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OPEN ENROLLMENT & BENEFITS REFERENCE GUIDE
SCHOOL
Health
RN, LPN, PDS Aides and Health Assistants
Effective - 1/1/17 to 12/31/17
Rates are based on 20 paychecks per year and include Cigna Dental PPO & Vision Coverage. Twenty deductions will be withheld
from paychecks dated Jan. 1 - May 31, 2017 and from Sept 1 - Dec. 31, 2017.
BLUE CHOICE
TRIPLE OPTION OPEN ACCESS
Monthly Total
Employee Deduction
Bi-Weekly
Individual
$720.22
$108.03
Parent & Child
$1,272.14
$190.82
Employee & Spouse
$1,525.77
$228.87
Family
$1,981.40
$297.21
BLUE CHOICE
HMO OPEN ACCESS
Monthly Total
Employee Deduction
Bi-Weekly
Individual
$549.82
$49.48
Parent & Child
$985.87
$88.73
Employee & Spouse
$1,173.78
$105.64
Family
$1,518.00
$136.62
CAREFIRST
EPO
Monthly Total
Employee Deduction
Bi-Weekly
Individual
$601.80
$54.16
Parent & Child
$1,086.13
$97.75
Employee & Spouse
$1,289.05
$116.01
Family
$1,664.13
$149.77
RECREATION
and Parks
Child Care Directors and Assistant Child Care Directors
Effective - 1/1/17 to 12/31/17
Rates are based on 20 paychecks per year and include Cigna Dental PPO & Vision Coverage. Twenty deductions will be withheld
from paychecks dated Jan. 1 - May 31, 2017 and from Sept 1 - Dec. 31, 2017.
85% County Subsidy Rate
based on 20 deductions
BLUE CHOICE HMO OPEN ACCESS
Total Monthly Rate
Employee Deduction Bi-Weekly
Individual
$549.82
$49.48
Parent & Child
$985.87
$88.73
Employee & Spouse
$1,173.78
$105.64
Family
$1,518.00
$136.62
CAREFIRST EPO
Total Monthly Rate
Employee Deduction Bi-Weekly
Individual
$601.80
$54.16
Parent & Child
$1,086.13
$97.75
Employee & Spouse
$1,289.05
$116.01
Family
$1,664.13
$149.77