Maury County Public Schools EMPLOYEE BENEFITS 2017 Maury

Maury County Public Schools EMPLOYEE BENEFITS 2017

Maury County offers the following benefits to all full-time employees: • Employer Paid Life Insurance • Medical Coverage Options • Dental • Vision Dependent Eligibility is as follows: • Spouse • Marriage License • Joint Ownership(ex. bank statement, taxes, mortgage statement) • Dependent children-from birth up to age 26 • Birth certificate

Employer Paid Basic Life Insurance • Maury County provides at no cost to all full-time employees, a basic life insurance policy in the amount of $50, 000 with AD&D included through Mutual of Omaha • The Employer Paid Basic Life Insurance coverage is effective on the employee’s first day of full-time employment. • You may also enroll in Basic Dependent Life which provides $5, 000, $10, 000 and $15, 000 in coverage for your spouse and dependent child to age 24.

Plan Year 2017 Medical Coverage 10 mo. Pay Employees 2017 Insurance Rates 10 mo. Pay employees Per Month Partnership Promise PPO BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family Standard PPO BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family No Partnership Promise PPO BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family $0. 00 $244. 20 $357. 72 $601. 92 $0. 00 $250. 80 $366. 30 $617. 10 $0. 00 $244. 20 $390. 72 $634. 92 Per check Standard PPO Cigna Open Access Employee Only Coverage $125. 40 Employee + child(ren) $183. 15 Employee + spouse $308. 55 Employee + family No Partnership Promise PPO Cigna Open Access Employee Only Coverage $122. 10 Employee + child(ren) $195. 36 Employee + spouse $317. 46 Employee + family Limited PPO BCBS/Cigna Local Plus Employee Only Coverage Per Month Partnership Promise PPO Cigna Open Access Employee Only Coverage $122. 10 Employee + child(ren) $178. 86 Employee + spouse $300. 96 Employee + family Per check $0. 00 $244. 20 $384. 12 $628. 32 $122. 10 $192. 06 $314. 16 $0. 00 $250. 80 $392. 70 $643. 50 $125. 40 $196. 35 $321. 75 $0. 00 $244. 20 $417. 12 $661. 32 $122. 10 $208. 56 $330. 66 Limited PPO Cigna Open Access $0. 00 Employee Only Coverage $0. 00 Employee + child(ren) $182. 16 $91. 08 Employee + spouse $266. 67 $133. 32 Employee + spouse $293. 04 $146. 52 Employee + family $448. 80 $224. 80 Employee + family $475. 20 $237. 60

Health Savings CDHP BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family Health Savings CDHP Cigna Open Access $0. 00 $164. 34 $240. 24 $403. 92 $82. 17 $120. 12 $201. 96 Cigna Pre-Paid Dental Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family $0 $164. 34 $266. 64 $430. 32 $82. 17 $133. 32 $215. 16 $0 $34. 88 $23. 94 $72. 52 $17. 44 $11. 97 $36. 26 $7. 03 $14. 06 $13. 37 $20. 68 $3. 52 $7. 03 $6. 68 $10. 34 Met. Life DPPO $0. 00 $16. 78 $12. 04 $22. 39 $8. 39 $6. 02 $11. 20 Vison Basic Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family Vision Expanded $4. 02 $8. 03 $7. 62 $11. 80 $ 2. 01 $4. 01 $3. 81 $5. 90 Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family

Plan Year 2017 Medical Coverage 12 mo. Pay Employees 2017 Insurance Rates 12 month Employees Per Month Partnership Promise PPO BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family Standard PPO BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family No Partnership Promise PPO BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family $0. 00 $203. 50 $298. 10 $501. 60 $0. 00 $209. 00 $305. 25 $514. 25 $0. 00 $203. 50 $325. 60 $529. 10 Per check Standard PPO Cigna Open Access Employee Only Coverage $104. 50 Employee + child(ren) $152. 63 Employee + spouse $257. 13 Employee + family No Partnership Promise PPO Cigna Open Access Employee Only Coverage $101. 75 Employee + child(ren) $162. 80 Employee + spouse $264. 55 Employee + family Limited PPO BCBS/Cigna Local Plus Employee Only Coverage Per Month Partnership Promise PPO Cigna Open Access Employee Only Coverage $101. 75 Employee + child(ren) $149. 05 Employee + spouse $250. 80 Employee + family Per check $0. 00 $203. 50 $320. 10 $523. 60 $101. 75 $160. 05 $261. 80 $0. 00 $209. 00 $327. 25 $536. 25 $104. 50 $163. 63 $268. 13 $0. 00 $203. 50 $347. 60 $551. 10 $101. 75 $173. 80 $275. 55 Limited PPO Cigna Open Access $0. 00 Employee Only Coverage $0. 00 Employee + child(ren) $151. 80 $75. 90 Employee + spouse $222. 22 $111. 11 Employee + spouse $244. 20 $122. 10 Employee + family $374. 00 $187. 00 Employee + family $396. 00 $198. 00

Health Savings CDHP BCBS/Cigna Local Plus Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family Health Savings CDHP Cigna Open Access $0. 00 $136. 95 $200. 20 $336. 60 $68. 48 $100. 10 $168. 30 Cigna Pre-Paid Dental Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family $0 $136. 95 $222. 20 $358. 60 $68. 48 $111. 10 $179. 30 $0 29. 07 $19. 95 $60. 43 $14. 54 $9. 98 $30. 22 $5. 86 $11. 72 $11. 14 $17. 23 $2. 93 $5. 86 $5. 57 $8. 62 Met. Life DPPO $0. 00 $13. 98 $10. 03 $18. 66 $6. 99 $5. 02 $9. 33 Vison Basic Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family Vision Expanded $3. 35 $6. 69 $6. 35 $9. 83 $ 1. 68 $3. 35 $3. 18 $4. 92 Employee Only Coverage Employee + child(ren) Employee + spouse Employee + family