FY2016 through FY2018 Rates

Employee Health Contributions

While the state covers most of the cost of employee health coverage, employees also make monthly salary-based contributions. Employees who retire, accept a voluntary salary reduction, or return to State employment at a different salary may have their monthly contribution adjusted based upon the new salary (this applies to employees who return to work after having a 10-day or greater break in State service after terminating employment – this does not apply to employees who have a break in coverage due to a leave of absence). 
Employee Annual Salary​ Employee Monthly Health Contributions​
​Managed Care Quality Care​
​$30,200 and below​ $68.00​ ​$93.00
$30,201 - $45.600 ​$86.00 ​$111.00
​$45,601 - $60,700 ​$103.00 ​$127.00
​$60,701 - $75,900 ​$119.00 ​$144.00
​$75,901 - $100,00 ​$137.00 ​$162.00
​$100,001 and over ​$186.00 ​$211.00

 

 

​Monthly Optional Term Life Insurance Contributions
Member by Age Monthly Rate per $1,000
Under 30 $0.06
Ages 30 - 34 $0.08
Ages 35 - 39 $0.10
Ages 40 - 44 $0.10
Ages 45 - 49 $0.16
Ages 50 - 54 $0.24
Ages 55 - 59 $0.44
Ages 60 - 64 $0.66
Ages 65 - 69 $1.28
Ages 70 and above $2.06
Accidental Death & Dismemberment $0.02
Spouse ($10,000 coverage) $6.00
​Spouse ($5,000 coverage) ​$3.00
Dependent Children (for $10,000 coverage) $0.70

 

 

​Dependent Monthly Health Plan Contributions
Health Plan Name and Code One Dependent​ Two or More Dependents​ One Medicare A and B Primary Dependent​ Two or More Medicare A and B Primary Dependents​
​BlueAdvantage HMO
(Code: CI)
​$96 ​$132 $75​ $110​
​Health Alliance HMO
(Code: AH)
​$113 ​$159 ​$89 $133​
​HealthLink OAP
(Code: CF)
​$126 ​$179 ​$102 $149​

 ​HMO Illinois
(Code: BY)

​$100 ​$139 ​$79 $116​
Aetna HMO
(formerly Coventry Health Care HMO)
(Code: AS)
$111​​ ​$156 ​$88 $130​
​Aetna OAP
(formerly Coventry Health Care OAP)
(Code: CH)
​$111 ​$156 ​$88 $130​
​Quality Care Health Plan (Aetna) (Code: D3) ​$249 ​$287 ​$142 $203​​
 

 

 

Updated 05/15/2017