A | B | C | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | ||||||||||||||||||||||||
2 | ||||||||||||||||||||||||
3 | To: All District #33 Staff | |||||||||||||||||||||||
4 | Date: November 8, 2022 | |||||||||||||||||||||||
5 | Re: 2023 Blue Cross Blue Shield Per Payroll Medical and Dental Deductions | |||||||||||||||||||||||
6 | From: Karen Apostoli | |||||||||||||||||||||||
7 | ||||||||||||||||||||||||
8 | ||||||||||||||||||||||||
9 | Effective January 1, 2023 | |||||||||||||||||||||||
10 | Employee Deduction | Employee Deduction | ||||||||||||||||||||||
11 | MEDICAL INSURANCE | for Single | for Family | |||||||||||||||||||||
12 | CLASSIFIED/CUSTODIAL | 24 Pay Periods | 24 Pay Periods | |||||||||||||||||||||
13 | ||||||||||||||||||||||||
14 | Plan Option | Single | Family | Per Paycheck | Per Paycheck | Board Contribution | Board Contribution | |||||||||||||||||
15 | Monthly Premium | Monthly Premium | 24 Pay Periods | 24 Pay Periods | Single | Family | ||||||||||||||||||
16 | ||||||||||||||||||||||||
17 | PPO 70/30 | $924.12 | $2,088.63 | $138.62 | $313.29 | $323.44 | $731.02 | |||||||||||||||||
18 | HMO IL 80/20 | $785.49 | $1,775.34 | $78.55 | $177.53 | $314.20 | $710.14 | |||||||||||||||||
19 | HMO BA 80/20 | $767.02 | $1,733.57 | $76.70 | $173.36 | $306.81 | $693.43 | |||||||||||||||||
20 | Health Savings Acct 80/20 | $813.22 | $1,838.00 | $81.32 | $183.80 | $325.29 | $735.20 | |||||||||||||||||
21 | ||||||||||||||||||||||||
22 | Employee Deduction | Employee Deduction | ||||||||||||||||||||||
23 | for Single | for Family | ||||||||||||||||||||||
24 | 20 Pay Periods | 20 Pay Periods | ||||||||||||||||||||||
25 | ||||||||||||||||||||||||
26 | Plan Option | Single | Family | Per Paycheck | Per Paycheck | Board Contribution | Board Contribution | |||||||||||||||||
27 | Monthly Premium | Monthly Premium | 20 Pay Periods | 20 Pay Periods | Single | Family | ||||||||||||||||||
28 | ||||||||||||||||||||||||
29 | PPO 70/30 | $924.12 | $2,088.63 | $166.34 | $375.95 | $388.13 | $877.22 | |||||||||||||||||
30 | HMO IL 80/20 | $785.49 | $1,775.34 | $94.26 | $213.04 | $377.04 | $852.16 | |||||||||||||||||
31 | HMO BA 80/20 | $767.02 | $1,733.57 | $92.04 | $208.03 | $368.17 | $832.11 | |||||||||||||||||
32 | Health Savings Acct 80/20 | $813.22 | $1,838.00 | $97.59 | $220.56 | $390.35 | $882.24 | |||||||||||||||||
33 | ||||||||||||||||||||||||
34 | Employee Deduction | Employee Deduction | ||||||||||||||||||||||
35 | MEDICAL INSURANCE | for Single | for Family | |||||||||||||||||||||
36 | ADMINISTRATIVE/CERTIFIED | See below | See below | 24 Pay Periods | 24 Pay Periods | |||||||||||||||||||
37 | See below | See below | ||||||||||||||||||||||
38 | Plan Option | Single | Family | Per Paycheck | Per Paycheck | Board Contribution | Board Contribution | |||||||||||||||||
39 | Monthly Premium | Monthly Premium | 24 Pay Periods | 24 Pay Periods | Single | Family | ||||||||||||||||||
40 | ||||||||||||||||||||||||
41 | PPO 70/30 | $914.88 | $2,067.75 | $137.23 | $310.16 | $320.21 | $723.71 | |||||||||||||||||
42 | HMO IL 80/20 Single, 75/25 Family | $785.49 | $1,775.34 | $78.55 | $221.92 | $314.20 | $665.75 | |||||||||||||||||
43 | HMO BA 80/20 | Same rates as Classified/Custodial apply | ||||||||||||||||||||||
44 | Health Savings Acct 80/20 | Same rates as Classified/Custodial apply | ||||||||||||||||||||||
45 | ||||||||||||||||||||||||
46 | Employee Deduction | Employee Deduction | ||||||||||||||||||||||
47 | for Single | for Family | ||||||||||||||||||||||
48 | See below | See below | 20 Pay Periods | 20 Pay Periods | ||||||||||||||||||||
49 | See below | See below | ||||||||||||||||||||||
50 | Plan Option | Single | Family | Per Paycheck | Per Paycheck | Board Contribution | Board Contribution | |||||||||||||||||
