Contribution Rates
Contributions/Basic Rates Through December 31, 2016 (See below for 2017 rates)
This charts below show the costs for the various coverage options effective January 1, 2016 — December 31, 2016.
| Medical/Vision Plan | With CIGNA Dental | With CareFirst Dental | |||
|---|---|---|---|---|---|
| Full-Time | Part-Time | Full-Time | Part-Time | ||
| Kaiser Permanente Medical and NVA Vision | Single Family | $97.63 $258.22 |
$220.56 $575.86 |
$98.99 $261.30 |
$223.13 $581.52 |
| BlueChoice HMO Medical and Davis Vision* | Single Family | $91.74 $241.02 |
$205.05 $529.69 |
$93.10 $244.10 |
$207.62 $535.35 |
| CareFirst PPO Medical and Davis Vision* | Single Family | $175.22 $437.17 |
$346.63 $855.71 |
$176.58 $440.25 |
$349.20 $861.37 |
| Supplemental Orthodontic | Single Family | n/a | n/a | $8.58 $27.44 |
$8.58 $27.44 |
* CareFirst PPO medical coverage is only available to employees hired before March 1, 2011. (Employees hired on or after March 1, 2011 are eligible to elect CareFirst PPO medical coverage after completing 39 months of service from the date of hire.)
| Medical/Vision Plan | |||||
|---|---|---|---|---|---|
| Normal/Disability | Medicare | Survivors of Retirees | Survivors of Retirees on Medicare | ||
| Kaiser Permanente Medical and NVA Vision | Single Family |
$90.81 $242.39 |
$90.60 $242.18 |
||
|
Single Medicare |
$48.91 $131.73
|
$48.70 $131.52
|
|||
| BlueChoice HMO Medical and Davis Vision* | Single Family |
$85.32 $225.59 |
$85.11 $225.38 |
||
|
Single Medicare |
$56.69 $176.63
|
$56.48 $176.42
|
|||
| CareFirst PPO Medical and Davis Vision* | Single Family |
$168.80 $421.81 |
$168.59 $421.60 |
||
|
Single Medicare |
$114.12 $330.44
|
$113.91 $330.23
|
|||
| Age Band | $10K | $35K | $50K | $70K | $100K | $150K | $200K | $250K | $300K | $400K |
|---|---|---|---|---|---|---|---|---|---|---|
| Less Than 25 | $0.50 | $1.75 | $2.50 | $3.75 | $5.00 | $7.50 | $10.00 | $12.50 | $15.00 | $20.00 |
| 25-29 | $0.60 | $2.10 | $3.00 | $4.50 | $6.00 | $9.00 | $12.00 | $15.00 | $18.00 | $24.00 |
| 30-34 | $0.80 | $2.80 | $4.00 | $6.00 | $8.00 | $12.00 | $16.00 | $20.00 | $24.00 | $32.00 |
| 35-39 | $0.90 | $3.15 | $4.50 | $6.75 | $9.00 | $13.50 | $18.00 | $22.50 | $27.00 | $36.00 |
| 40-44 | $1.00 | $3.50 | $5.00 | $7.50 | $10.00 | $15.00 | $20.00 | $25.00 | $30.00 | $40.00 |
| 45-49 | $1.60 | $5.60 | $8.00 | $12.00 | $16.00 | $24.00 | $32.00 | $40.00 | $48.00 | $64.00 |
| 50-54 | $2.60 | $9.10 | $13.00 | $19.50 | $26.00 | $39.00 | $52.00 | $65.00 | $78.00 | $104.00 |
| 55-59 | $4.60 | $16.10 | $23.00 | $34.50 | $46.00 | $69.00 | $92.00 | $115.00 | $138.00 | $184.00 |
