|
The following charts detail the bimonthly premium rates that employees
will pay for medical/dental coverages beginning on November 13,
2009. These premiums will be deducted from employee’s first
and second paychecks each month.
Tier 3 (36 to 40 hours per week)
|
Employee Only |
Employee & Spouse |
Employee & Child |
Employee & Children |
Employee, Spouse & Child |
Employee, Spouse & Children |
PPO Plan |
$15.00 |
$38.50 |
$26.00 |
$35.50 |
$48.00 |
$54.50 |
Traditional Plan |
$18.50 |
$47.00 |
$32.50 |
$43.00 |
$58.50 |
$65.50 |
High Deductible Plan |
$12.00 |
$32.50 |
$21.50 |
$29.50 |
$40.50 |
$45.50 |
Dental |
$3.87 |
$18.12 |
$15.25 |
$23.25 |
$25.87 |
$29.87 |
Tier 2 (28 – 35.9 hours per week)
|
Employee Only |
Employee & Spouse |
Employee & Child |
Employee & Children |
Employee, Spouse & Child |
Employee, Spouse & Children |
PPO Plan |
$83.12 |
$106.62 |
$94.12 |
$103.62 |
$116.12 |
$122.62 |
Traditional Plan |
$86.62 |
$115.12 |
$100.62 |
$111.12 |
$126.62 |
$133.62 |
High Deductible Plan |
$70.06 |
$90.56 |
$79.56 |
$87.56 |
$98.56 |
$103.56 |
Dental |
$6.08 |
$20.33 |
$17.45 |
$25.45 |
$28.08 |
$32.08 |
Tier 1 (20 – 27.9 hours per week)
|
Employee Only |
Employee & Spouse |
Employee & Child |
Employee & Children |
Employee, Spouse & Child |
Employee, Spouse & Children |
PPO Plan |
$151.25 |
$174.75 |
$162.25 |
$171.75 |
$184.25 |
$190.75 |
Traditional Plan |
$154.75 |
$183.25 |
$168.75 |
$179.25 |
$194.75 |
$201.75 |
High Deductible Plan |
$128.12 |
$148.62 |
$137.62 |
$145.62 |
$156.62 |
$161.62 |
Dental |
$8.29 |
$22.54 |
$19.66 |
$27.66 |
$30.29 |
$34.29 |
* Boise State University pays $703.33 per month for each employee
for Medical and Dental coverage.
* Vision benefits will be automatic for all members enrolled for
medical coverage and no separate dependent premium will be charged. |
