2020 Active Member Rates for Approved Leave Without Pay

2020 Active Member Rates

For Approved Leave Without Pay For Personal Reasons
January 1 - December 31, 2020

 

These rates apply to:

  •  Active Members through their employment in a benefits eligible position with a State Agency, Public School or similarly situated SHBP Employing Entity; and
  • Members of the General Assembly;
  You You + Child(ren) You + Spouse You + Family
Anthem Gold $749.57 $1,274.27 $1,574.10 $2,098.80
Anthem Silver $686.61 $1,167.24 $1,441.88 $1,922.51
Anthem Bronze $646.18 $1,098.51 $1,356.98 $1,809.31
Anthem HMO $714.50 $1,214.65 $1,500.45 $2,000.60
UHC HMO $749.07 $1,273.42 $1,573.05 $2,097.40
UHC HDHP $628.02 $1,067.63 $1,318.84 $1,758.45
Kaiser HMO $633.50 $1,076.95 $1,330.35 $1,773.79