Medical, Dental and Vision
DPS Medical Rates June 2008 - July 2009
| KAISER HIGH (Group #220) |
Total Monthly Cost |
|---|---|
| Employee Only | $360.26 |
| Employee and Spouse | $802.72 |
| Employee and Child or Children | $682.05 |
| Employee and Spouse and Child or Children | $1104.41 |
| KAISER LOW (Group #225) |
Total Monthly Cost |
|---|---|
| Employee Only | $331.98 |
| Employee and Spouse | $743.34 |
| Employee and Child or Children | $631.82 |
| Employee and Spouse and Child or Children | $1,023.82 |
| PACIFICARE HMO (Group #20231) |
Total Monthly Cost |
|---|---|
| Employee Only | $404.52 |
| Employee and Spouse | $897.08 |
| Employee and Child or Children | $762.75 |
| Employee and Spouse and Child or Children | $1,232.28 |
| PACIFICARE PLUS (Group #20202) |
Total Monthly Cost |
|---|---|
| Employee Only | $460.88 |
| Employee and Spouse | $1011.51 |
| Employee and Child or Children | $858.93 |
| Employee and Spouse and Child or Children | $1,388.34 |
Dental and Vision Insurance Rates July 2008 - June 2009
| DELTA DENTAL (Group #1015) |
Total Monthly Cost |
|---|---|
| Employee Only | $37.44 |
| Employee and Spouse | $71.91 |
| Employee and Child or Children | $101.94 |
| Employee and Spouse and Child or Children | $136.47 |
| DELTA EPO PLAN (Group #6694) |
Total Monthly Cost |
|---|---|
| Employee Only | $25.94 |
| Employee and Spouse | $52.34 |
| Employee and Child or Children | $64.10 |
| Employee and Spouse and Child or Children | $90.49 |
| VISION SERVICE PLAN (Group #12058969) |
Total Monthly Cost |
|---|---|
| Employee Only | $7.23 |
| Employee and Spouse | $16.08 |
| Employee and Child or Children | $16.57 |
| Employee and Spouse and Child or Children | $23.81 |
Flex Dollar: Eligible employee groups receive specified Flex $$ amounts to be used to offset the cost of the medical, dental, and vision coverages. You may waive out of medical coverage with written proof of other group health coverage; you may also opt out of dental or vision with no proof that you have other dental or vision coverage. If you waive health coverages, or if the cost of the coverages you are enrolled in costs less than the allocated Flex $$, you will receive the remaining dollar amount as taxable earnings. If the health coverages selected cost more than the Flex $$ allocated, the difference will be deducted on a pre-tax basis from your paycheck.