2023-24 Medical Premiums
MONTHLY MEDICAL PREMIUMS | SEPT. 1, 2023 THROUGH AUG. 31, 2024
| LICENSED EMPLOYEES - TRADITIONAL PLAN |
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE |
1/2 TIME EMPLOYEE |
| PLANS |
Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$195.00 |
$285.68 |
$376.37 |
| 2-PARTY |
$313.84 |
$459.78 |
$605.73 |
| FAMILY |
$532.95 |
$780.78 |
$1,028.61 |
| LICENSED EMPLOYEES - VALUE PLAN |
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE |
1/2 TIME EMPLOYEE |
| PLANS |
Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$88.81 |
$179.49 |
$270.18 |
| 2-PARTY |
$142.93 |
$288.87 |
$434.82 |
| FAMILY |
$242.72 |
$490.55 |
$738.39 |
| LICENSED EMPLOYEES - STAR (H.S.A.) PLAN |
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE |
1/2 TIME EMPLOYEE |
| PLANS |
Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$88.81 |
$179.49 |
$270.18 |
| 2-PARTY |
$142.93 |
$288.87 |
$434.82 |
| FAMILY |
$242.72 |
$490.55 |
$738.39 |
| ESP EMPLOYEES - TRADITIONAL PLAN |
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE** |
| PLANS |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$148.38 |
$250.72 |
| 2-PARTY |
$238.81 |
$403.51 |
| FAMILY |
$405.54 |
$685.22 |
| ESP EMPLOYEES - VALUE PLAN |
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE** |
| PLANS |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$42.19 |
$144.53 |
| 2-PARTY |
$67.90 |
$232.60 |
| FAMILY |
$115.31 |
$394.99 |
| ESP EMPLOYEES - STAR (H.S.A) PLAN |
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE** |
| PLANS |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$42.19 |
$144.53 |
| 2-PARTY |
$67.90 |
$232.60 |
| FAMILY |
$115.31 |
$394.99 |
| ADMINISTRATION - TRADITIONAL PLAN |
|
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE |
1/2 TIME EMPLOYEE |
| PLANS |
Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$160.54 |
$259.84 |
$359.14 |
| 2-PARTY |
$258.37 |
$418.18 |
$577.99 |
| FAMILY |
$438.75 |
$710.13 |
$981.51 |
| ADMINISTRATION - VALUE PLAN |
|
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE |
1/2 TIME EMPLOYEE |
| PLANS |
Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$54.35 |
$153.65 |
$252.94 |
| 2-PARTY |
$87.46 |
$247.27 |
$407.08 |
| FAMILY |
$148.52 |
$419.90 |
$691.28 |
| ADMINISTRATION - STAR (H.S.A) PLAN |
|
|
FULL TIME EMPLOYEE |
3/4 TIME EMPLOYEE |
1/2 TIME EMPLOYEE |
| PLANS |
Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| SINGLE |
$54.35 |
$153.65 |
$252.94 |
| 2-PARTY |
$87.46 |
$247.27 |
$407.08 |
| FAMILY |
$148.52 |
$419.90 |
$691.28 |
* The monthly employee premiums shown are for those employees receiving 12 payroll checks per year. Employees on 10-pay contracts (September through June) will be charged as an adjustment premium to provide for no payroll deduction in July & August.
** ESP employees must work a minimum of 30 hours per week or 6 hours per contract day to be benefit eligible.
FULL TIME EMPLOYEE WORKS .88 TO 1.00 FTE (7 TO 8 HOURS PER DAY
3/4 TIME EMPLOYEE WORKS .75 TO .87 FTE (6 TO 6.99) HOURS PER DAY
1/2 TIME EMPLOYEE WORKS .50 TO .74 FTE (4 TO 5.99) HOURS PER DAY
| COBRA & RETIREE - TRADITIONAL PLAN |
| Plans |
COBRA PREMIUMS |
RETIREE PREMIUMS |
RETIREE PREMIUMS |
| 102% |
110% |
461.4% ** |
| Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| Single |
$568.89 |
$613.51 |
$2,573.41 |
| 2-Party |
$915.57 |
$987.38 |
$4,141.62 |
| Family |
$1,554.76 |
$1,676.70 |
$7,032.98 |
| COBRA & RETIREE - VALUE PLAN and STAR QUALIFIED HIGH DEDUCTIBLE H.S.A |
| Plans |
COBRA PREMIUMS |
RETIREE PREMIUMS |
RETIREE PREMIUMS |
| 102% |
110% |
461.4% ** |
| Advantage & Summit |
Advantage & Summit |
Advantage & Summit |
| Single |
$460.58 |
$496.71 |
$2,083.45 |
| 2-Party |
$741.24 |
$799.38 |
$3,353.04 |
| Family |
$1,258.72 |
$1,357.44 |
$5,693.86 |
**For those retiring after July 1, 2006, under DP373-District Post Retirement Benefits. The % will change yearly using a 3-year average of retiree claim usage.
Premiums will be charged after 18 months of COBRA and 6 months of 110% plan.
2023-24 Voluntary Dental Premiums
| Monthly Rates (12 Pay) |
Dental Select |
|
|
| Plan |
Gold Copay |
Platinum Copay |
Platinum Coinsurance |
| Employee Only |
$18.89 |
$28.25 |
$35.61 |
| Two Party |
$34.36 |
$51.33 |
$64.87 |
| Family |
$53.77 |
$80.37 |
$101.58 |
2023-24 Voluntary Visions Premiums
| Monthly Rates (12 Pay) |
Opticare of Utah |
| Plan |
10-100 |
10-140 |
| Employee Only |
$4.31 |
$6.38 |
| Two Party |
$6.73 |
$10.50 |
| Family |
$13.54 |
$19.85 |
A summary of benefits are available in the enrollment guide. Individual company benefits and providers are also available on this site.
