Benefit Enrollment

Every election in force on the chosen date, with the plan, tier and cost it produces.

Census as ofDivisionCost center

Employer Medical Cost

$908,176

Annualized at the rates effective on the as-of date

Plan participation

Enrollment and employer cost by medical plan.


Core PPO	29	30.2%	49	$355,887	$78,122
Select HMO	28	29.2%	41	$288,346	$50,885
Waived	9	9.4%	8	$0	$0
High Deductible + HSA	29	30.2%	47	$263,942	$29,327
No benefit record	1	1.0%	0	$0	$0

Benefit profile by employee

Declared tier versus the tier derived from actual covered dependents.


E1000	E1000	504	Core PPO	Dental Basic	Waived	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$31,467	$4,954	2024-10-01	BEN-ELECT-E1000-2025
E1001	E1001	805	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,997	$3,581	2024-10-01	BEN-ELECT-E1001-2025
E1002	E1002	701	Waived	Waived	Waived	None	FRS Special Risk	Employee + Children	No Coverage	2	$20,065	$2,332	2024-10-01	BEN-ELECT-E1002-2025
E1003	E1003	805	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$31,924	$5,302	2024-10-01	BEN-ELECT-E1003-2025
E1004	E1004	501	Select HMO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	3	$32,808	$4,946	2024-10-01	BEN-ELECT-E1004-2025
E1006	E1006	701	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$32,718	$5,325	2024-10-01	BEN-ELECT-E1006-2025
E1007	E1007	502	Select HMO	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$24,426	$3,360	2024-10-01	BEN-ELECT-E1007-2025
E1008	E1008	503	High Deductible + HSA	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$28,345	$3,406	2024-10-01	BEN-ELECT-E1008-2025
E1009	E1009	504	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$27,393	$4,071	2024-10-01	BEN-ELECT-E1009-2025
E1010	E1010	613	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	2	$31,351	$4,617	2024-10-01	BEN-ELECT-E1010-2025
E1011	E1011	502	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$31,231	$3,896	2024-10-01	BEN-ELECT-E1011-2025
E1012	E1012	504	Waived	Waived	Waived	None	FRS Special Risk	Employee Only	No Coverage	0	$18,454	$2,187	2024-10-01	BEN-ELECT-E1012-2025
E1013	E1013	613	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Child	1	$28,924	$4,329	2024-10-01	BEN-ELECT-E1013-2025
E1014	E1014	701	High Deductible + HSA	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	2	$26,871	$3,349	2024-11-10	BEN-ELECT-E1014-2025
E1015	E1015	805	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,766	$3,879	2024-10-01	BEN-ELECT-E1015-2025
E1016	E1016	805	Select HMO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$24,268	$3,294	2024-10-01	BEN-ELECT-E1016-2025
E1017	E1017	902	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	3	$33,476	$4,268	2024-10-01	BEN-ELECT-E1017-2025
E1018	E1018	501	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$32,140	$5,327	2024-10-01	BEN-ELECT-E1018-2025
E1019	E1019	613	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,944	$3,575	2024-10-01	BEN-ELECT-E1019-2025
E1020	E1020	702	High Deductible + HSA	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,589	$3,052	2024-10-01	BEN-ELECT-E1020-2025
E1021	E1021	902	Waived	Waived	Waived	None	FRS Special Risk	Employee Only	No Coverage	0	$21,303	$2,479	2024-10-01	BEN-ELECT-E1021-2025
E1022	E1022	611	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$37,340	$5,696	2024-10-01	BEN-ELECT-E1022-2025
E1023	E1023	503	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,217	$3,090	2024-10-01	BEN-ELECT-E1023-2025
E1024	E1024	503	Core PPO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$27,898	$4,048	2024-10-01	BEN-ELECT-E1024-2025
E1025	E1025	613	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Child	1	$30,008	$4,458	2024-10-01	BEN-ELECT-E1025-2025
E1026	E1026	805	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$26,154	$3,201	2024-10-01	BEN-ELECT-E1026-2025
E1027	E1027	902	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$33,614	$5,431	2024-10-01	BEN-ELECT-E1027-2025
E1028	E1028	613	Select HMO	Dental Basic	Waived	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$27,812	$3,678	2024-10-01	BEN-ELECT-E1028-2025
E1029	E1029	503	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$31,712	$4,059	2024-10-01	BEN-ELECT-E1029-2025
E1030	E1030	902	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$37,561	$6,507	2024-10-01	BEN-ELECT-E1030-2025
E1031	E1031	701	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,897	$3,569	2024-10-01	BEN-ELECT-E1031-2025
