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Monthly Premiums for Public School Active Employees

With Wellness Visit

2015 Plan Year Rates - Effective January 1, 2015 - December 31, 2015

The chart below shows the net monthly cost to each individual participant. It does not take into account any additional contributions made by the individual school districts. There is a $75 discount on premiums if you receive a wellness check up. See both charts below for rates with or without wellness check up.

Active Employee Rates Only. For the official list of all rates, go http://www.state.ar.us/dfa/ebd/

  Base
Monthly
Premium
State and Plan Contribution School
District
Contribution
Total
Monthly
Employee
Cost
Premium
Employee Only
$641.14
$308.76
$153.00
$179.38
Employee & Spouse
$1,457.18
$491.46
$153.00
$812.72
Employee & Child(ren)
$1,192.60
$579.52
$153.00
$460.08
Employee & Family
$2,008.64
$1,040.72
$153.00
$814.92
Classic
Employee Only
$267.94
$69.94
$153.00
$45.00
Employee & Spouse
$554.68
$54.94
$153.00
$346.74
Employee & Child(ren)
$469.82
$161.92
$153.00
$154.90
Employee & Family
$731.56
$228.20
$153.00
$350.36
Basic
Employee Only
$148.50
($15.50)
$153.00
$11.00
Employee & Spouse
$269.72
($150.00)
$153.00
$266.72
Employee & Child(ren)
$238.52
($33.64)
$153.00
$119.16
Employee & Family
$334.74
($87.76)
$153.00
$269.50

 

 

Monthly Premiums for Public School Active Employees

Without Wellness Visit

2015 Plan Year Rates - Effective January 1, 2015 - December 31, 2015

 

  Base
Monthly
Premium
State and Plan Contribution School
District
Contribution
Total
Monthly
Employee
Cost
Premium
Employee Only
$716.14
$308.76
$153.00
$254.38
Employee & Spouse
$1,532.18
$491.46
$153.00
$887.72
Employee & Child(ren)
$1,267.60
$579.52
$153.00
$535.08
Employee & Family
$2,083.64
$1,040.72
$153.00
$889.92
Classic
Employee Only
$342.94
$69.94
$153.00
$120.00
Employee & Spouse
$629.68
$54.94
$153.00
$421.74
Employee & Child(ren)
$544.82
$161.92
$153.00
$229.90
Employee & Family
$806.56
$228.20
$153.00
$425.36
Basic
Employee Only
$223.50
($15.50)
$153.00
$86.00
Employee & Spouse
$344.72
($150.00)
$153.00
$341.72
Employee & Child(ren)
$313.52
($33.64)
$153.00
$194.16
Employee & Family
$409.74
($87.76)
$153.00
$344.50

The rates for the HSA PPO are the least expensive of any plan offered this year. However, that should not be the reason that you select this plan. Because of the deductible and the coinsurance, some individuals that have frequent expenses may find this plan more expensive in the long-term. Please consider this choice carefully. The HSA has a great number of benefits to offer an individual, but an HSA is not right for everyone.

Contribution Requirements
& Limits

 

Access your
HSA Account