2020 Employee Benefits Book | Page 34

2020 Medical Plan Rates Full-Time Employees (36-40 hours/week) Deductions are taken on the first and second paycheck each month. (Full-Time Equivalent = 0.9-1.0) Medical/Rx Plan Options Semi-Monthly Rate PURPLE Discounted Rate GOLD Discounted Rate Standard Medical Plan with Standard Rx (Includes Vision) Employee Only^ $50.50 $29.50 $8.50 Employee + Spouse* $204.88 $183.88 $162.88 Employee + Children $148.27 $127.27 $106.27 Employee + Family* $258.83 $237.83 $216.83 $75.22 $54.22 $33.22 Employee + Spouse* $245.57 $224.57 $203.57 Employee + Children $182.91 $161.91 $140.91 Employee + Family* $301.21 $280.21 $259.21 $87.24 $66.24 $45.24 Employee + Spouse* $294.54 $273.54 $252.54 Employee + Children $218.87 $197.87 $176.87 Employee + Family* $362.56 $341.56 $320.56 Standard Medical Plan with Enhanced Rx (Includes Vision) Employee Only Enhanced Medical Plan with Standard Rx (Includes Vision) Employee Only Enhanced Medical Plan with Enhanced Rx (Includes Vision) Employee Only $114.38 $93.38 $72.38 Employee + Spouse* $339.28 $318.28 $297.28 Employee + Children $259.96 $238.96 $217.96 Employee + Family* $414.49 $393.49 $372.49 Employee Only $42.00 $21.00 $0.00 Employee + Spouse* $84.00 $63.00 $42.00 Employee + Children $42.00 $21.00 $0.00 Employee + Family* $84.00 $63.00 $42.00 Limited Medical with Limited Rx Discounted rate assumes employee discount only. *Subtract an additional discount if Spouse also completed Healthy Tracks requirement ($21 for PURPLE and $42 for GOLD). ^Total annual employee cost sharing not to exceed 9.78% of annual wages. 32