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

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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

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