What are the monthly insurance rates if I take a non-FMLA leave of absence?

The 2026 Leave of Absence Monthly Rates as as follows:

Medical Coverage

Aetna PPO

Employee: $997.63 

Employee + Children: $1943.32

Employee + Spouse: $2187.23

Family: $3128.00 

Aetna HMO

Employee: $813.09

Employee + Children: $1584.25

Employee + Spouse: $1782.65

Family: $2549.28

CareFirst BlueChoice HMO

Employee: $824.81

Employee + Children: $1649.97

Employee + Spouse: $1815.07

Family: $2664.38

Dental Coverage

Cigna PPO

Employee: $43.85 

Employee + Children: $70.93

Employee + Spouse: $101.11

Family: $136.46 

Aetna DMO

Employee: $11.72

Employee + Children: $26.29

Employee + Spouse: $19.93

Family: $36.99

Vision Coverage

VSP

Employee: $6.72

Employee + Children: $9.14

Employee + Spouse: $13.45

Family: $17.04