Effective: September 1, 2009 - August 31, 2010
Note: These premiums are monthly and include basic term life rate of $2.22.
|
HealthSelect of Texas
|
| Coverage | Premium | State Pays | Member Pays |
| Member Only | $385.38 | $192.69 | $192.69 |
| Member & Spouse | $826.02 | $302.85 | $523.17 |
| Member & Children | $680.42 | $266.45 | $413.97 |
| Family | $1,121.06 | $376.61 | $744.45 |
|
|
Community First/San Antonio
|
| Coverage | Premium | State Pays | Member Pays |
| Member Only | $356.62 | $178.31 | $178.31 |
| Member & Spouse | $764.18 | $280.20 | $483.98 |
| Member & Children | $629.50 | $246.53 | $382.97 |
| Family | $1,037.06 | $348.42 | $688.64 |
|
|
FirstCare/Waco
|
| Coverage | Premium | State Pays | Member Pays |
| Member Only | $432.10 | $216.05 | $216.05 |
| Member & Spouse | $926.46 | $339.64 | $586.82 |
| Member & Children | $763.10 | $298.80 | $464.30 |
| Family | $1,257.46 | $422.39 | $835.07 |
|
|
Scott & White Health Plan
|
| Coverage | Premium | State Pays | Member Pays |
| Member Only | $429.18 | $214.59 | $214.59 |
| Member & Spouse | $920.18 | $337.34 | $582.84 |
| Member & Children | $757.94 | $296.78 | $461.16 |
| Family | $1,248.94 | $419.53 | $829.41 |
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* GBP Participants classified as part-time at retirement.
