2020-21 Rates

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