2013 Sprint Benefits Guide

Full-time employees’ Medical/Prescription Drug per-paycheck premium rates for 2013
Premiums with Healthy Living Discount
Premiums without Healthy Living Discount
Benefits Eligible Earnings
< $40,000
$40,000 –
$69,999
$70,000 –
$99,999
$100,000 –
$199,999
> = $200,000 < $40,000
$40,000 –
$69,999
$70,000 –
$99,999
$100,000 –
$199,999
> =
$200,000
Sprint Basic Plan
Employee Only $7.53 $13.29 $17.42 $22.93 $29.81 $29.38 $37.28 $42.51 $49.47 $58.18
Employee + Spouse/Domestic Partner $19.30 $31.11 $39.58 $50.87 $64.99 $59.86 $76.06 $86.77 $101.06 $118.91
Employee + Child(ren) $17.06 $27.72 $35.37 $45.56 $58.30 $54.06 $68.68 $78.35 $91.23 $107.35
Employee + Family $28.83 $45.54 $57.53 $73.51 $93.48 $84.54 $107.46 $122.62 $142.82 $168.08
Sprint Health Account Plan
Employee Only $16.79 $28.01 $36.71 $48.32 $62.82 $37.26 $48.48 $57.18 $68.79 $83.29
Employee + Spouse/Domestic Partner $42.54 $65.54 $83.38 $107.17 $136.90 $79.26 $102.26 $120.10 $143.89 $173.62
Employee + Child(ren) $37.64 $58.39 $74.49 $95.96 $122.79 $71.26 $92.01 $108.11 $129.58 $156.42
Employee + Family $63.39 $95.92 $121.16 $154.81 $196.88 $113.26 $145.79 $171.03 $204.68 $246.75
Sprint Consumer Access Plan
Employee Only $31.98 $44.30 $53.85 $66.59 $82.64 $53.97 $66.28 $75.84 $88.58 $104.63
Employee + Spouse/Domestic Partner $72.40 $99.73 $119.31 $145.43 $178.34 $114.30 $139.55 $159.14 $185.26 $218.16
Employee + Child(ren) $69.76 $93.24 $111.73 $136.37 $167.41 $107.28 $131.10 $149.59 $174.23 $205.27
Employee + Family $112.03 $151.20 $180.18 $218.82 $267.47 $170.37 $207.72 $236.69 $275.33 $323.98
Kaiser Permanente (Northern California)
Employee Only $35.74 $48.06 $57.61 $70.35 $86.40 $57.73 $70.04 $79.60 $92.34 $108.39
Employee + Spouse/Partner $80.12 $107.45 $127.03 $153.15 $186.06 $122.02 $147.27 $166.86 $192.98 $225.88
Employee + Child(ren) $76.72 $100.20 $118.69 $143.33 $174.37 $114.24 $138.06 $156.55 $181.19 $212.23
Employee + Family $122.95 $162.12 $191.10 $229.74 $278.39 $181.29 $218.64 $247.61 $286.25 $334.90
Kaiser Permanente (Southern California)
Employee Only $21.35 $29.57 $35.94 $44.45 $55.16 $36.02 $44.24 $50.62 $59.12 $69.83
Employee + Spouse/Domestic Partner $48.32 $66.57 $79.63 $97.07 $119.03 $76.29 $93.14 $106.22 $123.65 $145.61
Employee + Child(ren) $42.23 $56.44 $67.64 $82.55 $101.34 $64.94 $79.36 $90.56 $105.47 $124.26
Employee + Family $74.77 $100.92 $120.26 $146.05 $178.52 $113.71 $138.64 $157.98 $183.77 $216.24
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