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2012 Medical and Dental Monthly Insurance Rates |
EFFECTIVE DECEMBER 1, 2011
DENTAL INSURANCE OPTIONAL VISION INSURANCE DENTAL/VISION PACKAGE
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Delta Dental Insurance |
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Vision Plan (VSP) |
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Dental/Vision Package |
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Employee |
$70.00 |
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Employee |
$20.00 |
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Employee |
$85.50 |
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EE + Dependent |
$124.00 |
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EE + Dependent |
$38.00 |
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EE + Dependent |
$153.90 |
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EE + Family |
$180.00 |
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EE + Family |
$60.00 |
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EE + Family |
$228.00 |
MEDICAL INSURANCE (Includes Vision Benefit)
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California Plans
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Outside California Plans |
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Anthem Blue Cross HMO |
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Employee |
$802.59 |
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EE + Spouse |
$1,753.52 |
HMO NOT AVAILABLE |
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EE + Child(ren) |
$1,437.58 |
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Family |
$2,465.89 |
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Anthem Blue Cross PPO |
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Anthem PPO |
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Employee |
$750.28 |
Employee |
$750.28 |
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EE + Spouse |
$1,638.45 |
EE + Spouse |
$1,638.45 |
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EE + Child(ren) |
$1,343.45 |
EE + Child(ren) |
$1,343.45 |
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Family |
$2,303.78 |
Family |
$2,303.78 |
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Anthem HRA NEW |
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Anthem HRA |
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Employee |
$695.50 |
Employee |
$695.50 |
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EE + Spouse |
$1,497.32 |
EE + Spouse |
$1,497.32 |
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EE + Child(ren) |
$1,266.07 |
EE + Child(ren) |
$1,266.07 |
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Family |
$2,019.11 |
Family |
$2,019.11 |
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Kaiser Permanente HMO |
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Kaiser Northwest HMO |
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Employee |
$748.79 |
Employee |
$534.12 |
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EE + Spouse |
$1,619.54 |
EE + Spouse |
$1,056.75 |
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EE + Child(ren) |
$1,328.56 |
EE + Child(ren) |
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Family |
$2,276.08 |
Family |
$1,580.33
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| Kaiser Permanent HRA NEW |
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| Employee |
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$551.40 |
| EE + Spouse |
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$1,167.16 |
| EE + Child |
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$998.07 |
| Family |
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$1,549.17 |
Note: The Synod’s general participation guidelines state that the employer will pay the employee cost for HMO coverage.
These rates are guaranteed based on the Synod’s current participation. We do not anticipate any enrollment challenges; however,
it is our duty to inform our participants there is always the possibility of being re-rated should we not meet the carrier’s participation
requirements.
Please call or email Melinda Durham (melinda@synodpacific.org), Benefits Coordinator, with your questions (800) 754-0669.
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