2026 Annual Premium
| Member’s Age | Plan Number | Single | Single +1 | Family |
|---|---|---|---|---|
| Under 30 | 6948 | $1,131.96 | $2,513.40 | $2,641.08 |
| 30 – 39 | 6427 | $1,310.28 | $2,914.56 | $3,031.08 |
| 40 – 64 | 5494 | $2,268.72 | $5,121.48 | $5,272.80 |
| 65 and over | 5495 | $3,175.56 | $5,586.48 | $5,925.12 |
2026 Monthly EFT Premium
| Member’s Age | Plan Number | Single | Single +1 | Family |
|---|---|---|---|---|
| Under 30 | 6948 | $94.33 | $209.45 | $220.09 |
| 30 – 39 | 6427 | $109.19 | $242.88 | $252.59 |
| 40 – 64 | 5494 | $189.06 | $426.79 | $439.40 |
| 65 and over | 5495 | $264.63 | $488.04 | $493.76 |