Double State Share Benefits Rate Chart
Full Time Chart

Rates valid September 1, 2015 - June 30, 2016
(prior period rates available here)

  DSS Semi-Monthly Rate UD Pays Employee Pays
Highmark Delaware First State Basic Plan 
Employee $339.02 $326.52 $12.50
Employee & Spouse $701.41 $688.91 $12.50
Employee & Child(ren) $515.34 $502.84 $12.50
Family $876.79 $864.29 $12.50
Aetna CDH Gold
Employee $350.87 $338.37 $12.50
Employee & Spouse $727.52 $715.02 $12.50
Employee & Child(ren) $536.08 $523.58 $12.50
Family $924.24 $911.74 $12.50
Highmark Delaware CDH Gold
Employee $350.87 $338.37 $12.50
Employee & Spouse $727.52 $715.02 $12.50
Employee & Child(ren) $536.08 $523.58 $12.50
Family $924.24 $911.74 $12.50
Aetna HMO
Employee $353.93 $341.43 $12.50
Employee & Spouse $746.22 $733.72 $12.50
Employee & Child(ren) $541.42 $528.92 $12.50
Family $931.11 $918.61 $12.50
Highmark Delaware IPA/HMO
Employee $354.21 $341.71 $12.50
Employee & Spouse $748.58 $736.08 $12.50
Employee & Child(ren) $541.97 $529.47 $12.50
Family $933.97 $921.47 $12.50
Highmark Delaware Comprehensive PPO Plan
Employee $387.04 $374.54 $12.50
Employee & Spouse $803.14 $790.64 $12.50
Employee & Child(ren) $596.49 $583.99 $12.50
Family $1,004.03 $991.53 $12.50
Dental Plan Administered by MetLife
Employee $21.58 $21.58 $0.00
Employee & Spouse $43.44 $43.44 $0.00
Employee & Child(ren) $48.61 $48.61 $0.00
Family $70.64 $70.64 $0.00
Vision Plan Administered by National Vision Administrators (NVA)
Employee $2.21 $2.21 $0.00
Employee & Spouse $4.75 $2.21 $2.54
Employee & Child(ren) $3.58 $2.21 $1.37
Family $6.53 $2.21 $4.32