2013 Sprint Benefits Guide

2013 Medical/Prescription Drug per-paycheck premiums (costs for full-time employees)
Premiums with Healthy Living Discount
Premiums without Healthy Living Discount
Benefits Eligible Earnings < $40,000
Kaiser Permanente (Colorado)
$40,000 –
$69,999
$70,000 –
$99,999
$100,000 –
$199,999
> = $200,000 < $40,000
Employee Only $30.46 $42.19 $51.28 $63.41 $78.70 $51.40 $63.12 $72.22 $84.35 $99.64
Employee + Spouse/Domestic Partner $69.08 $95.15 $113.83 $138.75 $170.15 $109.05 $133.14 $151.83 $176.75 $208.14
Employee + Child(ren) $66.55 $88.94 $106.58 $130.09 $159.69 $102.34 $125.06 $142.70 $166.20 $195.81
Employee + Family $106.68 $143.98 $171.58 $208.38 $254.70 $162.24 $197.81 $225.39 $262.19 $308.52
$40,000 –
$69,999
$70,000 –
$99,999
$100,000 –
$199,999
> =
$200,000
Kaiser Permanente (Georgia)
Employee Only $31.94 $44.24 $53.78 $66.51 $82.53 $53.90 $66.20 $75.74 $88.47 $104.50
Employee + Spouse/Domestic Partner $70.55 $97.17 $116.25 $141.70 $173.77 $111.37 $135.97 $155.06 $180.51 $212.57
Employee + Child(ren) $67.79 $90.60 $108.57 $132.51 $162.68 $104.25 $127.39 $145.36 $169.30 $199.46
Employee + Family $130.87 $170.04 $199.02 $237.66 $286.31 $189.21 $226.56 $255.53 $294.17 $342.82
Kaiser Permanente (Hawaii)
Employee Only $22.15 $22.15 $22.15 $22.15 $22.15 $22.15 $22.15 $22.15 $22.15 $22.15
Employee + Spouse/Domestic Partner $50.14 $50.14 $50.14 $50.14 $50.14 $50.14 $50.14 $50.14 $50.14 $50.14
Employee + Child(ren) $48.31 $48.31 $48.31 $48.31 $48.31 $48.31 $48.31 $48.31 $48.31 $48.31
Employee + Family $77.58 $77.58 $77.58 $77.58 $77.58 $77.58 $77.58 $77.58 $77.58 $77.58
Kaiser Permanente (Mid-Atlantic)
Employee Only $29.83 $41.32 $50.22 $62.11 $77.07 $50.34 $61.82 $70.73 $82.61 $97.58
Employee + Spouse/Domestic Partner $67.52 $93.02 $111.28 $135.64 $166.33 $106.60 $130.15 $148.42 $172.79 $203.47
Employee + Child(ren) $65.07 $86.96 $104.21 $127.19 $156.14 $100.05 $122.27 $139.52 $162.50 $191.45
Employee + Family $104.48 $141.02 $168.04 $204.08 $249.46 $158.90 $193.74 $220.75 $256.79 $302.17
TriCare
Employee Only $33.50 $33.50 $33.50 $33.50 $33.50 $33.50 $33.50 $33.50 $33.50 $33.50
Employee + Spouse $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00
Employee + Child(ren) $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00 $66.00
Employee + Family $89.00 $89.00 $89.00 $89.00 $89.00 $89.00 $89.00 $89.00 $89.00 $89.00
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