51 | Monthly Premium | Monthly Premium | 20 Pay Periods | 20 Pay Periods | Single | Family | ||||||||||||||||||
52 | ||||||||||||||||||||||||
53 | PPO 70/30 | $914.88 | $2,067.75 | $164.68 | $372.20 | $384.25 | $868.46 | |||||||||||||||||
54 | HMO IL 80/20 Single, 75/25 Family | $785.49 | $1,775.34 | $94.26 | $266.30 | $377.04 | $798.90 | |||||||||||||||||
55 | HMO BA 80/20 | Same rates as Classified/Custodial apply | ||||||||||||||||||||||
56 | Health Savings Acct 80/20 | Same rates as Classified/Custodial apply | ||||||||||||||||||||||
57 | ||||||||||||||||||||||||
58 | The Board of Education does NOT seed Health Savings Accounts for any new employee enrollments. | |||||||||||||||||||||||
59 | Each eligible full-time staff members receives a Board paid life insurance policy of $20,000.00 | |||||||||||||||||||||||
60 | ||||||||||||||||||||||||
61 | DENTAL INSURANCE | |||||||||||||||||||||||
62 | ALL D33 STAFF | |||||||||||||||||||||||
63 | ||||||||||||||||||||||||
64 | Employee Deduction | Employee Deduction | ||||||||||||||||||||||
65 | for Single | for Family | ||||||||||||||||||||||
66 | 20% | 20% | 24 Pay Periods | 24 Pay Periods | ||||||||||||||||||||
67 | 80% | 80% | ||||||||||||||||||||||
68 | Plan Option | Single | Family | Per Paycheck | Per Paycheck | Board Contribution | Board Contribution | |||||||||||||||||
69 | 24 Pay Periods | 24 Pay Periods | Single | Family | ||||||||||||||||||||
70 | ||||||||||||||||||||||||
71 | Monthly | $36.69 | $106.19 | $3.67 | $10.62 | $14.68 | $42.48 | |||||||||||||||||
72 | ||||||||||||||||||||||||
73 | Employee Deduction | Employee Deduction | ||||||||||||||||||||||
74 | for Single | for Family | ||||||||||||||||||||||
75 | 20% | 20% | 20 Pay Periods | 20 Pay Periods | ||||||||||||||||||||
76 | 80% | 80% | ||||||||||||||||||||||
77 | Plan Option | Single | Family | Per Paycheck | Per Paycheck | Board Contribution | Board Contribution | |||||||||||||||||
78 | 20 Pay Periods | 20 Pay Periods | Single | Family | ||||||||||||||||||||
79 | ||||||||||||||||||||||||
80 | Monthly | $36.69 | $106.19 | $4.40 | $12.74 | $17.61 | $50.97 | |||||||||||||||||
81 | ||||||||||||||||||||||||
82 | Please note that beginning with the current custodians contract, all custodians are on the 80/20 plan. This is the same plan that certified staff and administrators are on. The only exception to this are | |||||||||||||||||||||||
83 | custodians who have been on the dental plan for more than 5 years. These custodians will remain at 100% board paid dental. | |||||||||||||||||||||||
84 | ||||||||||||||||||||||||
85 | Please note that beginning with current Support staff contract, all Support Staff are on the 80/20 plan. This is the same plan that certified staff, administrators, and custodians are on. The only | |||||||||||||||||||||||
86 | exception to this are Support Staff who have been on the dental plan for more than 5 years. These Support Staff employees will remain at 100% board paid dental. | |||||||||||||||||||||||
87 | ||||||||||||||||||||||||
88 | Dental Insurance is PAID IN FULL by the Board of Education if two members of the same family work for District 33 regardless of employee category. | |||||||||||||||||||||||
89 | ||||||||||||||||||||||||
90 | VISION INSURANCE | |||||||||||||||||||||||
91 | ALL D33 STAFF | Employee Deduction per paycheck- 24 PAY | Employee Deduction per paycheck- 20 PAY | |||||||||||||||||||||
92 | ||||||||||||||||||||||||
93 | Plan Option | |||||||||||||||||||||||
94 | ||||||||||||||||||||||||
95 | ||||||||||||||||||||||||
96 | Employee | $ 4.89 | $ 5.87 | |||||||||||||||||||||
97 | ||||||||||||||||||||||||
98 | Employee and Spouse | $ 7.82 | $ 9.38 | |||||||||||||||||||||
99 | ||||||||||||||||||||||||
100 | Employee and Child | $ 7.98 | $ 9.58 |