HomeMy WebLinkAbout2018/11/12 - Briefing Packet November 12.1
BOARD OF MASON COUNTY COMMISSIONERS
DRAFT BRIEFING MEETING AGENDA
411 North Fifth Street, Shelton WA 98584
Week of November 12, 2018
Monday, November 12, 2018
NO BRIEFINGS DUE TO VETERAN'S DAY HOLIDAY
Tuesday, November 13, 2018
Commission Chambers
9:45 A.M. Executive Session - RCW 42.30.110 (1)(i) Litigation
Wednesday, November 14, 2018
Commission Chambers
10:00 A.M. Support Services - Frank Pinter
10:15 A.M. 2019 Budget Workshop
Briefing Agendas are subject to change,please contact the Commissioners'office for the most recent version.
Last printed 11/08/18 at 2:51 PM
If special accommodations are needed,contact the Commissioners'office at ext.419,Shelton#360-427-9670;Belfair
#275-4467,Elma#482-5269.
Mason County Support Services Department Budget Management
$ox co0411 North Stn Street Commissioner Administration
' Emergency Management
Shelton WA 98584
Facilities, Parks&Trails
360.427.9670 ext. 419 Human Resources
Information Services
Labor Relations
1854 Risk Management
MASON COUNTY COMMISSIONER BRIEFING ITEMS FROM SUPPORT SERVICES
November 13, 2018
• Specific Items for Review
0 2019 Medical Contribution —Frank
• Commissioner Discussion
J:\DLZ\Briefing Items\2018\2018-11-13.docx
MASON COUNTY
BRIEFING ITEM SUMMARY FORM
TO: BOARD OF MASON COUNTY COMMISSIONERS
FROM: Frank Pinter
DEPARTMENT: Support Services EXT:530
BRIEFING DATE: 11/14/18
PREVIOUS BRIEFING DATES: During budget prep meetings
(If this is a follow-up briefing,please provide only new information)
ITEM: RCW 36.16.070 states that the Board of County Commissioners shall fix the compensation of all
employees.
Contribution at$1206 per month,per employee(2018 rate):
MEDICAL- It is recommended that the Board adopt, effective January 1, 2019, the County's health insurance
contribution rate for Elected Officials, eligible Non-Represented Employees, and any Collective Bargaining
Agreements (General Services& Probation) in place, but not ratified on January 1,2019,who participate in PEBB
medical and utilize the pooling method,resulting in a distribution as follows:
$937.58 per month per Elected Official/Employee for those individuals enrolled in PEBB medical as an employee
only(no dependent coverage). This contribution also covers dental,vision, and basic life insurance.
$1,369.10 per month per Elected Official/Employee for those individuals enrolled in PEBB medical as an
employee with one or more dependents. This contribution also covers dental,vision,and basic life insurance.
Contribution at$1258 per month,per employee(2019 rate):
MEDICAL- It is recommended that the Board adopt, effective January 1, 2019, the County's health insurance
contribution rate for any Collective Bargaining Agreements (Community Family Health, Deputy Prosecutors, &
Public Defenders) in place and ratified on January 1, 2019, who participate in PEBB medical and utilize the
pooling method,resulting in a distribution as follows:
$937.58 per month per Employee for those individuals enrolled in PEBB medical as an employee only (no
dependent coverage). This contribution also covers dental,vision,and basic life insurance.
$1,421.10 per month per Employee for those individuals enrolled in PEBB medical as an employee with one or
more dependents. This contribution also covers dental,vision,and basic life insurance.
BUDGET IMPACTS:
Previously specified by Budget Manager as part of Budget process.
RECOMMENDED OR REQUESTED ACTION: Approval to set an Agenda Item on the 11/20/2018 Commissioners
Agenda for approval of the attached resolution for participants of the PEBB Medical program,which allocates
through the pooling method,$937.58 per month County contribution for single enrollments on medical,and
$1,369.10 per month for Elected Officials,eligible Non-Represented Employees,and any Collective Bargaining
Agreements(General Services&Probation)in place,but not ratified on January 1, 2019 with dependent
enrollments, and$1,421.10 per month for those Collective Bargaining Agreements(Community Family Health,
Deputy Prosecutors,&Public Defenders)in place and ratified on January 1, 2019.
ATTACHMENTS: Resolution, Pooling Calculation Details, PEBB Medical Premium Charts
RESOLUTION NO.
