EXHIBIT B_2015AGENDAITEM_2016HEALTHRATES.DOCX

Maricopa County — Formal (2015-01-07)

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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)