Monthly Rate Quarterly Rate
Single $65.06 $195.18
Participant + 1 Dependent $129.53 $388.59
Participant + 2 or more Dependents $192.64 $577.92

 

HMO Medical 2017 Rates

HIP – NY/QU/SI/NASSAU

Coverage Type Monthly Rate Quarterly Rate
One Dep $717.90 $2,153.70
Two or More Deps $1,654.91 $4,964.73
Self-pay Ee Only $868.20 $2,604.60
Self-pay Ee+1Dep $1,586.10 $4,758.30
Self-pay Ee+2 or More Deps $2,523.12 $7,569.36
Self-pay Ee Medicare $565.64 $1,696.92
Self-pay Ee & Dep Medicare $1,131.46 $3,394.38
Self-pay Ee Medicare, Dep Not $1,283.54 $3,850.62
Self-pay Dep Medicare, Ee Not $1,434.02 $4,302.06

HIP – BK/BX

Coverage Type Monthly Rate Quarterly Rate
One Dep $717.90 $2,153.70
Two or More Deps $1,654.91 $4,964.73
Self-pay Ee Only $868.20 $2,604.60
Self-pay Ee+1Dep $1,586.10 $4,758.30
Self-pay Ee+2 or More Deps $2,523.12 $7,569.36
Self-pay Ee Medicare $562.62 $1,687.86
Self-pay Ee & Dep Medicare $1,125.42 $3,376.26
Self-pay Ee Medicare, Dep Not $1,280.52 $3,841.56
Self-pay Dep Medicare, Ee Not $1,431.00 $4,293.00

Kaiser SCA

Coverage Type Monthly Rate Quarterly Rate
One Dep $673.92 $2,021.76
Two or More Deps $1,232.50 $3,697.50
Self-pay Ee Only $673.75 $2,021.25
Self-pay Ee+1Dep $1,347.68 $4,043.04
Self-pay Ee+2 or More Deps $1,906.25 $5,718.75
Self-pay Ee Medicare $226.97 $680.91
Self-pay Ee & Dep Medicare $454.11 $1,362.33
Self-pay Ee Medicare, Dep Not $900.89 $2,702.67
Self-pay Dep Medicare, Ee Not $900.89 $2,702.67

Kaiser NCA

Coverage Type Monthly Rate Quarterly Rate
One Dep $795.30 $2,385.90
Two or More Deps $1,454.63 $4,363.89
Self-pay Ee Only $795.13 $2,385.39
Self-pay Ee+1Dep $1,590.44 $4,771.32
Self-pay Ee+2 or More Deps $2,249.76 $6,749.28
Self-pay Ee Medicare $369.34 $1,108.02
Self-pay Ee & Dep Medicare $738.86 $2,216.58
Self-pay Ee Medicare, Dep Not $1,164.65 $3,493.95
Self-pay Dep Medicare, Ee Not $1,164.65. $3,493.95

Kaiser DC

Coverage Type Monthly Rate Quarterly Rate
One Dep $576.13 $1,728.38
Two or More Deps $1,093.53 $3,280.59
Self-pay Ee Only $575.94 $1,727.82
Self-pay Ee+1Dep $1,152.07 $3,456.21
Self-pay Ee+2 or More Deps $1,669.47 $5,008.41

DHMO Dental 2017 Rates

 

DHMO Dental Rates

Coverage Type Monthly Rate Quarterly Rate
Single $34.76 $104.28
Participant + 1 Dependent $56.22 $168.66
Participant + 2 or more Dependents $98.43 $295.29

Click here to see a one page PDF file and view all 2017 Rates