AMEND RESOLUTION NO. 02-18 DETERMINING THE COUNTY'S
2019 HEALTH INSURANCE CONTRIBUTIONS
WHEREAS, RCW 36.40.080 states that the Board of County Commissioners shall fix and determine each
item of the budget separately and shall by resolution adopt the budget; and
WHEREAS, RCW 36.16.070 states that the Board shall fix the benefit compensation of all employees; and
WHEREAS, the Board has determined that the County's contribution towards health insurance
premiums for Elected Officials, eligible Non-Represented employees, and any Collective Bargaining
Agreement (General Services & Probation) in place, but not ratified on January 1, 2019, shall remain at
the 2018 contribution amount of $1,206 (One thousand two hundred and six dollars) per month, and
also as applicable and required by the Collective Bargaining Agreements (Community Family Health,
Deputy Prosecutors, and Public Defenders) in place and ratified on that date should be adjusted to
$1,258 (One thousand two hundred fifty eight dollars) per month; and
WHEREAS, the Board has determined that the County's contribution towards health insurance
premiums for Elected Officials, eligible Non-Represented employees, and also those members of the
Collective Bargaining Agreements who participate in PEBB medical insurance to utilize the pooling
method; and
NOW THEREFORE BE IT RESOLVED, effective January 1, 2019, the Board of County Commissioners does
hereby establish the County's health insurance contribution rate for Elected Officials, eligible Non-
Represented Employees, and any Collective Bargaining Agreement (General Services & Probation) in
place, but not ratified on January 1, 2019 utilizing the pooling method, and resulting in a distribution as
follows:
$937.58 per month per Elected Official/Employee for those individuals enrolled in PEBB medical
as an employee only (no dependent coverage). This contribution also covers dental, vision, and
basic life insurance.
$1,369.10 per month per Elected Official/Employee for those individuals enrolled in PEBB
medical as an employee with one or more dependents. This contribution also covers dental,
vision, and basic life insurance.
NOW THEREFORE BE IT RESOLVED, effective January 1, 2019, the Board of County Commissioners does
hereby establish the County's health insurance contribution rate for any Collective Bargaining
Agreements (Community Family Health, Deputy Prosecutors, and Public Defenders) in place and ratified
on January 1, 2019 utilizing the pooling method, and resulting in a distribution as follows:
$937.58 per month per Employee for those individuals enrolled in PEBB medical as an employee
only (no dependent coverage). This contribution also covers dental, vision, and basic life
insurance.
$1,421.10 per month per Employee for those individuals enrolled in PEBB medical as an
employee with one or more dependents. This contribution also covers dental, vision, and basic
life insurance.
k:Vesolutions\salary&medical\resolution health insurance$1258 for 2019 11062018.doc
Approved this day of 2018
BOARD OF COUNTY COMMISSIONERS
Randy Neatherlin, Chairperson
Terri Drexler, Commissioner
Kevin Shutty, Commissioner
Attest:
Melissa Drewry, Clerk of the Board
Approved as to Form:
Tim Whitehead, Chief Deputy Prosecutor
cc: Financial Services, Payroll
Human Resources
All Elected Officials and Department Heads
k:lresolutions�salary&medical\resolution health insurance$1258 for 2019 11062018.doc
PEBB
2019 County Pooling Contribution Calculations
NON-UNION EMPLOYEES,ELECTED OFFICIALS,GENERAL SERVICES,PROBATION,COMMUNITY FAMILY HEALTH,DEPUTY PROSECUTORS,&PUBLIC DEFENDERS
Counts as of September 26,2018
2019 Contribution per Employee
Community Family&Health,Deputy
Prosecutors&Public Defenders $1,258.00 minus $937.58 Highest Employee only premium = $320.42
2019 Contribution per Employee,Non
Union,General Services,Elected
Officials,&Probation $1,206.00 minus $937.58 Highest Employee only premium = $268.42
Community&Family Health,Deputy
Prosecutors&Public Defenders $320.42 X 11 Employee only premiums = $3,524.62
Non Union,General Services,Elected
