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Employee Rates - Currently Updating


Medical

Total premium rates Employer contribution rates Employee contribution rates
  2011 2011   2011 2011   2011 2011
Active Buy Up Core Active Buy Up Core Active Buy Up Core
Employee Only $516 $454 Employee Only $395 $395 Employee Only $121 $59
Employee + Spouse $927 $819 Employee + Spouse $574 $574 Employee + Spouse $353 $245
Employee + Child(ren) $817 $721 Employee + Child(ren) $526 $526 Employee + Child(ren) $291 $195
Employee + Family $1,227 $1,085 Employee + Family $705 $705 Employee + Family $522 $380
  2011 2011   2011 2011   2011 2011
Retirees Buy Up Core Retirees Buy Up Core Retiress Buy Up Core
Non-Medicare     Non-Medicare     Non-Medicare    
Retiree Only $789 $700 Retiree Only $600 $600 Retiree Only $189 $100
Retiree + Spouse $1,398 $1,238 Retiree + Spouse $988 $988 Retiree + Spouse $410 $250
Retiree + Child(ren) $1,096 $973 Retiree + Child(ren) $739 $739 Retiree + Child(ren) $357 $234
Retiree + Family $1,702 $1,509 Retiree + Family $1,126 $1,126 Retiree + Family $576 $383
                 
Split Medicare     Split Medicare     Split Medicare    
Retiree + Spouse1 $1,029 $912 Retiree + Spouse1 $743 $743 Retiree + Spouse1 $286 $169
Retiree + Spouse2 $1,116 $990 Retiree + Spouse2 $809 $809 Retiree + Spouse2 $307 $181
Retiree + Family1 $1,337 $1,185 Retiree + Family1 $883 $883 Retiree + Family1 $454 $302
Retiree + Family2 $1,423 $1,261 Retiree + Family2 $947 $947 Retiree + Family2 $476 $314
                 
Medicare     Medicare     Medicare    
Retiree Only $421 $372 Retiree Only $355 $355 Retiree Only $66 $17
Retiree + Spouse $750 $664 Retiree + Spouse $564 $564 Retiree + Spouse $186 $100
Retiree + Child(ren) $728 $664 Retiree + Child(ren) $492 $492 Retiree + Child(ren) $236 $152
Retiree + Family $1,057 $937 Retiree + Family $703 $703 Retiree + Family $354 $234
                 
Return to Work with Medicare     Return to Work with Medicare     Return to Work with Medicare    
Retiree Only $516 $454 Retiree Only $395 $395 Retiree Only $121 $59
Retiree + Spouse $927 $819 Retiree + Spouse $574 $574 Retiree + Spouse $353 $245
Retiree + Child(ren) $817 $721 Retiree + Child(ren) $526 $526 Retiree + Child(ren) $291 $195
Retiree + Family $1,227 $1,085 Retiree + Family $705 $705 Retiree + Family $522 $380

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