Office of Human Resources - Summary of Medical Rates

Vision Summary | Dental Summary | Medical Summary

2008/2009 Medical Rates
Coverage and premiums fall within one of three tiers:
 
Medical EPO
Monthly
  
Medical EPO
Per Pay
  
Medical PPO
Monthly
  
Medical PPO
Per Pay
Tier 1 - Employee
30
  
13.85
  
145
  
66.92
Tier 2 - Employee + 1
60
  
27.69
  
290
  
133.85
Tier 3 - Family
150
  
69.23
  
415
  
191.54
Premiums can be all pre-tax or a combination of pre-tax and post-tax depending on who is covered:
 
Tier
Pre-Tax
Per Pay
Pre-Tax
Per Pay
Post-Tax
Per Pay
Total Premium
Per Pay
Imputed Income
Per Pay
 
Employee
Spouse, child,
domestic partner, older child
Domestic partner,
older child
MEDICAL - EPO: RAN+AMN and UnitedHealthcare
Employee
1
13.85
+
+
=
13.85
Employee + 1 pre-tax dependent(s)
2
13.85
+
13.84
+
=
27.69
Employee + 1 post-tax dependent(s)
2
13.85
+
+
13.84
=
27.69
206.31
Employee + pre-tax dependent(s)
3
13.85
+
55.38
+
=
69.23
Employee + post-tax dependent(s)
3
13.85
+
+
55.38
=
69.23
328.62
Employee + pre-tax dependent and post-tax dependent(s)
3
13.85
+
13.85
+
41.53
=
69.23
122.31
Employee + pre-tax dependents and post-tax dependent(s)
3
13.85
+
55.38
+
=
69.23
MEDICAL - PPO: Arizona Foundation and UnitedHealthcare
Employee
1
66.92
+
+
=
66.92
Employee + 1 pre-tax dependent(s)
2
66.92
+
66.93
+
=
133.85
Employee + 1 post-tax dependent(s)
2
66.92
+
+
66.93
=
133.85
271.38
Employee + pre-tax dependent(s)
3
66.92
+
124.62
+
=
191.54
Employee + post-tax dependent(s)
3
66.92
+
+
124.62
=
191.54
453.23
Employee + pre-tax dependent and post-tax dependent(s)
3
66.92
+
66.92
+
57.70
=
191.54
181.85
Employee + pre-tax dependents and post-tax dependent(s)
3
66.92
+
124.62
+
=
191.54
MEDICAL - PPO: Beech Street
Employee
1
13.85
+
+
=
13.85
Employee + 1 pre-tax dependent(s)
2
13.85
+
13.84
+
=
27.69
Employee + 1 post-tax dependent(s)
2
13.85
+
+
13.84
=
27.69
349.38
Employee + pre-tax dependent(s)
3
13.85
+
55.38
+
=
69.23
Employee + post-tax dependent(s)
3
13.85
+
+
55.38
=
69.23
573.69
Employee + pre-tax dependent and post-tax dependent(s)
3
13.85
+
13.85
+
41.53
=
69.23
224.31
Employee + pre-tax dependents and post-tax dependent(s)
3
13.85
+
55.38
+
=
69.23