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AlaskaCare Premiums

2015

(effective 1/1/15)


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2015 Premiums

Effective 1/1/2015 through 12/31/2015

Medical
Option Monthly cost
Premium Plan for Employee and Family $2,155
Standard Plan for Employee and Family $1,515
Economy Plan for Employee and Family $1,335
Dental
Option Monthly cost for Employee and Family Individual Annual Maximum Individual Orthodontia Life Maximum
Standard Plan $115 $1500 $1000
Preventive Plan $36 $500 N/A
Vision
Option Monthly cost for Employee and Family
No Coverage $0
Managed Care Plan $28
HFSA
Minimum Monthly Amount $20
Maximum Monthly Amount $208
COBRA
Plan Rate
Premium Medical Plan $3,964.74
Standard Medical Plan $1,944.12
Economy Medical Plan $1,010.82
Standard Dental Plan $128.52
Preventive Dental Plan $32.64
Managed Vision Plan $25.50

The information displayed on this Web site is for informational purposes only and is provided as a courtesy to assist the reader with understanding key components of the AlaskaCare Select Benefits Insurance Plan. In the event of a conflict between the language provided here and the language of the Select Benefits Insurance Plan Document, the plan document shall control.