RENSSELAER COUNTY

Health Insurance Costs - January 1, 2019

For Employees Hired Prior to 11/13/2014 and After 9/28/2006

Full Monthly Premium Rates

Coverage CDPHP HMO MVP HMO Empire Blue Cross Direct HMO
Single $765.25 $807.39 $979.51
Two Person $1,532.18 $1,857.74 $1,911.90
Family $1,989.44 $1,978.37 $2,839.18

*** Employee Bi-Weekly Share of Premium Cost at 20% ***

Coverage CDPHP HMO MVP HMO Empire Blue Cross Direct HMO
Single $70.64 $74.53 $90.42
Two Person $141.43 $171.48 $176.48
Family $183.64 $182.62 $262.08

If you have Family Dental Coverage the bi-weekly cost will be $24.86 for 2018. There is no payroll deduction for individual dental coverage.

Employee Annual Share of Premium Cost at 20%

Coverage CDPHP HMO MVP HMO Empire Blue Cross Direct HMO
Single $1,836.60 $1,937.74 $2,350.82
Two Person $3,677.23 $4,458.58 $4,588.56
Family $4,774.66 $4,748.09 $6,814.03

Plan Benefit Highlights

Coverage CDPHP HMO MVP HMO Empire Blue Cross Direct HMO
In Network  
Doctor Co-Pay $25.00 $25.00 $25.00
Specialist Co-Pay $25.00 $40.00 $25.00
Drug Co-Pay $10G/$25B/$40NF $10G/$30B/$50NF $10G/$25B/$50NF
Inpatient Co-Pay 0 $500 0
Out of Network  
Deductible NA NA NA
Coinsurance NA NA NA
Inpatient Co-Pay 0 $500 0

*The payroll deduction for family dental coverage will remain at $24.86 for 2019. There is no payroll deduction for individual dental coverage.*

NOTE-THE EMPLOYEE SHARE LISTED ABOVE IS FOR FULL-TIME EMPLOYEES. IF YOU ARE NOT A FULL-TIME EMPLOYEE, THE HEALTH INSURANCE COVERAGE WILL COST YOU MORE, DEPENDING UPON THE NUMBER OF HOURS WORKED PER WEEK.

*** ANY PAYROLL DEDUCTIONS THAT ARE REQUIRED FOR ANY COVERAGE YOU ELECT WILL COME OUT OF YOUR PAYCHECK THE PAY-PERIOD BEFORE THE COVERAGE IS EFFECTIVE.