Appendix_C_-_Health_Insurance_Rates_Information_for_2024-2026.pdf
PDF 144 KB Posted
- Attached to
- RFP 26-HR-01 Broker Services, Medical, Dental, Vision, Firefighter Cancer and Life Insurance Benefits
- Solicitation number
- 26-HR-01
- Issued by
- Volusia County, Florida
About this file
This document is a health insurance rates schedule for the City of Holly Hill, Florida, detailing employee benefit premiums for medical, dental, and vision coverage across three plan years: 2024, 2025, and 2026. The City of Holly Hill offers employees a Florida Health Care HDHP High Deductible Plan (T95), Principal Dental insurance, and EyeMed Vision insurance with varying coverage options for employee-only, employee/spouse, employee/children, and employee/family categories. The rates are effective January 1 for each respective year, with Health Savings Account contributions of up to $1,900 available to employees who complete the City's Annual Wellness Initiative requirements, deposited in early January of each plan year.
The premium structure reflects shared cost responsibility between the City and employees. For the 2024 plan year, the HDHP medical plan ranges from $619.42 for employee-only coverage to $1,300.78 for family coverage, with employees covering the full employee-only premium and increasingly higher portions for dependent coverage. Dental premiums range from $32.67 to $117.85 monthly, while vision premiums range from $4.86 to $14.26 monthly, with employees bearing the full premium cost for both plans. Rates increase modestly in 2025 and 2026, with the medical plan ranging from $641.10 to $1,346.31 by 2026, and dental premiums rising from $35.41 to $127.75. This rates information document supports the City's concurrent Request for Proposals (RFP 26-HR-01) seeking qualified broker services firms to place and service the employee benefit insurance program.
View the file
Other files
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FLORIDA HEALTH CARE HDHP High Deductible Plan - T95
TOTAL EMPLOYEE SEMI-
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 619.42 619.42 0.00 0.00
EMPLOYEE/SPOUSE 1059.22 619.42 439.80 219.90
EMPLOYEE/CHILDREN 1059.22 619.42 439.80 219.90
EMPLOYEE/ FAMILY 1300.78 619.42 681.36 340.68
*HSA is a tax-advantaged account available to employees covered under high deductible health plans.
An HSA is employee owned and is utilized similiarly to a checking account with a debit card, but may only be used to pay for qualified medical expenses. Employees are eligible to earn up to $1,900 for completion of the City's Annual Wellness Initiative requirements.
Any funds earned will be deposited from the City into Employee's HSA account on January 4, 2024.
PRINCIPLE DENTAL
TOTAL EMPLOYEE SEMI-
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 32.67 0.00 32.67 16.34
EMPLOYEE/SPOUSE 67.24 0.00 67.24 33.62
EMPLOYEE/CHILDREN 75.29 0.00 75.29 37.65
EMPLOYEE/ FAMILY 117.85 0.00 117.85 58.93
EYEMED VISION
TOTAL EMPLOYEE SEMI-
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 4.86 0.00 4.86 2.43
EMPLOYEE/SPOUSE 9.23 0.00 9.23 4.62
EMPLOYEE/CHILDREN 9.72 0.00 9.72 4.86
EMPLOYEE/ FAMILY 14.26 0.00 14.26 7.13
CITY OF HOLLY HILL
HEALTH INSURANCE RATES EFFECTIVE JANUARY 1, 2024
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 619.42 619.42 0.00 0.00
EMPLOYEE/SPOUSE 1059.22 619.42 439.80 219.90
EMPLOYEE/CHILDREN 1059.22 619.42 439.80 219.90
EMPLOYEE/ FAMILY 1300.78 619.42 681.36 340.68
*HSA is a tax-advantaged account available to employees covered under high deductible health plans.
An HSA is employee owned and is utilized similiarly to a checking account with a debit card, but may only be used to pay for qualified medical expenses. Employees are eligible to earn up to $1,900 for completion of the City's Annual Wellness Initiative requirements.
Any funds earned will be deposited from the City into Employee's HSA account on January 5, 2025.
PRINCIPLE DENTAL
TOTAL EMPLOYEE SEMI-
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 32.67 0.00 32.67 16.34
EMPLOYEE/SPOUSE 67.24 0.00 67.24 33.62
EMPLOYEE/CHILDREN 75.29 0.00 75.29 37.65
EMPLOYEE/ FAMILY 117.85 0.00 117.85 58.93
EYEMED VISION
TOTAL EMPLOYEE SEMI-
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 4.86 0.00 4.86 2.43
HEALTH INSURANCE RATES EFFECTIVE JANUARY 1, 2025
EMPLOYEE/SPOUSE 9.23 0.00 9.23 4.62
EMPLOYEE/CHILDREN 9.72 0.00 9.72 4.86
EMPLOYEE/ FAMILY 14.26 0.00 14.26 7.13
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 641.10 641.10 0.00 0.00
EMPLOYEE/SPOUSE 1096.29 641.10 455.19 227.60
EMPLOYEE/CHILDREN 1096.29 641.10 455.19 227.60
EMPLOYEE/ FAMILY 1346.31 641.10 705.21 352.61
*HSA is a tax-advantaged account available to employees covered under high deductible health plans.
An HSA is employee owned and is utilized similiarly to a checking account with a debit card, but may only be used to pay for qualified medical expenses. Employees are eligible to earn up to $1,900 for completion of the City's Annual Wellness Initiative requirements.
Any funds earned will be deposited from the City into Employee's HSA account on January 15, 2026.
PRINCIPLE DENTAL
TOTAL EMPLOYEE SEMI-
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 35.41 0.00 35.41 17.71
EMPLOYEE/SPOUSE 72.88 0.00 72.88 36.44
EMPLOYEE/CHILDREN 81.61 0.00 81.61 40.81
EMPLOYEE/ FAMILY 127.75 0.00 127.75 63.88
EYEMED VISION
TOTAL EMPLOYEE SEMI-
MONTHLY CITY MONTHLY MONTHLY
PREMIUM PORTION PORTION DEDUCTION
EMPLOYEE ONLY 4.86 0.00 4.86 2.43
HEALTH INSURANCE RATES EFFECTIVE JANUARY 1, 2026
EMPLOYEE/SPOUSE 9.23 0.00 9.23 4.62
EMPLOYEE/CHILDREN 9.72 0.00 9.72 4.86
EMPLOYEE/ FAMILY 14.26 0.00 14.26 7.13
| Rates 2024.pdf |
| Sheet1 |
| Rates-2025.XLSX_3 |
| Sheet1 |
| RATES -Rates-2026 City of Holly Hill Employment Corp. |
| Sheet1 |
File details come from the government source that posted it. Updated .