Full-Time Administrative, Faculty, Support Staff, and Building Engineer Employees Rates

Medical, dental, and vision rates per pay period. Effective July 1, 2021.

**Benefit Rate Chart**
Benefit Plan	Employee Share	Employer Share
BCBS Medical - PPO
Employee Only Coverage	$72.09	$408.48
Employee + 1 Coverage	$182.82	$759.06
Employee + Family Coverage	$245.06	$956.20
BCBS Medical - HMO
Employee Only Coverage	$53.21	$301.53
Employee + 1 Coverage	$139.51	$574.83
Employee + Family Coverage	$190.20	$735.34
Delta Dental – Preferred Option
Employee Only Coverage	$2.61	$14.77
Employee + 1 Coverage	$7.18	$29.24
Employee + Family Coverage	$14.70	$53.06
Delta Dental – HMO
Employee Only Coverage	$1.50	$8.48
Employee + 1 Coverage	$3.58	$15.08
Employee + Family Coverage	$5.58	$21.41
VSP - Vision (effective January 1, 2022)
Employee Only Coverage	$3.16	$0
Employee + 1 Coverage	$4.58	$0
Employee + Family Coverage	$8.22	$0

Looking for related benefits documents?

Find documents, user guides, policies, and more.