Payroll Services Health Insurance Premium Table (2017)

Health Insurance Premium Table (2017)

Monthly and Semi-Monthly Payroll Deduction Amounts–Coverage Month January 2017

HCA HLTH
PLAN CODE
WSU HLTH
PLAN CODE
HEALTH CARRIERSRED
GTN
DED
GTN
EMPLOYEEEMPLOYEE
& SPOUSE
EMPL &
CHILDREN
FULL
FAMILY
CCGroup Health Classic142050$147
($73.50)
$304
($152.00)
$257
($128.50)
$414
($207.00)
CVBGroup Health Value068069$69
($34.50)
$148
($74.00)
$121
($60.50)
$200
($100.00)
CHSAJGroup Health HSA041053$25
($12.50)
$60
($30.00)
$44
($22.00)
$79
($39.50)
C1NGroup Hlth Sound Choice217225$46
($23.00)
$102
($51.00)
$81
($40.50)
$137
($68.50)
DDKaiser Permanente Classic078052$131
($65.50)
$272
($136.00)
$229
($114.50)
$370
($185.00)
DHSAMKaiser HSA047046$26
($13.00)
$62
($31.00)
$46
($23.00)
$82
($41.00)
UUUniform Medical Plan154242$94
($47.00)
$198
($99.00)
$165
($82.50)
$269
($134.50)
UHSARUniform Medical HSA055059$25
($12.50)
$60
($30.00)
$44
($22.00)
$79
($39.50)
U1QUMP Plus UW Med226229$66
($33.00)
$142
($71.00)
$116
($58.00)
$192
($96.00)
U2SUMP Plus Puget Sound227231$66
($33.00)
$142
($71.00)
$116
($58.00)
$192
($96.00)

( ) = Semi-monthly rate