GIC Plan Rates as of July 1, 2013

Download a State Employee Rate Sheet pdf format of    2013ratesheet.pdf

 

 

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

$95.15

$226.59

$118.94

$283.24

Fallon Communalth Plan
Select Care
HMO

119.36

284.70

149.21

355.88

Harvard Pilgrim Independence PlanPPO

136.73

331.81

170.92

414.77

Harvard Pilgrim Primary Choice (Save $)HMO

109.64

265.70

137.05

332.13

Health New EnglandHMO

92.68

227.92

115.86

284.90

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

92.39

242.74

115.49

303.43

Tufts Health Plan NavigatorPPO

126.07

303.98

157.59

379.98

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

101.77

244.69

127.22

305.87

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

217.69

505.94

261.76

608.40

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

176.24

409.79

220.31

512.25

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

86.59

206.05

108.24

257.57

UniCare State Indemnity Plan/PLUSPPO

125.55

297.88

156.94

372.35

*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 FY14 budget is enacted.

 

Union employees from Bristol and Plymouth Sheriffs Departments Sheriffs Dept FY14 Rate Sheet pdf format of    Sheriffs Dept FY14 Rate Sheet   
 

 


 


This information provided by the Group Insurance Commission.