Human Service Options, Inc. Employee health & Dental Insurance Contributions Effective July 1, 2017 TUFTS HEALTH PLAN ADVANTAGE HMO – & BLUE CROSS BLUE SHIELD DENTAL PLAN – Union 30 Hours Residential Employees Working Positions of or More ANNUAL AGENCY ANNUAL ANNUAL PREMIUM PLAN TYPE PREMIUM CONTRIBUTION DENTAL MEDICAL/DENTAL 8334.60 447.84 5156.88 / 238.80 Individual HMO Dual 16062.84 954.00 8202.52 / 332.08 Family 24869.64 1334.88 11,758.36 / 290.72 Weekly Payroll Deduction Annual Cost to Employee Plan 3177.72 209.04 3386.76 4.02 65.13 Individual 61.11 HMO Dual 7860.32 621.92 8482.24 11.96 163.12 151.16 Family 13111.28 1044.16 14155.44 20.08 272.22 252.14 union 30 HRS.
Human Service Options, Inc. Employee health & Dental Insurance Contributions Effective July 1, 2017 TUFTS HEALTH PLAN – ADVANTAGE HMO & BLUE CROSS BLUE SHIELD – DENTAL PLAN Residential Union Employees Working Positions of 30 Hours or More PLAN TYPE ANNUAL PREMIUM ANNUAL PREMIUM DENTAL ANNUAL AGENCY CONTRIBUTION MEDICAL/DENTAL HMO Individual 8334.60 447.84 5156.88 / 238.80 Dual 16062.84 954.00 8202.52 / 332.08 Family 24869.64 1334.88 11,758.36 / 290.72 Plan Annual Cost to Employee Weekly Payroll Deduction HMO Individual 3177.72 209.04 3386.76 61.11 4.02 65.13 Dual 7860.32 621.92 8482.24 151.16 11.96 163.12 Family 13111.28 1044.16 14155.44 252.14 20.08 272.22 union 30 HRS.
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