2025 Active Member Rates For Approved LWOP For Personal Reasons
2025 Active Member Rates
For Approved Leave Without Pay For Personal Reasons
January 1 - December 31, 2025
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 | $1,058.91 | $1,800.15 | $2,223.71 | $2,964.95 |
| Anthem Silver | $995.41 | $1,692.20 | $2,090.36 | $2,787.15 |
| Anthem Bronze | $946.91 | $1,609.75 | $1,988.51 | $2,651.35 |
| Anthem HMO | $1,021.77 | $1,737.01 | $2,145.72 | $2,860.96 |
| UHC HMO | $1,060.82 | $1,803.39 | $2,227.72 | $2,970.29 |
| UHC HDHP | $936.93 | $1,592.78 | $1,967.55 | $2,623.40 |
| Kaiser HMO | $844.12 | $1,435.00 | $1,772.65 | $2,363.53 |