Employee Rates - Currently Updating
Medical
| Total premium rates |
Employer contribution rates |
Employee contribution rates |
| |
2010 |
2010 |
|
2010 |
2010 |
|
2010 |
2010 |
| Active |
Buy Up |
Core |
Active |
Buy Up |
Core |
Active |
Buy Up |
Core |
| Employee Only |
$511 |
$450 |
Employee Only |
$395 |
$395 |
Employee Only |
$116 |
$55 |
| Employee + Spouse |
$918 |
$811 |
Employee + Spouse |
$574 |
$574 |
Employee + Spouse |
$344 |
$237 |
| Employee + Child(ren) |
$809 |
$714 |
Employee + Child(ren) |
$526 |
$526 |
Employee + Child(ren) |
$283 |
$188 |
| Employee + Family |
$1,215 |
$1,074 |
Employee + Family |
$705 |
$705 |
Employee + Family |
$510 |
$369 |
| |
2010 |
2010 |
|
2010 |
2010 |
|
2010 |
2010 |
| Retirees |
Buy Up |
Core |
Retirees |
Buy Up |
Core |
Retiress |
Buy Up |
Core |
| Non-Medicare |
|
|
Non-Medicare |
|
|
Non-Medicare |
|
|
| Retiree Only |
$781 |
$693 |
Retiree Only |
$600 |
$600 |
Retiree Only |
$181 |
$93 |
| Retiree + Spouse |
$1,384 |
$1,226 |
Retiree + Spouse |
$988 |
$988 |
Retiree + Spouse |
$396 |
$238 |
| Retiree + Child(ren) |
$1,085 |
$963 |
Retiree + Child(ren) |
$739 |
$739 |
Retiree + Child(ren) |
$346 |
$224 |
| Retiree + Family |
$1,685 |
$1,484 |
Retiree + Family |
$1,126 |
$1,126 |
Retiree + Family |
$559 |
$368 |
| |
|
|
|
|
|
|
|
|
| Split Medicare |
|
|
Split Medicare |
|
|
Split Medicare |
|
|
| Retiree + Spouse1 |
$1,019 |
$903 |
Retiree + Spouse1 |
$743 |
$743 |
Retiree + Spouse1 |
$276 |
$160 |
| Retiree + Spouse2 |
$1,105 |
$980 |
Retiree + Spouse2 |
$809 |
$809 |
Retiree + Spouse2 |
$296 |
$171 |
| Retiree + Family1 |
$1,324 |
$1,173 |
Retiree + Family1 |
$883 |
$883 |
Retiree + Family1 |
$441 |
$290 |
| Retiree + Family2 |
$1,409 |
$1,249 |
Retiree + Family2 |
$947 |
$947 |
Retiree + Family2 |
$462 |
$302 |
| |
|
|
|
|
|
|
|
|
| Medicare |
|
|
Medicare |
|
|
Medicare |
|
|
| Retiree Only |
$418 |
$371 |
Retiree Only |
$355 |
$355 |
Retiree Only |
$63 |
$16 |
| Retiree + Spouse |
$743 |
$657 |
Retiree + Spouse |
$564 |
$564 |
Retiree + Spouse |
$179 |
$93 |
| Retiree + Child(ren) |
$721 |
$638 |
Retiree + Child(ren) |
$492 |
$492 |
Retiree + Child(ren) |
$229 |
$146 |
| Retiree + Family |
$1,047 |
$928 |
Retiree + Family |
$703 |
$703 |
Retiree + Family |
$344 |
$225 |
| |
|
|
|
|
|
|
|
|
| Return to work |
|
|
Return to work |
|
|
Return to work |
|
|
| Retiree Only |
$511 |
$450 |
Retiree Only |
$395 |
$395 |
Retiree Only |
$116 |
$55 |
| Retiree + Spouse |
$918 |
$811 |
Retiree + Spouse |
$574 |
$574 |
Retiree + Spouse |
$344 |
$237 |
| Retiree + Child(ren) |
$809 |
$714 |
Retiree + Child(ren) |
$526 |
$526 |
Retiree + Child(ren) |
$283 |
$188 |
| Retiree + Family |
$1,215 |
$1,074 |
Retiree + Family |
$705 |
$705 |
Retiree + Family |
$510 |
$369 |
1 Retiree has Medicare, spouse does not
2 Spouse has Medicare, retiree does not
All estimates are based upon the information available at a point in time and subject to unforeseen and random events; therefore, any projection must be interpreted as having a likely range of variability from the estimate
Dental & Vision
| Gold Plan Dental Coverage |
Total Montly Premium |
| employee/only dental gold |
$22.30 |
| employee/spouse dental gold |
$46.70 |
| employee/children dental gold |
$51.06 |
| employee/family dental gold |
$72.48 |
| Silver Plan Dental Coverage |
Total Montly Premium |
| employee/only dental silver |
$14.08 |
| employee/spouse dental silver |
$28.18 |
| employee/children dental silver |
$32.84 |
| employee/family dental silver |
$46.92 |
| Vision Coverage |
