Monthly Premiums for Arkansas State Active Employees

2012 Plan Year Rates - Effective January 1, 2012 - December 31, 2012

Active Employee Rates Only. The rates shown below are the net monthly cost to each individual participant. It does not reflect the reduced rates available through the Health Risk Assessment (HRA).

For the official list of all rates, including the HRA discount, go http://www.state.ar.us/dfa/ebd/

	Base Monthly Premium	State Contribution	Plan Contribution	Total Monthly Employee Cost	Payroll Deduction Amount
	Base Monthly Premium	State Contribution	Plan Contribution	Total Monthly Employee Cost	24 Payroll deductions
Employee Only
Gold	$439.38	$307.26	$36.34	$95.78	$47.89
Silver	$405.72	$307.26	$36.34	$62.12	$31.06
Bronze	$146.46	$146.46	$0.00	$0.00	$0.00
Employee & Spouse
Gold	$1,046.18	$606.68	$71.76	$367.74	$183.87
Silver	$960.96	$606.68	$71.76	$282.52	$141.26
Bronze	$300.92	$223.70	$0.00	$77.22	$38.61
Employee & Child(ren)
Gold	$657.68	$414.96	$49.08	$193.64	$96.82
Silver	$605.48	$414.96	$49.08	$141.44	$70.72
Bronze	$202.14	$174.30	$0.00	$27.84	$13.92
Employee & Family
Gold	$1,161.84	$663.71	$78.51	$419.62	$209.81
Silver	$1,066.82	$663.71	$78.51	$324.60	$162.30
Bronze	$330.88	$238.68	$0.00	$92.20	$46.10

The rates for the HSA PPO are the least expensive of any plan offered this year. However, that should not be the reason that you select this plan. Because of the deductible and the coinsurance, some individuals that have frequent expenses may find this plan more expensive in the long-term. Please consider this choice carefully. The HSA has a great number of benefits to offer an individual, but an HSA is not right for everyone.

Contribution Requirements
& Limits

Access your
HSA Account