CNM Insurance Deductions (Effective October 1, 2012)
Blue Cross/ Blue Shield (BCBS) - HIGH OPTION
Total Monthly Premium Cost
$ 517.64
Single
Bi-Weekly Payroll Deduction:
Employee Status
Full-time
Three-Quarter time
Half-time
Annualized Salary
Less than 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Employee
Portion
$51.76
SC
SD
$64.71
SF
$98.35
$103.53
SG
SH
$113.23
SJ
$142.35
$150.12
SK
SL
$155.29
CNM
Portion
$207.06
$194.11
$160.47
$155.29
$145.59
$116.47
$108.70
$103.53
$ 984.44
$ 1,314.82
Two-Party
Employee
Portion
TC
$98.44
TD
$123.06
TF
$187.04
TG
$196.89
TH
$215.35
TJ
$270.72
TK
$285.49
TL
$295.33
CNM
Portion
$393.78
$369.16
$305.18
$295.33
$276.87
$221.50
$206.73
$196.89
Family
FC
FD
FF
FG
FH
FJ
FK
FL
Employee
Portion
$131.48
$164.35
$249.82
$262.96
$287.62
$361.58
$381.30
$394.45
CNM
Portion
$525.93
$493.06
$407.59
$394.45
$369.79
$295.83
$276.11
$262.96
Blue Cross/ Blue Shield (BCBS) - LOW OPTION
Total Monthly Premium Cost
$ 434.80
Single
Bi-Weekly Payroll Deduction:
Employee Status
Full-time
Three-Quarter time
Half-time
Annualized Salary
Less than 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Employee
Portion
$43.48
SC
SD
$54.35
SF
$82.61
$86.96
SG
SH
$95.11
SJ
$119.57
$126.09
SK
SL
$130.44
CNM
Portion
$173.92
$163.05
$134.79
$130.44
$122.29
$97.83
$91.31
$86.96
$ 826.90
$ 1,104.50
Two-Party
Employee
Portion
TC
$82.69
TD
$103.36
TF
$157.11
TG
$165.38
TH
$180.88
TJ
$227.40
TK
$239.80
TL
$248.07
CNM
Portion
$330.76
$310.09
$256.34
$248.07
$232.57
$186.05
$173.65
$165.38
Family
FC
FD
FF
FG
FH
FJ
FK
FL
Employee
Portion
$110.45
$138.06
$209.86
$220.90
$241.61
$303.74
$320.31
$331.35
CNM
Portion
$441.80
$414.19
$342.39
$331.35
$310.64
$248.51
$231.94
$220.90
Presbyterian Health Plan HIGH OPTION
Total Monthly Premium Cost
$ 418.60
Single
Bi-Weekly Payroll Deduction:
Employee Status
Full-time
Three-Quarter time
Half-time
Annualized Salary
Less than 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Employee
Portion
$41.86
SC
SD
$52.33
SF
$79.53
$83.72
SG
SH
$91.57
SJ
$115.12
$121.39
SK
SL
$125.58
CNM
Portion
$167.44
$156.97
$129.77
$125.58
$117.73
$94.18
$87.91
$83.72
$ 878.96
$ 1,172.06
Two-Party
Employee
Portion
TC
$87.90
TD
$109.87
TF
$167.00
TG
$175.79
TH
$192.27
TJ
$241.71
TK
$254.90
TL
$263.69
CNM
Portion
$351.58
$329.61
$272.48
$263.69
$247.21
$197.77
$184.58
$175.79
Family
FC
FD
FF
FG
FH
FJ
FK
FL
Employee
Portion
$117.21
$146.51
$222.69
$234.41
$256.39
$322.32
$339.90
$351.62
CNM
Portion
$468.82
$439.52
$363.34
$351.62
$329.64
$263.71
$246.13
$234.41
Presbyterian Health Plan LOW OPTION
Total Monthly Premium Cost
Bi-Weekly Payroll Deduction:
Employee Status
Full-time
Three-Quarter time
Half-time
Annualized Salary
Less than 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
$ 351.64
Single
Employee
Portion
$35.16
SC
SD
$43.96
SF
$66.81
