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Contribution
Requirements & Limits
HSA
PPO Rates &
Comparison Chart
State
of Arkansas PSE Salary Reduction Agreement
State
of Arkansas PSE Retiree Contribution Worksheet
State
of Arkansas PSE
Fee Schedule
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Public School Employees - HSA PPO
Rates
& Comparison Chart
2008-09 Plan Year Rates - Effective October 1, 2008 - September 30, 2009
The chart below shows the net monthly
cost to each individual participant. It does not take into account any
additional contributions made by the individual school districts.
Active Employee Rates Only. For the official
list of all rates, go http://www.state.ar.us/dfa/ebd/
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Base
Monthly
Premium |
State
Contribution |
Reserve
Contribution |
School
District
Contribution |
Total
Monthly
Employee
Cost |
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 |
$10
monthly
savings |
$20
monthly
savings |
$20
monthly
savings |
$30
monthly
savings |
$40
monthly
savings |
| ARHealth - Health Advantage |
$365.45 |
$60.57 |
$21.86 |
$131.00 |
$152.02 |
$142.02 |
$132.02 |
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| ARHealth - NovaSys |
$361.47 |
$60.57 |
$21.86 |
$131.00 |
$148.04 |
$138.04 |
$128.04 |
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| ARHealth HD PPO-NovaSys |
$281.33 |
$60.57 |
$21.86 |
$131.00 |
$67.90 |
$57.90 |
$47.90 |
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| ARHealth - Health Advantage |
$977.61 |
$107.69 |
$38.86 |
$131.00 |
$700.06 |
$690.06 |
$680.06 |
$680.06 |
$670.06 |
$660.06 |
| ARHealth - NovaSys |
$967.13 |
$107.69 |
$38.86 |
$131.00 |
$689.58 |
$679.58 |
$669.58 |
$669.58 |
$659.58 |
$649.58 |
| ARHealth HD PPO-NovaSys |
$743.55 |
$107.69 |
$38.86 |
$131.00 |
$466.00 |
$456.00 |
$446.00 |
$446.00 |
$436.00 |
$426.00 |
| ARHealth - Health Advantage |
$635.25 |
$82.50 |
$29.77 |
$131.00 |
$391.98 |
$381.98 |
$371.98 |
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| ARHealth - NovaSys |
$624.41 |
$82.50 |
$29.77 |
$131.00 |
$381.14 |
$371.14 |
$361.14 |
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| ARHealth HD PPO-NovaSys |
$480.15 |
$82.50 |
$29.77 |
$131.00 |
$236.88 |
$226.88 |
$216.88 |
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| ARHealth - Health Advantage |
$983.87 |
$111.52 |
$40.25 |
$131.00 |
$701.10 |
$691.10 |
$681.10 |
$681.10 |
$671.10 |
$661.10 |
| ARHealth - NovaSys |
$972.95 |
$111.52 |
$40.25 |
$131.00 |
$690.18 |
$680.18 |
$670.18 |
$670.18 |
$660.18 |
$650.18 |
| ARHealth HD PPO-NovaSys |
$748.57 |
$111.52 |
$40.25 |
$131.00 |
$465.80 |
$455.80 |
$445.80 |
$445.80 |
$435.80 |
$425.80 |
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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