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

Medical, dental, and vision rates per pay period. Effective July 1, 2022.

**Benefit Rate Chart**
Benefit Plan	Employee Share	Employer Share
BCBS Medical - PPO
Employee Only Coverage	$73.53	$416.65
Employee + 1 Coverage	$186.46	$774.26
Employee + Family Coverage	$249.95	$975.33
BCBS Medical - HMO
Employee Only Coverage	$54.28	$307.55
Employee + 1 Coverage	$142.31	$586.32
Employee + Family Coverage	$194.01	$750.04
Delta Dental – Preferred Option
Employee Only Coverage	$2.71	$15.37
Employee + 1 Coverage	$7.47	$30.41
Employee + Family Coverage	$15.29	$55.17
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

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