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https://www.ucmo.edu/hr/benefits/2016HealthRates12monthemployeesnonwellnessparticipant.cfm

2016 Health Insurance Rates for Non-Participating Wellness Employees

12 Month Rates        
Tier 1 <$34,200        
2% Employee Contribution        
Plan A   Full Premium University Pays Employee Pays
  Employee Only

$628.00

$575.00

$53.00

  Employee/Spouse

$1,200.00

$661.00

$539.00

  Employee/Child(ren)

$1,034.00

$636.00

$398.00

  Employee/Family

$1,542.00

$713.00

$829.00

         
Tier 1 <$34,200        
2% Employee Contribution        
Qualified High Deductible Plan   Full Premium University Pays Employee Pays
  Employee Only

$570.00

$519.00

$51.00

  Employee/Spouse

$1,090.00

$597.00

$493.00

  Employee/Child(ren)

$940.00

$574.00

$366.00

  Employee/Family

$1,400.00

$643.00

$757.00

         
12 Month Rates        
Tier 2 $34,201 - $60,231        
5% Employee Contribution        
Plan A   Full Premium University Pays Employee Pays
  Employee Only

$628.00

$557.00

$71.00

  Employee/Spouse

$1,200.00

$642.00

$558.00

  Employee/Child(ren)

$1,034.00

$618.00

$416.00

  Employee/Family

$1,542.00

$694.00

$848.00

         
Tier 2 $34,201 - $60,231        
5% Employee Contribution        
Qualified High Deductible Plan   Full Premium University Pays Employee Pays
  Employee Only

$570.00

$502.00

$68.00

  Employee/Spouse

$1,090.00

$580.00

$510.00

  Employee/Child(ren)

$940.00

$557.00

$383.00

  Employee/Family

$1,400.00

$626.00

$774.00

         
12 Month Rates        
Tier 3 >$60,231        
8% Employee Contribution        
Plan A   Full Premium University Pays Employee Pays
  Employee Only

$628.00

$538.00

$90.00

  Employee/Spouse

$1,200.00

$624.00

$576.00

  Employee/Child(ren)

$1,034.00

$599.00

$435.00

  Employee/Family

$1,542.00

$675.00

$867.00

         
Tier 3 >$60,231        
8% Employee Contribution        
Qualified High Deductible Plan   Full Premium University Pays Employee Pays
  Employee Only

$570.00

$484.00

$86.00

  Employee/Spouse

$1,090.00

$562.00

$528.00

  Employee/Child(ren)

$940.00

$540.00

$400.00

  Employee/Family

$1,400.00

$609.00

$791.00

         

For COBRA rates - take the Full Premium amount and add a 2% Administrative Fee.