2020-21 Rates

Key: EE – Employee Only | DS – Dual Spouse (both spouses are full-time employees with WJCC Schools)

Full-Time Employee Rates

KA 250 w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$780$653$127
EE+Child $1,444 $1,096 $348
EE+Spouse$1,444 $1,046 $398
EE+Children$2,106 $1,620 $486
Family$2,106 $1,570 $536
DS EE+1$1,444 $1,203 $241
DS Family$2,106 $1,700 $406

KA 250 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$763$653$110
EE+Child $1,412 $1,096 $316
EE+Spouse$1,412 $1,046 $366
EE+Children$2,060 $1,620 $440
Family$2,060 $1,570 $490
DS EE+1$1,412 $1,203 $209
DS Family$2,060 $1,700 $360

KA 500 w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$697$653$44
EE+Child $1,289 $1,096 $193
EE+Spouse$1,289 $1,046 $243
EE+Children$1,881 $1,620 $261
Family$1,881 $1,570 $311
DS EE+1$1,289 $1,203 $86
DS Family$1,881 $1,700 $181

KA 500 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$680$653$27
EE+Child $1,258 $1,096 $162
EE+Spouse$1,258 $1,046 $212
EE+Children$1,836 $1,620 $216
Family$1,836 $1,570 $266
DS EE+1$1,258 $1,203 $55
DS Family$1,836 $1,700 $136

HDHP w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$570$537$33
EE+1$1,054 $965$89
Family$1,538 $1,381 $157
DS EE+1$1,054 $992$62
DS Family$1,538 $1,434 $104

HDHP w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly CostHSA Employer Contribution (for either HDHP)
EE$553$532$21$116
EE+1$1,023 $959$64$131
Family$1,493 $1,371 $122$189
DS EE+1$1,023 $984$39$211
DS Family$1,493 $1,421 $72$266

Part-Time Employee Rates

KA 250 w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$780$653$127
EE+1$1,444 $808$636
Family$2,106 $1,081 $1,025

KA 250 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$763$653$110
EE+1$1,412 $808$604
Family$2,060 $1,081 $979

KA 500 w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$697$653$44
EE+1$1,289 $808$481
Family$1,881 $1,081 $800

KA 500 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$680$653$27
EE+1$1,258 $808$450
Family$1,836 $1,081 $755

HDHP w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$570$537$33
EE+1$1,054 $589$465
Family$1,538 $781$757

HDHP w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly CostHSA Employer Contribution (for either HDHP)
EE$553$532$21$116
EE+1$1,023 $583$440$131
Family$1,493 $773$720$189

Delta Dental (Stand-Alone) Rates

Full-Time Employees

 Total Monthly PremiumSchool Division Monthly CostFull-time Employee Monthly Cost
EE$35.85$29.54$6.31
EE+Spouse$76.81$44.57$32.24
EE+Child(ren)$79.29$50.02$29.27
Family$137.98$68.28$69.70

Part-Time Employees

 Total Monthly PremiumSchool Division Monthly CostPart-time Employee Monthly Cost
EE$35.85$29.54$6.31
EE+Spouse$76.81$36.89$39.92
EE+Child(ren)$79.29$43.79$35.50
Family$137.98$51.97$86.01