| Alachua County Public Schools | |||||||||
| Employee Health Plan Costs | |||||||||
| Effective 1/1/10 | |||||||||
| Semi Monthly Payroll Deductions | |||||||||
| Plan 1 | Plan 2 | Plan 3 | Plan 4 | Plan 5 (A) | Plan 5 (B) | Plan 6 | |||
| $500 Deductible | $500 Deductible | Physician Copay | Physician Copay | Physician Copay | HRA + Dependents | Short term disability | |||
| Non-HRA | $800.52 a year | Hospital Indemnity | |||||||
| Blue Options | Blue Choice | $300/BlueOptions | $750/BlueOptions | $1500/BlueOptions | $1500/Blue Options | No Health Coverage | |||
| Single Coverage | |||||||||
| Board Paid | $181.68 | $181.68 | $181.68 | $181.68 | $181.68 | $181.68 | $181.68 | ||
| Employee Paid | $0.00 | $19.50 | $26.04 | $0.00 | $0.00 | $0.00 | $0.00 | ||
| Dependent Coverage | |||||||||
| Spouse Only | $215.65 | $258.28 | $272.55 | $207.76 | $142.68 | $176.04 | Not Available | ||
| Child (ren) Only | $179.30 | $218.05 | $231.02 | $172.16 | $113.02 | $146.38 | Not Available | ||
| Family Only | $266.30 | $314.37 | $330.47 | $257.41 | $184.02 | $217.38 | Not Available | ||
| Plan 4 if you choose dependent coverage an Annual credit of $86.40 has been applied to reduce cost of coverage. | |||||||||
| Plan 5 (A)if you choose dependent coverage an Annual credit of $800.52 has been applied to reduce cost of coverage. | |||||||||
| You are given this amount of money toward the Flexible Benefit Products (FBMC) if you choose the below plans: | |||||||||
| Plan 4-single coverage | Plan 5-(A)single coverage | Plan 6 | |||||||
| 20 checks=$4.32 ($86.40) | 20 checks=$40.03 ($800.52) | 20 checks=$12.50 ($250.00) | |||||||
| 24 checks=$3.60 ($86.40) | 24 checks=$33.36 ($800.52) | 24 checks=$10.42 ($250.00) | |||||||
| Special note: The costs shown above are for illustration purposes only. This reflects a full year of deductions on a 12 month basis. | |||||||||
| For those on a 10-month contract, you will see a second deduction, listed as pre-paid med ins on your pay stub from | |||||||||
| December through June, which is for the 2 1/2 months of premium for the summer months. | |||||||||
| 10 month employees who work through the end of their contract period in June will have insurance through | |||||||||
| September 30th of the year. | |||||||||
| Plan 5-A | Plan 5-B | ||||||||
| Family Discount Rate | $84.62 | $132.69 | $148.79 | $75.73 | $2.34 | $35.70 | |||
| Family Discount is when two employees work here and have dependents. They receive a family discount rate. | |||||||||
| Plan 6- Hospital Indemnity-pays $90.00 per day for each day you are hospital confined, up to 91 days of continuous confinement. | |||||||||
| Plan 6- Short term disability-pays $100.00 per week for up to 26 weeks, beginning on the 15th day of accident, sickness, | |||||||||
| or hospital confinement for a disability that is non-work related. | |||||||||