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Plan Rates
Plan | Coverage | Bi-Weekly Employee Rate | Bi-Weekly Employer Rate | Bi-Weekly Total Rate | Annual Employee Rate | Annual Employer Rate | Annual Employer HSA Contribution |
CDHP 1 | Single Family |
$68.84 $138.80 |
$216.48 $651.30 |
$285.32 $790.10 |
$1,789.84 $3,608.80 |
$5,628.48 $16,933.80 |
$1,124.76 $2,249.52 |
CDHP 1 w/ Non-Tobacco Use Incentive | Single Family |
$33.84 $103.80 |
$216.48 $651.30 |
$250.32 $755.10 |
$879.84 $2,698.80 |
$5,628.48 $16,933.80 |
$1,124.76 $2,249.52 |
CDHP 2 | Single Family |
$81.90 $186.54 |
$229.44 $677.22 |
$311.34 $863.76 |
$2,129.40 $4,850.04 |
$5,965.44 $17,607.72 |
$787.80 $1,575.60 |
CDHP 2 w/ Non-Tobacco Use Incentive | Single Family |
$46.90 $151.54 |
$229.44 $677.22 |
$276.34 $828.76 |
$1,219.40 $3,940.04 |
$5,965.44 $17,607.72 |
$787.80 $1,575.60 |
Traditional | Single Family |
$134.40 $374.64 |
$259.74 737.82 |
$394.14 $1,112.46 |
$3,494.40 $9,740.64 |
$6,753.24 $19,183.32 |
$0.00 $0.00 |
Traditional w/ Non-Tobacco Use Incentive | Single Family |
$99.40 $339.64 |
$259.74 737.82 |
$359.14 $1,077.46 |
$2,584.40 $8,830.64 |
$6,753.24 $19,183.32 |
$0.00 $0.00 |
Wellness Incentive Rates | |||||||
CDHP 1 | Single Family |
$54.44 $95.60 |
$216.48 $651.30 |
$270.92 $746.90 |
$1,415.44 $2,485.60 |
$5,628.48 $16,933.80 |
$1,124.76 $2,249.52 |
CDHP 1 w/ Non-Tobacco Use Incentive | Single Family |
$19.44 $60.60 |
$216.48 $651.30 |
$235.92 $711.90 |
$505.44 $1,575.60 |
$5,628.48 $16,933.80 |
$1,124.76 $2,249.52 |
CDHP 2 | Single Family |
$67.50 $143.34 |
$229.44 $677.22 |
$296.94 $820.56 |
$1,755.00 $3,726.84 |
$5,965.44 $17,607.72 |
$787.80 $1,575.60 |
CDHP 2 w/ Non-Tobacco Use Incentive | Single Family |
$32.50 $108.34 |
$229.44 $677.22 |
$261.94 $785.56 |
$845.00 $2,816.84 |
$5,965.44 $17,607.72 |
$787.80 $1,575.60 |
Traditional | Single Family |
$120.00 $331.44 |
$259.74 $737.82 |
$379.74 $1,069.26 |
$3,120.00 $8,617.44 |
$6,753.24 $19,183.32 |
$0.00 $0.00 |
Traditional w/ Non-Tobacco Use Incentive | Single Family |
$85.00 $296.44 |
$259.74 $737.82 |
$344.74 $1,034.26 |
$2,210.00 $7,707.44 |
$6,753.24 $19,183.32 |
$0.00 $0.00 |
Dental | Single Family |
$1.32 $3.42 |
$10.38 $27.30 |
$11.70 $30.72 |
$34.32 $88.92 |
$269.88 $709.80 |
$0.00 $0.00 |
Vision | Single Family |
$0.42 $3.06 |
$1.74 $2.22 |
$2.16 $5.28 |
$10.92 $79.56 |
$45.24 $57.72 |
$0.00 $0.00 |