2021-22 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$827$660$167
EE+Child $1,530$1,110$420
EE+Spouse$1,530$1,035$495
EE+Children$2,233$1,640$593
Family$2,233$1,565$668
DS EE+1$1,530$1,217$313
DS Family$2,233$1,720$513

KA 250 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$810$660$150
EE+Child $1,499$1,110$389
EE+Spouse$1,499$1,035$464
EE+Children$2,187$1,640$547
Family$2,187$1,565$622
DS EE+1$1,499$1,217$282
DS Family$2,187$1,720$467

KA 500 w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$739$660$79
EE+Child $1,367$1,110$257
EE+Spouse$1,367$1,035$332
EE+Children$1,995$1,640$355
Family$1,995$1,565$430
DS EE+1$1,367$1,217$150
DS Family$1,995$1,720$275

KA 500 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$722$660$62
EE+Child $1,336$1,110$226
EE+Spouse$1,336$1,035$301
EE+Children$1,949$1,640$309
Family$1,949$1,565$384
DS EE+1$1,336$1,217$119
DS Family$1,949$1,720$229

HDHP w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$605$544$61
EE+1$1,119$979$140
Family$1,634$1,451$183
DS EE+1$1,119$1,006$113
DS Family$1,634$1,454$180

HDHP w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly CostHSA Employer Contribution (for either HDHP)
EE$588$544$44$116
EE+1$1,088$979$109$131
Family$1,588$1,451$137$189
DS EE+1$1,088$1,006$82$211
DS Family$1,588$1,454$134$266

Part-Time Employee Rates

KA 250 w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$827$660$167
EE+1$1,530 $822$708
Family$2,233 $1,100 $1,133

KA 250 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$810$660$150
EE+1$1,499 $822$677
Family$2,187 $1,100 $1,087

KA 500 w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$739$660$79
EE+1$1,367 $822$545
Family$1,995 $1,100 $895

KA 500 w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$722$660$62
EE+1$1,336 $822$514
Family$1,949 $1,100 $849

HDHP w/ Comprehensive Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly Cost
EE$605$544$61
EE+1$1,119 $601$518
Family$1,634 $800$834

HDHP w/ Preventative Dental

 Total PremiumSchool Division Monthly Cost Employee Monthly CostHSA Employer Contribution (for either HDHP)
EE$588$544$41$116
EE+1$1,088$601$487$131
Family$1,588$800$788$189

Delta Dental (Stand-Alone) Rates

Full-Time Employees

 Total Monthly PremiumSchool Division Monthly CostFull-time Employee Monthly Cost
EE$35.85$29.54$5.91
EE+Spouse$76.45$44.57$31.88
EE+Child(ren)$76.95$50.02$26.93
Family$138.19$68.28$69.91

Part-Time Employees

 Total Monthly PremiumSchool Division Monthly CostPart-time Employee Monthly Cost
EE$35.45$29.54$5.91
EE+Spouse$76.45$36.89$39.56
EE+Child(ren)$76.95$43.79$33.16
Family$138.19$51.97$86.22