2014 Medical and Prescription Contribution Rates
GOLD
MEDICAL AND PRESCRIPTION
PLAN:
Employee Monthly Contribution
Rates by Salary Range
$0.00 –
$29,000
$29,000.01
– $34,000
$34.000.01
- $44,000
$44,000.01
– $63,000
$63,000.01
– $87,000
$87,000.01
- $117,000
$117,000
+
Employee
$68
$74
$80
$86
$92
$97
$103
Employee + Spouse/SSDP
$137
$149
$160
$172
$183
$194
$206
Employee + Child(ren)
$130
$141
$152
$163
$174
$185
$195
Employee + Spouse/SSDP +
Child(ren)
$199
$216
$232
$249
$265
$282
$298
Adult Child(ren) (Age 26 & 27)
BLUE
MEDICAL AND PRESCRIPTION
PLAN
Additional $229/month
Employee Monthly Contribution Rates
Employee
$26
Employee + Spouse/SSDP
$51
Employee + Child(ren)
$49
Employee + Spouse/SSDP +
Child(ren)
$74
Adult Child(ren) (Age 26 & 27)
Additional $205/month