2017 Active Member Rates for Approved Leave Without Pay

State Health Benefit Plan
Approved Leave without pay (other than FMLA, Disability, Military) Rates
January 1 - December 31, 2017

  You You + Child You + Spouse You + Family
BCBS Gold $647.07 $1100.03

$1358.86

$1811.61
BCBS Silver $591.20 $1,005.05 $1241.53 $1655.37
BCBS Bronze $551.68 $937.85 $1158.52 $1544.69
BCBS HMO $613.67 $1043.24 $1288.71 $1718.28
UHC HMO $648.95 $1103.22 $1362.80 $1817.06
UHC HDHP $533.73 $907.33 $1120.82 $1494.43
Kaiser HMO $554.55 $942.74 $1164.56 $1552.7