Active Member Rates

2021 Active Member Rates

(Includes Approved Leave Without Pay for Military, FMLA, and Disability)
January 1 - December 31, 2021

 

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

 

2020 Active Member Rates

2021 Active Member Rates

For Approved Leave Without Pay For Personal Reasons
January 1 - December 31, 2021

 

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 $761.69 $1,294.87 $1,599.55 $2,132.73
Anthem Silver $700.33 $1,190.56 $1,470.69 $1,960.92
Anthem Bronze $662.59 $1,126.40 $1,391.44 $1,855.25
Anthem HMO $729.04 $1,239.37 $1,530.98 $2,041.31
UHC HMO $760.50 $1,292.85 $1,597.05 $2,129.40
UHC HDHP $647.84 $1,101.33 $1,360.46 $1,813.95
Kaiser HMO $650.35 $1,105.59 $1,365.73 $1,820.98

 

2020 Active Member Rates for Approved Leave Without Pay