CVT Benefit Plans

Certificated: Plans 3B, 5C, 7C, 8C, HDHP-1, Bronze, Wellness

Management/Supervisory/Confidential: Plans 3B, 5B, 7B, 8B, HDHP-1, Bronze, Wellness

Coverage Period: October 1, 2016 to September 30, 2017

$100 Individual Deductible / $300 Family Deductible
$20 Copay
90% / 10% Coinsurance Coverage
$100 Individual/$300 Family Deductible
$30 Copay
90% / 10% Coinsurance Coverage
$100 Individual/$300 Family Deductible
$30 Copay
90% / 10% Coinsurance Coverage
$250 Individual/$750 Family Deductible
$30 Copay
80% / 20% Coinsurance Coverage
$250 Individual/$750 Family Deductible
$30 Copay
80% / 20% Coinsurance Coverage
Plan 8B, 8C
$500 Individual/$1,500 Family Deductible
$30 Copay
80% / 20% Coinsurance Coverage
PPO High Deductible Health Plan
$1,300 Individual/$3,000 Family Deductible
80% / 20% Coinsurance Coverage
PPO Bronze Plan
$5,000 Individual/$10,000 Family Deductible
$60 Copay for first 3 visits
70% / 30% Coinsurance Coverage
PPO Wellness Plan
$500 Individual/$1,000 Family Deductible
90% / 10% Coinsurance Coverage
Delta Dental
Vision Services Plan