Rates 2007-08
Home Up

At the Executive Committee and Joint Powers Board meeting held April 11, 2007, the following rates were adopted.  The Plans and rates will become effective July 1, 2007.

 Monthly Rates Effective:       July 1, 2007

 MEDICAL PLAN RATES

PREMIER PLUS

PREMIER

STANDARD

BASIC

 HDHP 1 HDHP 2 HDHP 3

KAISER HI

KAISER LOW

COMPOSITE:

$1,115

$962

$885

$726

 $750 $669 $651 $1,021

$959

TIERED:

Employee Only

$557

$481

$442

$363

 $375 $334 $326 $475

$446

Employee + One

$1,059

$914

$841

$690

 $713 $636 $618 $950

$892

Employee + Family

$1,394

$1,203

$1,106

$908

 $938 $836 $814 $1,345

$1,261

MEDICARE RATES:

Retiree On Medicare

$368

$317

$292

$240

 $248 $221 $215 $379

$279

Ret+One (One Medicare)

$925

$798

$734

$603

 $623 $555 $541 $854

$725

Ret+One (Both Medicare)

$736

$634

$584

$480

 $496 $442 $430 $758

$558

 

 

 

 

 

 

 

 

 

 DENTAL PLAN RATES

D-1 $1,250

D-2 $1,250

D-3 $1,250

D-4 $1,250

Premier:

No Ortho

Child Only Ortho

Adult/Child Ortho

Child Orth/70% Pros

Composite

$83

$86

$87

$92

Employee Only

$42

$42

$44

$49

Employee + One

$78

$81

$82

$87

Employee + Family

$113

$116

$118

$124

A $1,750

B $2,250

A $1,750

B $2,250

Child Ortho

Adult/Ch Orth

Premier Add-on Costs:

D1, D2, D3

D1, D2, D3

D4

D4

to $1,000

to $1,000

Composite

$10.00

$15.50

$11.00

$17.00

$2

$3

Employee Only

$5.00

$8.00

$6.00

$9.00

$2

$3

Employee + One

$9.50

$14.50

$10.50

$16.00

$2

$3

Employee + Family

$13.50

$21.00

$15.00

$23.00

$2

$3

 

 

 

 

 

 

 

 

 

D-1 DPO

D-2 DPO

D-3 DPO

Delta Preferred Option (DPO):

No Ortho

Child Only Ortho

Adult/Child Ortho

Composite

$63

$65

$66

Employee Only

$32

$32

$33

Employee + One

$59

$61

$62

Employee + Family

$85

$87

$89

A $1,500

B $2,000

Child Ortho

Adult/Ch Orth

DPO Add-on Costs:

Annual Max

Annual Max

to $1,000

to $1,000

Composite

$8

$12

$2

$3

Employee Only

$4

$6

$2

$3

Employee + One

$7

$11

$2

$3

Employee + Family

$10

$16

$2

$3

 

 

 

 

 

 

 

 

 

 VISION PLAN RATES

 

Copay

 

PLAN A

$0

$5

$10

$15

Composite

$18

$17

$16

$15

Employee Only

$11

$10

$9

$8

Employee + One Dependent

$16

$15

$14

$13

Employee + Family

$29

$28

$27

$26

 

Copay

 

PLAN B

$0

$5

$10

$15

Composite

$21

$20

$19

$18

Employee Only

$13

$12

$11

$10

Employee + One Dependent

$19

$18

$17

$16

Employee + Family

$33

$32

$31

$30

 

Copay

 

PLAN C

$0

$5

$10

$15

Composite

$27

$26

$25

$24

Employee Only

$17

$16

$15

$14

Employee + One Dependent

$24

$23

$22

$21

Employee + Family

$43

$42

$41

$40
 

Copyright © 2001 Tri-County Schools Insurance Group

Phone:  (530) 822-5299 or Toll-Free (866) 822-5299

Last modified:  04-22-08

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