2024 Active Member Rates For Approved LWOP For Personal Reasons
2024 Active Member Rates
For Approved Leave Without Pay For Personal Reasons
January 1 - December 31, 2024
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 | $1,003.82 | $1,706.49 | $2,108.02 | $2,810.69 |
| Anthem Silver | $940.45 | $1,598.77 | $1,974.95 | $2,633.27 |
| Anthem Bronze | $892.95 | $1,518.02 | $1,875.20 | $2,500.27 |
| Anthem HMO | $963.79 | $1,638.44 | $2,023.96 | $2,698.61 |
| UHC HMO | $993.17 | $1,688.39 | $2,085.66 | $2,780.88 |
| UHC HDHP | $878.62 | $1,493.65 | $1,845.10 | $2,460.13 |
| Kaiser HMO | $818.36 | $1,391.22 | $1,718.57 | $2,291.42 |