ABCFGHIJKLMNOPQRSTUVWXYZ
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To: All District #33 Staff
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Date: November 8, 2022
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Re: 2023 Blue Cross Blue Shield Per Payroll Medical and Dental Deductions
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From: Karen Apostoli
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Effective January 1, 2023
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Employee DeductionEmployee Deduction
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MEDICAL INSURANCE for Singlefor Family
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CLASSIFIED/CUSTODIAL24 Pay Periods24 Pay Periods
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Plan OptionSingleFamilyPer PaycheckPer PaycheckBoard ContributionBoard Contribution
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Monthly PremiumMonthly Premium24 Pay Periods24 Pay PeriodsSingleFamily
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PPO 70/30$924.12 $2,088.63 $138.62 $313.29 $323.44 $731.02
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HMO IL 80/20$785.49 $1,775.34 $78.55 $177.53 $314.20 $710.14
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HMO BA 80/20$767.02 $1,733.57 $76.70 $173.36 $306.81 $693.43
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Health Savings Acct 80/20$813.22 $1,838.00 $81.32 $183.80 $325.29 $735.20
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Employee DeductionEmployee Deduction
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for Singlefor Family
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20 Pay Periods20 Pay Periods
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Plan OptionSingleFamilyPer PaycheckPer PaycheckBoard ContributionBoard Contribution
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Monthly PremiumMonthly Premium20 Pay Periods20 Pay PeriodsSingleFamily
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PPO 70/30$924.12 $2,088.63 $166.34 $375.95 $388.13 $877.22
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HMO IL 80/20$785.49 $1,775.34 $94.26 $213.04 $377.04 $852.16
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HMO BA 80/20$767.02 $1,733.57 $92.04 $208.03 $368.17 $832.11
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Health Savings Acct 80/20$813.22 $1,838.00 $97.59 $220.56 $390.35 $882.24
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Employee DeductionEmployee Deduction
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MEDICAL INSURANCE for Singlefor Family
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ADMINISTRATIVE/CERTIFIEDSee belowSee below24 Pay Periods24 Pay Periods
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See belowSee below
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Plan OptionSingleFamilyPer PaycheckPer PaycheckBoard ContributionBoard Contribution
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Monthly PremiumMonthly Premium24 Pay Periods24 Pay PeriodsSingleFamily
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PPO 70/30$914.88$2,067.75 $137.23 $310.16 $320.21 $723.71
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HMO IL 80/20 Single, 75/25 Family$785.49 $1,775.34 $78.55 $221.92 $314.20 $665.75
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HMO BA 80/20
Same rates as Classified/Custodial apply
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Health Savings Acct 80/20
Same rates as Classified/Custodial apply
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Employee DeductionEmployee Deduction
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for Singlefor Family
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See belowSee below20 Pay Periods20 Pay Periods
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See belowSee below
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Plan OptionSingleFamilyPer PaycheckPer PaycheckBoard ContributionBoard Contribution
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Monthly PremiumMonthly Premium20 Pay Periods20 Pay PeriodsSingleFamily
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PPO 70/30$914.88 $2,067.75 $164.68 $372.20 $384.25 $868.46
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HMO IL 80/20 Single, 75/25 Family$785.49 $1,775.34 $94.26 $266.30 $377.04 $798.90
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HMO BA 80/20
Same rates as Classified/Custodial apply
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Health Savings Acct 80/20
Same rates as Classified/Custodial apply
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The Board of Education does NOT seed Health Savings Accounts for any new employee enrollments.
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Each eligible full-time staff members receives a Board paid life insurance policy of $20,000.00
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DENTAL INSURANCE
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ALL D33 STAFF
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Employee DeductionEmployee Deduction
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for Singlefor Family
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20%20%24 Pay Periods24 Pay Periods
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80%80%
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Plan OptionSingleFamilyPer PaycheckPer PaycheckBoard ContributionBoard Contribution
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24 Pay Periods24 Pay PeriodsSingleFamily
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Monthly$36.69 $106.19 $3.67 $10.62 $14.68 $42.48
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Employee DeductionEmployee Deduction
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for Singlefor Family
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20%20%20 Pay Periods20 Pay Periods
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80%80%
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Plan OptionSingleFamilyPer PaycheckPer PaycheckBoard ContributionBoard Contribution
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20 Pay Periods20 Pay PeriodsSingleFamily
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Monthly$36.69 $106.19 $4.40 $12.74 $17.61 $50.97
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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
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custodians who have been on the dental plan for more than 5 years. These custodians will remain at 100% board paid dental.
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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
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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.
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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.
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VISION INSURANCE
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ALL D33 STAFF
Employee Deduction per paycheck- 24 PAY
Employee Deduction per paycheck- 20 PAY
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Plan Option
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Employee $ 4.89 $ 5.87
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Employee and Spouse $ 7.82 $ 9.38
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Employee and Child $ 7.98 $ 9.58