Att G - 2021 Employee Employer Contribution Rates.pdf

This is an employee benefit contribution rate schedule for dental insurance coverage provided by Dunn County, Wisconsin, as part of RFP #2021-04 for Dental Services. The document outlines the 2021 employee and employer contribution percentages and dollar amounts for two dental plan options: DentaCare and Freestanding coverage. Both plans are available to full-time employees, with separate rates applicable to part-time and retired/resigned participants. Public Safety Employees receive a modified contribution structure with the county maintaining a $50.00 contribution across both plan types. The document reflects a 4% increase in total premiums from 2020 to 2021.

For the DentaCare plan, employees contribute 66% ($97.59) of the premium while the county contributes 34% ($50.00), resulting in a total 2021 premium of $147.59. The Freestanding plan requires a 58% employee contribution ($68.42) and 42% county contribution ($50.00), with a total 2021 premium of $118.42. Part-time and retired/resigned participants are responsible for 100% of premium costs with no county contribution. Public Safety Employees pay fixed employee amounts of $97.59 for DentaCare and $68.42 for Freestanding, with the county maintaining its $50.00 contribution for both options. These rates establish the cost structure for the dental insurance services being procured through the RFP process.