Health Insurance

Below is an outline of Door County's health insurance and premiums. For more information, please take a look at our 2026 Benefits Guide.

Medical

Door County uses a self-funded health plan. Door County assumes all the financial risk and pays for medical claims out of packet. Door County uses Health Payment Systems (HPS) for all in-network services. Auxiant is Door County's Third Party Administrator (TPA) for our health plan.
  • Door County pays 85% of medical insurance premiums. Employees pay 15% of medical insurance premiums for full-time employees.
  • Premiums are pro-rated for eligible part-time employees.
  • Door County also offers a wellness program discount. If employees participate and complete the wellness program, then employees will get a 6% deduction on their medical premiums for the following year.
  • Here is a list of monthly medical premiums:

2026 Health Insurance Premiums (Full-time without Wellness Program)

Coverage Employee Pays/Month County Pays/Month
Single $178.33/month $1010.52/month
Family $445.62/month $2525.17/month

2026 Health Insurance Premiums (Full-time with Wellness Program)

Coverage Employee Pays/Month County Pays/Month
Single $107.00/month $1081.85/month
Family $267.37/month $2703.42/month

2026 Health Insurance Premiums (Part-time 30-39 hours/week without Wellness Program)

Coverage Employee Pays/Month County Pays/Month
Single $356.66/month $832.20/month
Family $891.24/month $2079.55/month

2026 Health Insurance Premiums (Part-time 30-39 hours/week with Wellness Program)

Coverage Employee Pays/Month County Pays/Month
Single $285.32/month $903.53/month
Family $712.99/month $2257.80/month

2026 Health Insurance Premiums (Part-time 24-29 hours/week without Wellness Program)

Coverage Employee Pays/Month County Pays/Month
Single $534.98/month $653.87/month
Family $1336.86/month $1633.93/month

2026 Health Insurance Premiums (Part-time 24-29 hours/week with Wellness Program)

Coverage Employee Pays/Month County Pays/Month
Single $463.65/month $725.20/month
Family $1158.61/month $1812.18/month

Dental

Delta Dental is Door County's provider for dental insurance.
  • Door County pays for 100% of dental insurance premiums for full-time employees.
  • Premiums are pro-rated for part-time employees.
  • Here is a list of monthly dental premiums:

2026 Dental Insurance Premiums (Full-time)

Coverage Employee Pays/Month County Pays/Month
Single $0/month $42.58/month
Family $0/month $106.51/month

2026 Dental Insurance Premiums (Part-time 30-39 hours/week)

Coverage Employee Pays/Month County Pays/Month
Single $12.77/month $29.81/month
Family $31.95/month $74.56/month

2026 Dental Insurance Premiums (Part-time 24-29 hours/week)

Coverage Employee Pays/Month County Pays/Month
Single $19.16/month $23.42/month
Family $47.93/month $58.58/month

Vision

Superior Vision is Door County's provider for vision insurance.
  • Employees pay for 100% of vision premiums.
  • Here is a list of monthly vision premiums:

2026 Vision Insurance Premiums (All employees)

Coverage Employee Pays/Month County Pays/Month
Employee Only $8.20/month $0/month
Employee + Spouse $16.94/month $0/month
Employee + Children $19.20/month $0/month
Employee + Family $29.66/month $0/month

Rx Benefits

SmithRx is Door County's provider for Rx Benefits.
  • The maximum out of packet for an individual is $5600 and the maximum out of pocket for a family is $11200.
  • The Door County Government Employee Pharmacy Plan is as follows:
Retail Pharmacy Coverage (1-34 day supply) In Network Pharmacy
Generic (Tier 1)
 $5.00
Preferred Brand (Tier 2) $30.00
Non-Preferred Brand (Tier 3) $60.00
Preferred Specialty (Tier 4) 30% Coinsurance
Mail Order Extended Supply (90 day supply) In Network Pharmacy
Generic (Tier 1) $10.00
Preferred Brand (Tier 2) $60.00
Non-Preferred Brand (Tier 3) $120.00
Preferred Specialty (Tier 4) n/a