Officials,&Probation $268.42 X 41 Employee only premiums = $11,005.22
1 Medical Waiver $1,206.00 minus $152.62 PEBB dental,vision,life only amount = $1,053.38
1 Medical Waiver $1,206.00 minus $152.62 PEBB dental,vision,life only amount = $1,053.38
Total pooling per month for dependent coverage = $16,636.60
$16,636.60 divided by 102 Employee+Dependent Coverages = $163.10
2019 Contribution per Employee
Community Family&Health,Deputy
Prosecutors&Public Defenders $1,258.00 + $163.10 Pooling amount per Employee+Dependent Coverages = $1,421.10
2019 Contribution per Employee,Non
Union,General Services,Elected
Officials,&Probation $1,206.00 + $163.10 Pooling amount per Employee+Dependent Coverages = $1,369.10
Pooled County Contribution for Employee+Dependent Coverage =
Pooled County Contribution for Employee only Coverage = $937.58
PUBLIC DEFENDERS AND COMMUNITY FAMILY HEALTH TEAMSTERS EMPLOYEES
PEBB-Medical and Dental 2019
The County premium contribution pooling method Pending approval by resolution.All polled @ 2019 rate of$1258
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA PREMIUM $892.04 $1,631.45 $1,446.60 $2,186.02
(Group Health Classic) $15 Primary Care $175/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
$30 Specialist $525/1'amily $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $210.35 $25.50 $764.92
Kaiser Permanente WA PREMIUM $814.90 $1,477.19 $1,311.61 $1,973.90
(Group Health Value) $30 Primary Care $250/Person $3,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
$50 Specialist $750/Family $6,000/Family EMPLOYEE PAYS(Payroll Deduction) None $56.09 None $552.80
Kaiser Permanente WA PREMIUM $759.09 $1,360.11 $1,224.44 $1,767.12
(Group Health CDHP) 10%/Primary Care $1,400/Person $5,100/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
10%Specialist $2,800/1'amily $10,200/Family EMPLOYEE PAYS(Payroll Deduction) None None None $346.02
Kaiser Permanente WA PREMIUM $761.86 $1,371.09 $1,218.78 $1,828.02
(Group Health Sound Choice) 0Primary Care $125/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
(Must live or work in Snohomish,King, 15%Specialist $375 Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None None None $406.92
Pierce or Thurston County)
Uniform Medical Plan Classic PREMIUM $833.50 $1,514.37 $1,344.15 $2,025.03
15%Primary Care $250/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
15%Specialist $750/1'amily $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $93.27 None $603.93
Uniform Medical Plan CDHP PREMIUM $759.19 $1,360.30 $1,224.61 $1,767.39
15%Primary Care $1,400/Person $4,200/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
15%Specialist $2,800/Family $8,400/Family EMPLOYEE PAYS(Payroll Deduction) None None None $346.29
Uniform Medical Plan PLUS or PREMIUM $776.72 $1,400.83 $1,244.80 $1,868.90
Uniform Medical Plan Plus UW 0%Primary Care $125/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
Medicine ACN
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Pierce,Spokane,Yakima,Skagit or Thurston 15%Specialist $375/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None None None $447.80
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
Medical Waived $152.62 1 $152.62 $152.62 $152.62
DENTAL Deductibles Max out-of-pocket VISION BASIC LIFE AND AD&D Insurance
Uniform Dental Group#3000 $50/Person$150/Family You pay amounts Included in medical plan Basic Life $35,000 Basic AD&D $5,000
Delta Dental PPO over$1,750 May enroll in supplemental Term Life Insurance without providing
No General Plan You pay any amount over$150 every 24 evidence of insurability if enrolled no later than 60 days after
Delta Care Group#3100 NONE months for frames,lenses,contacts and becoming eligible.
Managed care w/limited dentists Maximum fitting fees combined.Exception:for UMP
Willamette Dental No General Plan Classic,you pay any amount over$65 for May enroll in optional LTD within 31 days of initial eligibility for
NONE contact lens fitting fees. PEBB benefits.After 31 days must also complete Evidence of
Managed care&their facilities Maximum Insurability form.
