Human Service Options, Inc. Employee health & Dental Insurance Contributions Effective JULY 1, 2017 TUFTS HEALTH PLAN ADVANTAGE HMO – & BLUE BLUE SHIELD DENTAL PLAN – Union 40 Hours Residential Employees Working Positions of or More ANNUAL AGENCY ANNUAL ANNUAL PREMIUM PLAN TYPE PREMIUM CONTRIBUTION MEDICAL DENTAL MEDICAL/DENTAL 8334.60 447.84 6592.08 / 305.76 Individual HMO Dual 16062.84 954.00 10,390.16 / 389.28 Family 24869.64 1334.88 14,831.56 / 390.56 Weekly Payroll Deduction Annual Cost to Employee Plan MEDICAL 1742.52 142.08 1884.60 2.74 36.25 Individual 33.51 HMO Dual 5672.68 564.72 6237.40 10.86 119.95 109.09 Family 10038.08 944.32 10982.40 18.16 211.20 193.04 union 40hrs
Human Service Options, Inc. Employee health & Dental Insurance Contributions Effective JULY 1, 2017 TUFTS HEALTH PLAN – ADVANTAGE HMO & BLUE BLUE SHIELD – DENTAL PLAN Residential Union Employees Working Positions of 40 Hours or More PLAN TYPE ANNUAL PREMIUM MEDICAL ANNUAL PREMIUM DENTAL ANNUAL AGENCY CONTRIBUTION MEDICAL/DENTAL HMO Individual 8334.60 447.84 6592.08 / 305.76 Dual 16062.84 954.00 10,390.16 / 389.28 Family 24869.64 1334.88 14,831.56 / 390.56 Plan Annual Cost to Employee Weekly Payroll Deduction HMO Individual 1742.52 142.08 1884.60 33.51 2.74 36.25 Dual 5672.68 564.72 6237.40 109.09 10.86 119.95 Family 10038.08 944.32 10982.40 193.04 18.16 211.20 union 40hrs MEDICAL
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