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JULY 2025 – JUNE 2026
MONTHLY EMPLOYEE CONTRIBUTIONS
If you are looking for 2024-2025 rates, click here
  MMO PPO/HSA MMO PPO SkyCare EPO MMO MedFlex EPO Standard Dental* PPO Dental* High Option PPO Dental** VSP
Total Plan Cost (Normal part-time employee rate)
Single – no incentive $822 $963 $822 $871 $27 $27 $42 $9
Single – one incentive $807 $948 $807 $856 N/A**** N/A**** N/A**** N/A****
Single – two incentives $792 $933 $792 $841 N/A**** N/A**** N/A**** N/A****
Family – no incentive $2,102 $2,604 $2,224 $2,357 $53 $53 $82 $24
Family – one incentive $2,072 $2,574 $2,194 $2,327 N/A**** N/A**** N/A**** N/A****
Family – two incentives $2,042 $2,544 $2,164 $2,297 N/A**** N/A**** N/A**** N/A****
MedAdvantage (Medicare) N/A $219.38 N/A N/A $27 ***** $27 ***** $42***** $9*****
Normal Employee Cost – No Incentive
Single $89 $230 $194 $206 $0 $0 $15 $9
Family $342 $844 $710 $754 $0 $0 $29 $24
Normal Employee Cost – One Incentive
Single $74 $215 $179 $191 N/A**** N/A**** N/A**** N/A****
Family $312 $814 $680 $724 N/A**** N/A**** N/A**** N/A****
Normal Employee Cost – Two Incentives
Single  $59  $200  $164  $176 N/A**** N/A**** N/A**** N/A****
Family  $282  $784  $650  $694 N/A**** N/A**** N/A**** N/A****
Employer Cost – All Incentives***
Single $733 $733 $628 $665 $27 $27 $27 $0
Family $1,760 $1,760 $1,514 $1,603 $53 $53 $53 $0
  A spousal surcharge, where applicable, adds
$750 per month to the family plan premiums
stated in the table.
       

* Rate paid by employer for participant not selecting a medical plan. PPO, EPO rates include choice of Standard or PPO Dental.
** Employees covered with a medical plan pay the difference in cost for the High Option PPO Dental, $15 Single and $29 Family Dental.
*** Employer cost remains the same regardless of the incentives earned by the employee.
**** Incentives do not apply to dental or vision coverage only.
***** Participants in the MedAdvantage Plan pay the entire cost for dental.
****** Participants with single medical and family dental must pay the difference between single dental and family dental:
+$26 for Standard Dental, +$55 for High Option Dental.

Catholic Diocese of Cleveland
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