DEPUTY PROSECUTING ATTORNEYS
PEBB-Medical Benefits&WCIF-Dental Vision Life Benefits 2019
The County premium contribution pooling method Pending approval by resolution.All polled @ 2019 rate of$1258
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA(Group PREMIUM $806.64 $1,546.05 S1,361.20 $2,100.62
Health Classic) $15 Primary Care $175/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
$30 Specialist $5251Farnily S4,000/Family PREMIUM TOTAL $937.58 51,676.99 51,492.14 $2,231.56
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) 50.00 $255.89 571.04 $810.46
Kaiser Permanente WA(Group PREMIUM $729.50 $1,391.79 $1,226.21 $1,888.50
Health Value) $30 Primary Care $250/Person $3,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
$50 Specialist $750/Family $6,000/Family PREMIUM TOTAL $860.44 $1,522.73 $1,357.15 52,019.44
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 51,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None 5101.63 None 5598.34
Kaiser Permanents WA(Group PREMIUM 5673.69' $1,274.71 $1,139.04 $1,681.72
Health CDHP) I o%Prima y Care $1,400 Person $5,I00/Pasmt WCIF DENTAL VISION LIFE $130.94 $130.94 5130.94 $130.94
10%Specialist $2,600/1'amily S10,200/Family PREMIUM TOTAL $804.63 51,405.65 $1,269.98 $1,812.66
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None None None $391.56
Kaiser Permanente WA(Group PREMIUM 5676.46 $1,285.69 $1,133.38 $1,742.62
Health Sound Choice) 0 Primary Care $125/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%spaialist $375 Family S4,000/Family PREMIUM TOTAL 5807.40 $1,416.63 $1,264.32 $1,873.56
(Must live or work in Snohomish,King, COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
Pierce or Thurston County) EMPLOYEE PAYS(Payroll Deduction) None None None 5452.46
Uniform Medical Plan Classic PREMIUM $748.10 $1,428.97 $1,258.75 $1,939.63
15%Primary Cam $250/Pcmon $2,000/Petaon WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $750/Family S4,000/Family PREMIUM TOTAL $879.04 $1,559.91 $1,389.69 $2,070.57
COUNTY POOLED CONTRIBUTION 5937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None $138.81 None $649.47
Uniform Medical Plan CDHP PREMIUM $691.32 $1,315.43 $1,159.40 $1,783.50
15%Primary Care $1,40o/Person S4,200/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $2s00/Family S8,400/1'amily PREMIUM TOTAL 5822.26 $1,446.37 $1,290.34 $1,914.44
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 51,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None $25.27 None $493.34
Uniform Medical Plan PLUS or PREMIUM $675.43 $1,290.97 $1,137.09 $1,752.63
Uniform Medical Plan Plus UW 0%Primary Care $125/Person $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
Medicine ACN
(Mun live inStnlmmish,King,Kitsap,Pietea, 15%specialist $375/1'amily $4,000/Family PREMIUM TOTAL $806.37 $1,421.91 $1,268.03 $1,883.57
Spokane,Yakima,Skagit or Thurston County) J.
COUNTY POOLED CONTRIBUTION $937.58 $1,421.10 $1,421.10 $1,421.10
EMPLOYEE PAYS(Payroll Deduction) None $0.81 None $462.47
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
DENTAL _ VISION LIFE
WCIF I.-Ita Dental VSP$175 Basic $24,000
Willamette(Managed Care&their facilities)Reduce premium bV$6.75 Frame Dependent $1,000
NON-REPRESENTED,ELECTED OFFICIALS,AND PROBATION SERVICES
PEBB-Medical and Dental 2019
The County premium contribution pooling method pending approval by resolution.All polled @ 2019 rate of$1206
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA PREMIUM $892.04 $1,631.45 $1,446.60 $2,186.02
(Group Health Classic) $15 Primary Care $175/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
$30 Specialist $525/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $262.35 None $816.92
Kaiser Permanente WA PREMIUM $814.90 $1,477.19 $1,311.61 $1,973.90
(Group Health Value) $30 Primary Care $250/Person $3,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
$50 Specialist $750/Family $6,000/Family EMPLOYEE PAYS(Payroll Deduction) None $108.09 None $604.80
Kaiser Permanente WA PREMIUM $759.09 $1,360.11 $1,224.44 $1,767.12
(Group HealthCDHP) I0%/PrimaryCare $1,400/Person $5,100/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
10%Specialist $2,800/Family $10,200/1'amily EMPLOYEE PAYS(Payroll Deduction) None None None $398.02
Kaiser Permanente WA PREMIUM $761.86 $1,371.09 $1,218.78 $1,828.02
(Group Health Sound Choice) 0Primary Care S125/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
(Must live or work in Snohomish,King,
Pierce or Thurston County) 15%Specialist $375 Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $1.99 None $458.92
Uniform Medical Plan Classic PREMIUM $833.50 $1,514.37 $1,344.15 $2,025.03
15%Primary Care $250/Person $2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369,10
15%Specialist $750/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None $145.27 None $655.93
Uniform Medical Plan CDHP PREMIUM $759.19 $1,360.30 $1,224.61 $1,767.39
15%Primary Care $1,400/1'erson $4,200/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
15%Specialist $2,800/Family $8,400/Family EMPLOYEE PAYS(Payroll Deduction) None None None $398.29
Uniform Medical Plan PLUS or PREMIUM $776.72 $1,400.83 $1,244.80 $1,868.90
Uniform Medical Plan Plus UW
Medicine ACN 0%Primary Care $125/Person S2,000/Person COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
Pierce,Spokane,Yakima,Skagit or Thurston 15%Specialist $375/Family $4,000/Family EMPLOYEE PAYS(Payroll Deduction) None None None $499.80
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
Medical Waived $152.62 $152.62 $152.62 $152.62
DENTAL Deductibles Max out-of-pocket VISION BASIC LIFE AND AD&D Insurance
Uniform Dental Group#3000 $50/Person$150/Family You pay amounts Included in medical plan Basic Life $35,000 Basic AD&D $5,000
Delta Dental PPO over$1,750 May enroll in supplemental Term Life Insurance without providing
Delta Care Group#3100 No General Plan You pay any amount over$150 every 24 evidence of insurability if enrolled no later than 60 days after
NONE months for frames,lenses,contacts and becoming eligible.
