In 2018, the City of Madison is participating in ETF Program Option 14: Local Deductible Plan without Dental. City of Madison employees will not have access to ETF’s Uniform Dental Benefits.

Health Insurance

The City of Madison offers employees the choice of any plan offered through Employee Trust Funds’ Wisconsin Public Employer Group Health Insurance Program Option 14, including three health maintenance organizations (HMO) offering networks in the Dane County service area. Employees may sign up for health insurance upon starting employment with the City or during the annual open enrollment period.

Current employees may not enroll outside of open enrollment. However, if you are already enrolled and have a qualifying change of family status, you may add dependents onto your plan. Please note that there are time limits for this change. Please make changes online, or submit a Health Insurance Change Form to Human Resources.

Monthly Premiums

These premiums apply to all full-time employees except Compensation Groups 11, 12, 13, 14, 41 and 42.

Compare health plan providers.

Plan Provider Family Plan Single Plan
Dean Health Insurance $365.91 $147.59
Group Health Cooperative $173.11 $70.49
Quartz - UW Health $40.91 $17.59
Quartz - Community $214.91 $87.19
Expanded Premium Rate Charts

Prescription Drugs

Prescription drug insurance is provided through Navitus Health Solutions. Employees who enroll in health insurance coverage are automatically enrolled in Navitus and will be issued a separate Navitus member card.

More Information

For more information, please see the Employee Benefits Handbook.

View information on Preventive Health Services, HealthCare.gov.

Dental Insurance

The City of Madison offers optional dental insurance. The City does not contribute towards the premium for this benefit. Employees may sign up for dental insurance upon starting employment with the City, during the annual open enrollment period, or within 30 days of experiencing a qualifying event (such as a family status change or a loss of other coverage).

Current employees may not enroll outside of open enrollment, except within 30 days following a qualifying event. If you are already enrolled and have a qualifying change of family status, you may add dependents onto your plan. Please note that there are time limits for this change. To make changes, please print the Delta Dental Application and submit it to Human Resources.

Note: Hourly employees are not eligible to participate in the Delta Dental Plan.

Monthly Premiums

Premiums are deducted from the second paycheck of each month for the following month' coverage.

Single
Employee Only
$35.94
Employee and Child(ren) $82.89
Employee and Spouse* $82.21
Family
Employee, Spouse, and Child(ren)*
$124.79

*Due to a recent legislative change, domestic partners of City employees will not be eligible to participate in the dental program beyond December 31, 2017. Domestic partners (and dependents of domestic partners) covered under the program for the month of December 2017 who otherwise would have had continued coverage will be offered COBRA continuation coverage, with COBRA notices being sent in mid-December 2017.

Deductible

The insurance plan offers three (3) different levels of benefits, depending on whether people covered by the plan see a Preferred dentist, a Premier dentist, or a non-participating provider. Benefit levels are highest when seeing a Preferred dentist and lowest when seeing a non-participating provider. Visit Delta Dental WI to view providers in the area.

Dentist/Provider Deductible
Delta Preferred $25
Delta Premier $50
Non-participating $50

See full coverage summary.

Vision Care Discount

The Delta Dental plan includes a vision care discount program through EyeMed Vision Care. This is a discount plan, not insurance, that provides savings on exams, glasses, contact lenses and laser vision correction. View providers in the area, or learn more about the Vision Care Discount.

More Information

For more information, please see the Employee Benefits Handbook, or learn more about the provider.