$70.33
SG
SH
$76.92
SJ
$96.70
$101.98
SK
SL
$105.49
CNM
Portion
$140.66
$131.86
$109.01
$105.49
$98.90
$79.12
$73.84
$70.33
$ 738.34
$ 984.52
Two-Party
Employee
Portion
TC
$73.83
TD
$92.29
TF
$140.28
TG
$147.67
TH
$161.51
TJ
$203.04
TK
$214.12
TL
$221.50
CNM
Portion
$295.34
$276.88
$228.89
$221.50
$207.66
$166.13
$155.05
$147.67
Family
FC
FD
FF
FG
FH
FJ
FK
FL
Employee
Portion
$98.45
$123.07
$187.06
$196.90
$215.36
$270.74
$285.51
$295.36
CNM
Portion
$393.81
$369.19
$305.20
$295.36
$276.90
$221.52
$206.75
$196.90
CNM Insurance Deductions (Effective October 1, 2012)
United Dental/Concordia - High Option
Total Monthly Premium Cost
$
Single
Bi-Weekly Payroll Deduction:
Employee Status
Full-time
Three-Quarter time
Half-time
26.44
Annualized Salary
Less than 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Employee
Portion
$2.64
SC
SD
$3.31
SF
$5.02
$5.29
SG
SH
$5.78
SJ
$7.27
$7.67
SK
SL
$7.93
$
50.34
$
Two-Party
CNM
Portion
$10.58
$9.91
$8.20
$7.93
$7.44
$5.95
$5.55
$5.29
Employee
Portion
TC
$5.03
TD
$6.29
TF
$9.56
TG
$10.07
TH
$11.01
TJ
$13.84
TK
$14.60
TL
$15.10
CNM
Portion
$20.14
$18.88
$15.61
$15.10
$14.16
$11.33
$10.57
$10.07
79.10
Family
FC
FD
FF
FG
FH
FJ
FK
FL
Employee
Portion
$7.91
$9.89
$15.03
$15.82
$17.30
$21.75
$22.94
$23.73
CNM
Portion
$31.64
$29.66
$24.52
$23.73
$22.25
$17.80
$16.61
$15.82
United Dental/Concordia - Low Option
Total Monthly Premium Cost
Bi-Weekly Payroll Deduction:
Employee Status
Full-time
Three-Quarter time
Half-time
Annualized Salary
Less than 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
$
13.24
Single
Employee
Portion
$1.32
SC
SD
$1.66
SF
$2.52
$2.65
SG
SH
$2.90
SJ
$3.64
$3.84
SK
SL
$3.97
$
25.20
$
Two-Party
CNM
Portion
$5.30
$4.96
$4.10
$3.97
$3.72
$2.98
$2.78
$2.65
Employee
Portion
TC
$2.52
TD
$3.15
TF
$4.79
TG
$5.04
TH
$5.51
TJ
$6.93
TK
$7.31
TL
$7.56
CNM
Portion
$10.08
$9.45
$7.81
$7.56
$7.09
$5.67
$5.29
$5.04
39.54
Family
FC
FD
FF
FG
FH
FJ
FK
FL
Employee
Portion
$3.95
$4.94
$7.51
$7.91
$8.65
$10.87
$11.47
$11.86
CNM
Portion
$15.82
$14.83
$12.26
$11.86
$11.12
$8.90
$8.30
$7.91
Davis Vision
Total Monthly Premium Cost
Bi-Weekly Payroll Deduction:
Employee Status
Full-time
Three-Quarter time
Half-time
Annualized Salary
Less than 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
Less than $19,999.99
$20,000 to 24,999.99
$25000 and above
$
6.26
Single
Employee
Portion
$0.63
SC
SD
$0.78
SF
$1.19
$1.25
SG
SH
$1.37
SJ
$1.72
$1.82
SK
SL
$1.88
CNM
Portion
$2.50
$2.35
$1.94
$1.88
$1.76
$1.41
$1.31
$1.25
$
10.48
$
Two-Party
Employee
Portion
TC
$1.05
TD
$1.31
TF
$1.99
TG
$2.10
TH
$2.29
TJ
$2.88
TK
$3.04
TL
$3.14
CNM
Portion
$4.19
$3.93
$3.25
$3.14
$2.95
$2.36
$2.20
$2.10
14.14
Family
FC
FD
FF
FG
FH
FJ
FK
FL
Employee
Portion
$1.41
$1.77
$2.69
$2.83
$3.09
$3.89
$4.10
$4.24
CNM
Portion
$5.66
$5.30
$4.38
$4.24
$3.98
$3.18
$2.97
$2.83