2012 plan rates
Effective dates
Health, dental, vision, Health Savings Accounts and Flexible Spending Accounts changes/enrollments will be effective January 1, 2012. Life insurance changes/enrollments that do not require Evidence of Insurability with approval from AUL will be effective Jan. 8, 2012, for payroll A and Jan. 1, 2012, for payroll B.
Deductions for health, dental and vision will begin:
Payroll A: Dec. 21, 2011 (7 days at old plans & rates; 7 days for new plans & rates)
Payroll B: Dec. 28, 2011 (full 2012 rates)
Deductions for the Flexible Spending Accounts and Health Savings Accounts will begin on the following dates:
Payroll A: Jan.4, 2012
Payroll B: Jan. 11, 2012
2012 Rates
| Plan | Coverage | Bi-Weekly Employee Rate | Bi-Weekly Employer Rate | Bi-Weekly Total Rate | Annual Employee Rate | Annual Employer Rate |
|---|---|---|---|---|---|---|
| CDHP 1 | Single Family |
$30.67 $40.82 |
$153.35 $482.92 |
$184.02 $523.74 |
$797.42 $1,061.32 |
$3,987.10 $12,555.92 |
| CDHP 1 w/ Non-tobacco incentive | Single Family |
$5.67 $15.82 |
$153.35 $482.92 |
$159.02 $498.74 |
$147.42 $411.32 |
$3,987.10 $12,555.92 |
| CDHP 2 | Single Family |
$55.51 $110.90 |
$170.63 $517.60 |
$226.14 $628.50 |
$1,443.26 $2,883.40 |
$4,436.38 $13,457.60 |
| CDHP 2 w/ Non-tobacco incentive | Single Family |
$30.51 $85.90 |
$170.63 $517.60 |
$201.14 $603.50 |
$793.26 $2,233.40 |
$4,436.38 $13,457.60 |
| Trad PPO | Single Family |
$151.27 $376.40 |
$196.55 $569.44 |
$347.82 $945.84 |
$3,933.02 $9,786.40 |
$5,110.30 $14,805.44 |
| Trad PPO w/ Non-tobacco incentive | Single Family |
$126.27 $351.40 |
$196.55 $569.44 |
$322.82 $920.84 |
$3,283.02 $9,136.40 |
$5,110.30 $14,805.44 |
| Dental | Single Family |
$1.20 $3.16 |
$10.02 $26.36 |
$11.22 $29.52 |
$31.20 $82.16 |
$260.52 $685.36 |
| Vision | Single Family |
$0.17 $2.52 |
$1.47 $1.64 |
$1.64 $4.16 |
$4.42 $65.52 |
$38.22 $42.64 |
| Flexible Spending Accounts | Medical Limited Purpose Medical (HSA Holders) and/or Dependent Care Admin Fee |
$2.00 | $0.00 | $2.00 | $52.00 | $0.00 |
To view rates for early retirees, COBRA and the annual total rates: View entire rate chart
Health Savings Accounts
| HSA Account | Coverage | Initial Contribution* | Bi-Weekly Contribution | Monthly Contribution | Maximum Annual ER Contribution |
|---|---|---|---|---|---|
| HSA 1 w/CDHP 1 | Single Family |
$561.60 $1,124.76 |
$21.60 $43.26 |
$46.80 $93.73 |
$1,123.20 $2,249.52 |
| HSA 2 w/CDHP 2 | Single Family |
$336.96 $673.92 |
$12.96 $25.92 |
$28.08 $56.16 |
$673.92 $1,347.84 |
*Initial contribution as listed above apply to employees with a CDHP effective between 1/1/12 thru 6/1/12 and with an open HSA. CDHPs effective after 6/1/12 but before 12/1/12 and with an open HSA, will receive 1/2 of the initial contribution.
Employees participating in CDHPs are reminded that they must open an HSA in order to receive the state's HSA contribution or the bank will charge a set-up fee.