| 60-64 | $6.80 | $23.80 | $34.00 | $51.00 | $68.00 | $102.00 | $136.00 | $170.00 | $204.00 | $272.00 |
| 65-69 | $12.70 | $44.45 | $63.50 | $95.25 | $127.00 | $190.50 | $254.00 | $317.00 | $381.00 | $508.00 |
| 70+ | $20.60 | $72.10 | $103.00 | $154.50 | $206.00 | $309.00 | $412.00 | $515.00 | $618.00 | $824.00 |
| Medical/Vision Plan | With Cigna Dental | With CareFirst Dental | |
|---|---|---|---|
| Kaiser Permanente Medical and NVA Vision | Single Family |
$96.06 $256.65 |
$97.42 $259.73 |
| BlueChoice HMO Medical and Davis Vision | Single Family |
$90.17 $239.45 |
$91.53 $242.53 |
| CareFirst PPO Medical and Davis Vision |
Single |
$173.65 $435.60 |
$175.01 $438.68 |
| Medical/Vision Plan | Age 60-64 at Retirement | Age 55-59 at Retirement | Age 50-54 at Retirement | ||||
|---|---|---|---|---|---|---|---|
| Pre-Medicare | Medicare | Pre-Medicare | Medicare | Pre-Medicare | Medicare | ||
| Kaiser Permanente Medical and NVA Vision | Single Family |
$135.27 $360.70 |
|
$179.69 $478.98 |
$201.91 $538.13 |
||
|
Single Medicare |
$74.72 $214.45
|
$100.53 $297.16
|
$113.43 $338.52
|
||||
| BlueChoice HMO Medical and Davis Vision | Single Family |
$125.95 $332.33 |
$166.53 $439.03 |
$186.83 $492.36 |
|||
|
Single Medicare |
$83.84 $262.64
|
$111.00 $348.66
|
$124.57 $391.66
|
||||
| CareFirst PPO Medical and Davis Vision | Single Family |
$232.65 $580.49 |
$296.48 $739.12 |
$317.82 $797.60 |
|||
|
Single Medicare |
$158.10 $455.80
|
$74.72 $214.45
|
$74.72 $214.45
|
||||
Contributions/Basic Rates Through December 31, 2017
This charts below show the costs for the various coverage options effective January 1, 2017 — December 31, 2017.
| Medical/Vision Plan | With CIGNA Dental | With CareFirst Dental | |||
|---|---|---|---|---|---|
| Full-Time | Part-Time | Full-Time | Part-Time | ||
| Kaiser Permanente Medical and NVA Vision | Single Family | $106.54 $284.19 |
$236.14 $621.31 |
$108.04 $287.82 |
$238.95 $627.94 |
| BlueChoice HMO Medical and Davis Vision* | Single Family | $97.41 $256.55 |
$214.97 $556.86 |
$98.91 $260.18 |
$217.78 $563.49 |
| CareFirst PPO Medical and Davis Vision* | Single Family | $175.39 $439.09 |
$346.93 $859.05 |
$176.89 $442.72 |
$349.74 $865.68 |
| Supplemental Orthodontic | Single Family | n/a | n/a | $8.72 $27.15 |
$8.72 $27.15 |
* CareFirst PPO medical coverage is only available to employees hired before March 1, 2011. (Employees hired on or after March 1, 2011 are eligible to elect CareFirst PPO medical coverage after completing 39 months of service from the date of hire.)
