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Current and Renewal Option Costs Detail fob' Active Employees a~1d Pre-65 Retirees
<br />Renewal effective January 1, 2012
<br /> Months Costs Ca lendar Year Costs Percenta a I ncrease Over 201 1 Premiums
<br />
<br />q ype o
<br />Plan
<br />Tier 0
<br />Participants
<br />Total Premium oun
<br />Contribution mp ogee
<br />Contribution
<br />Total Premium nnua oun
<br />Cost mp oyee
<br />Contribution
<br />Total oun
<br />Contribution mp dyee
<br />Contribution
<br /> Individual 457 $531 531 $0 $2 914 417 $2 914 417 $0 '
<br /> Ind/Child 115 $744 $615 129 $1 026 692 $848 552 $ 78 141
<br /> Ind/Children 77 $1 026 $755 $270 $947 710 $697 794 $249 918
<br /> HMO Ind/S ouse 85 $1 121 $803 $319 $1 143 746 $818 876 $324 870
<br />CIGNA Famii 78 $1594 $1038 $556 $1492246 $971953 .' $520'293
<br />Current Total 812 $7,524,612 $6,251,592 $1,273,220 0.00% 0.00% 0.00%
<br />Plan Individual 64 $509 $509 $0 $390 927 $390 927 0
<br />Designs IndlChild 12 $713 $615 $98 $102 617 $88 546 $14 072
<br />(2011 Rates) Ind/Children 10 $982 $755 $227 $117 890 $90 622 ' $27 269
<br /> PPO Ind/S ouse 12 $1 074 $803 $271 $154 659 $115 606 $39 053
<br /> Famil 19 $1 527 $1,038 $489 $348 174 $236 760 $111 414
<br /> otal 117 $1,114,268 $922,460 $191, 08 0.00% .00°/0 0.00%
<br /> Gurrent Plan Totals $8,63 ,080 $7,174,052 $1,465,02 0.00% 0.00"/0 0.00°!0
<br /> Individual 457 $621 $621 $0 $3 407 648 $3 407 648 $0 '
<br /> Ind/Child 115 $1007 $828 $179 $1389163 $1142750 $246413
<br /> Ind/Children 77 $1 007 $828 $179 $930 135 $765 146 $164 989
<br />United HMO Ind/S ouse 85 $1 311 $988 $323 $1 337 332 $1 b08 100 $329 232
<br />Health Care Famil 78 $1 864 $1 279 $585 $1 744 835 $1 197 522 $547 313
<br />Option 1 Total 812 $8,809,114 $7,521,166 $1,287 947 17.07% 20.31% 1.16%
<br />(Renewal of Individual 64 $629 $629 $0 $483 026 $483 026 $0
<br />Current Ind/Child 12 $1 019 $828 $191 $146 719 $119 244 $27 475
<br />Plan
<br />Design) POS
<br />(Point of Ind/Children
<br />Ind/S ouse 10
<br />12 $1 019
<br />$1 327 $828
<br />$988 $191
<br />$339 $122 266
<br />$191 097 $99 370
<br />$142 320 $22 896
<br />$48 777
<br /> Service) Famil 19 $1887 $1279 $607 $430193 $291704 $138489
<br /> Total 117 $1,373,300 $1,135,663 $237,636 23.25% 23.11% 23.89%
<br /> O tion 1 Totals $10,182,413 $8,656,829 $1,525,584 17.86°l0 20.67°/0 4.13%
<br /> Individual 457 $621 $621 $0 $3 407 648 $3 407 648 $0
<br /> Ind/Child 115 $1 007 $769 $238 $1 389 163 $1 061 138 $328 025
<br /> Ind/Children 77 $1 007 $769 $238 $930 135 $710 50ti $219 634
<br /> HMO Ind/S ouse 85 $1 311 $886 $426 $1 337 332 $903 267 $434 065
<br /> Famil 78 $1 864 $1 097 $767 $1 744 835 $1 027 141 $717 694
<br />United Total 812 $8,809,114 $7,109,694 $1,698,420 17.07°l0 13.73% $3.47"/0
<br />Health Care • Individual 64 $621 $621 $0 $477 220 $477 220 $0
<br />Option 2 Ind/Child 12 $905 $769 $136 $130 342 $110 727 $19 fi14
<br /> Health Ind/Children 10 $905 $769 ' $136 $108 618 $92 273 $16 345
<br /> Savings tnd/S ouse 12 $1 129 $886 $244 $162 635 $127 520 $35 115
<br /> Account Famil 19 $1 537 $1 097 $439 $35Q 379 $ 50 201 $100 178
<br /> ota 117 $1,229,1,93 $1,057,94 $171,252 10.31°k 14.69°l0 -10.72%
<br /> 0 lion 2 Totals $10,0 8,3 7 $8,167,635 $1,870,672 ' 16.20% 13.85% 27.69%
<br /> Individual 457 $561 $561 $0 $3 074 495 $3 074 495 $0
<br /> Ind/Child 115 $908 $708 $200 $1 253 344 $977 372 $275 972
<br /> POS
<br />i
<br />f Ind/Children 77 $908 $708 $200 $839 195 $654 41 $184 781
<br /> (Po
<br />nt o
<br />i
<br />S Ind/S ouse AS $1 183 $825 " $358 $1 206'578 841 353 $365 226
<br /> erv
<br />ce) Famil 78 $1 682 $1 037 $645 $1 574 240 $970 325 $603 914
<br />United otai 812 $7,947,852 $6,517,959 $1,429,893 5.62% 4.26% 12.31%
<br />Health Care Individual 64 $561 $56'1 $0 $430 602 $430 602 $0
<br />Option 3 Ind/Child 12 $844 ' $708 $136 $121 601 $101 987 $19 614
<br /> Health ind/Children 0 $844 $708 $136 $101 334 $84 989 $16 345
<br /> Savings Ind/S ouse 12 ~ $1 069 $825 $ 44 $153 894 $118 Z79 35 115
<br /> Account Famii 19 $1 476 $1 037 $439 $336 539 $236 361 $100 178
<br /> ota 117 $1,143971 $972,718 $171,252 2.67% 5.45% -10.72%
<br /> O tion 3 Totals $9,091,823 $7,490,677 ' $1,601,145 5.24% 4.41% ' 9.29%
<br />Option 2 includes an annual contribution to a Health Swings Account of $1,964
<br />Option 3 includes an annual contribution to a Health Savings Account of $1,235
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