Full Time Benefits Rate Chart

Rates Effective July 1, 2017 - June 30, 2018

COBRA
Double State Share Chart
Rates valid July 1, 2016 - June 30, 2017

  Total Per Pay Rate UD Pays Employee Pays Employee Per Pay Change
Highmark Delaware First State Basic  
Employee
$365.07 $350.47 $14.60 $0
Employee & Spouse
$755.31 $725.10 $30.21 $0
Employee & Child(ren)
$554.94 $532.74 $22.20 $0
Family
$944.17 $906.41 $37.76 $0
Aetna CDH Gold 
Employee
$377.83 $358.94 $18.89 $0
Employee & Spouse
$783.42 $744.25 $39.17 $0
Employee & Child(ren)
$577.27 $548.41 $28.86 $0
Family
$995.27 $945.50 $49.77 $0
Aetna HMO 
Employee
$381.12 $356.35 $24.77 $0
Employee & Spouse
$803.56 $751.33 $52.23 $0
Employee & Child(ren)
$583.03 $545.14 $37.89 $0
Family
$1,002.66 $937.49 $65.17 $0
Highmark Delaware Comprehensive PPO Plan 
Employee
$416.78 $361.56 $55.22 $0
Employee & Spouse
$864.86 $750.26 $114.60 $0
Employee & Child(ren)
$642.32 $557.21 $85.11 $0
Family
$1,081.19 $937.93 $143.26 $0
Dental Plan Administered by MetLife
Employee
$22.66 $22.66 $0 $0
Employee & Spouse
$45.61 $45.61 $0 $0
Employee & Child(ren)
$51.04 $51.04 $0 $0
Family
$74.17 $74.17 $0 $0
Vision Plan Administered by National Vision Admnistrators (NVA)
Employee
$2.21 $2.21 $0 $0
Employee & Spouse
$4.75 $2.21 $2.54 $0
Employee & Child(ren)
$3.58 $2.21 $1.37 $0
Family
$6.53 $2.21 $4.32 $0