MONTHLY PREMIUMS 2016 2016 2016 2016 2016 ...

MONTHLY PREMIUMS CDHP PLANS

2016 Plan Code Enroll #

2016 2016 Single Plus One

2016 Family

2016 Chg % 4.98

Anthem BCBS High Deductible Plan 20

MHDE

22

588

1058

1646

Anthem BCBS High Deductible Plan 15

MHDG

3

665

1197

1862 N/A

10

693

1247

1940

654

1177

2017 2017 Single Plus One

2017 2017 Family Chg %

635

1143

1778

8.01

718

1292

2010

7.94

731

1316

2047

5.51

1831 N/A

690

1242

1932

5.52

794

1429

2223

5.46

590

1062

1652

5.56

552

994

1546

5.61

PPO PLANS

2.97

Anthem PPO 75/50

MSPV

Anthem BCBS PPO 70 SLV

MPSI

Anthem PPO 80/60

MSPZ

1

753

1355

2108 N/A

Anthem PPO MS 75/50

MSG5

2

559

1006

1565

Anthem BCBS MS PPO 70 SLV

MSG8

523

941

Anthem PPO MS 80/60

MSG3

608

1094

1702

-2.13

641

1154

1795

5.46

EAP

MEAP

5

5

5

0

5

5

5

0

MSP PLANS

-0.89

1464 N/A

DENTAL Preventive Dental

DDPV

4

30

54

84

10.45

30

54

84

0

Basic Dent-50/150

DD50

11

49

88

137

-6.19

49

88

137

0

Dent&Ortho-25/75

DD25

13

67

121

188

-4.09

67

121

188

0