Double State Share Benefits Rate Chart
Full Time Chart

Rates valid July 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 $346.61 $334.11 $12.50
Employee & Spouse $717.14 $704.64 $12.50
Employee & Child(ren) $526.90 $514.40 $12.50
Family $896.45 $883.95 $12.50
Aetna CDH Gold
Employee $358.73 $346.23 $12.50
Employee & Spouse $743.82 $731.32 $12.50
Employee & Child(ren) $548.10 $535.60 $12.50
Family $944.97 $932.47 $12.50
Highmark Delaware CDH Gold
Employee $358.73 $346.23 $12.50
Employee & Spouse $743.82 $731.32 $12.50
Employee & Child(ren) $548.10 $535.60 $12.50
Family $944.97 $932.47 $12.50
Aetna HMO
Employee $361.86 $349.36 $12.50
Employee & Spouse $762.95 $750.45 $12.50
Employee & Child(ren) $553.57 $541.07 $12.50
Family $952.00 $939.50 $12.50
Highmark Delaware IPA/HMO
Employee $362.16 $349.66 $12.50
Employee & Spouse $765.36 $752.86 $12.50
Employee & Child(ren) $554.12 $541.62 $12.50
Family $954.91 $942.41 $12.50
Highmark Delaware Comprehensive PPO Plan
Employee $395.72 $383.22 $12.50
Employee & Spouse $821.14 $808.64 $12.50
Employee & Child(ren) $609.86 $597.36 $12.50
Family $1,026.55 $1,014.05 $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