|
Elk River Municipal Utilities
<br />80% Employer Contribution / 20% Employee Contribution
<br />Januaury 1, 2012
<br /> Current
<br />AG-Copay Renewal
<br />AG-Copay CDHP
<br />$1200-100% CDHP
<br />$1200-100% CDHP
<br />$1200-100% CDHP
<br />$1200-100%
<br /> Enrollment Enrollment Enrollment Enrollment Enrollment Enrollment
<br />Employee
<br />Employee+l
<br />Family 6
<br />5
<br />22 6
<br />S
<br />22 6
<br />5
<br />22 6
<br />5
<br />22 6
<br />5
<br />22 6
<br />5
<br />22
<br />Total Enrollment 33 33 33 33 33 33
<br />Rates
<br />Employee
<br />Employee+l
<br />Family
<br />Tier 4 $
<br />$
<br />$
<br />$ 522.00
<br />1,096.50
<br />1,671.00
<br />- $
<br />$
<br />$
<br />$ 472.50
<br />992.52
<br />1,512.50
<br />- $
<br />$
<br />$ 421.00
<br />884.50
<br />1,347.00 $
<br />$
<br />$ 421.00
<br />884.50
<br />1,347.00 $
<br />$
<br />$ 421.00
<br />884.50
<br />1,347.00 $
<br />$
<br />$ 421.00
<br />884.50
<br />1,347.00
<br />Monthly Premium $ 45,377 $ 41,073 $ 36,583 $ 36,583 $ 36,583 $ 36,583
<br />Annual Premium $ 544,518 $ 492,871 $ 438,990 $ 438,990 $ 438,990 $ 438,990
<br />Dollar Change
<br />%Change $ (51,647)
<br />-9.5% $ (105,528)
<br />-19.4% $ (105,528)
<br />-19.4% $ (105,528)
<br />-19.4% $ (105,528)
<br />-19.4%
<br />
<br />NSA Funding (%of Deductible) 50% 60% 70% 75%
<br />Employee
<br />Employee+l
<br />Family $
<br />$
<br />$ 50.00
<br />100.00
<br />100.00 $
<br />$
<br />$ 60.00
<br />120.00
<br />120.00 $
<br />$
<br />$ 70.00
<br />140.00
<br />140.00 $
<br />$
<br />$ 75.00
<br />150.00
<br />150.00
<br />Monthly $ 3,000 $ 3,600 $ 4,200 $ 4,500
<br />HSA Funding $ 36,000 $ 43,200 $ 50,400 $ 54,000
<br /> CONTRIBUTION MODELING
<br /> Employer Contribution (80% of Premium plus HSA Contribution)
<br />Employee
<br />Employee+l
<br />Family $
<br />$
<br />$ 417.60
<br />877.20
<br />1,336.80 $
<br />$
<br />$ 378.00
<br />794.02
<br />1,210.00 $
<br />$
<br />$ 386.80
<br />807.60
<br />1,177.60 $
<br />$
<br />$ 396.80
<br />827.60
<br />1,197.60 $
<br />$
<br />$ 406.80
<br />847.60
<br />1,217.60 $
<br />$
<br />$ 411.80
<br />857.60
<br />1,227.60
<br />Annual Spend $ 435,614 $ 394,297 $ 387,192 $ 394,392 $ 401,592 $ 405,192
<br /> Em ployee Contribution (20% of Premium, does NOT include HSA Funding)
<br />Employee
<br />Employee+l
<br />Family $
<br />$
<br />$ 104.40
<br />219.30
<br />334.20 $
<br />$
<br />$ 94.50
<br />198.50
<br />302.50 $
<br />$
<br />$ 84.20
<br />176.90
<br />269.40 $
<br />$
<br />$ 84.20
<br />176.90
<br />269.40 $
<br />$
<br />$ 84.20
<br />176.90
<br />269.40 $
<br />$
<br />$ 84.20
<br />176.90
<br />269.40
<br />Annual spend $ 108,904 $ 98,574 $ 87,798 $ 87,798 $ 87,798 $ 87,798
<br />*HSA Admin fees are not included in the rates
<br />David Martin Agency Inc.
<br />Contributions 2012 Revised \ Contribution With Funding 75
<br />10/5/2011
<br />
|