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<br />CITY OF PEQUOT LAKES
<br />2011 RECOMMENDED HEALTH INSURANCE PLANS
<br />1500/3000 THREE FOR FREE PLAN
<br />2011 CURRENT HEALTH INSURANCE PLANS
<br />OPEN ACCESS $15 COPAY PLAN
<br />EMPLOYER
<br />PORTION 85%
<br />EMPLOYEE
<br />PORTION 15%
<br />TOTALS
<br />DESCRIPTION
<br />$ 535.64
<br />EMPLOYER
<br />PORTION 85%
<br />EMPLOYEE
<br />PORTION 16%
<br />Family Monthly Premium
<br />TOTALS
<br />Monthly
<br />Premium
<br />Sin le Monthly Contracts = 3
<br />$
<br />749.97
<br />$
<br />132.35
<br />$
<br />882.32
<br />lSingle
<br />Family Monthly
<br />Premium
<br />$ 101,401.67
<br />$
<br />1,031.75
<br />$
<br />182.07
<br />$
<br />1,213.82
<br />Single Monthly
<br />Contracts = 2
<br />$ 505.16
<br />$
<br />1,499.94
<br />$
<br />264.70
<br />$
<br />1,764.64
<br />FamilyMonthly
<br />Contracts = 9
<br />$
<br />9,285.72
<br />$
<br />1,638.66
<br />$
<br />10,924.38
<br />Annual Premium
<br />$ 267.44
<br />$
<br />129,428.00
<br />$
<br />22,840.24
<br />$
<br />152,268.24
<br />$ 132,677.88
<br />HSA 2500/5000 NON - EMBEDDED DEDUCTIBLE PLAN
<br />$ 149,632.80
<br />January of 2011, the City will make a HSA contribution of $2,000 for each single contract
<br />and $3,400 for each family contract. In 2012 and beyond, the City will make monthly HSA
<br />contributions of $150 per month for each single contract and $200 per month for each family contract.
<br />TOTAL AVERAGE OF 2 PLANS $ 117,039.77 $ 17,424.67 $ 134,464.44
<br />DESCRIPTION
<br />EMPLOYER
<br />PORTION 85%
<br />EMPLOYEE
<br />PORTION 15%
<br />TOTALS
<br />Single Monthly
<br />Premium
<br />$
<br />513.11
<br />$
<br />90.55
<br />$
<br />603.66
<br />Family Monthly
<br />Premium
<br />$
<br />754.46
<br />$
<br />133.14
<br />$
<br />887.60
<br />Single Monthly
<br />HSA Contribution
<br />$
<br />150.00
<br />$
<br />150.00
<br />Family Monthly
<br />HSA Contribution
<br />$
<br />200.00
<br />$
<br />200.00
<br />Single Monthly
<br />Contracts = 1
<br />$
<br />663.11
<br />$
<br />90.55
<br />$
<br />753.66
<br />Family Monthly
<br />Contracts = 0
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />Annual Premium
<br />$
<br />7,957.33
<br />$
<br />1,086.59
<br />$
<br />9,043.92
<br />TOTAL
<br />$
<br />137,385.34
<br />$
<br />23,926.82
<br />$ 161,312.16
<br />2011 RECOMMENDED HEALTH INSURANCE PLANS
<br />1500/3000 THREE FOR FREE PLAN
<br />DESCRIPTION
<br />EMPLOYER
<br />PORTION 85%
<br />EMPLOYEE
<br />PORTION 15%
<br />TOTALS
<br />Sin le Monthly Premium
<br />$ 535.64
<br />$ 94.52
<br />$ 630.16
<br />Family Monthly Premium
<br />$ 760.36
<br />$ 134.18
<br />$ 894.54
<br />Sin le Monthly Contracts = 3
<br />$ 1,606.91
<br />$ 283.57
<br />$ 1,890.48
<br />Family Monthly Contracts = 9
<br />$ 6,843.23
<br />$ 1,207.63
<br />$ 8,050.86
<br />Annual Premium
<br />$ 101,401.67
<br />$ 17,894.41
<br />$ 119,296.08
<br />HSA 2500/5000 EMBEDDED DEDUCTIBLE PLAN
<br />DESCRIPTION
<br />EMPLOYER
<br />PORTION 85%
<br />EMPLOYEE
<br />PORTION 15%
<br />TOTALS
<br />Single Monthly Premium
<br />$ 505.16
<br />$ 89.15
<br />$ 594.30
<br />Family Monthly Premium
<br />$ 721.23
<br />$ 127.28
<br />$ 848.50
<br />Single HSA Contribution in January 2011 = 3
<br />$ 6,000.00
<br />$ 6,000.00
<br />Family HSA Contribution in January 2011 = 9
<br />$ 30,600.00
<br />$ 30,600.00
<br />Single Monthly Contracts = 3
<br />$ 1,515.47
<br />$ 267.44
<br />$ 1,782.90
<br />Family Monthly Contracts = 9
<br />$ 6,491.03
<br />$ 1,145.48
<br />$ 7,636.50
<br />nnual Premium
<br />$ 132,677.88
<br />$ 16,954.92
<br />$ 149,632.80
<br />January of 2011, the City will make a HSA contribution of $2,000 for each single contract
<br />and $3,400 for each family contract. In 2012 and beyond, the City will make monthly HSA
<br />contributions of $150 per month for each single contract and $200 per month for each family contract.
<br />TOTAL AVERAGE OF 2 PLANS $ 117,039.77 $ 17,424.67 $ 134,464.44
<br />CASH IN LIEU RECOMMENDATION
<br />e cash in lieu option of $375 per month is grandfathered in for employees currently on this option.
<br />>wever, once a grandfathered employee chooses to join the city's group health insurance plan, cash
<br />lieu is no longer an option. Also, employees currently on the city's group health insurance plan do
<br />t have the cash in lieu option.
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