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
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