IRS Form W-2
Listed below are the 2024 monthly premiums for State Health Benefit Plan (SHBP) coverage. This is the cost of group health coverage provided to your employees covered by SHBP on Internal Revenue Service Form W-2 in January 2025. Please remember to add $80.00 for your employees who are subject to the tobacco surcharge and enrolled in Anthem BlueCross and BlueShield (Anthem), UnitedHealthcare and Kaiser Permanente (KP) plan options.
2024 Monthly Premiums
| 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 |
| You | You + Child(ren) | You + Spouse | You + Family |
| $60.50 | $119.50 | $119.50 | $160.50 |