Insurance Premium Calculator

State employees can use this tool to determine your anticipated bi-weekly deductions as well as view the total premium cost. Just pick and choose from the drop down menus for each field the choices you wish to view. Once ready, click “create” to see the results. You may also click “print” to make a screen copy.

State ID
Effective for mm/dd/yyyy		Salary
Medical	Carrier	plan	Coverage
Dental	Carrier		Coverage
Vision	Carrier		Coverage
Basic Life		Disability	Line of Duty
Supplemental Life		Date Of Birth(mm/dd/yyyy)	Face
Spouse Life		Date Of Birth(mm/dd/yyyy)	Face
Dependent Life			Face

Deductions are typical for State employees, and may not reflect LPB deductions. See your HR for information on what you pay per pay period.

Based on your information, you premium deductions would be as follows:

	Monthly Premium	Bi-weekly Employee Portion	Bi-weekly Employer Portion
Medical Premium
Dental premium
Vision premium
Disability premium
Basic Life premium
Supplemental Life premium
Spouse Life premium
Dependent Life premium
Line of Duty premium
TOTAL

State ID

Effective for mm/dd/yyyy

Salary

Medical

Carrier plan Coverage

Dental

Carrier Coverage

Vision

Carrier Coverage

Basic Life

LTD

Line of Duty

Supplemental Life

Date Of Birth(mm/dd/yyyy) Face

Spouse Life

Date Of Birth(mm/dd/yyyy) Face

Dependent Life

Face

Deductions are typical for State employees, and may not reflect LPB deductions. See your HR for information on what you pay per pay period.

Based on your information, you premium deductions would be as follows:

Medical Premium