Washoe Country School District

July 24, 2014

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Health Plans - Premium Schedule 

 

2011 Employee Premium Schedule for EPO and GHP Plans

with Wellness Premium Discount

 

Saint Mary's and Renown EPO Plans

Coverage Level
26 Pay Periods
12 Month
Classified EEs
18 Pay Periods
9/10/11 Month
Classified EEs
Monthly Premium Full-time
Certified & Administrative EEs
Monthly Premium
.5 FTE Certified EEs
Employee Only
   $74.81  
$108.05
$162.08
$455.20
Employee + Spouse
$285.99
$413.10
$619.65
$912.77
Employee + 1 Child
$204.01
$294.69
$442.03
$735.15
Employee + 2 Children
$326.48
$471.58
$707.37
$1,000.49
Employee + Family
$405.59
$585.85
$878.77
    $1,171.89

 

Saint Mary's and Renown GHP Plans

Coverage Level
26 Pay Periods
12 Month
Classified EEs
18 Pay Periods
9/10/11 Month
Classified EEs
Monthly Premium Full-time
Certified & Administrative EEs
Monthly Premium
.5 FTE Certified EEs
Employee Only
$0.00
$0.00
$0.00
$293.12
Employee + Spouse
$160.28
$231.52
$347.28
$640.40
Employee + 1 Child
$100.07
$144.55
$216.82
$509.94
Employee + 2 Children
$192.25
$276.25
$414.38
$707.50
Employee + Family
$254.52
$367.63
$551.45
$844.57

 


  PLEASE NOTE:

1.     Subsidy percentages are subject to change during the plan year.
2.     Dependent premiums are in addition to the Retiree premium.