| Medical/Vision Plan | |||||
|---|---|---|---|---|---|
| Normal/Disability | Medicare | Survivors of Retirees | Survivors of Retirees on Medicare | ||
| Kaiser Permanente Medical and NVA Vision | Single Family |
$102.63 $271.27 |
$100.63 $269.27 |
||
|
Single Medicare |
$53.53 $148.10
|
$51.53 $146.10
|
|||
| BlueChoice HMO Medical and Davis Vision* | Single Family |
$93.91 $244.02 |
$91.91 $242.02 |
||
|
Single Medicare |
$59.37 $181.73
|
$57.37 $179.73
|
|||
| CareFirst PPO Medical and Davis Vision* | Single Family |
$171.88 $426.64 |
$169.88 $424.64 |
||
|
Single Medicare |
$107.83 $305.36
|
$105.83 $303.36
|
|||
| Age Band | $10K | $35K | $50K | $70K | $100K | $150K | $200K | $250K | $300K | $400K |
|---|---|---|---|---|---|---|---|---|---|---|
| Less Than 25 | $0.50 | $1.75 | $2.50 | $3.75 | $5.00 | $7.50 | $10.00 | $12.50 | $15.00 | $20.00 |
| 25-29 | $0.60 | $2.10 | $3.00 | $4.50 | $6.00 | $9.00 | $12.00 | $15.00 | $18.00 | $24.00 |
| 30-34 | $0.80 | $2.80 | $4.00 | $6.00 | $8.00 | $12.00 | $16.00 | $20.00 | $24.00 | $32.00 |
| 35-39 | $0.90 | $3.15 | $4.50 | $6.75 | $9.00 | $13.50 | $18.00 | $22.50 | $27.00 | $36.00 |
| 40-44 | $1.00 | $3.50 | $5.00 | $7.50 | $10.00 | $15.00 | $20.00 | $25.00 | $30.00 | $40.00 |
| 45-49 | $1.60 | $5.60 | $8.00 | $12.00 | $16.00 | $24.00 | $32.00 | $40.00 | $48.00 | $64.00 |
| 50-54 | $2.60 | $9.10 | $13.00 | $19.50 | $26.00 | $39.00 | $52.00 | $65.00 | $78.00 | $104.00 |
| 55-59 | $4.60 | $16.10 | $23.00 | $34.50 | $46.00 | $69.00 | $92.00 | $115.00 | $138.00 | $184.00 |
| 60-64 | $6.80 | $23.80 | $34.00 | $51.00 | $68.00 | $102.00 | $136.00 | $170.00 | $204.00 | $272.00 |
| 65-69 | $12.70 | $44.45 | $63.50 | $95.25 | $127.00 | $190.50 | $254.00 | $317.00 | $381.00 | $508.00 |
| 70+ | $20.60 | $72.10 | $103.00 | $154.50 | $206.00 | $309.00 | $412.00 | $515.00 | $618.00 | $824.00 |
| Medical/Vision Plan | With Cigna Dental | With CareFirst Dental | |
|---|---|---|---|
| Kaiser Permanente Medical and NVA Vision | Single Family |
$106.09 $283.74 |
$107.59 $287.37 |
| BlueChoice HMO Medical and Davis Vision | Single Family |
$96.96 $256.10 |
$98.46 $259.73 |
| CareFirst PPO Medical and Davis Vision |
Single |
$174.94 $438.64 |
$176.44 $438.64 |
| Medical/Vision Plan | Age 60-64 at Retirement | Age 55-59 at Retirement | Age 50-54 at Retirement | ||||
|---|---|---|---|---|---|---|---|
| Pre-Medicare | Medicare | Pre-Medicare | Medicare | Pre-Medicare | Medicare | ||
| Kaiser Permanente Medical and NVA Vision | Single Family |
$150.61 $398.22 |
|
$198.58 $525.17 |
$222.57 $588.64 |
||
|
Single Medicare |
$80.73 $235.73
|
$107.92 $323.36
|
$121.52 $367.17
|
||||
| BlueChoice HMO Medical and Davis Vision | Single Family |
$137.07 $356.24 |
$180.23 $468.47 |
$201.81 $524.58 |
|||
|
Single Medicare |
$87.33 $269.27
|
$115.28 $356.80
|
$129.26 $400.57
|
||||
| CareFirst PPO Medical and Davis Vision | Single Family |
$236.63 $586.72 |
$301.39 $746.79 |
$333.76 $826.83 |
|||
|
Single Medicare |
$149.92 $423.19
|
$192.01 $541.02
|
$213.06 $599.94
|
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