X hits on this document

42 views

0 shares

0 downloads

0 comments

15 / 19

Civil Service Commission, Employee Benefits Division

FY 2011-2012 GROUP INSURANCE PREMIUM RATES FOR LIFE INSURANCE ALL EMPLOYEES

PLAN NAME/CODE

Dependent Life Options Spouse $1,500 and/or Child(ren) $1,000 Spouse $5,000 and/or Child(ren) $2,500 Spouse $10,000 and/or Child(ren) $5,000 Spouse $25,000 and/or Child(ren) $10,000 Child(ren) Only $10,000

F

$

.20

$

G

$

.60

$

H

$

1.20

$

K

$

4.00

$

L

$

.75

$

Option

Employee

(a)

(b)

Effective October 2, 2011

LIFE INSURANCE PLANS

BIWEEKLY

State (c)

0 0 0 0 0

Employee Life Options

The Employee Only regular plan is 2 times your annual salary, up to a maximum of $200,000. The State pays 100% of the premium for this plan.

The Employee Only reduced plan is 1 times your annual salary, up to a maximum of $50,000. Employees enrolled in this plan will receive a biweekly rebate beginning October 13, 2011.

Office of the State Employer, Employee Health Management

FY 2011-2012 BIWEEKLY LONG TERM DISABILITY PREMIUM RATES ALL EMPLOYEES Rates per $100 of Earnings*

Effective October 2, 2011

Status

PLAN NAME/CODE

(a)

All employees except those represented by bargaining units W22 and W41 (UAW)

YIA0: Less than 184 hours sick leave YIA1: 184-527 hours sick leave YIA2: 528 hours or more sick leave

Plan I Plan IIA Plan IIB

YIA3: Reach Plan II (YIA1) but now less than 184 hours sick leave Employees represented by bargaining units W22 and W41 (UAW) YIA0: Less than 184 hours sick leave YIA1: 184-527 hours sick leave YIA2: 528 hours or more sick leave YIA3: Reach Plan II (YIA1) but now less than 184 hours sick leave

Plan IIC

Plan I Plan IIA Plan IIB Plan IIC

$

2.08

$

.92

$

.53

$

.92

$

0

$

.92

$

1.74

$

.92

Employee

State

(b)

(c)

$

2.13

$

.92

$

.58

$

.92

$

0

$

.92

$

1.79

$

.92

Calculation of Employee Contribution:

Biweekly Contribution = Hourly Rate times 2088, divided by 26, divided by 100, times the Employee Rate per Plan (I, IIA, IIB, or IIC)

*Benefits are subject to maximums in the LTD booklet.

15

Document info
Document views42
Page views42
Page last viewedSat Dec 03 01:03:18 UTC 2016
Pages19
Paragraphs2099
Words4748

Comments