State of Connecticut Office of the State Comptroller MEMORANDUM NO. 96-19


	STATE OF CONNECTICUT
NANCY WYMAN COMPTROLLER	OFFICE OF THE STATE COMPTROLLER 55 ELM STREET HARTFORD, CONNECTICUT 06106-1775	MARK OJAKIAN DEPUTY COMPTROLLER

MEMORANDUM NO. 96-19

April 10, 1996

TO THE HEADS OF ALL STATE AGENCIES

ATTENTION:	Personnel and Payroll Officers
SUBJECT:	1996-97 Health Insurance Rates

AUTHORIZATION: In accordance with the provisions of Section 5-259 of the Connecticut General Statutes, the following premium changes have been approved for state-sponsored health care insurance plans.

PAYROLLS ON WHICH EFFECTIVE: The changes announced herein will be effective on the following payroll periods:

Bi-Weekly:	May 24, 1996 - June 6, 1996 Payable June 21, 1996

Semi-Monthly:	June 1-15, 1996 Payable June 15, 1996
Monthly:	June 30, 1996

CHARTS: Attached are revised rates for charts "A" through "H". Rate changes will be made centrally. Paired D/OEs for both pre and post-tax deductions are provided on all charts.

NOTICE TO EMPLOYEES: The 1996 Employees Health Care Planner, which is being mailed at the end of April, includes a schedule of all applicable bi-weekly payroll deductions. Employees on other than a bi-weekly pay plan should be notified of the relevant rate changes.

QUESTIONS: Personnel or payroll staff who may have questions concerning payroll related procedures should call the Comptroller s Central Payroll Division at 566-5428. Questions regarding other health insurance issues should be directed to the Comptroller s Retirement and Benefit Services Division at 566-1742.

PLEASE DO NOT REFER EMPLOYEES DIRECTLY TO THESE NUMBERS.

Nancy Wyman
State Comptroller

Attachments: Rate Charts A-H

CORRECTED 6/11/96
HEALTH INSURANCE RATES
MSA TABLES

Bi-Weekly Period End Date 6/6/96 Payable 6/21/96
Semi-Monthly Period End Date 6/15/96 Payable 6/15/96

	Table Number	Employee Deduction	Table Number	State Portion
Chart A Blue Cross (Paired D/OEs Pre-tax 7J/7H, Post-Tax 7G/7H) (Sort Code 0001) POS Plan (State Preferred)
26 Pay Bi-Weekly
Individual	010	0.00	011	89.54
Family	014	42.98	015	189.82
FLES	018	16.12	019	127.14

24 Pay Semi-Monthly

Individual	216	0.00	217	97.00
Family	220	46.56	221	205.64
FLES	224	17.46	225	137.74
Chart B BC Dental (Paired D/OEs Pre-tax 5P/54, Post-Tax 42/54) (Sort Code 00159) With Riders A and C
26 Pay Bi-Weekly
Individual	176	0.00	177	8.43
Family	178	5.19	179	20.55
FLES	180	2.66	181	14.65

24 Pay Semi-Monthly

Individual	382	0.00	383	9.13
Family	384	5.63	385	22.26
FLES	386	2.89	387	15.87
Chart C BC Dental (Paired D/OEs Pre-tax 5P/54, Post-Tax 42/54) (Sort Code 00159) With Riders A, B, and C (Payroll CTBC only)
26 Pay Bi-Weekly
Individual	042	2.24	043	8.43
Family	044	9.39	045	20.55
FLES	174	4.62	175	14.65

24 Pay Semi-Monthly

Individual	248	2.43	246	9.13
Family	247	10.17	251	22.26
FLES	380	5.00	381	15.87
Chart D Blue Cross (Paired D/OEs Pre-tax 6R/6P, Post-Tax 6N/6P) (Sort Code 00077) POE Plan (State Premier)
26 Pay Bi-Weekly
Individual	046	0.00	047	85.51
Subscriber+One	048	0.00	049	188.12
Family	050	41.05	051	189.82
FLES	052	18.22	053	127.14

24 Pay Semi-Monthly

Individual	252	0.00	253	92.64
Subscriber+One	254	0.00	255	203.80
Family	256	44.47	257	205.64
FLES	258	19.73	259	137.74
Chart E Blue Cross Advantage (Paired D/OEs Pre-tax 6G/6E, Post-Tax 6D/6E) (Sort Code 00004) (Replaces CHCP)
26 Pay Bi-Weekly
Individual	094	0.00	095	80.87
Subscriber+ 1	096	0.00	097	177.92
Family	098	28.53	099	189.82
FLES	100	10.34	101	127.14

24 Pay Semi-Monthly

Individual	300	0.00	301	87.61
Subscriber+ 1	302	0.00	303	192.74
Family	304	30.91	305	205.64
FLES	306	11.20	307	137.74
Chart F KFHP (Paired D/OEs Pre-tax 6L/6J, Post-Tax 6I/6J) (Sort Code 00006) (Kaiser Foundation Health Plan)
26 Pay Bi-Weekly
Individual	126	0.00	127	82.74
Subscriber+ one	128	0.00	129	183.85
Family	130	0.00	131	188.21
FLES	132	0.00	133	105.47

24 Pay Semi-Monthly

Individual	332	0.00	333	89.64
Subscriber+ one	334	0.00	335	199.17
Family	336	0.00	337	203.89
FLES	338	0.00	339	114.25
Chart G M.D.H.P. (Paired D/OEs Pre-tax 6W/6U, Post-Tax) (Sort Code 00259) (M.D Health Plan)
26 Pay Bi-Weekly
Individual	116	0.00	117	85.47
Subscriber+ 1	118	0.00	119	188.04
Family	120	40.96	121	189.82
FLES	122	18.17	123	127.14

24 Pay Semi-Monthly

Individual	260	0.00	261	92.60
Subscriber+ 1	262	0.00	263	203.71
Family	264	44.37	265	205.64
FLES	272	19.670	273	137.74
Chart H Cigna Dental (Paired D/OEs Pre-tax 5R/5K, Post-Tax 5J/5K) (Sort Code 00185)
26 Pay Bi-Weekly
Individual	140	0.00	141	6.79
Subscriber+ one	142	1.81	143	11.03
Family	144	3.49	145	14.95
FLES	146	1.46	147	10.19

24 Pay Semi-Monthly

Individual	276	0.00	277	7.36
Subscriber+ one	278	1.96	279	11.95
Family	280	3.79	281	16.19
FLES	282	1.58	283	11.04

Paired D/OEs = Paired deductions employee/state share required to allow state contribution to the cost of coverage

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