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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2018 State of Wisconsin Group Health Insurance Program
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2018 It's Your Choice - State of Wisconsin Group Health Insurance for Employees and Retirees

Wisconsin Department Of Employee Trust FundsIt's Your Choice 2018


State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)

Health Plan 2018 Premium Rates

Form Number: et-2107pr

Active Employees

Employee contribution rates for the 2018 plan year are provided below. Learn more about how to opt out of medical benefits for the plan year.

For Out-of-State Residents Assigned to Work Out of State (Tier 2) rates, see below.

2018 Employee Monthly Contribution Rates

plustooth
It's Your Choice Health Plan
Medical with Dental
Individual Rate Family Rate
$88.00 $219.00
UW Graduate Assistants**
Individual Rate Family Rate
$45.50 $113.50
plus It's Your Choice Health Plan
Medical without Dental
Individual Rate Family Rate
$85.00 $211.00
UW Graduate Assistants**
Individual Rate Family Rate
$42.50 $105.50
piggytooth It's Your Choice HDHP
Medical with Dental
Lower premium; higher deductible & OOPL
Individual Rate Family Rate
$33.00 $82.00
piggy It's Your Choice HDHP
Medical without Dental
Lower premium; higher deductible & OOPL
Individual Rate Family Rate
$30.00 $74.00
globetooth It's Your Choice Access Plan
Medical with Dental
Higher premium, increased provider flexibility
Individual Rate Family Rate
$266.00 $664.00
UW Graduate Assistant**
Individual Rate Family Rate
$134.50 $336.00
globe It's Your Choice Access Plan
Medical without Dental
Higher premium, increased provider flexibility
Individual Rate Family Rate
$263.00 $656.00
UW Graduate Assistant**
Individual Rate Family Rate
$131.50 $328.00
green piggytooth It's Your Choice Access HDHP
Medical with Dental
Increased provider flexibility, lower premium, higher deductible & OOPL
Individual Rate Family Rate
$211.00 $527.00
green piggy It's Your Choice Access HDHP
Medical without Dental
Increased provider flexibility, lower premium, higher deductible & OOPL
Individual Rate Family Rate
$208.00 $519.00

View total premium 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 1,040 hours (50% of full time) pay 50% of the total monthly premium.

**Not eligible for the HDHP.




Out-of-State Residents Assigned to Work Out of State

globetooth It's Your Choice Access Plan
Medical with Dental
Higher premium, increased provider flexibility
Individual Rate Family Rate
$138.00 $347.00
UW Graduate Assistant**
Individual Rate Family Rate
$70.50 $177.50
globe It's Your Choice Access Plan
Medical without Dental
Higher premium, increased provider flexibility
Individual Rate Family Rate
$135.00 $339.00
UW Graduate Assistant**
Individual Rate Family Rate
$67.50 $169.50
green piggytooth It's Your Choice Access HDHP
Medical with Dental
Increased provider flexibility, lower premium, higher deductible & OOPL
Individual Rate Family Rate
$83.00 $210.00
green piggy It's Your Choice Access HDHP
Medical without Dental
Increased provider flexibility, lower premium, higher deductible & OOPL
Individual Rate Family Rate
$80.00 $202.00
Out-of-state residents assigned to work out-of-state receive the IYC Access Plan and IYC Access HDHP at a Tier 2 level.
See more information about tiering
.

Disclaimer:
Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 9/20/2017 1:20:12 PM