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Contribution
Requirements & Limits
HSA
PPO Rates &
Comparison Chart
State
of Arkansas ASE Salary Reduction Agreement
State
of Arkansas ASE Retiree Contribution Worksheet
State
of Arkansas ASE
Fee Schedule |
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Arkansas State Employees - HSA PPO Rates
& Comparison Chart
2009 Plan Year Rates - Effective January 1, 2009 - December 31, 2009
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/
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Base
Monthly
Premium |
State
Contribution |
Plan
Contribution |
Total
Monthly
Employee
Cost |
Payroll
Deduction
Amount |
One Healthy
Discount
Level I |
One Healthy
Discount
Level II |
Two Healthy
Discount
Level I |
One Healthy
Discount
Level I and
One Level II |
Two Healthy
Discount
Level II |
24 Payroll
deductions |
$5 per pay
$10 monthly
savings |
$10 per pay
$20 monthly
savings |
$10 per pay
$20 monthly
savings |
$15 per pay
$20 monthly
savings |
$20 per pay
$40 monthly
savings |
| ARHealth - Health Advantage |
$420.16 |
$299.58 |
$15.54 |
$105.04 |
$52.52 |
$47.52 |
$42.52 |
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| ARHealth - NovaSys |
$450.64 |
$299.58 |
$15.54 |
$135.52 |
$67.76 |
$62.76 |
$57.76 |
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| ARHealth HD PPO-NovaSys |
$350.30 |
$299.58 |
$15.54 |
$35.18 |
$17.59 |
$12.59 |
$7.59 |
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| ARHealth - Health Advantage |
$994.94 |
$573.17 |
$29.33 |
$392.44 |
$196.22 |
$191.22 |
$186.22 |
$186.22 |
$181.22 |
$176.22 |
| ARHealth - NovaSys |
$1068.12 |
$573.17 |
$29.33 |
$465.62 |
$232.81 |
$227.81 |
$222.81 |
$222.81 |
$217.81 |
$212.81 |
| ARHealth HD PPO-NovaSys |
$827.32 |
$573.17 |
$29.33 |
$224.82 |
$112.41 |
$107.41 |
$102.41 |
$102.41 |
$97.41 |
$92.41 |
| ARHealth - Health Advantage |
$619.06 |
$394.25 |
$20.31 |
$204.50 |
$102.25 |
$97.25 |
$92.25 |
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| ARHealth - NovaSys |
$664.78 |
$394.25 |
$20.31 |
$250.22 |
$125.11 |
$120.11 |
$115.11 |
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| ARHealth HD PPO-NovaSys |
$514.28 |
$394.25 |
$20.31 |
$99.72 |
$49.86 |
$44.86 |
$39.86 |
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| ARHealth - Health Advantage |
$1097.48 |
$621.99 |
$31.79 |
$443.70 |
$221.85 |
$216.85 |
$211.85 |
$211.85 |
$206.85 |
$201.85 |
| ARHealth - NovaSys |
$1178.26 |
$621.99 |
$31.79 |
$524.48 |
$262.24 |
$257.24 |
$252.24 |
$252.24 |
$247.24 |
$242.24 |
| ARHealth HD PPO-NovaSys |
$912.38 |
$621.99 |
$31.79 |
$258.60 |
$129.30 |
$124.30 |
$119.30 |
$119.30 |
$114.30 |
$109.30 |
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
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