Year:
2025
2024
Pay Freq:
BiWeekly
Monthly
Age:
0-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-99
Option
Carrier
Coverage
Rate
Health
BlueLincs HMO
CommunityCare HMO
GlobalHealth HMO
HealthChoice Basic
HealthChoice Basic Alternative
HealthChoice HDHP
HealthChoice High
HealthChoice High Alternative
Employee Only
Employee and Child
Employee and Children
Employee and Spouse
Employee, Spouse and Child
Employee, Spouse and Children
321.42
Dental
-none-
BCBSOK BlueCare High
BCBSOK BlueCare Low
Cigna Prepaid High K1I09
Cigna Prepaid Low OKIV9
Delta Dental Choice PPO
Delta Dental PPO
HealthChoice Dental
MetLife High Classic MAC
MetLife Low Classic MAC
Sun Life Preferred Active PPO
Employee Only
Employee and Child
Employee and Children
Employee and Spouse
Employee, Spouse and Child
Employee, Spouse and Children
0.00
Vision
-none-
PVCS
Superior
Vision Care Direct
VSP
Employee Only
Employee and Child
Employee and Children
Employee and Spouse
Employee, Spouse and Child
Employee, Spouse and Children
0.00
Supplemental Life
-none-
Supplemental Life
$20000
$40000
$60000
$80000
$100000
$120000
$140000
$160000
$180000
$200000
$220000
$240000
$260000
$280000
$300000
$320000
$340000
$360000
$380000
$400000
$420000
$440000
$460000
$480000
$500000
0.00
Dependent Life
-none-
Dependent Life Low
Dependent Life Premier
Dependent Life Standard
0.00
Basic Life
2.60
Disability
5.18
Savings Accounts
Flexible Spending Account
0.00
Dependent Care Account
0.00
Totals
Total Benefit Cost
329.20
Benefit Allowance
376.79
Remaining Benefit
47.59
*This amount may vary from actual because of possible tax implications.