2015 AGENDA ITEM EXHIBIT B HEALTH RATES 2_21_2014_VER3.DOCX
Extracted text (via pymupdf_layout)
1297 characters
Exhibit B Part –Time Employee Benefits – Plan Year 2015 Premium Rates FY 2014-15 Combined Medical, Pharmacy, Behavioral Health Part-Time Active Employees Monthly Monthly Monthly Employee Monthly Total Employer Employee Premium Less Plan Tier Premium Premium Premium all Incentives * Employee 572.16 246.74 325.42 265.42 Health Maintenance Employee + Spouse 1,094.36 477.06 617.30 557.30 Organization Employee + Child(ren) 903.72 394.36 509.36 449.36 (HMO) Employee + Family 1,429.48 618.54 810.94 750.94 Employee 593.28 246.74 346.54 286.54 Preferred Provider Employee + Spouse 1159.60 477.06 682.54 622.54 Organization Employee + Child(ren) 962.66 394.36 568.30 508.30 (PPO) Employee + Family 1,522.98 618.54 904.44 844.44 Employee 516.80 228.40 288.40 228.40 High Deduct- ible Health Employee + Spouse 998.14 461.66 536.48 476.48 Plan w/ HSA Employee + Child(ren) 841.64 386.72 454.92 394.92 (HDHP) Employee + Family 1,322.44 618.54 703.90 643.90 FY 2014-15 Premium Reduction Incentives Offered * Part Time Active Employees Monthly Monthly Monthly Total Employer Employee Plan Tier Premium Premium Premium Non-Tobacco User (20.00) 0.00 (20.00) Biometrics Screening (20.00) 0.00 (20.00) Medical Plans Health Risk Assessment (20.00) 0.00 (20.00) * Subject to separate Board of Supervisors approval