NONREPRESENTED Low Deductible Plan 2015

NONREPRESENTED
Low Deductible Plan
2015 PLAN NAMES
ANTHEM BLUE PREFERRED NORTHEAST
ANTHEM BLUE PREFERRED SOUTHEAST
ARISE HEALTH PLAN NORTHERN
ARISE HEALTH PLAN SOUTHEAST
DEAN HEALTH INSURANCE
DEAN HEALTH INSURANCE - PREVEA360
GHC OF EAU CLAIRE
GHC OF SOUTH CENTRAL WISCONSIN
GUNDERSEN HEALTH PLAN
HEALTH TRADITION HEALTH PLAN
HEALTHPARTNERS HEALTH PLAN
HUMANA - EASTERN
HUMANA - WESTERN
MEDICAL ASSOCIATES HEALTH PLANS
MERCYCARE HEALTH PLANS
NETWORK HEALTH
PHYSICIANS PLUS
SECURITY HEALTH PLAN
UNITEDHEALTHCARE OF WISCONSIN
UNITY HEALTH INSURANCE - COMMUNITY
UNITY HEALTH INSURANCE - UW HEALTH
WEA TRUST - EAST
WEA TRUST - NORTHWEST CHIPPEWA VALLEY
WEA TRUST - NORTHWEST MAYO CLINIC HLTH SYS
WEA TRUST - SOUTH CENTRAL
STATE MAINTENANCE PLAN (SMP)
STANDARD PLAN - DANE
STANDARD PLAN - MILWAUKEE
STANDARD PLAN - WAUKESHA
STANDARD PLAN - BALANCE OF STATE
Total
Premium
647.00
692.80
956.50
986.80
628.30
761.00
1,039.90
576.60
740.80
645.50
831.30
1,107.50
1,107.50
583.80
587.90
707.20
657.40
978.30
825.40
619.80
533.30
764.10
893.10
893.10
726.10
791.20
1,018.00
1,181.70
1,095.40
1,095.40
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
SINGLE
County's
Contribution
586.38
586.38
586.38
586.38
586.38
586.38
586.38
576.60
586.38
586.38
586.38
586.38
586.38
583.80
586.38
586.38
586.38
586.38
586.38
586.38
533.30
586.38
586.38
586.38
586.38
586.38
586.38
586.38
586.38
586.38
Employee
MONTHLY Cost
$
60.62
$
106.42
$
370.12
$
400.42
$
41.92
$
174.62
$
453.52
$
$
154.42
$
59.12
$
244.92
$
521.12
$
521.12
$
$
1.52
$
120.82
$
71.02
$
391.92
$
239.02
$
33.42
$
$
177.72
$
306.72
$
306.72
$
139.72
$
204.82
$
431.62
$
595.32
$
509.02
$
509.02
Regular
Family
1,610.00
1,724.50
2,383.80
2,459.50
1,563.30
1,895.00
2,592.30
1,434.00
1,844.50
1,606.30
2,070.80
2,761.30
2,761.30
1,452.00
1,462.30
1,760.50
1,636.00
2,438.30
2,056.00
1,542.00
1,325.80
1,902.80
2,225.30
2,225.30
1,807.80
1,972.00
2,537.60
2,946.20
2,732.30
2,732.30
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
FAMILY
County's
Contribution
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,434.00
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,452.00
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,325.80
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
1,461.78
Employee
MONTHLY Cost
$
148.22
$
262.72
$
922.02
$
997.72
$
101.52
$
433.22
$
1,130.52
$
$
382.72
$
144.52
$
609.02
$
1,299.52
$
1,299.52
$
$
0.52
$
298.72
$
174.22
$
976.52
$
594.22
$
80.22
$
$
441.02
$
763.52
$
763.52
$
346.02
$
510.22
$
1,075.82
$
1,484.42
$
1,270.52
$
1,270.52