EMPLOYEE RATES

Medical Insurance
Coverage Level	Employee Share	County Share	Total
Employee Only	$0	$596.00 / mo	$596.00 / mo
Employee & Dependents	$95.00 / mo	$1,123.00 / mo	$1,218.00 / mo
Employee & Spouse	$115.00 / mo	$1,123.00 / mo	$1,238.00 / mo
Employee & Family	$125.00 / mo	$1,123.00 / mo	$1,248.00 / mo

 Employees on unpaid FMLA pay the employee share of the premiums normally deducted from their paycheck.

Medical Insurance For Employees on UNPAID NON-FMLA Leave
Coverage Level	Employee Share	County Share	Total
Employee Only	$298.00 / mo	$298.00 / mo	$596.00/ mo
Employee & Dependents	$609.00/ mo	$609.00/ mo	$1,218.00 / mo
Employee & Spouse	$619.00/ mo	$619.00/ mo	$1,238.00 / mo
Employee & Family	$624.00/ mo	$624.00/ mo	$1,248.00 / mo

 

 

 Employees on unpaid non-FMLA leave pay 100% of total Dental cost.

Life Insurance (maximum is $225,000)
Coverage Level	Employee Share	County Share
One Times Annual Salary (rounded to the next highest thousand)	FREE	$0.23 / $1,000 of coverage

 

 

Long-Term Disability Insurance (maximum salary is $100,000)
Coverage Level	Employee Share	County Share
60% of pre-disability salary minimum benefit is $100 per month; maximum benefit is $5,000 per month	FREE	$0.32/ $100 of monthly salary

 

Short-Term Disability Insurance (GWS-Gross Weekly Salary) (maximum annual salary is $52,000) (maximum benefit is $600.00 per week)
Employees Age Range	Premiumm Rates
Under Age 29	$0.47 / $10 of GWS
30 - 39	$0.24 / $10 of GWS
40 - 49	$0.28 / $10 of GWS
50 - 59	$0.33 / $10 of GWS
60 - 64	$0.47 / $10 of GWS
65 +	$0.79 / $10 of GWS

 

Optional Life Insurance (Per $1,000 of Plan Value)
Age Range	Premium Rate
Under Age 30	$ .06/$1,000
30-34	$ .08/$1,000
35-39	$ .09/$1,000
40-44	$ .10/$1,000
45-49	$ .16/$1,000
50-54	$ .24/$1,000
55-59	$ .45/$1,000
60-64	$ .67/$1,000
65-69	$1.31/$1,000
70 +	$2.14/$1,000
All Eligible Children	$ .35/$5,000/month
*Amounts of coverage for an active employee reduce to 65% of face amount at age 65; 50% of original face amount at age 70; and, 35% of original value at age 75.   Your rate increases on January 1st of the year following your birth date.

 

Vision Insurance
Coverage Levels	Employee Share
Employee Only	$7.91 / mo
Employee & Family	$16.66 / mo