GIC Plan Rates as of July 1, 2012

Download a State Employee Rate Sheet State Employee Retiree Rate Sheet FY13 pdf format of    State Employee Retiree Rate Sheet FY13

 

 

For Employees Hired Before July 1, 2003

For Employees Hired On or After July 1, 2003

 

20%

25%

 

Employee Pays Monthly

Employee Pays Monthly

Basic Life Insurance Only
($5,000 Coverage)
 

$1.26

$1.58

HEALTH PLAN (premium includes
Basic Life Insurance)
Plan Type

Individual

Family

Individual

Family

Fallon Community Health Plan
Direct Care (Save $)
HMO

$91.71

$218.33

$114.64

$272.92

Fallon Community Health Plan
Select Care
HMO

115.37

275.11

144.21

343.90

Harvard Pilgrim Independence PlanPPO

131.52

319.10

164.41

398.88

Harvard Pilgrim Primary Choice (Save $)HMO

105.47

255.53

131.84

319.42

Health New EnglandHMO

89.85

220.89

112.32

276.12

NHP Care  ( Neighborhood Health Plan) (Save $)HMO

95.95

252.19

119.95

315.25

Tufts Health Plan NavigatorPPO

120.73

292.60

150.92

365.76

Tufts Health Plan Spirit (Save $)EPO (HMO)

96.47

233.43

120.59

291.79

UniCare St ate Indemnity Plan/Basic with CIC(Comprehensive)*Indemnity

211.47

491.62

254.18

590.97

UniCare State Indemnity Plan/Basic without CIC (Non-Comprehensive)Indemnity

170.83

397.36

213.54

496.71

UniCare State Indemnity Plan/Community Choice (Save $)PPO

85.57

203.61

106.97

254.51

UniCare State Indemnity Plan/PLUSPPO

116.24

275.72

145.31

344.65

*CIC is an enrollee-pay all benefit.


Save $ - Compare these plan rates with the other options and see how much you will save EVERY month!

 

! Contribution percentages may change after the Commonwealth's FY13 budget is enacted.

 

Union employees from Bristol, Norfolk and Plymouth Sheriffs Departments Sheriffs Dept FY2012 Rates Sheet pdf format of    Sheriffs Dept FY2012 Rates Sheet
 

 


 


This information provided by the Group Insurance Commission.