Managed care w/limited dentists Maximum fitting fees combined.Exception:for UMP
Willamette Dental No General Plan Classic,you pay any amount over$65 for May enroll in optional LTD within 31 days of initial eligibility for
NONE contact lens fitting fees. PEBB benefits.After 31 days must also complete Evidence of
Managed care&their facilities Maximum
g Insurability form.
DEPUTY PROSECUTING ATTORNEYS &GENERAL SERVICES
PEBB-Medical Benefits&WCIF-Dental Vision Life Benefits 2019
The County premium contribution pooling method Pending approval by resolution.All polled @ 2019 rate of$1206
Copays Annual Deductibles Max out-of-pocket Employee EE/Spouse EE/Children Full Family
Kaiser Permanente WA(Group PREMIUM $806.64 $1,546.05 $1,361.20 $2,100.62
Health Classic) $15 Primary Can $175/Person S2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
$30 Specialist $525/Family S4,000/Family PREMIUM TOTAL $937.58 $1,676.99 $1,492.14 $2,231.56
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) $0.00 $307.89 $123.04 $862.46
Kaiser Permanente WA(Group PREMIUM $729.50 $1,391.79 $1,226.21 $1,888.50
Health Value) $30 Primary Can; $250/Pemon $3,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
S50 Specialist S750/Family $6,000/Family PREMIUM TOTAL $860.44 $1,522.73 $1,357.15 $2,019.44
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $153.63 None $650.34
Kaiser Permanente WA(Group PREMIUM $673.69 $1,274.71 $1,139.04 $1,681.72
Health CDHP) 10%n/P-arycm S1,400/Person $5,100/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
10%Specialist S2,800/Family $10,200/Family PREMIUM TOTAL $804.63 $1,405.65 $1,269.98 $1,812.66
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $3655 None $443.56
Kaiser Permanente WA(Group PREMIUM $676.46 $1,285.69 $1,133.38 $1,742.62
Health Sound Choice) 0Primary Can $125/Permn $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%specialist $375 Family S4,000/Family PREMIUM TOTAL $807.40 $1,416.63 $1,264.32 $1,873.56
(Must live or work in Snohomish,King, COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
Pierce or Thurston County) EMPLOYEE PAYS(Payroll Deduction) None $47.53 None $504,46
Uniform Medical Plan Classic PREMIUM $748.10 $1,428.97 $1,258.75 $1,939.63
15%Primary Care $250/Person $2,000/1'erson WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
I5%Specialist $750/1'a,nily $4,000/Family PREMIUM TOTAL $879.04 $1,559.91 $1,389.69 $2,070.57
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $190.81 $20.59 5701.47
Uniform Medical Plan CDHP PREMIUM $691.32 $1,315.43 $1,159.40 $1,783.50
15%PrimaryCare $1,400fNmon $4,200/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
15%Specialist $2,800/1'armly $8,400/Family PREMIUM TOTAL $822.26 $1,446.37 $1,290.34 $1,914.44
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $77.27 None $545.34
Uniform Medical Plan PLUS or PREMIUM $675.43 $1,290.97 $1,137.09 $1,752.63
Uniform Medical Plan Plus UW 0%Primary Can $125/Pmon $2,000/Person WCIF DENTAL VISION LIFE $130.94 $130.94 $130.94 $130.94
Medicine ACN
(Must live in Snohomish,Icing,Yitsap,Pierce, 15%Specialist $375/Family $4,000/Family
Spokane,Yakima,Skagit or ThuPREMIUM TOTAL $806.37 $1,421.91 $1,268.03 $1,883.57
Thurston Cnty)
ou
COUNTY POOLED CONTRIBUTION $937.58 $1,369.10 $1,369.10 $1,369.10
EMPLOYEE PAYS(Payroll Deduction) None $52.81 None $514.47
Tobacco Use Surcharge $25.00 $25.00 $25.00 $25.00
Spouse Waiver Premium Surcharge $0.00 $50.00 $0.00 $50.00
DENTAL VISION LIFE
WCIF Deha Dental VSP$175 Basic $24,000
Willamette(Managed Care&thelrfacllittes)Reduce prelrniumby$6.75 Frame Dependent $1,000