Below is a quick reference of the current insurance plans and their costs (before the District's fringe contribution).

Complete rate sheets available here:

 

Faculty Medical Single Rate 2-Party Rate Family Rate
 SISC Blue Cross (PPO) Group #40303A
  • $300 Individual/$600 Family Deductible
  • $20 Office Visits / 20% Co-insurance
  • Rx $7 Generic /$25 Brand

$842/12 month

$1,010.40/10 month

$1,640/12 month

$1,968/10 month

 $2,298/12 month

$2,757.60/10 month
 SISC Blue Cross (PPO) Group #40303B
  • $500 Individual/$1,000 Family Deductible
  • $30 Office Visits / 20% Co-insurance
  • Rx $10 Generic/$35 Brand

$748/12 month

$897.60/10 month

$1,463/12 month

$1,755.60/10 month

$2,055/12 month

$2,466/10 month
 SISC Blue Cross (PPO) Group #40303C
  • $2,000 Individual/$4,000 Family Deductible
  • $30 Office Visits / 20% Co-insurance
  • Rx $10 Generic /$35 Brand

$660/12 month

$792/10 month

$1,289/12 month

$1,546.80/10 month

 $1,806/12 month

$2,167.20/10 month
 SISC Blue Cross (PPO) Group #40303D
  • $3,000 Individual/$6,000 Family Deductible
  • $40 Office Visits / 20% Co-insurance
  • Rx $9 Generic /$35 Brand

$615/12 month

$738/10 month

$1,192/12 month

$1430.40/10 month

$1,663/12 month

$1,995.60/10 month
 SISC Blue Cross (PPO) Group #40303E
  • $5,000 Individual/$10,000 Family Deductible
  • Health Savings Account compatible
    Office Visits 10%
  • Rx $7 generic/ $25 brand (subject to deductible)

$594/12 month

$712.80/10 month

 $1,151/12 month

$1,381.20/10 month

 $1,607/12 month

$1,928.40/10 month
 SISC Blue Cross (PPO) Group #70303B
  •  $5,000 Individual/$10,000 Family Deductible
  • $60 Office Visits* / 30% Co-insurance 
  • Rx subject to medical deductible

Spouse/Domestic Partners not allowed on this plan. 

Employee and child(ren) ONLY

 $533/12 month

$639.60/10 month

$1,020/12 month

$1,224/10 month

$1,020/12 month

$1,224/10 month

**Classified/Management Medical rates effective 1/1/2024

Classified/Management Medical Single Rate 2-Party Rate Family Rate

Blue Shield (PPO) Plan A

  • $650 Individual / $1,300 Family Deductible
  • $25 Office Visits / 20% Co-insurance
  • Rx $7 Generic /$20 Formulary/$35 Brand

$1,221/month

$2,439/month

$3,169/month

Blue Shield (PPO) Plan B

  • $1,000 Individual/$2,000 Family Deductible
  • $30 Office Visits / 30% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand

$1,043/month

$2,083/month

$2,707/month

Blue Shield (PPO) Plan C

  • $1,500 Individual/$3,000 Family Deductible
  • $40 Office Visits / 30% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand

$903/month

$1807/month 

$2348/month

 Blue Shield (PPO) Plan D

  • $2,500 Individual/$5,000 Family Deductible
  • $50 Office Visits / 30% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand

  $883/month

$1,764/month 

$2,295/month 

 Blue Shield (PPO)  Plan E

  • Deductible $5000  - Deductible must be met before any coverage
  • $60 Office Visits / 30% Co-insurance
  • Rx $25

$728/month 

$1454/month 

$1890/month 
Blue Shield (PPO Select) Plan F  
  • $1,000 Individual/$2,000 Family Deductible 
  • $25 Office Visits / 20% Co-insurance
  • Rx $10 Generic /$25 Formulary/$40 Brand
  • No out of network coverage
  • New plan start date 6/1/2019

 $727/month 

$1447/month

 $1880/month 

 
All Employees Single Rate 2-Party Rate Family Rate
Delta Dental - Group #6736-0001 Plan A
  • $50 Individual/$150 Family Deductible
  • Annual Maximum Allowance $1,400 (PPO)
  • $500 Orthodontics Annual Max(Adult/Child)
  • Two-Year Commitment Required

$53.83/12 month

$64.60/10 month

$95.72/12 month

$114.86/10 month

$138.25/12 month

$165.90/10 month

 Delta Dental - Group #6736-0003 Plan B

  • $50 Individual/ $150 Family Deductible
    Annual Maximum Allowance $2,000 (PPO)
  • $1,000 Orthodontics Annual Max (Child Only)
  • Two-Year Commitment Required

 $60.15/12 month

$72.18/10 month

$106.93/12 month

$128.32/10 month

$154.50/12 month

$185.40/10 month

Delta Dental - Group #6736-01001 Plan C

  • $50 Individual/$150 Family Deductible
    Annual Maximum Allowance $2,400 (PPO)
  • $500 Orthodontics Annual Max(Adult/Child)
  • This plan has implant coverage
  • Two-Year Commitment Required

 $68.36/12 month

$82.03/10 month

 $121.57/12 month

$145.88/10 month

 $175.03/12 month

$210.04/10 month

 

Delta Dental - Group #6736-01003 Plan D

  • $50 Individual/$150 Family Deductible
    Annual Maximum Allowance $3,000 (PPO)
  • $1,000 Orthodontics Annual Max (Child Only)
  • This plan has implant coverage
  • Two-Year Commitment Required

 $76.38/12 month

$91.66/10 month

$135.80/12 month

$162.96/10 month

$196.18/12 month

$235.42/10 month

Vision Service Plan (VSP) - Group #30071230

  • One eye exam every 12 months
  • Zero co-pay/ Zero deductible
  • $200 Annual Maximum for Lens/Frames every 12 months

 $11.37/12 month

$13.64/10 month

 

 $18.48/12 month

$22.18/10 month

 $29.30/12 month

$35.16/10 month