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Health Insurance Premiums

Rates effective October 1, 2015

Questions?

Please Contact Human Resources at (505) 224-4600 for assistance

Blue Cross/Blue Shield (BCBS)

Presbyterian Health Plan

United Dental/Concordia

Davis Vision

 


Blue Cross/Blue Shield (BCBS)

High Option

Total Monthly Premium Cost

$582.46

$1,107.74

$1,479.52

Bi-Weekly Payroll Deduction: 396 or 391

Single

Two-Party

Family

Employee Status

Annualized Salary

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Full-time

Less than 24,999.99

SC

$58.25

$232.98

TC

$110.77

$443.10

FC

$147.95

$591.81

$25000 and above

SD

$72.81

$218.42

TD

$138.46

$415.41

FD

$184.94

$554.82

Three-Quarter time

Less than $19,999.99

SF

$110.67

$180.56

TF

$210.47

$343.40

FF

$281.11

$458.65

$20,000 to 24,999.99

SG

$116.49

$174.74

TG

$221.55

$332.32

FG

$295.90

$443.86

$25000 and above

SH

$127.41

$163.82

TH

$242.32

$311.55

FH

$323.65

$416.11

Half-time

Less than $19,999.99

SJ

$160.18

$131.05

TJ

$304.62

$249.25

FJ

$406.87

$332.89

$20,000 to 24,999.99

SK

$168.92

$122.31

TK

$321.25

$232.63

FK

$429.06

$310.70

$25000 and above

SL

$174.74

$116.49

TL

$332.32

$221.55

FL

$443.86

$295.90

Low Option

Total Monthly Premium Cost

$489.26

$930.48

$1,242.86

Bi-Weekly Payroll Deduction: 376 or 371

Single

Two-Party

Family

Employee Status

Annualized Salary

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Full-time

Less than 24,999.99

SC

$48.92

$195.71

TC

$93.05

$372.19

FC

$124.29

$497.14

$25000 and above

SD

$61.16

$183.47

TD

$116.31

$348.93

FD

$155.35

$466.08

Three-Quarter time

Less than $19,999.99

SF

$92.96

$151.67

TF

$176.79

$288.45

FF

$236.14

$385.29

$20,000 to 24,999.99

SG

$97.85

$146.78

TG

$186.10

$279.14

FG

$248.57

$372.86

$25000 and above

SH

$107.03

$137.60

TH

$203.55

$261.69

FH

$271.88

$349.55

Half-time

Less than $19,999.99

SJ

$134.54

$110.09

TJ

$255.88

$209.36

FJ

$341.78

$279.65

$20,000 to 24,999.99

SK

$141.89

$102.74

TK

$269.84

$195.40

FK

$360.43

$261.00

$25000 and above

SL

$146.78

$97.85

TL

$279.14

$186.10

FL

$372.86

$248.57

 

 

