|
HEALTH INSURANCE MONTHLY
COSTS – 2009 (Dental & Vision premium is
withheld from the 1st pay per month. Medical premium is withheld from
the 2nd pay per month.) | ||||||
|
INSURANCE CHOICES: |
|
EMPLOYEE PAYS 8% ↓ ↓ ↓
|
EMPLOYER PAYS 92% |
TOTAL
MONTHLY | ||
|
WELBORN HMO Plan 1 -
Deaconess Only |
Employee |
42.40 |
487.57 |
529.97 | ||
|
Employee +
spouse |
84.79 |
975.14 |
1059.93 | |||
|
Employee
+ child
or children |
80.55 |
926.38 |
1006.93 | |||
|
Family |
127.19 |
1462.72 |
1589.91 | |||
|
WELBORN HMO Plan 2 -
Dual Deaconess/St.
Mary’s |
Employee |
45.10 |
518.70 |
563.80 | ||
|
Employee +
spouse |
90.21 |
1037.38 |
1127.59 | |||
|
Employee
+ child
or children |
85.70 |
985.51 |
1071.21 | |||
|
Family |
135.31 |
1556.08 |
1691.39 | |||
|
WELBORN Plan 3 -
Enhanced Deductible
Applies $250/$500
or $500/$1000 Out-of-Pocket $1000/$2000
Network $2,000/$4000
Non-Network |
Employee |
45.84 |
527.18 |
573.02 | ||
|
Employee +
spouse |
91.68 |
1054.38 |
1146.06 | |||
|
Employee
+ child
or children |
87.10 |
1001.65 |
1088.75 | |||
|
Family |
137.53 |
1581.55 |
1719.08 | |||
|
HEALTH RESOURCES DENTAL |
Employee |
25.50 |
-- |
25.50 | ||
|
Employee +
1 |
52.34 |
-- |
52.34 | |||
|
Family |
89.36 |
-- |
89.36 | |||
|
UNITED
HEALTHCARE VISION* No
Rate Increase |
Employee |
6.83 |
-- |
6.83 | ||
|
Employee +
1 |
11.34 |
-- |
11.34 | |||
|
Family |
19.56 |
-- |
19.56 | |||
*United Healthcare Vision was
previously called Spectera Vision.
Benefits and costs remain the same.