Double State Share Benefits Rate Chart
Full Time Chart

Rates valid July 1, 2014 - June 30, 2015
(prior period rates available here)

  DSS Semi-Monthly Rate UD Pays Employee Pays
Highmark Delaware First State Basic Plan 
Employee 274.72 263.72 11.00
Employee & Spouse 568.40 555.90 12.50
Employee & Child(ren) 417.61 405.11 12.50
Family 710.52 698.02 12.50
Aetna CDH Gold
Employee 284.33 271.83 12.50
Employee & Spouse 589.55 577.05 12.50
Employee & Child(ren) 434.42 421.92 12.50
Family 748.97 736.47 12.50
Highmark Delaware CDH Gold
Employee 284.33 271.83 12.50
Employee & Spouse 589.55 577.05 12.50
Employee & Child(ren) 434.42 421.92 12.50
Family 748.97 736.47 12.50
Aetna HMO
Employee 286.81 274.31 12.50
Employee & Spouse 604.70 592.20 12.50
Employee & Child(ren) 438.75 426.25 12.50
Family 754.54 742.04 12.50
Highmark Delaware IPA/HMO
Employee 287.04 274.54 12.50
Employee & Spouse 606.62 594.12 12.50
Employee & Child(ren) 439.19 426.69 12.50
Family 756.85 744.35 12.50
Highmark Delaware Comprehensive PPO Plan
Employee 313.64 301.14 12.50
Employee & Spouse 650.83 638.33 12.50
Employee & Child(ren) 483.37 470.87 12.50
Family 813.63 801.13 12.50
Dental Plan Administered by MetLife
Employee 21.05 21.05 0.00
Employee & Spouse 42.38 42.38 0.00
Employee & Child(ren) 47.42 47.42 0.00
Family 68.92 68.92 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