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2025-11-03 Non-Rep Lewis County Rate Sheet 2026
Tier Deductible / OOP Max Aetna PPO 500 Non-Rep 2026 County Contribution Non-Rep 2026 County Contribution to HSA 2026 Non-Rep Employee Cost EE Only $500 / $2,500 1024.65 970.00 0.00 54.65 EE + Spouse $1,000 / $5,000 1892.53 1440.00 0.00 452.53 EE + Kids $1,500 / $5,000 1693.97 1440.00 0.00 253.97 Full Family $1,500 / $5,000 2571.42 1790.00 0.00 781.42 Aetna CDHP/HSA EE Only $2,000 / $4,500 954.04 up to 970 58.34 0.00 EE + Spouse $4,000 / $9,000 / *$7,000 1749.56 1440.00 116.67 309.56 EE + Kids $4,000 / $9,000 / *$7,000 1582.46 1440.00 116.67 142.46 Full Family $4,000 / $9,000 / *$7,000 2333.80 1790.00 116.67 543.80 Aetna PPO 1000 EE Only $1,000 / $4,000 995.20 970.00 0.00 25.20 EE + Spouse $2,000 / $8,000 1831.00 1440.00 0.00 391.00 EE + Kids $3,000 / $8,000 1640.48 1440.00 0.00 200.48 Full Family $3,000 / $8,000 2485.50 1790.00 0.00 695.50 UPDATED DATE: 11/2/2025 2026 Medical/Dental/Vision Premiums - Non-Represented Employees Rates include Aetna Medical, MetLife Dental, MetLife Vision *$7,000 indidivdual within a family