Part Time Benefits Rate Chart

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

  PT Semi-Monthly Rate UD Pays Employee Pays
Highmark Delaware First State Basic PlanĀ 
Employee 274.72 158.23 116.49
Employee & Spouse 568.40 327.40 241.00
Employee & Child(ren) 417.61 240.55 177.06
Family 710.52 409.27 301.25
Aetna CDH Gold
Employee 284.33 162.07 122.26
Employee & Spouse 589.55 336.05 253.50
Employee & Child(ren) 434.42 247.62 186.80
Family 748.97 426.91 322.06
Highmark Delaware CDH Gold
Employee 284.33 162.07 122.26
Employee & Spouse 589.55 336.05 253.50
Employee & Child(ren) 434.42 247.62 186.80
Family 748.97 426.91 322.06
Aetna HMO
Employee 286.81 160.90 125.91
Employee & Spouse 604.70 339.23 265.47
Employee & Child(ren) 438.75 246.14 192.61
Family 754.54 423.30 331.24
Highmark Delaware IPA/HMO
Employee 287.04 161.03 126.01
Employee & Spouse 606.62 340.31 266.31
Employee & Child(ren) 439.19 246.38 192.81
Family 756.85 424.59 332.26
Highmark Delaware Comprehensive PPO Plan
Employee 313.64 163.25 150.39
Employee & Spouse 650.83 338.76 312.07
Employee & Child(ren) 483.37 251.60 231.77
Family 813.63 423.50 390.13
Dental Plan Administered by MetLife
Employee 21.05 12.63 8.42
Employee & Spouse 42.38 25.43 16.95
Employee & Child(ren) 47.42 28.45 18.97
Family 68.92 41.35 27.57
Vision Plan Administered by National Vision Administrators (NVA)
Employee 2.21 1.33 0.88
Employee & Spouse 4.75 1.33 3.42
Employee & Child(ren) 3.58 1.33 2.25
Family 6.53 1.33 5.20