Below are the benefits rates for Surviving Spouses/Domestic Partners and Child(ren) of deceased retirees for the Plan Year 2017. Use the tables to help you calculate what your benefits plan will cost.

All plans include medical, prescription drug, dental, and vision coverage. To learn more about what’s included with each plan, visit the Plan Benefits & Documents section of this site.

To view 2016 rates, use this document.

State Rates for Surviving Dependent(s)

Rates Effective

July 1, 2016 – June 30, 2017

Statewide PPO Plan Northern HMO Plan Southern HMO Plan
Consumer Driven Health Plan Hometown Health HMO Plan Health Plan of Nevada HMO Plan
Premium Premium Premium
Surviving Spouse/DP $580.78 $746.12 $746.12
Surviving Spouse/DP + Children $765.62 $1,079.83 $1,079.83

Non-State Rates for Surviving Dependent(s)

Rates Effective

July 1, 2016 – June 30, 2017

Statewide PPO Plan Northern HMO Plan Southern HMO Plan
Consumer Driven Health Plan Hometown Health HMO Plan Health Plan of Nevada HMO Plan
Premium Premium Premium
Surviving Spouse/DP $957.06 $791.84 $791.84
Surviving Spouse/DP + Children $1,700.53 $1,193.01 $1,193.01