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The increase represents a 6.35% increase or $641,000.
<br />Current Plans
<br />United Healthcare
<br />Renewal: Option 1:
<br />United Healthcare: Same plan but all copays counting towards total
<br />out of pocket per Healthcare Reform Legislation
<br />POS: SSE -P -MS
<br />2012
<br />HSA: C3Z -PM
<br />2012
<br />POS: BBI -M
<br />2013
<br />HSA: FBQ -M
<br />2013
<br />In- Network
<br />In- Network
<br />In- Network
<br />In- Network
<br />Primary Care Physician Visits
<br />$20
<br />80% after Ded.
<br />$20
<br />80% after Ded.
<br />Specialist Physician Visits
<br />$40
<br />80% after Ded.
<br />$40
<br />80% after Ded.
<br />Preventive Care
<br />100%
<br />100%
<br />100%
<br />100%
<br />Deductible
<br />1 $500
<br />$1,500
<br />$500
<br />$1,500
<br />Deductible - Family Maximum
<br />$1,500
<br />$3,000
<br />$1,500
<br />$3,000
<br />Coinsurance Limit
<br />$1,000
<br />$2,000
<br />$1,000
<br />$2,000
<br />Coinsurance Limit - Family
<br />Max
<br />$3,000
<br />$2,000
<br />$3,000
<br />$2,000
<br />In- patient Hospital Services
<br />80% after Ded.
<br />80% after Ded.
<br />80% after Ded.
<br />80% after Ded.
<br />Out - patient Hospital Services
<br />80% after Ded.
<br />80% after Ded.
<br />80% after Ded.
<br />80% after Ded.
<br />Emergency Room
<br />$150
<br />80% after Ded.
<br />$150
<br />80% after Ded.
<br />Pharmacy
<br />$4/$25/$45
<br />80% after Ded.
<br />$4$25/$45
<br />80% after Ded.
<br />Lifetime Maximum
<br />Unlimited
<br />Unlimited
<br />Unlimited
<br />Unlimited
<br />Rates
<br />Subs
<br />Monthly
<br />Premium
<br />Subs
<br />Monthly
<br />Premium
<br />Monthly
<br />Premium
<br />Monthly
<br />Premium
<br />Employee Only
<br />517
<br />$631.18
<br />$326,320.06
<br />116
<br />$510.15
<br />$59,177.40
<br />$677.99
<br />$350,520.83
<br />$510.30
<br />$59,194.80
<br />Employee and Spouse
<br />66
<br />$1,331.80
<br />$87,898.80
<br />16
<br />$1,076.41
<br />$17,222.56
<br />$1,430.57
<br />$94,417.62
<br />$1,076.73
<br />$17,227.68
<br />Employee and Children
<br />162
<br />$1,022.52
<br />$165,648.24
<br />46
<br />$826.44
<br />$38,016.24
<br />$1,098.35
<br />$177,932.70
<br />$826.68
<br />$38,027.28
<br />Employee and Family
<br />41
<br />$1,893.54
<br />$77,635.14
<br />31
<br />$1,530.45
<br />$47,443.95
<br />$2,033.97
<br />$83,392.77
<br />$1,530.90
<br />$47,457.90
<br />Monthly Cost
<br />786
<br />$657,502.24
<br />209
<br />$161,860.15
<br />$706,263.92
<br />$161,907.66
<br />HSA Contribution
<br />$1,237.20
<br />$258,574.80
<br />HSA Contribution
<br />$1,500
<br />$313,500.00
<br />Annual
<br />$7,890,026.88
<br />$2,200,896.60
<br />$8,475,167.04
<br />$2,256,391.92
<br />Total
<br />$10,090,923.48
<br />107.42%
<br />$10,731,558.96
<br />102.52%
<br />Increase over current
<br />106.35%
<br />Firm
<br />Firm
<br />The increase represents a 6.35% increase or $641,000.
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