2012 Health Insurance Chart

HEALTH BENEFITS CONTRIBUTION FOR SINGLE COVERAGE
(PERCENTAGE OF PREMIUM)*

Salary Range

Year 1

Year 2

Year 3

Year 4

less than 20,000

1.13%

2.25%

3.38%

4.50%

20,000-24,999.99

1.38%

2.75%

4.13%

5.50%

25,000-29,999.99

1.88%

3.75%

5.63%

7.50%

30,000-34,999.99

2.50%

5.00%

7.50%

10.00%

35,000-39,999.99

2.75%

5.50%

8.25%

11.00%

40,000-44,999.99

3.00%

6.00%

9.00%

12.00%

45,000-49,999.99

3.50%

7.00%

10.50%

14.00%

50,000-54,999.99

5.00%

10.00%

15.00%

20.00%

55,000-59,999.99

5.75%

11.50%

17.25%

23.00%

60,000-64,999.99

6.75%

13.50%

20.25%

27.00%

65,000-69,999.99

7.25%

14.50%

21.75%

29.00%

70,000-74,999.99

8.00%

16.00%

24.00%

32.00%

75,000-79,999.99

8.25%

16.50%

24.75%

33.00%

80,000-94,999.99

8.50%

17.00%

25.50%

34.00%

95,000 and over

8.75%

17.50%

26.25%

35.00%

*Member contribution is a minimum of 1.5% of base salary towards Health Benefits

HEALTH BENEFITS CONTRIBUTION FOR FAMILY COVERAGE
(PERCENTAGE OF PREMIUM)*

Salary Range

Year 1

Year 2

Year 3

Year 4

less than 25,000

0.75%

1.50%

2.25%

3.00%

25,000-29,999.99

1.00%

2.00%

3.00%

4.00%

30,000-34,999.99

1.25%

2.50%

3.75%

5.00%

35,000-39,999.99

1.50%

3.00%

4.50%

6.00%

40,000-44,999.99

1.75%

3.50%

5.25%

7.00%

45,000-49,999.99

2.25%

4.50%

6.75%

9.00%

50,000-54,999.99

3.00%

6.00%

9.00%

12.00%

55,000-59,999.99

3.50%

7.00%

10.50%

14.00%

60,000-64,999.99

4.25%

8.50%

12.75%

17.00%

65,000-69,999.99

4.75%

9.50%

14.25%

19.00%

70,000-74,999.99

5.50%

11.00%

16.50%

22.00%

75,000-79,999.99

5.75%

11.50%

17.25%

23.00%

80,000-84,999.99

6.00%

12.00%

18.00%

24.00%

85,000-89,999.99

6.50%

13.00%

19.50%

26.00%

90,000-94,999.99

7.00%

14.00%

21.00%

28.00%

95,000-99,999.99

7.25%

14.50%

21.75%

29.00%

100,000-109,999.99

8.00%

16.00%

24.00%

32.00%

110,000 and over

8.75%

17.50%

26.25%

35.00%

*Member contribution is a minimum of 1.5% of base salary towards Health Benefits

HEALTH BENEFITS CONTRIBUTION FOR
MEMBER/SPOUSE/PARTNER OR PARENT/CHILD COVERAGE
(PERCENTAGE OF PREMIUM)*

Salary Range

Year 1

Year 2

Year 3

Year 4

less than 25,000

0.88%

1.75%

2.63%

3.50%

25,000-29,999.99

1.13%

2.25%

3.38%

4.50%

30,000-34,999.99

1.50%

3.00%

4.50%

6.00%

35,000-39,999.99

1.75%

3.50%

5.25%

7.00%

40,000-44,999.99

2.00%

4.00%

6.00%

8.00%

45,000-49,999.99

2.50%

5.00%

7.50%

10.00%

50,000-54,999.99

3.75%

7.50%

11.25%

15.00%

55,000-59,999.99

4.25%

8.50%

12.75%

17.00%

60,000-64,999.99

5.25%

10.50%

15.75%

21.00%

65,000-69,999.99

5.75%

11.50%

17.25%

23.00%

70,000-74,999.99

6.50%

13.00%

19.50%

26.00%

75,000-79,999.99

6.75%

13.50%

20.25%

27.00%

80,000