GIC Plan Rates Effective July 1, 2014

Download a State Employee Rate Sheet pdf format of    2014ratesheet.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 Health
Direct Care (Save $)
HMO

$97.52

$232.28

$121.90

$290.35

Fallon Health
Select Care
HMO

123.85

295.47

154.82

369.34

Harvard Pilgrim Independence PlanPPO

137.94

334.77

172.43

418.46

Harvard Pilgrim Primary Choice (Save $)HMO

110.60

268.06

138.26

335.09

Health New EnglandHMO

97.25

239.25

121.57

299.07

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

93.97

246.95

117.47

308.69

Tufts Health Plan NavigatorPPO

124.74

299.59

155.93

374.49

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

100.94

241.50

126.18

301.88

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

221.55

514.95

266.39

619.20

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

179.31

416.97

224.15

521.22

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

92.23

219.58

115.30

274.49

UniCare State Indemnity Plan/PLUSPPO

132.12

313.55

165.15

391.94

*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 FY15 budget is enacted.
  

This information provided by the Group Insurance Commission.