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Blue Cross of Idaho |
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Effective Rates - September 1, 2006 |
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BLUE VALUE (POS) |
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Employee/ |
Emp/Spouse |
Employee/ |
Employee/ |
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Employee |
Spouse |
1+Children |
1 Child |
2+Children |
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MEDICAL/VISION |
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District cost |
340.62 |
594.93 |
673.56 |
456.09 |
513.69 |
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Employee cost |
17.93 |
187.47 |
239.89 |
94.91 |
133.31 |
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Total medical/vision |
358.55 |
782.40 |
913.45 |
551.00 |
647.00 |
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PREFERRED PROVIDER ORGANIZATION (PPO) |
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MEDICAL/VISION |
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District cost |
349.32 |
610.80 |
691.11 |
468.06 |
525.99 |
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Employee cost |
18.38 |
192.70 |
246.24 |
97.54 |
136.16 |
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Total medical/vision |
367.70 |
803.50 |
937.35 |
565.60 |
662.15 |
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Dental Plans |
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Effective Rates - September 1, 2006 |
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DELTA DENTAL PLAN OF IDAHO |
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District cost |
31.35 |
50.70 |
67.14 |
50.70 |
67.14 |
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Employee cost |
1.65 |
14.55 |
25.51 |
14.55 |
25.51 |
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Total dental |
33.00 |
65.25 |
92.65 |
65.25 |
92.65 |
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WILLAMETTE DENTAL OF IDAHO |
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District cost |
28.93 |
46.81 |
61.96 |
46.81 |
61.96 |
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Employee cost |
1.52 |
13.44 |
23.54 |
13.44 |
23.54 |
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Total dental |
30.45 |
60.25 |
85.50 |
60.25 |
85.50 |
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Employee |
District |
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UNITED HERITAGE LIFE INSURANCE COMPANY |
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Cost |
Cost |
Total |
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Effective rates 11/1/05 |
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Coverage - $50,000 with AD&D |
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0.40 |
7.60 |
8.00 |
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Life insurance is available for spouse and dependents at $5,000
each for $1.67 per month. |
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