City of West Palm Beach | Human Resources

Insurance Monthly Premiums - Police Schedule

Effective Date: January 1, 2007

COVERAGE	EMPLOYEE	CITY	TOTAL
PPO Medical	Preferred Provider Organization Plan
Employee	.00	351.06	351.06
Employee +1	108.65	615.69	724.34
Family	261.29	783.86	1045.14
Two Member Family*	.00	702.12	702.12
Dental	Direct Assignment Dental
Employee	.00	33.18	33.18
Employee +1	9.81	55.58	65.39
Family	29.22	87.65	116.87
Vision	Vision Care
Employee	.00	4.48	4.48
Employee +1	.00	12.80	12.80
Family	.00	12.80	12.80
Life/AD& D	Employee Life - 1 Time Salary
Employee	.00	.23/$1000	14.30
Employee +1	.00	.23/$1000	14.30
Family	.00	.23/$1000	14.30
Life/Additional	Optional Life - 1, 2, or 3 Times Salary
Employee	.35/$1000	.00	.35/$1000
Life/ Dependent	Optional Dependent Life - Spouse/Child
Employee	3.50	.00	3.50
*Two Member Family Coverage is used when two Police Officers, who are married to each other or who have filed Domestic Partner Affidavits, both work for the City. For health, dental and vision insurance, one spouse will enroll all family members, including spouse (City worker) under family coverage. Police members must enroll in all four coverage's (health, dental, vision and life), in the same employee category (employee only, E+1, family). Two member family coverage enrollees will be the exception.

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