2013 Health Insurance Payroll Deductions*
Bi-weekly Premium
| Insurance Plan Options | ||||
|---|---|---|---|---|
| Employee | Employee and Spouse |
Employee and Children |
Family | |
| Empire PPO | $35.73 | $123.82 | $97.45 | $195.88 |
| HIP | $46.22 | $120.21 | $144.47 | $247.65 |
| Vytra (Hip Plan) | $65.83 | $155.49 | $180.92 | $307.61 |
| Dental Ins. | $1.63 | $7.20 | $7.20 | $7.20 |
* During the first 2 paychecks after your enrollment takes effect, double deductions will be taken for premium contributions, in order to cover the 28 day extension of benefits which is provided when your employment terminates or drops below eligibility requirements.
If your health deductions are not taken from the paycheck when your insurance becomes effective, there will be more than 2 double deductions taken to pay for your health insurance back to your effective date.
You will be automatically placed in the Pre-tax Health Insurance Program unless you sign a waiver.
A decision on health coverage must be made within 60 days of employment or you will not be able to be covered by health insurance for another 5 pay periods (to be determined by the date the Benefits Office receives your completed forms).
