Benefits Enrollment & Reference Guide - Harford County Public ...

Medical and Dental Deductions Active Employees
except Teachers Bargaining Unit (HCEA) Members — 7/1/2012 – 6/30/ 2013
Biweekly Payroll Deduction
Plan
Total Annual
Premium
Your Annual
Share
Employee
Monthly Cost at
100%
12 Month
Employees
(24 pays)
Your Bi-Weekly
Deduction
10 Month
Employees
(20 pays)
Your Bi-Weekly
Deduction
Medical Insurance Rates:
Preferred Provider Plus Plan
Individual $5,865.96 $879.89 $488.83 $36.66 $43.99
Parent & Child $12,754.44 $1,913.17 $1,062.87 $79.72 $95.66
Husband & Wife $15,087.60 $2,263.14 $1,257.30 $94.30 $113.16
Family $16,360.68 $2,454.10 $1,363.39 $102.25 $122.71
Preferred Provider Core Plan
Individual $5,472.12 $547.21 $456.01 $22.80 $27.36
Parent & Child $11,897.76 $1,189.78 $991.48 $49.57 $59.49
Husband & Wife $14,074.20 $1,407.42 $1,172.85 $58.64 $70.37
Family $15,261.84 $1,526.18 $1,271.82 $63.59 $76.31
HMO
Individual $4,701.84 $470.18 $391.82 $19.59 $23.51
Parent & Child $9,288.48 $928.85 $774.04 $38.70 $46.44
Husband & Wife $11,104.32 $1,110.43 $925.36 $46.27 $55.52
Family $13,679.04 $1,367.90 $1,139.92 $57.00 $68.40
Dental Insurance Rates:
Delta Dental Premier
Individual $247.44 $24.74 $20.62 $1.03 $1.24
Parent & Child $406.68 $40.55 $33.79 $1.69 $2.03
Husband & Wife $521.16 $52.12 $43.43 $2.17 $2.61
Family $759.96 $75.88 $63.23 $3.16 $3.79
Delta Dental PPO
Individual $337.44 $33.74 $28.12 $1.41 $1.69
Parent & Child $553.92 $55.39 $46.16 $2.31 $2.77
Husband & Wife $710.16 $71.02 $59.18 $2.96 $3.55
Family $1,035.36 $103.54 $86.28 $4.31 $5.18
Premium deductions will begin in July (September for ten-month employees) and coverage will be effective July 1, 2012. New hires coverage will start on the
first pay of the month following the date of hire and enrollment in the plan. Deductions will begin with the first pay of the month following the date of hire and
enrollment in the plan.
Harford County Public Schools – Benefits Enrollment & Reference Guide 5