2009 Health Insurance Payroll Deductions
Bi-weekly Premium
Deductions will be made on a pre-tax basis unless you elect to decline this benefit.
| Insurance Plan Options |
M/C B.U. 06, 13 |
CSEA B.U. 02, 03, 04 |
PEF B.U. 05 |
NYSCOPBA/Council 82 B.U. 21, 31 |
UUP B.U. 08 |
|---|---|---|---|---|---|
| Empire Plan | |||||
| Individual | $22.16 | $22.46 | $22.16 | $22.61 | $22.16 |
| Family | $97.06 | $98.16 | $97.06 | $98.77 | $97.06 |
| HIP HMO | |||||
| Individual | $34.92 | $34.92 | $34.92 | $34.25 | $34.92 |
| Family | $129.53 | $129.53 | $129.53 | $128.08 | $129.53 |
| Empire Blue Cross / Blue Shield HMO | |||||
| Individual | $82.62 | $82.62 | $82.62 | $81.95 | $82.62 |
| Family | $286.97 | $286.97 | $286.97 | $285.52 | $286.97 |
| AETNA - HMO | |||||
| Individual | $97.26 | $97.26 | $97.26 | $96.59 | $97.26 |
| Family | $363.03 | $363.03 | $363.03 | $361.58 | $363.03 |
Empire Plan Deductibles and Out-of-Pocket Maximum
| Deductible | $363.00 | $225.00 | $363.00 | $363.00 | $363.00 |
| Out-of-Pocket Maximum | $1,000.00 | $500.00 | $1,000.00 | $1,345.00 | $1,000.00 |
