It's Your Choice 2017
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
Health Plan 2017 Premium Rates
Form Number: et-2107pr
When you select medical coverage, you are automatically enrolled in dental, but you may choose to decline dental for 2017. Learn more about how to opt out of Uniform Dental Benefits or medical benefits for the plan year.
Employee contribution rates for the 2017 plan year are provided below.
For Out-of-State Residents Assigned to Work Out of State (Tier 2) rates, see below.
2017 Employee Monthly Contribution Rates
IYC Health Plan and IYC HDHP contribution rates are provided at the Tier 1 level. IYC Access Health Plan and IYC Access HDHP contribution rates are provided at the Tier 3 level. See more information about tiering.
Note: Employees appointed to work fewer than 1,044 hours (50% of full time) pay 50% of the total monthly premium.
This page was last modified on: 11/1/2016 2:08:27 PM