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Monthly Employee Contribution: Classified

CONTINUING FOR 2010-2011

Classified Employees receiving 10 checks per year will have their summer premiums spread over the whole year. Be sure you reference the correct chart for your work schedule.

2010-11 Plan Year: 12 Checks Per Year

Effective 10/1/2010 - 09/30/2011 

12 Checks Per Year: 7-8 hours ONLY

Classified Insurance Benefits:
medical, vision and dental coverage

Plan 5
$200 deductible

Plan 6
$300 deductible

Plan 7
$500 deductible

Plan 8

$1000 deductible

Employee Only

$105

$53

$15

$0

Employee + Spouse/Domestic
Partner

$229

$116

$32

$15

Employee + Child(ren)

$198

$101

$28

$13

Employee + Spouse/Domestic Partner +Child(ren)

$323

$164

$45

$21

 

12 Checks Per Year: 6 to less than 7 hours ONLY

Classified Insurance Benefits:
medical, vision and dental coverage

Plan 5
$200 deductible

Plan 6
$300 deductible

Plan 7
$500 deductible

Plan 8

$1000 deductible

Employee Only

$145

$93

$55

$20

Employee + Spouse/Domestic
Partner

$269

$156

$72

$55

Employee + Child(ren)

$238

$141

$68

$53

Employee + Spouse/Domestic Partner +Child(ren)

$363

$204

$85

$61

 

12 Checks Per Year: 4 to less than 6 hours ONLY

Classified Insurance:
medical, vision (dental only where noted*)

Plan 5

Plan 5
Dental* Waived

Plan 6

Plan 6
Dental* Waived

Plan 7

Plan 7
Dental* Waived

Plan 8

Plan 8
Dental* Waived

 

$200 deductible

$300 deductible

$500 deductible

$1000 deductible

Employee Only

$225

$155

$173

$103

$135

$65

$60

$0

Employee + Spouse/ Domestic
Partner

$349

$279

$236

$166

$152

$82

$135

$65

Employee + Child(ren)

$318

$248

$221

$151

$148

$78

$133

$63

Employee + Spouse/ Domestic Partner +Child(ren)

$443

$373

$284

$214

$165

$95

$141

$71

*If you are in this part-time category (4 to less than 6 hours per day), you have the option to waive dental coverage and thereby reduce your out-of-pocket insurance cost. Keep in mind, you may only waive dental coverage during annual enrollment (or upon initial eligibility) and you will not be able to re-enroll in dental coverage for the remainder of the plan year (the only exceptions to this are if your hours increase to 6 hours or greater or if you lose other dental coverage and provide proof of the loss within 31 days). Be aware of OEBB waiver rules: If you choose dental coverage at a future enrollment, your first year of dental coverage may be limited to preventive-only (cleaning, x-ray).

2010-11 Plan Year: 10 Checks Per Year

Effective 10/1/2010 - 9/30/2011

10 Checks Per Year: 7-8 hours ONLY

Classified Insurance Benefits:
medical, vision and dental coverage

Plan 5
$200 deductible

Plan 6
$300 deductible

Plan 7
$500 deductible

Plan 8

$1000 deductible

Employee Only

$126

$63.60

$18

$0

Employee + Spouse/Domestic
Partner

$274.80

$139.20

$38.40

$18

Employee + Child(ren)

$237.60

$121.20

$33.60

$15.60

Employee + Spouse/Domestic Partner +Child(ren)

$387.60

$196.80

$54

$25.20

 

10 Checks Per Year: 6 to less than 7 hours ONLY

Classified Insurance Benefits:
medical, vision and dental coverage

Plan 5
$200 deductible

Plan 6
$300 deductible

Plan 7
$500 deductible

Plan 8

$1000 deductible

Employee Only

$174

$111.60

$66

$24

Employee + Spouse/Domestic
Partner

$322.80

$187.20

$86.40

$66

Employee + Child(ren)

$285.60

$169.20

$81.60

$63.60

Employee + Spouse/Domestic Partner +Child(ren)

$435.60

$244.80

$102

$73.20

 

10 Checks Per Year: 4 to less than 6 hours ONLY

Classified Insurance:
medical, vision (dental only where noted*)

Plan 5

Plan 5
Dental* Waived

Plan 6

Plan 6
Dental* Waived

Plan 7

Plan 7
Dental* Waived

Plan 8

Plan 8
Dental* Waived

 

$200 deductible

$300 deductible

$500 deductible

$1000 deductible

Employee Only

$270

$186

$207.60

$123.60

$162

$78

$72

$0

Employee + Spouse/ Domestic
Partner

$418.80

$334.80

$283.20

$199.20

$182.40

$98.40

$162

$78

Employee + Child(ren)

$381.60

$297.60

$265.20

$181.20

$177.60

$93.60

$159.60

$75.60

Employee + Spouse/ Domestic Partner +Child(ren)

$531.60

$447.60

$340.80

$256.80

$198

$114

$169.20

$85.20

*If you are in this part-time category (4 to less than 6 hours per day), you have the option to waive dental coverage and thereby reduce your out-of-pocket insurance cost. Keep in mind, you may only waive dental coverage during annual enrollment (or upon initial eligibility) and you will not be able to re-enroll in dental coverage for the remainder of the plan year (the only exceptions to this are if your hours increase to 6 hours or greater or if you lose other dental coverage and provide proof of the loss within 31 days). Be aware of OEBB waiver rules: If you choose dental coverage at a future enrollment, your first year of dental coverage may be limited to preventive-only (cleaning, x-ray).