2023 Active Member Rates For Approved Leave Without Pay For Personal Reasons
2023 Active Member Rates
For Approved Leave Without Pay For Personal Reasons
January 1 - December 31, 2023
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 | $963.76 | $1,638.39 | $2,023.90 | $2,698.53 |
| Anthem Silver | $900.84 | $1,531.43 | $1,891.76 | $2,522.35 |
| Anthem Bronze | $854.43 | $1,452.53 | $1,794.30 | $2,392.40 |
| Anthem HMO | $924.81 | $1,572.18 | $1,942.10 | $2,589.47 |
| UHC HMO | $959.17 | $1,630.59 | $2,014.26 | $2,685.68 |
| UHC HDHP | $840.10 | $1,428.17 | $1,764.21 | $2,352.28 |
| Kaiser HMO | $745.32 | $1,267.04 | $1,565.17 | $2,086.89 |