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City of <br /> Pequot <br /> Lakes <br /> MEMORANDUM <br /> TO: City Council <br /> FROM: Nancy Malecha, City Administrator/Clerk <br /> SUBJECT: 2016 Health Insurance Rates <br /> DATE: November 19, 2015 <br /> For 2016,the health insurance rates for the HealthPartners Three for Free Plan and the <br /> HealthPartners $2,600 HSA Plan will increase by 5% from 2015. The premium breakdown is as <br /> follows. <br /> Three for Free Plan <br /> Family Rate= $920.50 per employee per month <br /> Employer's Share is 85%= $782.42 per month <br /> Employee's Share is 15%= $138.08 per month <br /> Single Rate=$643.24 per employee per month <br /> Employer's Share is 85%= $546.76 per month <br /> Employee's Share is 15%= $96.48 per month <br /> HSA Plan <br /> Family Rate= $863.38 per employee per month <br /> Employer's Share is 85% = $733.88 per month <br /> Employee's Share is 15%_ $129.50 per month <br /> Employer's HSA Contribution= $200 per month <br /> Single Rate= $598.82 per employee per month <br /> Employer's Share is 85% = $509.00 per month <br /> Employee's Share is 15%= $89.82 per month <br /> Employer's HSA Contribution= $150 per month <br /> If you have any questions, let me know. <br />