Out of State Rates

  PERS 
Platinum
Employee 
Only
  
Base
 $1,410.29
Admin Fee
 $1.13
Vision
 $0.00
Dental
 $49.76
Total $1,461.18
  PERS
Platinum
Employee+1  
Base
 $2,820.58
Admin Fee
 $2.26
Vision
 $0.00
Dental
 $99.49
Total  
  PERS
Platinum
Employee +
Family
  
Base
 $3,666.75
Admin Fee
 $2.93
Vision
 $0.00
Dental
 $135.13
Total $3,804.81

 

Monthly Cafeteria Allowance:        

  • $2,085 for employees with 2 or more dependents  (health, dental and vision)
  • $1,600 for employees with 1 dependent (health, dental and vision)
  • $800 for employees with employee only health, dental and vision
  • $550.00 for employees:
    • who waive health, dental and vision, or 
    • who waive health, but keep dental & vision

*Included within this amount is the designated minimum health contribution of $162.00.