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Central Washington
School Employees
Benefit Trust |
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EMPLOYEE
CONTRIBUTIONS
Traditional Choice |
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Following are
the current and renewal out-of-pocket premiums effective
November 1, 2010: |
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Actual Monthly Premium
(All Benefits)* |
2009- 2010
District/State Contribution |
Current Payroll Deduction
(Through 10/31/10) |
Renewal Payroll Deduction
(Coverage Effective 11/1/10) |
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Employee Only |
$768.00 |
$768.00 |
$
0.00 |
$ 0.00 |
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Employee/Spouse |
$1,546.17 |
$768.00 |
$592.60 |
$778.17 |
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Employee/Family |
$1,836.68 |
$768.00 |
$792.44 |
$1,068.68 |
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Employee/Children |
$1,058.47 |
$768.00 |
$199.81 |
$290.47 |
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EMPLOYEE
CONTRIBUTIONS
Selections Choice |
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Following are
the current and renewal out-of-pocket premiums effective
November 1, 2010: |
| |
Actual Monthly Premium
(All Benefits)* |
2009 - 2010
District/State Contribution |
Current Payroll Deduction
(Through 10/31/10) |
Renewal Payroll Deduction
(Coverage Effective 11/1/10) |
|
Employee Only |
$768.00 |
$768.00 |
$ 0.00 |
$ 0.00 |
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Employee/Spouse |
$1,165.45 |
$768.00 |
$314.09 |
$397.45 |
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Employee/Family |
$1,322.71 |
$768.00 |
$431.93 |
$554.71 |
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Employee/Children |
$925.22 |
$768.00 |
$117.81 |
$157.22 |
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EMPLOYEE
CONTRIBUTIONS
Economy
Choice |
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Following are
the current and renewal out-of-pocket premiums effective
November 1, 2010: |
| |
Actual Monthly Premium
(All Benefits)* |
2009 - 2010
District/State Contribution |
Current Payroll Deduction
(Through 10/31/10) |
Renewal Payroll Deduction
(Coverage Effective 11/1/10) |
|
Employee Only |
$768.00 |
$768.00 |
$ 0.00 |
$ 0.00 |
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Employee/Spouse |
$1,019.52 |
$768.00 |
$205.34 |
$251.52 |
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Employee/Family |
$1,125.70 |
$768.00 |
$291.18 |
$357.70 |
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Employee/Children |
$874.14 |
$768.00 |
$85.81 |
$106.14 |
* "All Benefits"
includes: Medical/Prescription
Drugs/Vision/Dental/Life and AD&D/Long Term
Disability
Note:
Rates may be subject to change if enrollment
changes by 10% in any single month or 25% in
any three consecutive months or if there are
government mandated changes or new or
revised taxes imposed on Regence BlueShield.
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