IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

Indiana State Personnel Department

SPD > Benefits > Rates and Plan Information > 2014 Rates 2014 Rates

Plan Coverage Bi-Weekly Employee Rate Bi-Weekly Employer Rate Bi-Weekly Total Rate Annual Employee Rate Annual Employer Rate
CDHP 1 Single
Family
$46.94
$73.16
$173.28
$518.58
$220.22
$591.74
$1,220.44
$1,902.16
$4,505.28
$13,483.08
CDHP 1 w/ Non-Tobacco Use Single
Family
$11.94
$38.16
$173.28
$518.58
$185.22
$556.74
$310.44
$992.16
$4,505.28
$13,483.08
CDHP 2 Single
Family
$89.72
$193.04
$190.56
$553.26
$280.28
$746.30
$2,332.72
$5,019.04
$4,954.56
$14,384.76
CDHP 2 w/ Non-Tobacco Use Single
Family
$54.72
$158.04
$190.56
$553.26
$245.28
$711.30
$1,422.72
$4,109.04
$4,954.56
$14,384.76
Trad PPO Single
Family
$213.74
$540.32
$216.48
$605.10
$430.22
$1,145.42
$5,557.24
$14,048.32
$5,628.48
$15,732.60
Trad PPO w/ Non-Tobacco Use Single
Family
$178.74
$505.32
$216.48
$605.10
$395.22
$1,110.42
$4,647.24
$13,138.32
$5,628.48
$15,732.60
Dental Single
Family
$1.20
$3.16
$10.02
$26.36
$11.22
$29.52
$31.20
$82.16
$260.52
$685.36
Vision Single
Family
$0.17
$2.52
$1.47
$1.64
$1.64
$4.16
$4.42
$65.52
$38.22
$42.64
Flexible Spending Accounts Medical Limited Purpose
Medical (HSA Holders) and/or
Dependent Care Admin Fee
$2.00 $0.00 $2.00 $52.00 $0.00

To view rates for early retirees, COBRA and the annual total rates: View entire rate chart