PUTNAM COUNTY SCHOOL BOARD
GROUP HEALTH PROGRAM
November 2006 Plan Year
EFFECTIVE November 1, 2006 / See Rates Effective January 1, 2008
Summary of Benefits
The School Board contributes $350.00 per employee per month, toward one of the following plans. You must select either the group health insurance, weekly disability, or hospital indemnity plan.
There is a monthly employee contribution for the health insurance. The monthly contribution is taken out in 10-month payroll deductions for 12-month coverage. Monthly/semi-monthly Employee Contributions are as follows:
Plan |
“A” 1350/ 001 Blue Options
|
B” 1357/ 003 Blue Options |
C” 1352/ 004 Blue Options
|
“OldB”108/ 002 Blue Choice
|
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|
Pd 1 x month |
Pd 2x month |
Pd1x month |
Pd 2x month |
Pd1x month |
Pd 2x month |
Pd1x month |
Pd2x month |
|||
Employee |
$58.83 |
$29.42 |
39.23 |
19.62 |
$25.00 |
$12.50 |
$250.20 |
$125.10 |
|||
Emp/Child(ren) |
$481.64 |
$240.82 |
$444.74 |
$222.37 |
$391.45 |
$195.73 |
$697.08 |
$348.54 |
|||
Emp/Spouse |
$572.92 |
$286.46 |
$532.28 |
$266.14 |
$471.69 |
$235.85 |
$938.20 |
$469.10 |
|||
Family |
$1,103.78 |
$551.89 |
$1,041.48 |
$520.74 |
$750.00 |
$375.00 |
$1452.01 |
$726.01 |
|||
Husband and Wife work for school |
$222.92 |
$111.46 |
$182.28 |
$91.14 |
$121.69 |
$360.85 |
$588.20 |
$294.10 |
|||
Husband and Wife with child(ren) work for school |
$753.76 |
$376.88 |
$691.48 |
$345.74 |
$588.30 |
$294.15 |
$1,102.01 |
$551.01 |
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IMPORTANT!! You have thirty (30) calendar days from your date of hire to have all insurance applications submitted into the District Insurance Office. Failure to comply will make you ineligible for benefits, except through Special Enrollment (see enclosed Notification of Special Enrollment Rights).
tmc
11-06