Group Health Insurance Premiums*
Full-Time Employee
Effective November 1, 2009
(Click on link to see premiums for .75 FTE and .5 FTE Employees)
Buy-Up Single Employee + Child(ren) Employee + Spouse Family Single Employee + Child(ren) Employee + Spouse Family $85.00 $70.00 $55.00 $40.00 $25.00
PLAN
Base
Salary >$58,131 (Tier 1)
Employee Pays for Buy-Up
$30.58
$59.35
$66.62
$93.20
Employee Pays for Self
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
Employee Pays for Dependents
$0.00
$266.09
$341.78
$728.89
$0.00
$266.09
$341.78
$728.89
TOTAL for Employee
$100.00
$366.09
$441.78
$828.89
$130.58
$425.44
$508.40
$922.09
Washburn Pays
$422.77
$605.97
$621.89
$681.84
$422.77
$605.97
$621.89
$681.84
Total Premium
$522.77
$972.06
$1,063.67
$1,510.73
$553.35
$1,031.41
$1,130.29
$1,603.93
Salary <=$58,131 (Tier 2)
Employee Pays for Buy-Up
$30.58
$59.35
$66.62
$93.20
Employee Pays for Self
$85.00
$85.00
$85.00
$85.00
$85.00
$85.00
$85.00
Employee Pays for Dependents
$0.00
$234.17
$301.21
$631.07
$0.00
$234.17
$301.21
$631.07
TOTAL for Employee
$85.00
$319.17
$386.21
$716.07
$115.58
$378.52
$452.83
$809.27
Washburn Pays
$437.77
$652.89
$677.46
$794.66
$437.77
$652.89
$677.46
$794.66
Total Premium
$522.77
$972.06
$1,063.67
$1,510.73
$553.35
$1,031.41
$1,130.29
$1,603.93
Salary <=$50,232 (Tier 3)
Employee Pays for Buy-Up
$30.58
$59.35
$66.62
$93.20
Employee Pays for Self
$70.00
$70.00
$70.00
$70.00
$70.00
$70.00
$70.00
Employee Pays for Dependents
$0.00
$202.25
$260.64
$533.26
$0.00
$202.25
$260.64
$533.26
TOTAL for Employee
$70.00
$272.25
$330.64
$603.26
$100.58
$331.60
$397.26
$696.46
Washburn Pays
$452.77
$699.81
$733.03
$907.47
$452.77
$699.81
$733.03
$907.47
Total Premium
$522.77
$972.06
$1,063.67
$1,510.73
$553.35
$1,031.41
$1,130.29
$1,603.93
Salary <=$41,929 (Tier 4)
Employee Pays for Buy-Up
$30.58
$59.35
$66.62
$93.20
Employee Pays for Self
$55.00
$55.00
$55.00
$55.00
$55.00
$55.00
$55.00
Employee Pays for Dependents
$0.00
$168.32
$217.06
$431.44
$0.00
$168.32
$217.06
$431.44
TOTAL for Employee
$55.00
$223.32
$272.06
$486.44
$85.58
$282.67
$338.68
$579.64
Washburn Pays
$467.77
$748.74
$791.61
$1,024.29
$467.77
$748.74
$791.61
$1,024.29
Total Premium
$522.77
$972.06
$1,063.67
$1,510.73
$553.35
$1,031.41
$1,130.29
$1,603.93
Salary <=$33,940 (Tier 5)
Employee Pays for Buy-Up
$30.58
$59.35
$66.62
$93.20
Employee Pays for Self
$40.00
$40.00
$40.00
$40.00
$40.00
$40.00
$40.00
Employee Pays for Dependents
$0.00
$136.40
$177.49
$333.63
$0.00
$136.40
$177.49
$333.63
TOTAL for Employee
$40.00
$176.40
$217.49
$373.63
$70.58
$235.75
$284.11
$466.83
Washburn Pays
$482.77
$795.66
$846.18
$1,137.10
$482.77
$795.66
$846.18
$1,137.10
Total Premium
$522.77
$972.06
$1,063.67
$1,510.73
$553.35
$1,031.41
$1,130.29
$1,603.93
Salary <=$26,042 (Tier 6)
Employee Pays for Buy-Up
$30.58
$59.35
$66.62
$93.20
Employee Pays for Self
$25.00
$25.00
$25.00
$25.00
$25.00
$25.00
$25.00
Employee Pays for Dependents
$0.00
$103.48
$134.92
$230.81
$0.00
$103.48
$134.92
$230.81
TOTAL for Employee
$25.00
$128.48
$159.92
$255.81
$55.58
$187.83
$226.54
$349.01
Washburn Pays
$497.77
$843.58
$903.75
$1,254.92
$497.77
$843.58
$903.75
$1,254.92
Total Premium
$522.77
$972.06
$1,063.67
$1,510.73
$553.35
$1,031.41
$1,130.29
$1,603.93
*Monthly rates, includes dental premiums.
Questions can be referred to Deborah Moore, Human Resources
