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City of <br />Pequott <br />`- Lakes= <br />MEMORANDUM <br />TO: City Council <br />FROM: Nancy Malecha, Finance Administrator/Deputy City Clerk <br />SUBJECT: 2012 Health Insurance Rates <br />DATE: September 12, 2011 <br />For 2012, the health insurance rates will remain the same as 2011 (0% increase) for the <br />HealthPartners $2,500 HSA Plan and the HealthPartners Three for Free Plan. The premium <br />breakdown is as follows. <br />Three for Free Plan <br />Family Rate = $868.22 per employee per month <br />Employer's Share is 85% = $738.00 per month <br />Employee's Share is 15% = $130.22 per month <br />Single Rate = $609.66 per employee per month <br />Employer's Share is 85% = $518.22 per month <br />Employee's Share is 15% = $91.44 per month <br />HSA Plan <br />Family Rate = $821.16 per employee per month <br />Employer's Share is 85% = $698.00 per month <br />Employee's Share is 15% = $123.16 per month <br />Employer's HSA Contribution = $200 per month <br />Single Rate = $573.04 per employee per month <br />Employer's Share is 85% = $487.08 per month <br />Employee's Share is 15% = $85.96 per month <br />Employer's HSA Contribution = $150 per month <br />If you have any questions, let me know. <br />Thank you. <br />