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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2019 State of Wisconsin Group Health Insurance Program
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2019 It's Your Choice - State of Wisconsin Group Health Insurance for Employees and Retirees

Wisconsin Department Of Employee Trust FundsIt's Your Choice 2019


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

Health Plan 2019 Total Premium Rates

Form Number: et-2107prta

State of Wisconsin Employees, Continuants & Retirees without Medicare

(View Medicare rates.)

Monthly Premium Rates

    IYC Health Plan IYC High Deductible Health Plan Non-Medicare Retiree with
HDHP Family Coverage and a Medicare Dependent1
Health Plan Name Overall Performance Rating With Dental
Individual / Family
Without Dental
Individual / Family
With Dental
Individual / Family
Without Dental
Individual / Family
With Dental
Without Dental

Dean Health Insurance

$673.96  /  $1,654.06 $643.76  /  $1,578.56 $584.46  /  $1,430.30 $554.26  /  $1,354.80 $1,015.50 $955.10

Dean Health Insurance-Prevea360

$729.86  /  $1,793.82 $699.66  /  $1,718.32 $632.54  /  $1,550.50 $602.34  /  $1,475.00 $1,114.18 $1,053.78

Group Health Cooperative of Eau Claire

$833.96  /  $2,054.06 $803.76  /  $1,978.56 $722.06  /  $1,774.30 $691.86  /  $1,698.80 $1,215.00 $1,154.60

Group Health Cooperative of South Central Wisconsin

$653.36  /  $1,602.56 $623.16  /  $1,527.06 $566.74  /  $1,386.00 $536.54  /  $1,310.50 $1,017.38 $956.98

HealthPartners Health Plan

$795.76  /  $1,958.56 $765.56  /  $1,883.06 $689.20  /  $1,692.16 $659.00  /  $1,616.66 $1,092.84 $1,032.44

Medical Associates Health Plan

$697.76  /  $1,713.56 $667.56  /  $1,638.06 $604.92  /  $1,481.46 $574.72  /  $1,405.96 $971.76 $911.36

MercyCare Health Plan

$693.34  /  $1,702.52 $663.14  /  $1,627.02 $601.12  /  $1,471.96 $570.92  /  $1,396.46 $1,017.24 $956.84

Network Health

$793.66  /  $1,953.32 $763.46  /  $1,877.82 $687.40  /  $1,687.66 $657.20  /  $1,612.16 $1,138.14 $1,077.74

Quartz-Community

$802.28  /  $1,974.86 $772.08  /  $1,899.36 $694.82  /  $1,706.20 $664.62  /  $1,630.70 $1,158.58 $1,098.18

Quartz-UW Health

$679.90  /  $1,668.92 $649.70  /  $1,593.42 $589.56  /  $1,443.06 $559.36  /  $1,367.56 $1,003.16 $942.76
Robin with HealthPartners Health Plan Not yet rated $795.76  /  $1,958.56 $765.56  /  $1,883.06 $689.20  /  $1,692.16 $659.00  /  $1,616.66 $1,092.84 $1,032.44

Security Health Plan - Central

$846.54  /  $2,085.52 $816.34  /  $2,010.02 $732.88  /  $1,801.36 $702.68  /  $1,725.86 $1,178.48 $1,118.08

Security Health Plan - Valley

$866.96  /  $2,136.56 $836.76  /  $2,061.06 $750.44  /  $1,845.26 $720.24  /  $1,769.76 $1,203.40 $1,143.00

State Maintenance Plan (SMP)2
by WEA Trust

$993.22  /  $2,452.22 $963.02  /  $2,376.72 $841.56  /  $2,073.08 $811.36  /  $1,997.58 $1,222.70 $1,162.30

WEA Trust-East

$826.46  /  $2,035.32 $796.26  /  $1,959.82 $715.60  /  $1,758.16 $685.40  /  $1,682.66 $1,147.04 $1,086.64

WEA Trust West
-Chippewa Valley

$825.36  /  $2,032.56 $795.16  /  $1,957.06 $714.66  /  $1,755.80 $684.46  /  $1,680.30 $1,145.60 $1,085.20

WEA Trust West
- Mayo Clinic Health System

$825.36  /  $2,032.56 $795.16  /  $1,957.06 $714.66  /  $1,755.80 $684.46  /  $1,680.30 $1,145.60 $1,085.20
    It's Your Choice Access Plan2 It's Your Choice Access HDHP2 HDHP Family w/ Medicare Dependent1
    With Dental
Individual / Family
Without Dental
Individual / Family
With Dental
Individual / Family
Without Dental
Individual / Family
With Dental
Individual / Family
Without Dental
Individual / Family

WEA Trust

$1,536.32  /  $3,809.98 $1,506.12  /  $3,734.48 $1,297.28  /  $3,212.38 $1,267.08  /  $3,136.88 $1,678.42 $1,618.02

 


1HDHP family coverage with at least one dependent enrolled in Medicare Parts A, B and D. (A subscriber who is enrolled in Medicare Parts A, B and D is not eligible for the HDHP).
2Members with IYC Access Health and Access HDHP or SMP coverage who enroll in Medicare Parts A and B will automatically be moved to the IYC Medicare Plus plan. All other non-Medicare family members will remain covered under the IYC Access and Access HDHP or SMP.


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: 8/30/2018 8:43:58 AM