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https://www.ucmo.edu/hr/benefits/2016HealthRates9monthemployeesnonwellnessparticipant.cfm

2016 Health Insurance Rates for Non-Participating Wellness Employees

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

$837.34

$767.26

$70.08

  Employee/Spouse*

$1,600.00

$881.66

$718.34

  Employee/Child(ren)

$1,378.68

$848.46

$530.22

  Employee/Family*

$2,056.00

$950.06

$1,105.94

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

$760.00

$691.46

$68.54

  Employee/Spouse*

$1,453.34

$795.46

$657.88

  Employee/Child(ren)

$1,253.34

$765.46

$487.88

  Employee/Family*

$1,866.68

$857.46

$1,009.22

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

$837.34

$742.14

$95.20

  Employee/Spouse*

$1,600.00

$856.54

$743.46

  Employee/Child(ren)

$1,378.68

$823.34

$555.34

  Employee/Family*

$2,056.00

$924.94

$1,131.06

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

$760.00

$668.66

$91.34

  Employee/Spouse*

$1,453.34

$772.66

$680.68

  Employee/Child(ren)

$1,253.34

$742.66

$510.68

  Employee/Family*

$1,866.68

$834.66

$1,032.02

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

$837.34

$717.02

$120.32

  Employee/Spouse*

$1,600.00

$831.42

$768.58

  Employee/Child(ren)

$1,378.68

$798.22

$580.46

  Employee/Family*

$2,056.00

$899.82

$1,156.18

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

$760.00

$645.86

$114.14

  Employee/Spouse*

$1,453.34

$749.86

$703.48

  Employee/Child(ren)

$1,253.34

$719.86

$533.48

  Employee/Family*

$1,866.68

$811.86

$1,054.82

         

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