Health Benefits

Together, we are working toward a healthier community.

CONTRACTUAL/VARIABLE HOUR EMPLOYEES
Monthly Subsidized Rates
Effective 01/01/2024 thru 12/31/2024
Rates for employees who work 30 hours per week or an average of 130 hours per month.
PPO HEALTH PLANS
Plan Type CareFirst BC/BS UnitedHealthcare Options
Individual $154.24 $151.72
Individual + one person $277.60 $273.10
Individual + two or more $385.58 $379.30

EPO HEALTH PLANS IHM HEALTH PLAN

Plan Type CareFirst BC/BS UnitedHealthcare Kaiser Permanente
Individual $137.24 $138.08 $137.16
Individual + one person $288.04 $287.16 $287.84
Individual + two or more $356.84 $342.40 $356.60

PRESCRIPTION DRUG DENTAL

Delta Dental United Concordia
Plan Type CVS Caremark Plan Type
DHMO DPPO
Individual $74.98 Individual $18.24 $28.50
Individual + Child $99.66 Individual + Child $36.55 $54.54
Individual + Spouse $124.46 Individual + Spouse $31.82 $57.04
Individual + two or more $149.98 Individual + two or more $51.32 $106.90

ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE PREMIUM RATES

Amount Individual Only Family
$100,000 $1.20 $2.30
$200,000 $2.40 $4.60
$300,000 $3.60 $6.90

TERM LIFE INSURANCE PREMIUM RATES

Age of Employee/ Employee Retiree Rates Age of Spouse Rates
Retiree (per $1,000) Spouse (per $1,000)
Under 30 $0.03 Under 30 $0.09
30 to 34 $0.04 30 to 34 $0.10
35 to 39 $0.05 35 to 39 $0.12
40 to 44 $0.08 40 to 44 $0.18
45 to 49 $0.13 45 to 49 $0.28
50 to 54 $0.20 50 to 54 $0.42
55 to 59 $0.37 55 to 59 $0.65
60 to 64 $0.52 60 to 64 $1.00
65 to 69 $0.77 65 to 69 $1.45
70 to 74 $1.38 70 to 74 $2.28
75 to 79 $2.06 75 to 79 $2.28
80 and older $2.06 80 and older $2.28
Dependent Child Coverage is $0.14 per $1,000 per month.

ENROLLMENT FORMS CAN BE FOUND ON OUR WEBSITE AT: www.dbm.maryland.gov/benefits

CVRS24
 Health Benefits
Together, we are working toward a healthier community.
CONTRACTUAL/VARIABLE HOUR EMPLOYEES
Monthly Non-Subsidized Rates
Effective 01/01/2024 thru 12/31/2024
Rates for employees who work under 30 hours per week or less than an average of 130 hours per month.
PPO HEALTH PLANS
Plan Type CareFirst BC/BS UnitedHealthcare Options
Individual $616.94 $606.86
Individual + one person $1,110.44 $1,092.38
Individual + two or more $1,542.35 $1,517.27

EPO HEALTH PLANS IHM HEALTH PLAN

Plan Type CareFirst BC/BS UnitedHealthcare Select Kaiser Permanente
Individual $549.00 $552.32 $548.65
Individual + one person $1,152.12 $1,148.66 $1,151.39
Individual + two or more $1,427.35 $1,369.62 $1,426.43

PRESCRIPTION DRUG DENTAL

Delta Dental United Concordia
Plan Type CVS Caremark Plan Type
DHMO DPPO
Individual $299.97 Individual $18.24 $28.50
Individual + Child $398.64 Individual + Child $36.55 $54.54
Individual + Spouse $497.82 Individual + Spouse $31.82 $57.04
Individual + two or more $599.92 Individual + two or more $51.32 $106.90

ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE PREMIUM RATES

Amount Individual Only Family
$100,000 $1.20 $2.30
$200,000 $2.40 $4.60
$300,000 $3.60 $6.90

TERM LIFE INSURANCE PREMIUM RATES

Age of Employee/ Employee Retiree Rates Age of Spouse Rates
Retiree (per $1,000) Spouse (per $1,000)
Under 30 $0.03 Under 30 $0.09
30 to 34 $0.04 30 to 34 $0.10
35 to 39 $0.05 35 to 39 $0.12
40 to 44 $0.08 40 to 44 $0.18
45 to 49 $0.13 45 to 49 $0.28
50 to 54 $0.20 50 to 54 $0.42
55 to 59 $0.37 55 to 59 $0.65
60 to 64 $0.52 60 to 64 $1.00
65 to 69 $0.77 65 to 69 $1.45
70 to 74 $1.38 70 to 74 $2.28
75 to 79 $2.06 75 to 79 $2.28
80 and older $2.06 80 and older $2.28
Dependent Child Coverage is $0.14 per $1,000 per month.

FORMS CAN BE FOUND ON OUR WEBSITE AT: www.dbm.maryland.gov/benefits

CVRS24