STATE EMPLOYEES
RETIREMENT COMMISSION
COMPTROLLER'S SEAL STATE OF CONNECTICUT 55 ELM STREET
HARTFORD, CONNECTICUT
06106-1775
TELEPHONE: (860) 702-3480
TELEFAX:(860) 702-3489
MEDICAL EXAMINING BOARD
for DISABILITY RETIREMENT
HEALTH CARE COST
CONTAINMENT COMMITTEE
STATE OF CONNECTICUT
RETIREMENT AND BENEFIT SERVICES DIVISION
OFFICE OF THE STATE COMPTROLLER

COMPTROLLER'S MEMORANDUM NO. 2000- 26

May 10, 2000

ATTENTION: Agency Heads, Payroll, & Personnel Officers - Higher Education & County Sheriffs
SUBJECT: 2000 - 2001 Health Insurance Rates for Higher Education Part-Time Professional Employees and Special Deputy Sheriffs

AUTHORIZATION: In accordance with the provisions of Section 5-259(l) and 5-259c of the Connecticut General Statutes and the SEBAC V Agreement, the following premiums have been approved for state-sponsored health care insurance plans for Higher Education Part-Time Professional Employees and Special Deputy Sheriffs, for coverage effective July 1, 2000.

PAYROLL EFFECTIVE DATES: The bi-weekly health insurance rates for the period July 1, 2000 - June 30, 2001 are based on 26 pay periods. The annual premium for all the medical and dental plans is unchanged. However, because the annual premium will be paid over 26 pay periods, instead of the 27 periods during the 1999 - 2000 benefit year, the bi-weekly deduction will increase slightly. The changes announced herein will be effective on the following payroll periods:

Bi-Weekly: June 2 - June 15, 2000 Payable June 30, 2000

MEDICAL PLANS: There are no changes in the medical plan offerings for the period July 1, 2000 - June 30, 2001.

DENTAL PLANS: There are no benefit changes in the available plans. The patient charge for some CIGNA Dental Care Plan services increased slightly. Please refer employees with questions to CIGNA.

CHARTS: Attached are new and revised rates and charts "AA" through "MM". Charts are included only for those plans that apply to employees paying 100% of the premium. Paired D/OEs for both pre and post-tax deductions are provided on all charts.

NOTICE TO EMPLOYEES: The Employees Health Care Planner has been mailed to all employees who are enrolled in health insurance through payroll. Only the regular employee-share deduction amount appears on the Planner. Therefore, please inform those employees who are eligible to purchase coverage under the above statutes of the rates in this Memorandum.

QUESTIONS: Personnel or payroll staff who may have questions concerning payroll related procedures should call the Comptroller's Payroll Services Division at (860) 702-3463. Questions regarding other health insurance issues should be directed to the Comptroller's Retirement and Benefit Services Division at (860) 702-3535.

PLEASE DO NOT REFER EMPLOYEES DIRECTLY TO THESE NUMBERS.

Very truly yours,

Nancy Wyman
State Comptroller

NW/SW/WM

Attachment: Rate Charts AA-MM

MSA TABLES 100% EMPLOYEE SHARE
Bi-Weekly Rates
  SORT CODE TABLE NUMBER EMPLOYEE
DEDUCTION
CHART AA Blue Cross Preferred POS 00001 D/OEs= PRE-TAX 7K, POST-TAX 7I
INDIVIDUAL   561 157.31
SUB+1   581 346.08
FAMILY   562 424.73
       
CHART BB BlueCare Point of Enrollment 00079 D/OEs= PRE-TAX 6S, POST-TAX 6Q
INDIVIDUAL   590 104.93
SUB+1   591 230.83
FAMILY   592 283.29
       
CHART CC BlueCare Point of Service 00077 D/OEs= PRE-TAX 7V, POST-TAX 7T
INDIVIDUAL   572 110.57
SUB+1   573 243.25
FAMILY   574 298.54
       
CHART DD ConnectiCare 00006 D/OEs= PRE-TAX 6M, POST-TAX 6K
INDIVIDUAL   569 87.05
SUB+1   570 191.51
FAMILY   571 235.04
       
CHART EE PHS Charter HMO 00259 D/OEs= PRE-TAX 6X, POST-TAX 6V
INDIVIDUAL   593 99.43
SUB+1   594 218.76
FAMILY   595 268.47
       
CHART FF Blue Cross Dental A&C 00159 D/OEs= PRE-TAX 5X, POST-TAX 49
INDIVIDUAL   598 10.38
FAMILY   599 31.72
       
CHART GG CIGNA Dental 00185 D/OEs= PRE-TAX 5Y, POST-TAX 52
INDIVIDUAL   734 7.08
SUB+1   735 15.58
FAMILY   736 19.12
       
CHART HH Blue Cross Out of Area 00001 D/OEs= PRE-TAX 7Q, POST-TAX 7N
INDIVIDUAL   249 153.45
SUB+1   582 337.58
FAMILY   250 414.31
     
CHART II BlueCare POE Plus 00078 D/OEs= PRE-TAX 5D, POST-TAX 5E
INDIVIDUAL   300 100.20
SUB+1   301 220.44
FAMILY   302 270.54
       
CHART JJ PHS Charter POS 00261 D/OEs= PRE-TAX 5M, POST-TAX 5N
INDIVIDUAL   362 102.29
SUB+1   363 225.05
FAMILY   364 276.18
       
CHART KK PHS Passport HMO 00260 D/OEs= PRE-TAX 5U, POST-TAX 5V
INDIVIDUAL   413 97.44
SUB+1   414 214.37
FAMILY   415 263.08
       
CHART LL MedSpan POS 00003 D/OEs= PRE-TAX 65, POST-TAX 70
INDIVIDUAL   478 104.31
SUB+1   479 229.50
FAMILY   480 281.65
       
CHART MM MedSpan POE 00004 D/OEs= PRE-TAX 6G, POST-TAX 6H
INDIVIDUAL   481 93.84
SUB+1   482 206.46
FAMILY   483 253.38

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