EXHIBIT B_2015AGENDAITEM_2016HEALTHRATES.DOCX
Extracted text (via pymupdf_layout)
2100 characters
Employee Benefits – Plan Year 2016 Premium Rates – Exhibit B FY 2015-16 Combined Medical, Pharmacy, Behavioral Health Full-time Active Employees Monthly Monthly Monthly Employee Monthly Total Employer Employee Premium Less Plan Tier Premium Premium Premium all Incentives * Employee 616.18 535.90 80.28 20.28 Health Maintenance Employee + Spouse 1,185.60 1,036.14 149.46 89.46 Organization Employee + Child(ren) 977.14 856.54 120.60 60.60 (HMO) Employee + Family 1,548.96 1,343.46 205.50 145.50 Employee 638.90 535.90 103.00 43.00 Preferred Provider Employee + Spouse 1,255.42 1,036.14 219.28 159.28 Organization Employee + Child(ren) 1,040.16 856.54 183.62 123.62 (PPO) Employee + Family 1,648.96 1,343.46 305.50 245.50 Employee 601.36 535.90 65.46 5.46 High Deduct- ible Health Employee + Spouse 1,121.52 1,036.14 85.38 25.38 Plan w/ HSA Employee + Child(ren) 933.02 856.54 76.48 16.48 (HDHP) Employee + Family 1,456.28 1,343.46 112.82 52.82 * Subject to separate Board Approval Part-Time Active Employees Monthly Monthly Monthly Employee Monthly Total Employer Employee Premium Less Plan Tier Premium Premium Premium all Incentives * Employee 616.18 267.96 348.22 288.22 Health Maintenance Employee + Spouse 1,185.60 518.08 667.52 607.52 Organization Employee + Child(ren) 977.14 428.28 548.86 488.86 (HMO) Employee + Family 1,548.96 671.74 877.22 817.22 Employee 638.90 267.96 370.94 310.94 Preferred Provider Employee + Spouse 1,255.42 518.08 737.34 677.34 Organization Employee + Child(ren) 1,040.16 428.28 611.88 551.88 (PPO) Employee + Family 1,648.96 671.72 977.24 917.24 Employee 601.36 267.96 333.40 273.40 High Deduct- ible Health Employee + Spouse 1,121.52 518.08 603.44 543.44 Plan w/ HSA Employee + Child(ren) 933.02 428.28 504.74 444.74 (HDHP) Employee + Family 1,456.28 671.74 784.54 724.54 FY 2015-16 Premium Reduction Incentives Offered * Full-time Active Employees and Part Time Active Employees Monthly Monthly Monthly Total Employer Employee Plan Tier Premium Premium Premium Non-Tobacco User (20.00) 0.00 (20.00) Medical Plans Biometrics/Health Assessment (40.00) 0.00 (40.00)