Medium
The following member monthly premiums are effective on January 1, 2023, through December 31, 2024.
| Level of Coverage | Monthly Premium |
|---|---|
| Individual Only | $41.00 |
| Individual & Spouse | $79.12 |
| Individual & Child(ren) | $91.86 |
| Family | $130.82 |
The following member monthly premiums are effective January 1, 2025, through December 31, 2026.
| Level of Coverage | Monthly Premium |
|---|---|
| Individual Only | $42.24 |
| Individual & Spouse | $81.50 |
| Individual & Child(ren) | $94.62 |
| Family | $134.74 |