2013 Rates

HDHP (with HRA)

Total Cost

Employee Share

Individual Coverage

$249.66

$62.42

Employee + Child(ren)

$449.38

$112.35

Employee + Spouse or Domestic Partner

$499.31

$124.83

Employee + Spouse + Child(ren)

$707.28

$176.82

HMO New England

Individual Coverage

$294.06

$117.62

Employee + Child(ren)

$529.30

$211.72

Employee + Spouse or Domestic Partner

$588.12

$235.25

Employee + Spouse + Child(ren)

$833.07

$333.23

Access Blue

Individual Coverage

$297.03

$120.60

Employee + Child(ren)

$534.66

$217.08

Employee + Spouse or Domestic Partner

$594.06

$241.19

Employee + Spouse + Child(ren)

$841.49

$341.65

PPO (Out-of-State Only)

Individual Coverage

$326.74

$150.30

Employee + Child(ren)

$588.12

$270.54

Employee + Spouse or Domestic Partner

$653.47

$300.60

Employee + Spouse + Child(ren)

$925.63

$425.79

Employee

Total Cost

Employee Share

$19.98

--

Employee plus Family

Total Cost

Employee Share

$59.56

$39.58

Supplemental Life (Employee & Spouse)

Age of Employee or Spouse

Employee Share
(Per $1,000)

Age of Employee or Spouse

Employee Share
(Per $1,000)

Under 30

$ .040

55 - 59

$ .460

30 - 34

$ .045

60 - 64

$ .525

35 - 39

$ .070

65 - 69

$ .825

40 - 44

$ .110

70 - 74

$1.450

45 - 49

$ .175

75 and over

$2.475

50 - 54

$ .265

Child Life Insurance 

Employee Share

$ 2,000 per family

$ .11

$ 5,000 per family

$ .255

Employee Share (Per $10,000) 

Individual

$ .135

Family

$ .210

For Employees Age 70+

(see policy for add'l age-banded rates)