Att D4 - 2020 Final Dental and Health Premiums.pdf
PDF 191 KB Posted
- Attached to
- RFP #2021-03 Health and Wellness Services
- Solicitation number
- 2021 - 03
- Issued by
- Wisconsin
About this file
This document is a 2020 Open Enrollment notice from the County of Dunn, Wisconsin Department of Administration announcing proposed monthly Dental and Health Insurance premiums effective January 1, 2020. The notice was issued on September 25, 2019, with premium changes to be reflected on the December 13, 2019 payroll. The document presents two categories of health insurance options: standard HSA-eligible plans with $3,000 and $6,000 deductibles, and high-deductible HSA-eligible plans with $5,000 and $10,000 deductibles. Both categories offer single and family coverage through two provider networks: CompleteHealth and Choice Passport. Special provisions are provided for public safety employees, part-time employees, and retired or resigned participants. Dental insurance options include DentaCare and Freestanding plans available to all eligible employees.
Health insurance premiums for standard plans range from $55 to $197 in employee contributions, with county contributions ranging from $812 to $2,362 monthly, resulting in total premiums of $912 for single coverage and $2,460 for family coverage. High-deductible plan options feature lower employee contributions ($25 to $100) with correspondingly lower total premiums ($826 for single and $2,229 for family). Part-time and retired/resigned participants are responsible for 100 percent of premiums with no county contribution. Dental insurance premiums total $141.91 monthly for DentaCare and $113.87 for Freestanding plans, with the county contributing $50 toward both options for active employees. Part-time and retired/resigned participants bear the full dental premium cost.
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J:\USERS\PRODUCER\KristinS\A CLIENTS\Clients A-D\County of Dunn\2022\Marketing\Medical\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 mailto:admin@dunncounty.net
J:\USERS\PRODUCER\KristinS\A CLIENTS\Clients A-D\County of Dunn\2022\Marketing\Medical\Att D - 2020 Final Dental and Health Premiums.docx
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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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