Double State Share Benefits Rate Chart
Full Time Chart | Part Time Chart

Rates valid July 1, 2013 - June 30, 2014
(prior period rates available here)

  DSS Semi-Monthly Rate UD Pays Employee Pays
Highmark Blue Cross Blue Shield Delaware (HBCBSD) First State Basic Plan
Employee 273.69 261.19 12.50
Employee & Spouse 566.28 553.78 12.50
Employee & Child(ren) 416.05 403.55 12.50
Family 707.87 695.37 12.50
Aetna CDH Gold
Employee 283.27 270.77 12.50
Employee & Spouse 587.35 574.85 12.50
Employee & Child(ren) 432.80 420.30 12.50
Family 746.17 733.67 12.50
Highmark Blue Cross Blue Shield Delaware (HBCBSD) CDH Gold
Employee 283.27 270.77 12.50
Employee & Spouse 587.35 574.85 12.50
Employee & Child(ren) 432.80 420.30 12.50
Family 746.17 733.67 12.50
Aetna HMO
Employee 285.74 273.24 12.50
Employee & Spouse 602.44 589.94 12.50
Employee & Child(ren) 437.11 424.61 12.50
Family 751.72 739.22 12.50
Highmark Blue Cross Blue Shield Delaware (HBCBSD) BlueCARE® HMO
Employee 285.97 273.47 12.50
Employee & Spouse 604.35 591.85 12.50
Employee & Child(ren) 437.55 425.05 12.50
Family 754.02 741.52 12.50
Highmark Blue Cross Blue Shield Delaware (HBCBSD) Comprehensive PPO Plan
Employee 312.47 299.97 12.50
Employee & Spouse 648.40 635.90 12.50
Employee & Child(ren) 481.56 469.06 12.50
Family 810.59 798.09 12.50
Dental Plan Administered by MetLife
Employee 20.05 20.05 0.00
Employee & Spouse 40.36 40.36 0.00
Employee & Child(ren) 45.16 45.16 0.00
Family 65.64 65.64 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