E1032	E1032	701	High Deductible + HSA	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$33,389	$4,044	2024-10-01	BEN-ELECT-E1032-2025
E1033	E1033	503	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$28,568	$4,210	2024-10-01	BEN-ELECT-E1033-2025
E1034	E1034	503	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Child	1	$30,482	$4,514	2024-10-01	BEN-ELECT-E1034-2025
E1035	E1035	502	High Deductible + HSA	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,000	$3,030	2024-10-01	BEN-ELECT-E1035-2025
E1036	E1036	611	Core PPO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$27,935	$4,053	2024-10-01	BEN-ELECT-E1036-2025
E1037	E1037	501	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$34,923	$5,410	2024-10-01	BEN-ELECT-E1037-2025
E1038	E1038	805	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,327	$3,104	2024-10-01	BEN-ELECT-E1038-2025
E1039	E1039	502	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$32,656	$5,388	2024-10-01	BEN-ELECT-E1039-2025
E1040	E1040	701	Waived	Waived	Waived	None	FRS Special Risk	Employee + Family	No Coverage	2	$20,381	$2,369	2024-10-01	BEN-ELECT-E1040-2025
E1041	E1041	504	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$28,755	$3,602	2024-10-01	BEN-ELECT-E1041-2025
E1042	E1042	612	Core PPO	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$37,625	$6,432	2024-10-01	BEN-ELECT-E1042-2025
E1043	E1043	501	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$36,840	$5,637	2024-10-01	BEN-ELECT-E1043-2025
E1044	E1044	701	High Deductible + HSA	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$29,839	$3,602	2024-10-01	BEN-ELECT-E1044-2025
E1045	E1045	502	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	3	$38,219	$6,585	2024-10-01	BEN-ELECT-E1045-2025
E1046	E1046	701	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$30,551	$4,546	2024-10-01	BEN-ELECT-E1046-2025
E1047	E1047	503	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$32,881	$4,197	2024-10-01	BEN-ELECT-E1047-2025
E1048	E1048	504	Core PPO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$37,974	$6,342	2024-10-01	BEN-ELECT-E1048-2025
E1049	E1049	503	Select HMO	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$36,214	$5,480	2024-10-01	BEN-ELECT-E1049-2025
E1050	E1050	504	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$29,233	$3,691	2024-10-01	BEN-ELECT-E1050-2025
E1051	E1051	805	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$35,833	$6,302	2024-10-01	BEN-ELECT-E1051-2025
E1052	E1052	611	Select HMO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	2	$27,638	$4,016	2024-10-01	BEN-ELECT-E1052-2025
E1053	E1053	805	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$20,624	$2,546	2025-08-23	BEN-ELECT-E1053-2025
E1054	E1054	902	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$30,781	$5,166	2024-10-01	BEN-ELECT-E1054-2025
E1055	E1055	902	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$22,974	$3,223	2024-10-01	BEN-ELECT-E1055-2025
E1057	E1057	702	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$34,759	$6,175	2024-10-01	BEN-ELECT-E1057-2025
E1058	E1058	612	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$32,437	$5,115	2024-10-01	BEN-ELECT-E1058-2025
E1059	E1059	503	Waived	Waived	Waived	None	FRS Special Risk	Employee Only	No Coverage	0	$16,810	$1,946	2024-10-01	BEN-ELECT-E1059-2025
E1060	E1060	902	Core PPO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$34,434	$5,923	2024-10-01	BEN-ELECT-E1060-2025
E1061	E1061	504	—	—	—	—	—	—	No Coverage	0	$0	$0	—	—
E1062	E1062	610	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$27,233	$3,422	2024-10-01	BEN-ELECT-E1062-2025
E1063	E1063	504	Core PPO	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$25,154	$3,771	2024-10-01	BEN-ELECT-E1063-2025
E1064	E1064	503	Select HMO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$31,428	$4,782	2024-10-01	BEN-ELECT-E1064-2025
E1065	E1065	501	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$26,501	$3,335	2024-10-01	BEN-ELECT-E1065-2025
E1066	E1066	805	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Regular	Employee + Spouse	Employee + Spouse	1	$29,001	$4,955	2024-10-01	BEN-ELECT-E1066-2025
E1067	E1067	611	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Regular	Employee + Children	Employee + Children	3	$26,380	$4,028	2024-10-01	BEN-ELECT-E1067-2025
