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Western Colorado's Selective University

State of Colorado Classified Employee Benefits

Information about the Benefits for Classified Employees is available by accessing the state web site at
Benefits Overview.
View information on health, dental, flexible spending accounts, life insurance, disability programs,
and tax-deferred saving plans.

FY 16 - 17 Medical / Dental Premiums

2016 / 2017 MEDICAL RATES

The State of Colorado offers medical insurance to eligible employees through United Healthcare.

PlanTierTotal PremiumEmployee Contribution

PPO HDHP

HSA - qualified option

Employee
$483.81
$18.20
Employee + Spouse
$1,004.73
$132.14
Employee + Child(ren)
$911.24
$44.46
Ee + Sp + Child(ren)
$1,432.30
$202.24
Employee
$600.75
$134.14
Employee + Spouse
$1,250.33
$377.74
Employee + Child(ren)
$1,133.44
$266.66
Ee + Sp + Child(ren)
$1,783.16
$553.10

2016 / 2017 DENTAL RATES

The State of Colorado offers self-funded dental plans to eligible employees, administered by Delta Dental.

Delta Dental Plans

PlanTierTotal PremiumEmployee Contribution
Employee
$30.20
$4.28
Employee + Spouse
$58.38
$15.76
Employee + Child(ren)
$61.20
$14.76
Ee + Sp + Child(ren)
$89.36
$27.14
Employee
$44.30
$18.38
Employee + Spouse
$86.54
$43.92
Employee + Child(ren)
$90.76
$44.32
Ee + Sp + Child(ren)
$133.02
$70.80

Life Insurance

Disability Plans

Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)

COBRA

Work-Life Program

Additional Links, Forms and Contact Information:

United Healthcare: Customer Service 1-877-283-5424

Website: www.myuhc.com

Delta Dental: Customer Service 1-800-610-0201

Website: Deltadentalco.com

Dental Claim Form

Additional Insurance Companies Contacts

Flexible Spending Claim Form

You may also contact Amy Grimes in Human Resources at 970.248.1578 or via email at aegrimes@coloradomesa.edu.