Page 11 - 18 - 19 Benefits Bulletin
P. 11
PREMIUM RATES
Substitute Monthly Premium Rates
TRS ActiveCare 1- TRS ActiveCare TRS ActiveCare
Substitute (10+ hrs)
HD Select 2
Employee Only $367 $540 $782
Employee + Child(ren) $701 $876 $1163
Employee + Spouse $1035 $1327 $1855
Employee + Family $1374 $1668 $2194
Employee Monthly Rates - Other Benefits
Aetna Dental Aetna Dental PPO Superior Vision Plan
DHMO
Employee Only $0 $15 $9.14
Employee +
Child(ren) $17.34 $55 $17.72
Employee + Spouse $16.04 $45 $18.04
Employee + Family $36.60 $80 $26.86
Insurance Rate
Allstate Cancer and Speci ed Disease
Insurance $20.34 - $107.10
TRS/Genworth Long-Term Care Insurance www.trs.state.tx.us for rates
Voya Short-Term Disability Insurance
• 3 Day Waiting Period $3.12 per $200 bene t
• 14 Day Waiting Period $2.06 per $200 bene t
Voya Optional Life Insurance
• Optional Employee Life Insurance $0.34 - $40.99 per $10,000
• Optional Spouse Life Insurance $0.37 - $10.26 per $10,000
• Optional Dependent Child Life Insurance $0.20 - $1.00 per $10,000

