Insurance Benefits – 2017

Open Enrollment for 2017 plans: October 24 – November 9, 2016

Retiree Open Enrollment for 2017 plans: October 13 – December 7, 2016

2017 RATES

SINGLE

EMP+1

FAMILY

Cigna Open Access Plus In-Network

$914

$1645

$2559

Anthem BCBS EPO 80

$820

$1476

$2296

Anthem BCBS EPO 90

$942

$1696

$2638

Anthem BCBS High Deductible/HSA
(2017 HSA contribution for single coverage = $2,000)

$605

$1089

$1694

Anthem PPO 80/60

$852

$1534

$2386

Anthem BCBS MS EPO90 **

$679

$1222

$1901

Anthem High Opt MS PPO **

$743

$1337

$2080

Anthem BCBS MS EPO 80 **

$612

$1102

$1714

Anthem PPO MS 80/60 **

$626

$1127

$1753

** Offered to Medicare eligible employees only under the
Medicare Supplemental Programs or MSP

2017 DENTAL RATES

SINGLE

EMP+1

FAMILY

Basic Dental 50/150

$51

$92

$143

Dent & Ortho 25/75

$69

$124

$193

Questions? Contact Employee Benefits Administrator Angela Byrd at abyrd@nulldiosohio.org or 800.582.1712 ext. 127