A Division of the Georgia Department of Community Health

IRS Form W-2 2017

Listed below are the 2017 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 2018. Please remember to add $80.00 for your employees who are subject to the tobacco surcharge and enrolled in Anthem BlueCross and BlueShield (Anthem BCBS), UnitedHealthcare (UHC) and Kaiser Permanente (KP) plan options.

 

2017 Monthly Premiums

  You You + Child (REN) You + Spouse You + Family
Anthem BCBS Gold $647.07 $1,100.03 $1,358.86 $1,811.81
Anthem BCBS Silver $591.20 $1,005.05 $1,241.53 $1,655.37
Anthem BCBS Bronze $551.68 $937.85 $1,158.52 $1,544.69
Anthem BCBS HMO $613.67 $1,043.24 $1,288.71 $1,718.28
UHC HMO $648.95 $1,103.22 $1,362.80 $1,817.06
UHC HDHP $533.73 $907.33 $1,120.82 $1,494.43
KP HMO $554.55 $942.74 $1,164.56 $1,552.74

 

2017 Tricare Supplement Monthly Premiums

You You + Child (REN) You + Spouse  You + Family
$60.50 $119.50 $119.50 $160.50