Total Montly Premium |
| employee/only |
$7.86 |
| employee/spouse |
$16.84 |
| employee/children |
$12.70 |
| employee/family |
$23.12 |
EMPLOYEES PAY 100% OF THESE PREMIUMS
Welfare Products
| Coverage |
Rate |
Rate Basis |
Who Pays |
| Active Basic Life Insurance Rate |
$0.16 |
per $1,000 of benefit |
Employer |
| Active Basic AD&D Insurance |
$0.02 |
per $1,000 of benefit |
Employer |
| Retiree Basic Life Insurance |
$0.990 |
per $1,000 of benefit |
Employer |
| Retiree Basic AD&D Insurance |
$0.02 |
per $1,000 of benefit |
Employer |
| Active Voluntary Life Insurance |
| Age band |
|
|
|
| Under 30 |
$0.07 |
per $1,000 of benefit |
Employee Pays All |
| 30-34 |
$0.08 |
per $1,000 of benefit |
Employee Pays All |
| 35-39 |
$0.09 |
per $1,000 of benefit |
Employee Pays All |
| 40-44 |
$0.14 |
per $1,000 of benefit |
Employee Pays All |
| 45-49 |
$0.24 |
per $1,000 of benefit |
Employee Pays All |
| 50-54 |
$0.43 |
per $1,000 of benefit |
Employee Pays All |
| 55-59 |
$0.64 |
per $1,000 of benefit |
Employee Pays All |
| 60-64 |
$1.000 |
per $1,000 of benefit |
Employee Pays All |
| 65-69 |
$1.78 |
per $1,000 of benefit |
Employee Pays All |
| 70-74 |
$2.88 |
per $1,000 of benefit |
Employee Pays All |
| 75-79 |
$4.54 |
per $1,000 of benefit |
Employee Pays All |
| 80+ |
$7.07 |
per $1,000 of benefit |
Employee Pays All |
| Spouse Voluntary Life Insurance |
| Age band |
|
|
|
| Under 30 |
$0.07 |
per $1,000 of benefit |
Employee Pays All |
| 30-34 |
$0.08 |
per $1,000 of benefit |
Employee Pays All |
| 35-39 |
$0.09 |
per $1,000 of benefit |
Employee Pays All |
| 40-44 |
$0.14 |
per $1,000 of benefit |
Employee Pays All |
| 45-49 |
$0.24 |
per $1,000 of benefit |
Employee Pays All |
| 50-54 |
$0.43 |
per $1,000 of benefit |
Employee Pays All |
| 55-59 |
$0.64 |
per $1,000 of benefit |
Employee Pays All |
| 60-64 |
$1.000 |
per $1,000 of benefit |
Employee Pays All |
| 65-69 |
$1.78 |
per $1,000 of benefit |
Employee Pays All |
| 70-74 |
$2.88 |
per $1,000 of benefit |
Employee Pays All |
| 75-79 |
$4.54 |
per $1,000 of benefit |
Employee Pays All |
| 80+ |
$7.07 |
per $1,000 of benefit |
Employee Pays All |
| Child Voluntary Life Insurance |
| |
$0.200 |
per $1,000 of benefit |
Employee Pays All |
| Active optional AD&D |
| Employee only rate |
$0.02 |
per $1,000 of benefit |
Employee Pays All |
| Family Rate |
$0.04 |
per $1,000 of benefit |
Employee Pays All |
| Long Term Disability |
| Age band |
Rate |
|
|
| Under 25 |
$0.20 |
per $100 of monthly covered salary |
Employee Pays All |
| 25-29 |
$0.20 |
per $100 of monthly covered salary |
Employee Pays All |
| 30-34 |
$0.24 |
per $100 of monthly covered salary |
Employee Pays All |
| 35-39 |
$0.30 |
per $100 of monthly covered salary |
Employee Pays All |
| 40-44 |
$0.42 |
per $100 of monthly covered salary |
Employee Pays All |
| 45-49 |
$0.63 |
per $100 of monthly covered salary |
Employee Pays All |
| 50-54 |
$0.94 |
per $100 of monthly covered salary |
Employee Pays All |
| 55-59 |
$1.17 |
per $100 of monthly covered salary |
Employee Pays All |
| 60-64 |
$1.19 |
per $100 of monthly covered salary |
Employee Pays All |
| 65-69 |
$1.27 |
per $100 of monthly covered salary |
Employee Pays All |
| 70-74 |
$1.59 |
per $100 of monthly covered salary |
Employee Pays All |
| 75-79 |
$2.27 |
per $100 of monthly covered salary |
Employee Pays All |
| Max Monthly covered salary is |
$16,666.67 |
Max Annual Salary is |
$200,000 |
| Short Term Disability |
| All Age Bands |
$0.93 |
per $10 of covered weekly benefit |
Employee Pays All |