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Medical Insurance Costs - 4 Plan Options
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Insurance coverage is for 12 months per year.
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 30 - 40 hours per week
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Plan #1 - $15 CopayPlan #2 - $20 Copay
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SingleFamilySingleFamily
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Monthly Premium
$1,734.00$4,334.00
Monthly Premium
$1,422.00$3,554.00
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ISD Paid Benefit
$775.00$1,700.00
ISD Paid Benefit
$775.00$1,700.00
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Equals Your Monthly Cost
$959.00$2,634.00
Equals Your Monthly Cost
$647.00$1,854.00
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Your Deduction per Check
$479.50$1,317.00
Your Deduction per Check
$323.50$927.00
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Your Annual Cost
$11,508.00$31,608.00
Your Annual Cost
$7,764.00$22,248.00
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Plan #3 - Empower HSA $1,650/$3,300 Deductible
Plan #4 - Empower HSA $4,000/$8,000 Deductible
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SingleFamilySingleFamily
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Monthly Premium
$1,330.00$3,325.00
Monthly Premium
$811.00$2,025.00
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ISD Paid Benefit
$775.00$1,700.00
ISD Paid Benefit
$775.00$1,700.00
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Equals Your Monthly Cost
$555.00$1,625.00
Equals Your Monthly Cost
$36.00$325.00
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Your Deduction per Check
$277.50$812.50
Your Deduction per Check
$18.00$162.50
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Your Annual Cost
$6,660.00$19,500.00
Your Annual Cost
$432.00$3,900.00
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ISD payment into HSA, per month*$0.00$0.00
ISD payment into HSA, per month*
$0.00$0.00
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ISD payment into HSA, per check$0.00$0.00
ISD payment into HSA, per check
$0.00$0.00
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Annual ISD contribution into 'HSA$0.00$0.00Annual ISD contribution into 'HSA$0.00$0.00
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25.25 - 29.75 hours per week
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Plan #1 - $15 CopayPlan #2 - $20 Copay
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SingleFamilySingleFamily
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Monthly Premium
$1,734.00$4,334.00
Monthly Premium
$1,422.00$3,554.00
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ISD Paid Benefit
$581.00$1,243.00
ISD Paid Benefit
$534.00$1,142.00
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Equals Your Monthly Cost
$1,153.00$3,091.00
Equals Your Monthly Cost
$888.00$2,412.00
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Your Deduction per Check
$576.50$1,545.50
Your Deduction per Check
$444.00$1,206.00
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Your Annual Cost
$13,836.00$37,092.00
Your Annual Cost
$10,656.00$28,944.00
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Plan #3 - Empower HSA $1,650/$3,300 Deductible
Plan #4 - Empower HSA $4,000/$8,000 Deductible
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SingleFamilySingleFamily
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Monthly Premium
$1,330.00$3,325.00
Monthly Premium
$811.00$2,025.00
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ISD Paid Benefit
$581.00$1,275.00
ISD Paid Benefit
$581.00$1,275.00
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Equals Your Monthly Cost
$749.00$2,050.00
Equals Your Monthly Cost
$230.00$750.00
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Your Deduction per Check
$374.50$1,025.00
Your Deduction per Check
$115.00$375.00
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Your Annual Cost
$8,988.00$24,600.00
Your Annual Cost
$2,760.00$9,000.00
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ISD payment into HSA, per month*$0.00$0.00
ISD payment into HSA, per month*
$0.00$0.00
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ISD payment into HSA, per check$0.00$0.00
ISD payment into HSA, per check
$0.00$0.00
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Annual ISD contribution into 'HSA$0.00$0.00Annual ISD contribution into 'HSA$0.00$0.00
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20 - 25 hours per week
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Plan #1 - $15 CopayPlan #2 - $20 Copay
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SingleFamilySingleFamily
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Monthly Premium
$1,734.00$4,334.00
Monthly Premium
$1,422.00$3,554.00
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ISD Paid Benefit
$484.00$1,036.00
ISD Paid Benefit
$445.00$952.00
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Equals Your Monthly Cost
$1,250.00$3,298.00
Equals Your Monthly Cost
$977.00$2,602.00
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Your Deduction per Check
$625.00$1,649.00
Your Deduction per Check
$488.50$1,301.00
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Your Annual Cost
$15,000.00$39,576.00
Your Annual Cost
$11,724.00$31,224.00
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Plan #3 - Empower HSA $1,650/$3,300 Deductible
Plan #4 - Empower HSA $4,000/$8,000 Deductible
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SingleFamilySingleFamily
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Monthly Premium
$1,330.00$3,325.00
Monthly Premium
$811.00$2,025.00
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ISD Paid Benefit
$484.00$1,063.00
ISD Paid Benefit
$484.00$1,063.00
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Equals Your Monthly Cost
$846.00$2,262.00
Equals Your Monthly Cost
$327.00$962.00
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Your Deduction per Check
$423.00$1,131.00
Your Deduction per Check
$163.50$481.00
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Your Annual Cost
$10,152.00$27,144.00
Your Annual Cost
$3,924.00$11,544.00
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ISD payment into HSA, per month*$0.00$0.00
ISD payment into HSA, per month*
$0.00$0.00
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ISD payment into HSA, per check$0.00$0.00
ISD payment into HSA, per check
$0.00$0.00
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Annual ISD contribution into 'HSA$0.00$0.00Annual ISD contribution into 'HSA$0.00$0.00
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