Attachment to Memorandum 2005-13
| State Employee Health Insurance | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7/1/2005 TO 6/30/2006 Employee Share Rates Based on Final Premium Rates for Contributions | ||||||||||||||
| Bi-Weekly Rates Based on 26 Pay Periods | ||||||||||||||
| Medical Plans Including Rx Drug | ||||||||||||||
| Anthem | ||||||||||||||
| Blue Cross |
State BlueCare |
Health Net | Oxford Health | |||||||||||
|
State Preferred |
Out of Area |
POS | POE | POE Plus |
Char- ter POS |
Char- ter HMO |
Pass- port HMO |
POS | POE | POE-G |
Out of Area |
|||
|
Indiv- idual |
Monthly |
Pre- mium |
$568.36 | $524.18 | $433.87 | $416.85 | $410.46 | $442.06 | $416.83 | $421.59 | $423.66 | $403.20 | $371.06 | $449.19 |
|
Employee Share |
$87.93 | $26.47 | $26.47 | $ 12.41 | $ 7.41 | $26.97 | $ 12.41 | $ 7.41 | $25.84 | $ 11.59 | $ 6.59 | $ 25.84 | ||
|
Semi- Monthly |
Premium | $284.18 | $262.09 | $216.94 | $208.43 | $205.23 | $221.03 | $208.42 | $210.80 | $211.83 | $201.60 | $185.53 | $224.60 | |
|
Employee Share |
$43.97 | $13.24 | $13.24 | $6.21 | $3.71 | $13.49 | $6.21 | $3.71 | $12.92 | $5.80 | $3.30 | $12.92 | ||
|
Bi- Weekly |
Premium | $262.32 | $241.93 | $200.25 | $192.39 | $189.44 | $204.03 | $192.38 | $194.58 | $195.54 | $186.09 | $171.26 | $207.32 | |
|
Employee Share |
$40.58 | $12.22 | $12.22 | $5.73 | $3.42 | $12.45 | $5.73 | $3.42 | $11.93 | $5.35 | $3.04 | $11.93 | ||
|
Subscrib- er+1 |
Monthly | Premium | $1,250.39 | $1,153.20 | $954.51 | $917.07 | $903.02 | $972.53 | $917.03 | $927.50 | $932.05 | $887.04 | $816.33 | $988.22 |
|
Employee Share |
$297.97 | $149.19 | $149.19 | $92.17 | $75.58 | $152.01 | $92.16 | $77.63 | $145.68 | $89.15 | $68.33 | $145.68 | ||
|
Semi- Monthly |
Premium | $625.20 | $576.60 | $477.26 | $458.54 | $451.51 | $486.27 | $458.52 | $463.75 | $466.03 | $443.52 | $408.17 | $494.11 | |
|
Employee Share |
$148.99 | $74.60 | $74.60 | $46.09 | $37.79 | $76.01 | $46.08 | $38.82 | $72.84 | $44.58 | $34.17 | $72.84 | ||
|
Bi- Weekly |
Premium | $577.10 | $532.25 | $440.54 | $423.26 | $416.78 | $448.86 | $423.24 | $428.08 | $430.18 | $409.40 | $376.77 | $456.10 | |
|
Employee Share |
$137.52 | $68.86 | $68.86 | $42.54 | $34.88 | $70.16 | $42.54 | $35.83 | $67.24 | $41.15 | $31.54 | $67.24 | ||
| Family | Monthly | Premium | $1,534.57 | $1,415.29 | $1,171.45 | $1,125.50 | $1,108.24 | $1,193.56 | $1,125.44 | $1,138.29 | $1,143.88 | $1,088.64 | $1,001.86 | $1,212.81 |
|
Employee Share |
$353.87 | $176.07 | $176.07 | $130.56 | $103.95 | $179.39 | $130.55 | $106.77 | $171.93 | $126.28 | $93.97 | $171.93 | ||
|
Semi- Monthly |
Premium | $767.29 | $707.65 | $585.73 | $562.75 | $554.12 | $596.78 | $562.72 | $569.15 | $571.94 | $544.32 | $500.93 | $606.41 | |
|
Employee Share |
$176.94 | $88.04 | $88.04 | $65.28 | $51.98 | $89.70 | $65.28 | $53.39 | $85.97 | $63.14 | $46.99 | $85.97 | ||
|
Bi- Weekly |
