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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2019 Local Deductible Health Plan Insurance Program
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2019 It's Your Choice - Local Deductible Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2019


Local Deductible Plan
Insurance for Employees
and Retirees
(PO4, PO14)


Health Plan 2019 Premium Rates

Form Number: et-2158pr

Employee and Non-Medicare Retiree Rates

The employee and non-Medicare Retiree1 health plan rates reflect total monthly premium rates for each health plan. (View Medicare rates.)

Health Plan Name Overall Performance Rating Local Deductible Health Plan1
With Dental
Individual / Family
Without Dental
Individual / Family

Dean Health Insurance

$653.90   /   $1,603.90 $623.70   /   $1,528.40

Dean Health Insurance-Prevea360

$656.84   /   $1,611.26 $626.64   /   $1,535.76

Group Health Cooperative of Eau Claire

$788.04   /   $1,939.26 $757.84   /   $1,863.76

Group Health Cooperative of South Central Wisconsin

$655.10   /   $1,606.90 $624.90   /   $1,531.40

HealthPartners Health Plan

$922.72   /   $2,275.96 $892.52   /   $2,200.46

Medical Associates Health Plan

$586.84   /   $1,436.26 $556.64   /   $1,360.76

MercyCare Health Plan

$725.04   /   $1,781.76 $694.84   /   $1,706.26

Network Health

$774.60   /   $1,905.66 $744.40   /   $1,830.16

Quartz-Community

$747.50   /   $1,837.90 $717.30   /   $1,762.40

Quartz-UW Health

$631.54   /   $1,548.00 $601.34   /   $1,472.50
Robin with HealthPartners Health Plan Not yet rated $922.72   /   $2,275.96 $892.52   /   $2,200.46

Security Health Plan - Central

$1,086.32   /   $2,684.96 $1,056.12   /   $2,609.46

Security Health Plan - Valley

$1,082.60   /   $2,675.66 $1,052.40   /   $2,600.16

State Maintenance Plan (SMP)2
by WEA Trust

$808.34   /   $1,990.02 $778.14   /   $1,914.52

WEA Trust-East

$826.86   /   $2,036.30 $796.66   /   $1,960.80

WEA Trust West
- Chippewa Valley

$999.08   /   $2,466.86 $968.88   /   $2,391.36

WEA Trust West
- Mayo Clinic Health System

$939.00   /   $2,316.66 $908.80   /   $2,241.16
    Local Access Plan1 2
    With Dental
Individual / Family
Without Dental
Individual / Family

WEA Trust

$1,205.46   /   $2,982.82 $1,175.26   /   $2,907.32

1 Members of new participating employers may have a surcharge added to their rates. Your employer will inform you. Contact your payroll office with questions.
2 Members with Local Access Plan 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 remain covered under the Local Access Plan 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 8:17:45 AM