Active Member Rates

2022 Active Member Rates

(Includes Approved Leave Without Pay for Military, FMLA, and Disability)
January 1 - December 31, 2022

 

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;
  • Members of the General Assembly;
  • Former Members of the General Assembly who were eligible to retire at the time of leaving office except for the attainment of retirement age, from a State Retirement System which the General Assembly appropriates funds; and
  • Certain correctional officers injured by inmate violence;
  You You + Child(ren) You + Spouse You + Family
Anthem Gold $175.68 $320.11 $436.33 $580.76
Anthem Silver $114.32 $215.80 $307.47 $408.95
Anthem Bronze $76.58 $151.64 $228.22 $303.28
Anthem HMO $143.03 $264.61 $367.76 $489.34
UHC HMO $174.49 $318.09 $433.83 $577.43
UHC HDHP $61.83 $126.57 $197.24 $261.98
Kaiser HMO $154.13 $283.60 $391.49 $520.96

 

2021 Active Member Rates

2022 Active Member Rates

For Approved Leave Without Pay For Personal Reasons
January 1 - December 31, 2022

 

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 $879.20 $1,494.64 $1,846.32 $2,461.76
Anthem Silver $811.46 $1,379.48 $1,704.07 $2,272.09
Anthem Bronze $767.85 $1,305.35 $1,612.49 $2,149.99
Anthem HMO $839.73 $1,427.54 $1,763.43 $2,351.24
UHC HMO $880.85 $1,497.45 $1,849.79 $2,466.39
UHC HDHP $756.07 $1,285.32 $1,587.75 $2,117.00
Kaiser HMO $683.78 $1,162.42 $1,435.93 $1,914.58

 

2021 Active Member Rates for Approved Leave Without Pay