Att J - 2021 Employee Employer Contibution Rates.pdf
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- Attached to
- RFP #2021-03 Health and Wellness Services
- Solicitation number
- 2021 - 03
- Issued by
- Wisconsin
About this file
This document is an employee and employer health insurance contribution rate schedule for Dunn County, Wisconsin, detailing 2021 premium costs and contribution percentages for health insurance coverage options. The file presents multiple health plan configurations offered to county employees, including options for standard employees, public safety employees, part-time employees, and retired or resigned participants. Coverage types include HSA-eligible plans through CompleteHealth and Choice Passport providers, with deductible options ranging from $3,000 to $10,000 for individual and family plans. The document establishes the baseline premium rates and contribution allocations that form the foundation for the county's health insurance offerings referenced in RFP #2021-03 for Health and Wellness Services.
The contribution structure shows employee responsibility percentages ranging from 4 to 13 percent, with county contributions representing 87 to 96 percent of total premiums. Individual plan premiums range from approximately $826 to $913 annually, while family plan premiums range from approximately $2,229 to $2,461 annually, with corresponding total annual county contribution amounts ranging from $9,393 to $29,882. The document reflects a 7.69 percent rate increase applied to base premiums and designates the base premium as the calculation reference point for all contribution determinations across the various plan offerings and employee classifications.
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Text version
HEALTH INSURANCE
Coverage Type
% Employee Contribution
Employee $ Contribution for County % based on
EE %
County $
Contribution
Total Premium (Base Premium
Number)
Total Premium Annual County
Amount HSA Eligible $3,000 Deductible – CompleteHealth (Single) 8% 78.58 92% 903.56$ 912.00$ 982.14$ 10,842.72$ HSA Eligible $6,000 Deductible – CompleteHealth (Family) 6% 158.96 94% 2,490.22$ 2,460.00$ 2,649.18$ 29,882.64$ HSA Eligible $3,000 Deductible – Choice Passport (Single) 13% 127.6782 87% 854.46$ 912.00$ 982.14$ 10,253.54$ HSA Eligible $6,000 Deductible – Choice Passport (Family) 10% 264.918 90% 2,384.26$ 2,460.00$ 2,649.18$ 28,611.14$ Public Safety Employees Only HSA Eligible $3,000 Deductible – CompleteHealth (Single) 8% 78.58 92% 903.56$ 912.00$ 982.14$ 10,842.72$ Public Safety Employees Only HSA Eligible $3,000 Deductible – Choice Passport (Single) 8% 78.7968 92% 906.16$ 913.00$ 984.96$ 10,873.96$ Public Safety Employees Only HSA Eligible $6,000 Deductible – CompleteHealth (Family) 6% 158.96 94% 2,490.22$ 2,460.00$ 2,649.18$ 29,882.64$ Public Safety Employees Only HSA Eligible $6,000 Deductible – Choice Passport (Family) 8% 212.544 92% 2,444.26$ 2,461.00$ 2,656.80$ 29,331.07$
Part Time AND Retired/Resigned Participants Single Plan 982.14$ Family Plan 2,649.18$
High HSA Eligible $5,000 Deductible – CompleteHealth (Single) 5% 44.48$ 95% 845.04$ 826.00$ 889.52$ 10,140.52$ High HSA Eligible $10,000 Deductible– CompleteHealth (Family) 4% 96.02$ 96% 2,304.40$ 2,229.00$ 2,400.42$ 27,652.84$ High HSA Eligible $5,000 Deductible – Choice Passport (Single) 12% 106.74$ 88% 782.78$ 826.00$ 889.52$ 9,393.32$ High HSA Eligible $10,000 Deductible – Choice Passport (Family) 6% 144.02$ 94.00% 2,256.40$ 2,229.00$ 2,400.42$ 27,076.80$ Public Safety Employees Only HSA Eligible $5,000 Deductible – CompleteHealth (Single) 5% 44.48$ 95% 845.04$ 826.00$ 889.52$ 10,140.52$ Public Safety Employees Only HSA Eligible $5,000 Deductible – Choice Passport (Single) 8% 71.16$ 92% 818.36$ 826.00$ 889.52$ 9,820.29$ Public Safety Employees Only HSA Eligible $10,000 Deductible – CompleteHealth (Family) 4% 96.02$ 96% 2,304.40$ 2,229.00$ 2,400.42$ 27,652.84$ Public Safety Employees Only HSA Eligible $10,000 Deductible – Choice Passport (Family) 8% 192.04$ 92.00% 2,208.38$ 2,229.00$ 2,400.42$ 26,500.56$
Part Time AND Retired/Resigned Participants Single Plan 889.52$ Family Plan 2,400.42$
7.69% Rate Increase "F" is the base premium number for calculations
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