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(Horizon uses calendar year for their benefits and deductibles.)Below are links to each plan's SBC so that you can make comparisons, and below them is as an updated cost chart listing each plan. The district will not be offering new rate tiers due to the significant cost increase for these options. We will continue to offer single or family plans.y plans.Aetna Open Access Managed Choice POS (formerly PPO)
Aetna Open Access Managed Choice POS (formerly Direct Access)
Aetna Open Access Elect Choice (formerly Advantage EPO)Opt-Out forms will be accepted during an individual’s initial benefit eligibility period, open enrollment, or at the time of a qualifying life event. This will allow you to save the cost of deductions and earn back up to $4,000 for family coverage or $2,500 for single coverage.
Below is the information, along with your specific salary, will allow you to compute your total health benefit contribution amount.- A percentage (based on the single or family charts below) of the benefit cost. Find your salary on the correct chart.
- Look at Year 4 and you will find your percentage.
- That percentage, times the annual cost of your chosen Health Benefits, equals your annual contribution.
HEALTH BENEFITS CONTRIBUTION FOR
SINGLE COVERAGE
(PERCENTAGE OF PREMIUM)*Salary Range
Year 1
Year 2
Year 3
Year 4
less than 20,000
1.13%
2.25%
3.38%
4.50%
20,000-24,999.99
1.38%
2.75%
4.13%
5.50%
25,000-29,999.99
1.88%
3.75%
5.63%
7.50%
30,000-34,999.99
2.50%
5.00%
7.50%
10.00%
35,000-39,999.99
2.75%
5.50%
8.25%
11.00%
40,000-44,999.99
3.00%
6.00%
9.00%
12.00%
45,000-49,999.99
3.50%
7.00%
10.50%
14.00%
50,000-54,999.99
5.00%
10.00%
15.00%
20.00%
55,000-59,999.99
5.75%
11.50%
17.25%
23.00%
60,000-64,999.99
6.75%
13.50%
20.25%
27.00%
65,000-69,999.99
7.25%
14.50%
21.75%
29.00%
70,000-74,999.99
8.00%
16.00%
24.00%
32.00%
75,000-79,999.99
8.25%
16.50%
24.75%
33.00%
80,000-94,999.99
8.50%
17.00%
25.50%
34.00%
95,000 and over
8.75%
17.50%
26.25%
35.00%
HEALTH BENEFITS CONTRIBUTION FOR
FAMILY COVERAGE
(PERCENTAGE OF PREMIUM)*Salary Range
Year 1
Year 2
Year 3
Year 4
less than 25,000
0.75%
1.50%
2.25%
3.00%
25,000-29,999.99
1.00%
2.00%
3.00%
4.00%
30,000-34,999.99
1.25%
2.50%
3.75%
5.00%
35,000-39,999.99
1.50%
3.00%
4.50%
6.00%
40,000-44,999.99
1.75%
3.50%
5.25%
7.00%
45,000-49,999.99
2.25%
4.50$
6.75%
9.00%
50,000-54,999.99
3.00%
6.00%
9.00%
12.00%
55,000-59,999.99
3.50%
7.00%
10.50%
14.00%
60,000-64,999.99
4.25%
8.50%
12.75%
17.00%
65,000-69,999.99
4.75%
9.50%
14.25%
19.00%
70,000-74,999.99
5.50%
11.00%
16.50%
22.00%
75,000-79,999.99
5.75%
11.50%
17.25%
23.00%
80,000-84,999.99
6.00%
12.00%
18.00%
24.00%
85,000-89,999.99
6.50%
13.00%
19.50%
26.00%
90,000-94,999.99
7.00%
14.00%
21.00%
28.00%
95,000-99,999.99
7.25%
14.50%
21.75%
29.00%
100,000-109,999.99
8.00%
16.00%
24.00%
32.00%
110,000 and over
8.75%
17.50%
26.25%
35.00%
