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City of <br />Pequott <br />Lakes= <br />HEALTH INSURANCE RENEWAL INFORMATION <br />EFFECTIVE 1 /1 /10 - 12/31/10 <br />Current Contracts <br />Carrier is HealthPartners <br />Open Access Plan HSA Plan <br />Family Rate = $1051.41 per employee per month Family Rate = $740.36 per employee per month <br />Employer's Share is 85% = $893.71 per month Employer's Share is 85% = $629.32 per month <br />Employee's Share is 15% = $157.70 per month Employee's Share is 15% = $111.04 per month <br />Single Rate = $763.11 per employee per month Single Rate = $518.99 per employee per month <br />Employer's Share is 85% = $648.65 per month Employer's Share is 85% = $441.15 per month <br />Employee's Share is 15% = $114.46 per month Employee's Share is 15% = $77.84 per month <br />The City currently has 10 family Open Access contracts, 1 single Open I <br />T1'° City's annual cost is as follows. <br />Family Open Access Rate = $893.71 x 10 = $8,937.10 x 12 mos. <br />Single Open Access Rate = $648.65 x 1 = $648.65 x 12 mos. _ <br />Single HSA Rate = $441.15 x 1 = $441.15 x 12 mos. _ <br />TOTAL <br />Open Access Plan <br />Proposed Contracts <br />Carrier is HealthPartners <br />access contract, and 1 single HSA contract. <br />$107,245.20 <br />$ 7,783.80 <br />$ 5,293.80 <br />$120,322.80 <br />HSA Plan <br />Family Rate = $1111.36 per employee per month Family Rate = $806.22 per employee per month <br />Employer's Share is 85% = $944.66 per month Employer's Share is 85% = $685.30 per month <br />Employee's Share is 15% = $166.70 per month Employee's Share is 15% = $120.92 per month <br />Single Rate = $809.06 per employee per month Single Rate = $549.06 per employee per month <br />Employer's Share is 85% = $687.70 per month Employer's Share is 85% = $466.70 per month <br />Employee's Share is 15% = $121.36 per month Employee's Share is 15% = $82.36 per month <br />The City currently has 10 family Open Access contracts, 1 single Open Access contract, and 1 single HSA contract. <br />The City's annual cost is as follows. <br />Family Open Access Rate = $944.66 x 10 = $9,446.60 x 12 mos. _ $113,359.20 <br />Single Open Access Rate = $687.70 x 1 = $687.70 x 12 mos. _ $ 8,252.40 <br />Single HSA Rate = $466.70 x 1 = $466.70 x 12 mos. _ $ 5,600.40 <br />TOTAL $127,212.00 <br />