2020 Medical, Dental & Vision Premiums

The following medical, dental and vision insurance premiums will be in effect January 1, 2020

Employee Only

(insures employee only)

Insurance Type Insurance Provider You pay biweekly (pre-tax) You pay monthly (pre-tax)
MEDICAL Kaiser Signature HMO $56.56 $113.12
  Kaiser HDHP $13.60 $27.20
  Carefirst BlueChoice Advantage POS $89.23 $178.26
  CareFirst BlueChoice Advantage HDHP $22.29 $44.58
  UnitedHealthcare Choice Plus PPO $180.26 $360.52
DENTAL Delta Dental Standard PPO $13.36 $26.72
  Delta Dental Enhanced PPO $26.17 $52.34
  Aetna DMO $15.04 $30.08
VISION Eyemed Vision Care Select $3.20 $6.40

Employee + Spouse/LDA

(insures employee and spouse or legally domiciled adult*)  Information regarding the possible tax implications of covering your LDA. LINK

Insurance Type Insurance Provider You pay biweekly (pre-tax) You pay monthly (pre-tax)
MEDICAL Kaiser Signature HMO $118.78 $237.56
  Kaiser HDHP $23.65 $47.30
  Carefirst BlueChoice Advantage POS $187.37 $374.74
  CareFirst BlueChoice Advantage HDHP $46.78 $93.56
  UnitedHealthcare Choice Plus PPO $378.54 $757.08
DENTAL Delta Dental Standard PPO $34.16 $68.32
  Delta Dental Enhanced PPO $63.56 $127.12
  Aetna DMO $36.15 $72.30
VISION Eyemed Vision Care Select $6.06 $12.12

Employee + Child(ren)

(insures employee and one or more children)

Insurance Type Insurance Provider You pay biweekly (pre-tax) You pay monthly (pre-tax)
MEDICAL Kaiser Signature HMO $107.46 $214.92
  Kaiser HDHP $27.49 $54.98
  Carefirst BlueChoice Advantage POS $169.51 $339.02
  CareFirst BlueChoice Advantage HDHP $42.33 $84.66
  UnitedHealthcare Choice Plus PPO $362.80 $725.60
DENTAL Delta Dental Standard PPO $27.76 $55.52
  Delta Dental Enhanced PPO $52.06 $104.12
  Aetna DMO $40.77 $81.54
VISION Eyemed Vision Care Select $6.37 $12.74

Family

(insures employee, spouse/LDA* and one or more children)

Insurance Type Insurance Provider You pay biweekly (pre-tax) You pay monthly (pre-tax)
MEDICAL Kaiser Signature HMO $169.68 $339.36
  Kaiser HDHP $45.00 $90.00
  Carefirst BlueChoice Advantage POS $267.64 $535.28
  CareFirst BlueChoice Advantage HDHP $66.83 $133.66
  UnitedHealthcare Choice Plus PPO $524.73 $1,049.46
DENTAL Delta Dental Standard PPO $42.11 $84.22
  Delta Dental Enhanced PPO $77.95 $155.90
  Aetna DMO $60.94 $121.88
VISION Eyemed Vision Care Select $9.35 $18.70

* Employees with Legally Domiciled Adults (LDA): Federal law requires that an employee with a non-tax-dependent LDA must pay taxes on part of the benefit. The IRS considers the employer-provided value of the healthcare benefit for a LDA who is not the employee’s tax dependent (as defined by the IRS) to be income to the employee. The IRS calls this “imputed income” – and it is subject to taxation.

Plan                                          Monthly Imputed Income Liability

Medical
Kaiser HMO                              $622.17
Kaiser HDHP                            $517.83
CareFirst POS                           $694.01
CareFirst CDHP                       $546.71
UnitedHealthcare PPO           $894.29

Dental
Delta Dental Standard            $41.60
Delta Dental Enhanced           $74.78
Aetna DMO                            $42.22

Vision
EyeMed Select                          $5.72