Health Insurance Premiums - Effective July 1, 2002
| Policy Type |
Cost Alliance |
Cost Alliance & Dental |
Key Advantage |
Key Advantage & Expanded Benefits |
| Employee Single |
| You Pay |
$0 |
$21 |
$21 |
$33 |
| State Pays |
$544 |
$544 |
$274 |
$274 |
| Total Premium |
$544 |
$565 |
$295 |
$307 |
| Employee Plus One |
| You Pay |
$0 |
$39 |
$131 |
$153 |
| State Pays |
$544 |
$544 |
$415 |
$415 |
| Total Premium |
$544 |
$583 |
$546 |
$568 |
| Family Coverage |
| You Pay |
$0 |
$57 |
$240 |
$272 |
| State Pays |
$544 |
$544 |
$557 |
$557 |
| Total Premium |
$544 |
$601 |
$797 |
$829 |
| Family Coverage Both Spouses State Employees |
| You Pay |
$0 |
$57 |
$132 |
$164 |
| State Pays |
$544 |
$544 |
$665 |
$665 |
| Total Premium |
$544 |
$601 |
$797 |
$829 |
*amounts per month
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