Plan Year 2019 Rates

In this section, you will be able to search for plan rates based upon your employment status (i.e. active employees, pre-Medicare retirees, Medicare retirees)

All plans include medical, prescription drugs, dental, basic life, long-term disability, and vision coverage.

Choose from the options below to find monthly rate information based on your specific employment status.

Active Employee Rates for Plan Year 2019:

Active State Employee Rates 

Active State Employee With Domestic Partner

Active Non-State Employee Rates

COBRA Rates

All plans include medical, prescription drugs, dental, basic life, long-term disability, and vision coverage. ind monthly rate information based upon your specific employment status.

Pre-Medicare Retiree Rates for Plan Year 2019:

State Retiree and Survivor Rates

Non-State Retiree and Survivor Rates

State and Non-State Retirees with Domestic Partner Rates

COBRA Rates

Retirees and covered spouses/domestic partners enrolled in a medical plan through the Medicare Exchange and retirees with TRICARE for Life and Medicare Parts A and B are eligible to elect PEBP’s dental insurance. The following table provides the monthly premium cost for State and Non-State retirees.

Medicare Retiree Rates for Plan Year 2019:

  • View monthly dental rates as well as monthly HRA funding contributions here.
  • Retirees that are not on the Medicare Exchange and participate in the CDHP, Premier (EPO) Plan or HPN HMO will need to refer to the Pre-Medicare Rates.