2007 Health Insurance Payroll Deductions
Bi-weekly Premium
Deductions will be made on a pre-tax basis unless you elect to decline this benefit.
| Insurance Plan Options |
M/C B.U. 06, 13 |
CSEA B.U. 02, 03, 04 |
PEF B.U. 05 |
NYSCOPBA/Council 82 B.U. 01, 61 |
UUP B.U. 08 |
|---|---|---|---|---|---|
| Empire Plan | |||||
| Individual | $21.30 | $21.30 | $21.30 | $22.41 | $21.30 |
| Family | $89.59 | $89.59 | $89.59 | $93.83 | $89.59 |
| HIP HMO | |||||
| Individual | $18.92 | $18.92 | $18.92 | $18.91 | $18.92 |
| Family | $89.42 | $89.42 | $89.42 | $87.24 | $89.42 |
| Empire Blue Cross / Blue Shield HMO | |||||
| Individual | $45.10 | $45.10 | $45.10 | $42.31 | $45.10 |
| Family | $189.07 | $189.07 | $189.07 | $183.12 | $189.07 |
Empire Plan Deductibles and Out-of-Pocket Maximum
| Deductible | Out-of-Pocket Maximum |
|---|---|
| $335.00 | $1,610.00 |
| $225.00 | $900.00 |
| $335.00 | $1,610.00 |
| $335.00 | $1,241.00 |
| $335.00 | $1,610.00 |
