Incentive Structure

EXAMPLE INSURANCE RATES FOR INDIVIDUALS:
PRIOR PLAN
Incentive Structure
NEW PLAN
WELLNESS
MONTHLY $
ONE RATE
PREMIUM
DIFFERENCE:
NON-WELLNESS
MONTHLY $
WELLNESS VS. NON-WELLNESS
Employee Cost – Plan Option #1 (HDHP)
Employee Only
$56
$71
$158
$1,044
Employee + Spouse
$204
$232
$319
$1,044
Employee + Child(ren)
$179
$206
$293
$1,044
Family
$232
$276
$363
$1,044
Employee Only
$180
$195
$281
$1,032
Employee + Spouse
$413
$441
$528
$1,044
Employee + Child(ren)
$393
$420
$506
$1,032
Family
$658
$701
$788
$1,044
Employee Cost – Plan Option #2 (PPO)
ILLUSTRATION ONLY
# of Employees .................................... 250
Rate of Partcipation Expected: ............ 90%
# of Partcipants.................................... 225
# of Non-Wellness Participants................ 25
Total Yearly Full Program Cost ...... $105,000
Wellness PEPY .................................. $420
Wellness PEPM .................................. $35
Funding by Non-Wellness (10% of 250) .................... $26,025
Avg Rate Increase for Participants/Month.................... $86.75
Avg Rate Increase per Bi-Monthly Pay Period (24)........ $43.38
Funding by Wellness Participants ................................ $78,975
Avg Rate Increase for Participants/Month...................... $29.25
Avg Rate Increase per Bi-Monthly Pay Period (24).......... $14.63