Premium | $708.26 | $653.21 | $540.67 | $519.46 | $511.50 | $550.87 | $519.43 | $525.36 | $527.94 | $502.45 | $462.40 | $559.76 | |
|
Employee Share |
$163.32 | $81.26 | $81.26 | $60.26 | $47.98 | $82.80 | $60.25 | $49.28 | $79.35 | $58.28 | $43.37 | $79.35 | ||
| FLES | Monthly | Premium | $966.21 | $891.11 | $737.58 | $708.65 | $697.78 | $751.50 | $708.61 | $716.70 | $720.22 | $685.44 | $630.80 | $763.62 |
|
Employee Share |
$197.49 | $66.09 | $66.09 | $53.79 | $42.77 | $67.33 | $53.78 | $43.93 | $64.53 | $52.02 | $38.67 | $64.53 | ||
|
Semi- Monthly |
Premium | $483.11 | $445.56 | $368.79 | $354.33 | $348.89 | $375.75 | $354.31 | $358.35 | $360.11 | $342.72 | $315.40 | $381.81 | |
|
Employee Share |
$98.75 | $33.05 | $33.05 | $26.90 | $21.39 | $33.67 | $26.89 | $21.97 | $32.27 | $26.01 | $19.34 | $32.27 | ||
|
Bi- Weekly |
Premium | $445.94 | $411.28 | $340.42 | $327.07 | $322.05 | $346.85 | $327.05 | $330.78 | $332.41 | $316.36 | $291.14 | $352.44 | |
|
Employee Share |
$91.15 | $30.50 | $30.50 | $24.83 | $19.74 | $31.08 | $24.82 | $20.28 | $29.78 | $24.01 | $17.85 | $29.78 | ||
| State Employee Health Insurance | ||||||
|---|---|---|---|---|---|---|
| 7/1/2005 TO 6/30/2006 Employee Share Rates Based on Final Premium Rates for Contributions | ||||||
| Bi-Weekly Rates Based on 26 Pay Periods | ||||||
| Dental | ||||||
| United Dental | Aetna DMO | |||||
| Basic | Judges | PPO | ||||
|
Indiv- idual |
Monthly | Premium | $29.25 | $29.97 | $26.91 | $18.50 |
|
Employee Share |
$0.00 | $0.72 | $0.00 | $0.00 | ||
|
Semi- Monthly |
Premium | $14.63 | $14.99 | $13.46 | $9.25 | |
|
Employee Share |
$0.00 | $0.36 | $0.00 | $0.00 | ||
|
Bi- Weekly |
Premium | $13.50 | $12.42 | $8.54 | ||
|
Employee Share |
$0.00 | $0.00 | $0.00 | |||
|
Subscrib- er+1 |
Monthly | Premium | $89.22 | $91.05 | $82.07 | $40.70 |
|
Employee hare |
$17.99 | $19.82 | $16.55 | $6.66 | ||
|
Semi- Monthly |
Premium | $44.61 | $45.53 | $41.04 | $20.35 | |
|
Employee Share |
$8.99 | $9.91 | $8.27 | $3.33 | ||
|
Bi- Weekly |
Premium | $41.18 | $37.88 | $18.78 | ||
|
Employee Share |
$8.30 | $7.64 | $3.07 | |||
| Family | Monthly | Premium | $89.22 | $91.05 | $82.07 | $49.95 |
|
Employee Share |
$17.99 | $19.82 | $16.55 | $9.43 | ||
|
Semi- Monthly |
Premium | $44.61 | $45.53 | $41.04 | $24.98 | |
|
Employee Share |
$8.99 | $9.91 | $8.27 | $4.72 | ||
|
Bi- Weekly |
Premium | $41.18 | $37.88 | $23.05 | ||
|
Employee Share |
$8.30 | $7.64 | $4.35 | |||
| FLES | Monthly | Premium | $59.97 | $61.08 | $55.16 | $31.45 |
|
Employee Share |
$9.22 | $10.33 | $8.47 | $3.88 | ||
|
Semi- Monthly |
Premium | $29.98 | $30.54 | $27.58 | $15.73 | |
|
Employee Share |
$4.60 | $5.16 | $4.24 | $1.94 | ||
|
Bi- Weekly |
Premium | $27.68 | $25.46 | $14.51 | ||
|
Employee Share |
$4.25 | $3.91 | $1.79 | |||
Return to Index of 2005 Comptroller's Memoranda
Return to Index of Comptroller's Memoranda
Return to Comptroller's Home Page