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FOR EMPLOYEES AND NON-MEDICARE-ELIGIBLE RETIREES
9
Anne Arundel County
PART-TIME
Rate Schedule
Effective - 1/1/17 to 12/31/17 (for part-time employees eligible for medical insurance benefits)
This chart details the County medical insurance cost (plans bundled with CIGNA PPO dental) and the cost to employees.
BI-WEEKLY DEDUCTION
BLUE CHOICE TRIPLE OPTION
OPEN ACCESS
50% FTE
60% FTE
70% FTE
80% FTE
Individual
$207.76
$182.83
$157.89
$132.96
Parent & Child
$366.96
$322.93
$278.89
$234.86
Employee & Spouse
$440.13
$387.31
$334.50
$281.68
Family
$571.56
$502.97
$434.38
$365.80
BLUE CHOICE HMO OPEN ACCESS
50% FTE
60% FTE
70% FTE
80% FTE
Individual
$145.91
$124.34
$102.77
$81.20
Parent & Child
$261.63
$222.96
$184.28
$145.61
Employee & Spouse
$311.50
$265.45
$219.41
$173.36
Family
$402.85
$343.30
$283.75
$224.20
CAREFIRST EPO
50% FTE
60% FTE
70% FTE
80% FTE
Individual
$159.71
$136.10
$112.49
$88.88
Parent & Child
$288.24
$245.63
$203.02
$160.41
Employee & Spouse
$342.09
$291.52
$240.95
$190.38
Family
$441.63
$376.35
$311.06
$245.78
Dental and Vision coverage is included in the above rates. Bi-weekly means 26 times/year. All deductions are pre-tax.
COBRA MONTHLY RATE SCHEDULE
January 1, 2017 - December 31, 2017 • (2% Surcharge)
BLUE CHOICE TRIPLE OPTION
OPEN ACCESS
Monthly Total
CAREFIRST EPO
Monthly Total
Individual
$734.62
Individual
$613.84
Parent & Child
$1,297.58
Parent & Child
$1,107.85
Employee & Spouse
$1,556.29
Employee & Spouse
$1,314.83
Family
$2,021.03
Family
$1,697.41
BLUE CHOICE HMO OPEN ACCESS Monthly Total
VISION PLAN (VSP)
Monthly Total
Individual
$560.82
Individual
$2.44
Parent & Child
$1,005.59
Parent & Child
$4.87
Employee & Spouse
$1,197.26
Employee & Spouse
$6.22
Family
$1,548.36
Family
$7.07
AETNA MEDICARE ADVANTAGE
PPO ESA
$568.41
CIGNA DENTAL
Dental DMO
Dental PPO
Individual
$18.80
$35.16
Parent & Child
$37.58
$62.37
Employee & Spouse
$47.75
$80.89
Family
$54.29
$89.90