Insurance Premiums & Rates for 2021-2022

  •  

    Act 93, Miscellaneous & PEA

     

    22 PAYS

    26 PAYS

     

    Per Pay

    Annually

    Per Pay

    Annually

    MED Single

    $33.38

    $734.43

    $28.257

    $734.43

    MED EE/Child

    $54.21

    $1,192.67

    $45.87

    $1,192.62

    MED EE/Children

    $73.78

    $1,623.06

    $62.43

    $1,623.06

    MED EE/Spouse

    $76.78

    $1,689.14

    $64.97

    $1,689.14

    MED Family

    $98.56

    $2,168.28

    $83.40

    $2,168.28

    RX Single

    $11.53

    $256.56

    $9.75

    $256.56

    RX Family

    $22.98

    $505.66

    $19.45

    $505.66

    Vision Single

    $0..19

    $4.26

    $0.16

    $4.26

    Vision Family

    $0.54

    $11.92

    $0.46

    $11.92

    Dental Single

    $2.54

    $55.85

    $2.15

    $55.85

    Denta lFamily

    $6.94

    $152.72

    $5.87

    $152.72

     

     

    Nutritional Services

     

    CAFETERIA MGRS

    22 PAYS

    CAFETERIA MGRS

    26 PAYS

    NUTRITIONAL SVCS

     

    Per Pay

    Annually

    Per Pay

    Annually

    Per Pay

    Annually

    MED Single

    $25.68

    $564.95

    $21.73

    $564.95

    $28.25

    $564.95

    MED EE/Child

    $41.70

    $917.44

    $35.29

    $917.44

    $204.49

    $4,089.83

    MED EE/Children

    $56.75

    $1,248.50

    $48.02

    $1,248.50

    $370.03

    $7,400.51

    MED EE/Spouse

    $59.06

    $1,299.34

    $49.97

    $1,299.34

    $395.44

    $7,908.83

    MED Family

    $75.81

    $1,667.90

    $64.15

    $1,667.90

    $579.73

    $11,594.51

    RX Single

    $8.87

    $195.05

    $7.50

    $195.05

    $9.75

    $195.05

    RX Family

    $17.68

    $388.97

    $14.96

    $388.97

    $106.71

    $2,134.25

    Vision Single

    $0.15

    $3.28

    $0.13

    $3.28

    $.16

    $3.28

    Vision Family

    $0.42

    $9.17

    $0.35

    $9.17

    $.11

    $62.20

    Dental Single

    $1.95

    $42.96

    $1.65

    $42.96

    $2.15

    $42.96

    Dental Family

    $5.34

    $117.48

    $4.52

    $117.48

    $39.41

    $788.16

     

     

    PESPA

     

    PESPA 26 Pay FT

    PESPA TRANSPORTATION

    PESPA 4hr/day Rates

    PESPA 100% Rates

     

    Per Pay

    Annually

    Per Pay

    Annually

    Per Pay

    Annually

    Per Pay

    Annually

    MED Single

    $23.90

    $621.44

    $87.47

    $1,749.48

    $50.08

    $1,302.03

    $282.47

    $5,649.48

    MED EE/Child

    $38.81

    $1,009.18

    $203.72

    $4,074.36

    $116.70

    $3,034.26

    $458.72

    $9,174.36

    MED EE/Children

    $52.82

    $1,373.35

    $369.25

    $7,385.04

    $179.28

    $4,661.22

    $624.25

    $12,485.04

    MED EE/Spouse

    $54.97

    $1,429.27

    $394.67

    $7,893.36

    $188.89

    $4,911.02

    $649.67

    $12,993.36

    MED Family

    $70.57

    $1,834.69

    $578.95

    $11,579.04

    $258.55

    $6,722.27

    $833.95

    $16,679.04

    RX Single

    $8.25

    $214.55

    $97.52

    $1,950.48

    $36.87

    $958.52

    $97.52

    $1,950.48

    RX Family

    $16.46

    $427.86

    $194.48

    $3,889.68

    $73.52

    $1,911.50

    $194.48

    $3,889.68

    Vision Single

    $0.14

    $3.60

    $1.64

    $32.76

    $0.62

    $16.10

    $1.64

    $32.76

    Vision Family

    $0.39

    $10.08

    $4.58

    $91.68

    $1.73

    $45.05

    $4.58

    $91.68

    Dental Single

    $1.82

    $47.26

    $21.48

    $429.60

    $8.12

    $211.12

    $21.48

    $429.60

    Dental Family

    $4.97

    $129.23

    $58.74

    $1,174.80

    $22.21

    $577.33

    $58.74

    $1,174.80

     

     

    PESPA 7 Hour Rates

    PESPA 7.25 Hour Rates

    PESPA 7.5 Hour Rates

     

    Per Pay

    Annually

    Per Pay

    Annually

    Per Pay

    Annually

    MED Single

    $46.77

    $935.37

    $43.71

    $874.15

    $40.65

    $812.93

    MED EE/Child

    $108.99

    $2,179.79

    $101.86

    $2,037.12

    $94.72

    $1,894.46

    MED EE/Children

    $167.43

    $3,348.58

    $156.47

    $3,129.42

    $145.51

    $2,910.27

    MED EE/Spouse

    $176.40

    $3,528.04

    $164.86

    $3,297.14

    $153.31

    $3,066.23

    MED Family

    $241.46

    $4,829.23

    $225.66

    $4,513.16

    $209.85

    $4,197.10

    RX Single

    $34.43

    $688.59

    $32.18

    $643.53

    $29.92

    $598.46

    RX Family

    $68.66

    $1,373.21

    $64.17

    $1,283.33

    $59.67

    $1,193.46

    Vision Single

    $0.58

    $11.57

    $0.54

    $10.81

    $0.50

    $10.05

    Vision Family

    $1.62

    $32.37

    $1.51

    $30.25

    $1.41

    $28.13

    Dental Single

    $7.58

    $151.67

    $7.09

    $141.74

    $6.59

    $131.81

    Dental Family

    $20.74

    $414.75

    $19.38

    $387.60

    $18.02

    $360.46