Att D4 - 2020 Dental and Health Premiums.pdf
PDF 425 KB Posted
- Attached to
- RFP #2021-04 Dental Services
- Solicitation number
- 2021 - 04
- Issued by
- Wisconsin
About this file
This document is a 2020 Open Enrollment notice from the County of Dunn, Wisconsin Department of Administration outlining proposed monthly dental and health insurance premiums effective January 1, 2020. The notice, issued September 25, 2019, provides a comprehensive breakdown of health insurance options including HSA-eligible plans with varying deductibles ($3,000 and $6,000 options, as well as $5,000 and $10,000 high deductible alternatives) under two carrier options: CompleteHealth and Choice Passport. Coverage categories include standard full-time employees, public safety employees with modified contribution structures, and part-time and retired/resigned participants who bear the full premium cost with no county contribution. Dental insurance options are offered through DentaCare and Freestanding plans.
Health insurance premiums range from $826 to $2,460 monthly depending on coverage type and employee classification, with county contributions varying between $0 and $2,362 per month and employee contributions between $0 and $197 monthly. Dental insurance premiums total $141.91 monthly for DentaCare and $113.87 for Freestanding plans, each with $50 monthly county contribution for active employees. This premium schedule directly supports the related RFP #2021-04 for Dental Services, which represents Dunn County's competitive procurement process to identify qualified providers for ongoing dental insurance delivery to county employees and their families.
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Y:\Purchasing\2021\2021-04\Att D - 2020 Final Dental and Health Premiums.docx Page | 1
COUNTY OF DUNN Department of Administration
Paul Miller County Manager
800 Wilson Avenue Menomonie, Wisconsin 54751
Phone (715) 232-2429 Fax (715) 232-1324 admin@co.dunn.wi.us
TO: DUNN COUNTY EMPLOYEES
FROM: PAUL MILLER
SUBJECT: 2020 OPEN ENROLLMENT - HEALTH & DENTAL INSURANCE
DATE: SEPTEMBER 25, 2019
The following are the proposed monthly Dental and Health Insurance premiums effective January 1, 2020. Changes will be reflected on the December 13, 2019 payroll.
HEALTH INSURANCE
Coverage Type
Employee
Contribution
County
Contribution
Total
Premium HSA Eligible $3,000 Deductible – CompleteHealth (Single) $ 55 $ 857 $ 912 HSA Eligible $6,000 Deductible – CompleteHealth (Family) $ 98 $2,362 $2,460 HSA Eligible $3,000 Deductible – Choice Passport (Single) $ 100 $ 812 $ 912 HSA Eligible $6,000 Deductible – Choice Passport (Family) $ 197 $2,263 $2,460 Public Safety Employees Only HSA Eligible $3,000 Deductible – CompleteHealth AND Choice Passport (Single)
$ 80 $ 832 $912
Public Safety Employees Only HSA Eligible $6,000 Deductible – CompleteHealth AND Choice Passport (Family)
$ 100 $2,360 $2,460
Part Time AND Retired/Resigned Participants Single Plan $ 912 $ 0 Family Plan $2,460 $ 0
High HSA Eligible $5,000 Deductible – CompleteHealth (Single)
$ 25 $ 801 $ 826
High HSA Eligible $10,000 Deductible– CompleteHealth (Family)
$ 50 $2,179 $2,229
High HSA Eligible $5,000 Deductible – Choice Passport (Single)
$ 80 $ 746 $ 826
High HSA Eligible $10,000 Deductible – Choice Passport (Family)
$ 100 $2,129 $2,229
Public Safety Employees Only HSA Eligible $5,000 Deductible – CompleteHealth AND Choice Passport (Single)
$ 25 $801 $826
Public Safety Employees Only HSA Eligible $10,000 Deductible – CompleteHealth AND Choice Passport (Family)
$ 50 $2,179 $2,229
Y:\Purchasing\2021\2021-04\Att D - 2020 Final Dental and Health Premiums.docx Page | 2
Part Time AND Retired/Resigned Participants Single $ 826 $ 0 Family $2,229 $ 0
DENTAL INSURANCE
Coverage Type
Employee
Contribution
County
Contribution
Total
Premium DentaCare $ 91.91 $50.00 $141.91 Part Time AND Retired/Resigned Participants $141.91 $ 0.00
Freestanding $ 63.87 $50.00 $113.87 Part Time AND Retired/Resigned Participants $113.87 $ 0.00
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