Health Insurance Rates Estimator
Open Enrollment
Active Employees
Comparing Your 2012 and 2013 Group Insurance Rates
For Active Employees
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Instructions
1. Enter the required information (A through E) below.
2. Enter all of your current 2012 plans (displayed on your pay slip) in the "Current 2012 Election" column.
3. Enter all of the plans you are thinking about electing for 2013 in the "Possible 2013 Election" column.
4. Click the Calculate button.

A. Is your original date of hire on or after 10/01/1994? Yes No
B. What is your annual salary? $ per year
C. Is your position represented by a bargaining unit? Yes No
D. Please select one:
E. Your age:
Type Plan Option Pay Slip Code Current
2012 Election
Possible
2013 Election
Medical CareFirst BCBS Point of Service High Option BCBS HI
CareFirst BCBS Point of Service Standard Option BCBS STD
United Healthcare UH HMO
Kaiser Permanente (Includes Kaiser Rx coverage) Kaiser
Prescription Caremark High Option RX 4_8 * RX 4_8
Caremark High Option RX 5_10 ** RX 5_10
Caremark Standard Option RX STD
Dental United Concordia Dental PPO (Traditional Plan) UC PPO
United Concordia Dental HMO (DHMO) UC DMO
Vision NVA Vision Plan Vision
Life
Insurance
Employee Optional Life *** Optional Life
Dependent Life **** Dep Life
IAFF/MCGEO
**  FOP/Unrepresented
***  The maximum coverage amount is $400,000.
****  Level 1: $2,000–spouse, $1,000–child 6 months to 21 yrs, $100–child under 6 months
Level 2: $4,000–spouse, $2,000–child 6 months to 21 yrs, $100–child under 6 months
Level 3: $10,000–spouse, $5,000–child 6 months to 21 yrs, $100–child under 6 months

This tool helps you estimate the difference you would pay based on the group insurance plans you elect for 2013 compared to 2012. Please note that you cannot elect your 2013 plans or change plans through the use of this tool. Also, this estimator does not include any Flexible Spending Account (FSA) amount you elect. (Note: FSA biweekly amounts can be determined by dividing the annual amount you elect by 26 pay periods. The minimum FSA election is $100 annually; $3.84 per day.) If you cover a domestic partner and/or a domestic partner's child, the rates displayed do not include imputed income. This estimator applies to active, full-time employees. It does not apply to employees who are part-time, temporary or retired. It also does not apply to employees of municipalities or participating agencies.