FY20 09-10
Flex Credits &
Premium Rates
Important Reminder:
Payroll deductions for the health insurance plans are taken over 24 pay periods
for 12-month employees. Payroll deductions are taken on a pro-rated basis over
18 pay periods for less than 12-month employees. Flex Credits and Premiums
listed here reflect the monthly amount based on a 12-month employee. (For
less than 12-month employees – in order to find a per pay period amount,
multiply the monthly amount by 12 and divide by 18.)
Flex Credits Table
Full-time Employees
(.75-1.00 FTE)
Half-time Employees
(.50-.74 FTE)
One Year Only
(FTE .50 - 1.00)
Waivers
$ 197.92
Waivers
$ 0.00
Waivers
$ 0.00
Employee Only
544.83
Employee Only
451.67
Employee Only
451.67
Employee & Child(ren)
898.25
Employee & Child(ren)
494.04
Employee & Child(ren)
451.67
Employee & Spouse
956.75
Employee & Spouse
526.21
Employee & Spouse
451.67
Family
1,117.42
Family
614.58
Family
451.67
Premium
Rate Table
Medical ‘Core’ Plan
(Includes Mental Health Rate)
Medical ‘Buy-Up’ Plan
(Includes Mental Health Rate)
Employee Only
$ 451.67
Employee Only
$ 508.50
Employee & Child(ren)
891.42
Employee & Child(ren)
1,003.17
Employee & Spouse
969.83
Employee & Spouse
1,091.58
Family
1,242.25
Family
1,397.08
MetLife Dental
Assurant Dental
Employee Only
$ 52.70
Employee Only
$11.56
Employee & Child(ren)
118.78
Employee & Child(ren)
27.13
Employee & Spouse
110.83
Employee & Spouse
19.57
Family
131.43
Family
32.02
Aetna
Supplemental Life Insurance
Aetna
Dependent Life Insurance
Levels of Coverage
Age
Cost per Thousand
Levels of Coverage
Cost of Coverage
$ 5,000
50,000
1-24
$0.040
$ 5,000
$1.72
10,000
75,000
25-29
0.043
10,000
3.43
15,000
100,000
30-34
0.055
15,000
5.15
20,000
150,000
35-39
0.071
20,000
6.86
25,000
$200,000
40-44
0.100
25,000
8.58
30,000
250,000
45-49
0.150
35,000
300,000
50-54
0.230
40,000
400,000
55-59
0.397
45,000
500,000
60-64
0.495
65-69
0.685
70-74
0.951
75-79
1.320
80-99
1.617
Aetna
Accidental Death & Dismemberment
MetLife Short-Term Disability
Levels of Coverage
Cost of Coverage
(Employee)
Cost of Coverage
(Family)
Annual Salary
Levels of Monthly Coverage
Cost of Coverage
$ 25,000
$ 0.63
$ 0.75
$ 4,500.00
$ 250.00
$ 1.61
$ 50,000
$ 1.25
1.50
7,200.00
400.00
2.58
100,000
2.50
3.00
9,900.00
550.00
3.54
150,000
3.75
4.50
12,600.00
700.00
4.51
200,000
5.00
6.00
15,300.00
850.00
5.47
250,000
6.25
7.50
18,000.00
1,000.00
6.44
300,000
7.50
9.00
20,700.00
1,150.00
7.41
350,000
8.75
10.50
23,400.00
1,300.00
8.37
400,000
10.00
12.00
26,100.00
1,450.00
9.34
450,000
11.25
13.50
28,800.00
1,600.00
10.30
500,000
12.50
15.00
31,500.00
1,750.00
11.27
34,200.00
1,900.00
12.24
36,900.00
2,050.00
13.20
39,600.00
2,200.00
14.17
42,300.00
2,350.00
15.13
45,000.00
2,500.00
16.10
47,700.00
2,650.00
17.07
50,400.00
2,800.00
18.03
53,100.00
2,950.00
19.00
55,800.00
3,100.00
19.96
58,500.00
3,250.00
20.93
61,200.00
3,400.00
21.90
63,900.00
3,550.00
22.86
66,600.00
3,700.00
23.83
69,300.00
3,850.00
24.79
72,000.00
4,000.00
25.76
Last modified:
July 15, 2009
