Jefferson County Schools

2012 Health Insurance Premiums

Health Insurance Rates Effective January 1, 2012

BLUECROSS

CIGNA

PARTNERSHIP PPO

Total Premium

Employer Portion

Employee Portion

Total Premium

Employer Portion

Employee Portion

Employee Only

$468.90

$0.00

$478.90

$0.00

Employee + Child(ren)

$773.69

$606.06

$167.63

$793.69

$620.56

$173.13

Employee + Spouse

$914.36

$669.36

$245.00

$934.36

$683.86

$250.50

Employee + Spouse + Child(ren)

$1,219.14

$806.51

$412.63

$1,239.14

$821.01

$418.13

Employee + Spouse + Child(ren)
(with couple discount)

$1,219.14

$1,064.40

$154.74

$1,239.14

$1,084.40

$154.74

BLUECROSS

CIGNA

STANDARD PPO

Total Premium

Employer Portion

Employee Portion

Total Premium

Employer Portion

Employee Portion

Employee Only

$493.90

$0.00

$503.90

$0.00

Employee + Child(ren)

$798.69

$631.06

$167.63

$818.69

$645.56

$173.13

Employee + Spouse

$964.36

$705.61

$258.75

$984.36

$720.11

$264.25

Employee + Spouse + Child(ren)

$1,269.14

$842.76

$426.38

$1,289.14

$857.26

$431.88

Employee + Spouse + Child(ren)
(with couple discount)

$1,269.14

$1,114.40

$154.74

$1,289.14

$1,134.40

$154.74

Late Applicant Fee - This only applies to those employees or spouses who currently do not have our health coverage, but choose to add the coverage effective Jan. 1, 2011.

Option

Late Applicant Monthly Fee

Employee Only

$56

Spouse Only

$53

Employee and Spouse

$109

* This fee is in addition to the regular monthly premium.

* This fee will continue each month until December 31, 2013.

Dental & Dental/Vision Plan Premiums

	DENTAL		DENTAL/VISION
Employee	$4.79	Employee	$10.44
Employee + 1	$23.74	Employee + 1	$34.14
Family	$46.48	Family	$62.58
Family/Both Full-Time Employees of JCBOE	$29.82	Family/Both Full-Time Employees of JCBOE	$45.92