HEALTH INSURANCE RATES 2017

FULL-TIME STATUS = 30+ HOURS/WK

PART-TIME STATUS = 16 - 29 HOURS/WK

MONTHLY PREMIUM RATES $5,000

BASIC HEALTH, RX, DENTAL AND VISION Basic Plan
All health plans have the same Prescription benefits
EE $ 790.45 and one vision exam per year per member.
EE + CHILD(REN) $ 1,512.85
EE + SPOUSE $ 1,662.65 Basic and Wellness Health plans have $1,000 max Low Dental.
FAMILY OR EE + CHILD(REN) + SPOUSE $ 2,371.49 Premium Plan has the $1,500 max High Dental.

EE Cost Wellness EE Cost Premium EE Cost

EMPLOYEE'S COST PER MONTH Basic Plan Sharing Plan Sharing Plan Sharing
$5000 Ded. % $2000 Ded. % $1000 Ded. %
EMPLOYEE
FT Employee $ 55.33 7.0% $ 110.66 14.0% $ 158.09 20%
PT Employee (Hosp. Pays 65% of cost) $ 276.66 35.0% $ 296.42 37.5% $ 316.18 40.0%
WE Nurse (Full Rate) $ 790.45 100% $ 845.78 107% $ 893.21 113%
COBRA 2% Max. Up Charge $ 806.26 102% $ 861.59 109% $ 909.02 115%
EE + CHILD(ren)
FT Employee $ 105.90 7.0% $ 211.80 14.0% $ 302.57 20%
PT Employee (Hosp. Pays 65% of cost) $ 529.50 35.0% $ 567.32 37.5% $ 605.14 40%
WE Nurse (Full Rate) $ 1,512.85 100% $ 1,618.75 107% $ 1,709.52 113%
COBRA 2% Max. Up Charge $ 1,543.11 102% $ 1,649.01 109% $ 1,739.78 115%
EE + SPOUSE
FT Employee $ 116.39 7.0% $ 232.77 14.0% $ 332.53 20%
PT Employee $ 581.93 35.0% $ 623.49 37.5% $ 665.06 40%
WE Nurse (Full Rate) $ 1,662.65 100% $ 1,779.04 107% $ 1,878.79 113%
COBRA 2% Max. Up Charge $ 1,695.90 102% $ 1,812.29 109% $ 1,912.05 115%
FAMILY or EE + Spouse + child(ren)
FT Employee $ 166.00 7.0% $ 332.01 14.0% $ 474.30 20%
PT Employee $ 830.02 35.0% $ 889.31 37.5% $ 948.60 40%
WE Nurse (Full Rate) $ 2,371.49 100% $ 2,537.49 107% $ 2,679.78 113%
COBRA 2% Max. Up Charge $ 2,418.92 102% $ 2,584.92 109% $ 2,727.21 115%
2 PERSON COVERAGE (Both Spouses Employed)
2 FT Employees (discount of 10%) $ 104.75 $ 209.49 $ 299.28
1 FT/1 PT Employees (discount of 7.5%) $ 107.66 $ 215.31 $ 307.59
FAMILY COVERAGE (Both Spouses Employed)
2 FT Employees (discount of 10%) $ 149.40 $ 298.81 $ 426.87
1 FT/1 PT Employees (discount of 7.5%) $ 153.55 $ 307.11 $ 438.73