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Presbyterian Health Plan

High Option

Total Monthly Premium Cost

$471.04

$989.06

$1,318.88

Bi-Weekly Payroll Deduction: 398 or 393

Single

Two-Party

Family

Employee Status

Annualized Salary

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Full-time

Less than 24,999.99

SC

$47.10

$188.42

TC

$98.90

$395.63

FC

$131.89

$527.55

$25000 and above

SD

$58.88

$176.63

TD

$123.63

$370.90

FD

$164.86

$494.58

Three-Quarter time

Less than $19,999.99

SF

$89.49

$146.03

TF

$187.92

$306.61

FF

$250.59

$408.85

$20,000 to 24,999.99

SG

$94.20

$141.32

TG

$197.81

$296.72

FG

$263.77

$395.67

$25000 and above

SH

$103.04

$132.48

TH

$216.36

$278.17

FH

$288.51

$370.93

Half-time

Less than $19,999.99

SJ

$129.53

$105.99

TJ

$271.99

$222.54

FJ

$362.69

$296.75

$20,000 to 24,999.99

SK

$136.60

$98.92

TK

$286.83

$207.70

FK

$382.48

$276.96

$25000 and above

SL

$141.32

$94.20

TL

$296.72

$197.81

FL

$395.67

$263.77

Low Option

Total Monthly Premium Cost

$395.70

$830.84

$1,107.84

Bi-Weekly Payroll Deduction: 378 or 373

Single

Two-Party

Family

Employee Status

Annualized Salary

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Full-time

Less than 24,999.99

SC

$39.57

$158.28

TC

$83.09

$332.33

FC

$110.78

$443.14

$25000 and above

SD

$49.46

$148.39

TD

$103.85

$311.57

FD

$138.48

$415.44

Three-Quarter time

Less than $19,999.99

SF

$75.18

$122.67

TF

$157.86

$257.56

FF

$210.49

$343.43

$20,000 to 24,999.99

SG

$79.14

$118.71

TG

$166.17

$249.25

FG

$221.57

$332.35

$25000 and above

SH

$86.56

$111.29

TH

$181.75

$233.67

FH

$242.34

$311.58

Half-time

Less than $19,999.99

SJ

$108.82

$89.03

TJ

$228.48

$186.94

FJ

$304.66

$249.26

$20,000 to 24,999.99

SK

$114.75

$83.10

TK

$240.95

$174.47

FK

$321.27

$232.65

$25000 and above

SL

$118.71

$79.14

TL

$249.25

$166.17

FL

$332.35

$221.57

 

 

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United Dental/Concordia

High Option

Total Monthly Premium Cost

$27.24

$51.86

$81.48

Bi-Weekly Payroll Deduction: 365 or 360

Single

Two-Party

Family

Employee Status

Annualized Salary

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Full-time

Less than 24,999.99

SC

$2.72

$10.90

TC

$5.19

$20.74

FC

$8.15

$32.59

$25000 and above

SD

$3.41

$10.21

TD

$6.48

$19.45

FD

$10.19

$30.55

Three-Quarter time

Less than $19,999.99

SF

$5.18

$8.44

TF

$9.85

$16.08

FF

$15.48

$25.26

$20,000 to 24,999.99

SG

$5.45

$8.17

TG

$10.37

$15.56

FG

$16.30

$24.44

$25000 and above

SH

$5.96

$7.66

TH

$11.34

$14.59

FH

$17.82

$22.92

Half-time

Less than $19,999.99

SJ

$7.49

$6.13

TJ

$14.26

$11.67

FJ

$22.41

$18.33

$20,000 to 24,999.99

SK

$7.90

$5.72

TK

$15.04

$10.89

FK

$23.63

$17.11

$25000 and above

SL

$8.17

$5.45

TL

$15.56

$10.37

FL

$24.44

$16.30

Low Option

 

Total Monthly Premium Cost

$13.64

$25.96

$40.74

Bi-Weekly Payroll Deduction: 365 or 360

Single

Two-Party

Family

Employee Status

Annualized Salary

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Full-time

Less than 24,999.99

SC

$1.36

$5.46

TC

$2.60

$10.38

FC

$4.07

$16.30

$25000 and above

SD

$1.71

$5.11

TD

$3.25

$9.73

FD

$5.09

$15.28

Three-Quarter time

Less than $19,999.99

SF

$2.59

$4.23

TF

$4.93

$8.05

FF

$7.74

$12.63

$20,000 to 24,999.99

SG

$2.73

$4.09

TG

$5.19

$7.79

FG

$8.15

$12.22

$25000 and above

SH

$2.98

$3.84

TH

$5.68

$7.30

FH

$8.91

$11.46

Half-time

Less than $19,999.99

SJ

$3.75

$3.07

TJ

$7.14

$5.84

FJ

$11.20

$9.17

$20,000 to 24,999.99

SK

$3.96

$2.86

TK

$7.53

$5.45

FK

$11.81

$8.56

$25000 and above

SL

$4.09

$2.73

TL

$7.79

$5.19

FL

$12.22

$8.15

 

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Davis Vision

Total Monthly Premium Cost

$6.26

$10.48

$14.14

Bi-Weekly Payroll Deduction: 385 or 380

Single

Two-Party

Family

Employee Status

Annualized Salary

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Employee Portion

CNM Portion

Full-time

Less than 24,999.99

SC

$0.63

$2.50

TC

$1.05

$4.19

FC

$1.41

$5.66

$25000 and above

SD

$0.78

$2.35

TD

$1.31

$3.93

FD

$1.77

$5.30

Three-Quarter time

Less than $19,999.99

SF

$1.19

$1.94

TF

$1.99

$3.25

FF

$2.69

$4.38

$20,000 to 24,999.99

SG

$1.25

$1.88

TG

$2.10

$3.14

FG

$2.83

$4.24

$25000 and above

SH

$1.37

$1.76

TH

$2.29

$2.95

FH

$3.09

$3.98

Half-time

Less than $19,999.99

SJ

$1.72

$1.41

TJ

$2.88

$2.36

FJ

$3.89

$3.18

$20,000 to 24,999.99

SK

$1.82

$1.31

TK

$3.04

$2.20

FK

$4.10

$2.97

$25000 and above

SL

$1.88

$1.25

TL

$3.14

$2.10

FL

$4.24

$2.83

 

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