| 
2007
Group Benefit Plan Costs Medical Plan Options
Blue Cross Blue
Shield of Louisiana HEALTH
PLAN PREMIUMS FOR 2007:
1
Retiree has Medicare, spouse does
not
2
Spouse has Medicare, retiree does
not
STARMOUNT
DENTAL-
GOLD:
Monthly
Premium Rates
Employee
Only $22.30
Employee & Spouse $46.70
Employee & Child(ren)
$51.06
Employee & Family $72.48
SILVER:
Monthly
Premium Rates
Employee
Only $14.08
Employee & Spouse $28.18
Employee & Child(ren)
$32.84
Employee & Family $46.92
STARMOUNT
VISION PLAN
Automatic
Selection or Optional Selection
Active
& Retiree
| Vision plan for the East Baton Rouge Parish
School Board |
|
|
|
|
|
|
Total Monthly Premium |
|
| Employee Only |
|
$8.74 |
|
| Employee &
Spouse |
|
$18.72 |
|
| Employee &
Children |
|
$14.11 |
|
| Employee &
Family |
|
$25.69 |
|
FLEXIBLE
SPENDING ACCOUNTS
|
|
Employee Bi-Weekly
Costs (26) |
Employee Semi-Monthly
Costs (20) |
Employee Monthly Cost |
Employer Monthly |
| Medical FSA |
$2.50 |
$1.15 |
$1.50 |
$2.50 |
0.00 |
| Dependent FSA |
$2.50 |
$1.15 |
$1.50 |
$2.50 |
$0.00 |
| Medical and Dependent FSA |
$2.50 |
$1.15 |
$1.50 |
$2.50 |
$0.00 |
|
Standard
LTD
|
|
Members
|
Age
|
|
Rate: Percent of earnings
|
X
|
Volume
|
=
|
Monthly Premium
|
|
All Eligible
|
To Be
|
< 29
|
|
0.198
|
|
To Be
|
|
To Be
|
|
|
Determined
|
30-34
|
|
0.235
|
|
Determined
|
|
Determined
|
|
|
|
35-39
|
|
0.295
|
|
|
|
|
|
|
|
40-44
|
|
0.423
|
|
|
|
|
|
|
|
45-49
|
|
0.627
|
|
|
|
|
|
|
|
50-54
|
|
0.944
|
|
|
|
|
|
|
|
55-59
|
|
1.171
|
|
|
|
|
|
|
|
60-64
|
|
1.189
|
|
|
|
|
|
|
|
65-69
|
|
1.272
|
|
|
|
|
|
|
|
70-74
|
|
1.585
|
|
|
|
|
|
|
|
75 +
|
|
2.273
|
|
|
|
|
|
Total
|
|
|
|
|
|
|
|
TBD
|
|
|
|
|
|
|
|
|
|
|
LIFE
INSURANCE
SUNLIFE
SUPPLEMENTAL EMPLOYEE LIFE
INSURANCE RATES
| Estimated Employee
Monthly Costs
|
| Employee Rate per $1,000 |
Spouse
Rate per $1,000
|
Child Rate per $1,000 |
| Age |
|
|
Age
|
|
|
Covers all eligible children |
| 00-19 |
$0.060 |
|
00-19
|
$0.069 |
|
$0.123 |
| 20-24 |
$0.060 |
|
20-24
|
$0.069 |
|
|
| 25-29 |
$0.060 |
|
25-29
|
$0.069 |
|
|
| 30-34 |
$0.070 |
|
30-34
|
$0.0805 |
|
|
| 35-39 |
$0.080 |
|
35-39
|
$0.092
|
|
|
| 40-44 |
$0.120 |
|
40-44
|
$0.138
|
|
|
| 45-49 |
$0.210 |
|
45-49
|
$0.2415 |
|
|
| 50-54 |
$0.370 |
|
50-54
|
$0.4255 |
|
|
| 55-59 |
$0.560 |
|
55-59
|
$0.644 |
|
|
| 60-64 |
$0.870 |
|
60-64
|
$1.0005 |
|
|
| 65-69 |
$1.550 |
|
65-69
|
$1.7825 |
|
|
| 70-74 |
$2.500 |
|
70-74 |
$2.875 |
|
|
| 75-79 |
$3.950 |
|
75-79 |
$4.5425 |
|
|
| 80-84 |
$6.150 |
|
80-84 |
$7.0725 |
|
|
| 85-99 |
$6.150 |
|
85-99 |
$7.0725 |
|
|
Child rate:
$.15 per $1,000
Example:
A 35 year old employee elects
Option 4 for Supplemental Dependent
Life ($20,000 spouse/$4,000 children).
He is paid semi-monthly.
[Spouse:
$20,000/$1,000 x $.048 (rate)]
+ [Children:
$4,000/$1,000 x $.15 (rate)]
= $1.56 per pay period.
*Based
upon monthly premium being paid
12 times per year, semi-monthly
premium being paid 20 times per
year, and bi-weekly premium being
paid 26 times per year.
|
Employee
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