E1068	E1068	613	High Deductible + HSA	Dental Basic	Vision Standard	1x Base Salary	FRS Regular	Employee + Children	Employee + Children	3	$25,631	$3,103	2024-10-01	BEN-ELECT-E1068-2025
E1069	E1069	503	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Regular	Employee + Family	Employee + Family	2	$32,194	$5,871	2024-10-01	BEN-ELECT-E1069-2025
E1070	E1070	504	Select HMO	Dental PPO	Waived	1x Base Salary	FRS Regular	Employee Only	Employee Only	0	$22,304	$3,109	2024-10-01	BEN-ELECT-E1070-2025
E1071	E1071	613	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Regular	Employee + Children	Employee + Child	1	$25,389	$3,235	2024-10-01	BEN-ELECT-E1071-2025
E1072	E1072	504	Core PPO	Dental Basic	Vision Standard	1x Base Salary	FRS Regular	Employee + Spouse	Employee + Spouse	1	$26,658	$4,530	2024-10-01	BEN-ELECT-E1072-2025
E1074	E1074	504	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Regular	Employee Only	Employee Only	0	$19,887	$2,459	2024-10-01	BEN-ELECT-E1074-2025
E1075	E1075	613	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Regular	Employee + Spouse	Employee + Spouse	1	$27,889	$4,824	2024-10-01	BEN-ELECT-E1075-2025
E1076	E1076	702	Select HMO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	3	$42,135	$6,051	2024-10-01	BEN-ELECT-E1076-2025
E1077	E1077	902	High Deductible + HSA	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$39,066	$4,847	2024-10-01	BEN-ELECT-E1077-2025
E1078	E1078	610	Waived	Waived	Waived	None	FRS Special Risk	Employee Only	No Coverage	0	$22,030	$2,565	2025-04-12	BEN-ELECT-E1078-2025
E1079	E1079	613	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	2	$33,095	$4,823	2024-10-01	BEN-ELECT-E1079-2025
E1080	E1080	702	High Deductible + HSA	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$36,819	$4,410	2024-10-01	BEN-ELECT-E1080-2025
E1081	E1081	805	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$39,420	$6,727	2025-08-11	BEN-ELECT-E1081-2025
E1082	E1082	610	Waived	Waived	Waived	None	FRS Special Risk	Employee + Spouse	No Coverage	1	$25,875	$3,066	2024-10-01	BEN-ELECT-E1082-2025
E1083	E1083	902	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$33,805	$4,233	2024-10-01	BEN-ELECT-E1083-2025
E1084	E1084	611	Waived	Waived	Waived	None	FRS Special Risk	Employee + Family	No Coverage	3	$23,642	$2,801	2024-10-01	BEN-ELECT-E1084-2025
E1085	E1085	501	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$33,275	$4,444	2024-10-01	BEN-ELECT-E1085-2025
E1086	E1086	504	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$32,714	$4,103	2025-01-21	BEN-ELECT-E1086-2025
E1087	E1087	902	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$37,980	$6,019	2024-10-01	BEN-ELECT-E1087-2025
E1088	E1088	702	Select HMO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$29,751	$3,943	2024-10-01	BEN-ELECT-E1088-2025
E1089	E1089	613	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$29,382	$3,584	2024-10-01	BEN-ELECT-E1089-2025
E1091	E1091	503	Select HMO	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	4	$47,601	$6,829	2024-10-01	BEN-ELECT-E1091-2025
E1092	E1092	702	High Deductible + HSA	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Spouse	Employee + Spouse	1	$42,122	$5,038	2024-10-01	BEN-ELECT-E1092-2025
E1093	E1093	610	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$43,525	$6,605	2024-10-01	BEN-ELECT-E1093-2025
E1094	E1094	503	Select HMO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee Only	0	$34,339	$4,570	2024-10-01	BEN-ELECT-E1094-2025
E1095	E1095	504	High Deductible + HSA	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Family	Employee + Family	2	$41,634	$5,234	2024-10-01	BEN-ELECT-E1095-2025
E1096	E1096	503	Core PPO	Dental Basic	Vision Standard	1x Base Salary	FRS Special Risk	Employee Only	Employee + Child	1	$42,804	$6,359	2024-10-01	BEN-ELECT-E1096-2025
E1097	E1097	502	Waived	Waived	Waived	None	FRS Special Risk	Employee Only	No Coverage	0	$35,217	$4,127	2024-10-01	BEN-ELECT-E1097-2025
E1098	E1098	610	High Deductible + HSA	Dental PPO	Waived	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Children	3	$43,465	$5,315	2024-10-01	BEN-ELECT-E1098-2025
E1099	E1099	902	Core PPO	Dental PPO	Vision Standard	1x Base Salary	FRS Special Risk	Employee + Children	Employee + Child	1	$49,503	$7,314	2024-10-01	BEN-ELECT-E1099-2025

Oracle Benefits ADG_BEN_ELECTION_D effective-dated elections, priced by the plan-year rate table. A declared tier that differs from the derived tier is raised as a census exception.