Employee Wellness and Benefits
July 1, 2011 – June 30, 2012
2011-2012 Plan Year
Health Care Premiums
Active Employees



Medical Plan Health Care Premiums for Employee Only (Single Coverage) - Monthly
Medical Plan Your Cost State Cost Total
Premium
Wellness PPO Plan $89.60 $337.04 $426.64
BlueChoice Plan $133.72 $503.06 $636.78
Regular PPO Plan $104.84 $394.40 $499.24
High Deductible PPO Plan $62.92 $236.64 $299.56


Dental and Vision Health Care Premiums for Employee Only (Single Coverage) - Monthly
Dental or Vision Plan Your Cost
Ameritas Dental Basic Option $21.16
Ameritas Dental Premium Option $23.68
EyeMed Vision Basic Option $5.16
EyeMed Vision Premium Option $7.98


Medical Plan Health Care Premiums for Employee + Spouse (Two Party Coverage) - Monthly
Medical Plan Your Cost State Cost Total
Premium
Wellness PPO Plan $237.80 $894.52 $1,132.32
BlueChoice Plan $354.92 $1,335.14 $1,690.06
Regular PPO Plan $278.26 $1,046.76 $1,325.02
High Deductible PPO Plan $166.96 $628.06 $795.02


Dental and Vision Health Care Premiums for Employee + Spouse (Two Party Coverage) - Monthly
Dental or Vision Plan Your Cost
Ameritas Dental Basic Option $42.36
Ameritas Dental Premium Option $47.40
EyeMed Vision Basic Option $8.28
EyeMed Vision Premium Option $12.78


Medical Plan Health Care Premiums for Employee + Dependent Children (Four Party Coverage) - Monthly
Medical Plan Your Cost State Cost Total
Premium
Wellness PPO Plan $184.04 $692.28 $876.32
BlueChoice Plan $274.68 $1,033.28 $1,307.96
Regular PPO Plan $215.34 $810.12 $1,025.46
High Deductible PPO Plan $129.22 $486.06 $615.28


Dental and Vision Health Care Premiums for Employee + Dependent Children (Four Party Coverage) - Monthly
Dental or Vision Plan Your Cost
Ameritas Dental Basic Option $61.04
Ameritas Dental Premium Option $68.32
EyeMed Vision Basic Option $8.44
EyeMed Vision Premium Option $13.04


Medical Plan Health Care Premiums for Employee + Spouse + Dependent Children (Family Coverage) - Monthly
Medical Plan Your Cost State Cost Total
Premium
Wellness PPO Plan $318.04 $1,196.42 $1,514.46
BlueChoice Plan $474.70 $1,785.76 $2,260.46
Regular PPO Plan $372.16 $1,400.04 $1,772.20
High Deductible PPO Plan $223.30 $840.02 $1,063.32


Dental and Vision Health Care Premiums for Employee + Spouse + Dependent Children (Family Coverage) - Monthly
Dental or Vision Plan Your Cost
Ameritas Dental Basic Option $66.32
Ameritas Dental Premium Option $74.24
EyeMed Vision Basic Option $13.58
EyeMed Vision Premium Option $21.00


This site contains information on coverage available to State employees who are eligible for insurance benefits.*

The State of Nebraska offers comprehensive insurance benefits to permanent *, full-time employees. Part-time employees who work 20 or more hours are also eligible for insurance benefits. Participation in the State's insurance program is voluntary. The State contributes 79% of the health insurance premium, 100% of the basic life insurance coverage, and 100% of the Employee Assistance Program cost (for participating agencies). All other insurance plans are offered to employees at a group rate.

Employees' contributions to the health and dental insurance plans are tax-sheltered under Internal Revenue Code 125. Anyone who participates in the health or dental insurance plans will pay their portion of the premium with before-tax dollars, which are automatically deducted from the employee's paycheck. The State also allows permanent employees to participate in two Flexible Spending Accounts, the Medical Reimbursement Account, and/or the Dependent Care Account.

If you have any questions or would like more information, please contact the Employee Wellness and Benefits staff.

* As a State of Nebraska employee, you will have the opportunity to select from insurance benefits listed for your specific employee-group type.