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CUBS Health Resources Plan
Monthly Premiums for CUBS PEO Members |
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| Advantage Plan |
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Contributory Monthly Rates
| The employer pays at least 50% of the Employee Only rate for all eligible employees. Insured employess pay the balance, including coverage for any dependents, through payroll deduction.
| | Employee's Age | Employee* | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $44.00 | $72.00 | $108.00 | $136.00 | | 30-34 | $54.00 | $89.00 | $118.00 | $153.00 | | 35-39 | $59.00 | $99.00 | $123.00 | $162.00 | | 40-44 | $65.00 | $109.00 | $129.00 | $172.00 | | 45-49 | $71.00 | $119.00 | $135.00 | $183.00 | | 50-54 | $78.00 | $131.00 | $141.00 | $194.00 | | 55-59 | $89.00 | $150.00 | $153.00 | $214.00 | | 60-64 | $112.00 | $190.00 | $176.00 | $254.00 | | 65+ | $143.00 | $245.00 | $207.00 | $309.00 | | *Employer pays 50% of the Employee Only rate for all eligible employees. |
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Voluntary Monthly Rates
(100% Employee Paid by Payroll Deduction)
| | Employee's Age | Employee | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $53.00 | $88.00 | $133.00 | $167.00 | | 30-34 | $65.00 | $109.00 | $144.00 | $189.00 | | 35-39 | $71.00 | $121.00 | $151.00 | $200.00 | | 40-44 | $79.00 | $133.00 | $158.00 | $213.00 | | 45-49 | $86.00 | $146.00 | $166.00 | $226.00 | | 50-54 | $95.00 | $161.00 | $174.00 | $240.00 | | 55-59 | $109.00 | $185.00 | $189.00 | $265.00 | | 60-64 | $137.00 | $235.00 | $217.00 | $315.00 | | 65+ | $177.00 | $304.00 | $256.00 | $384.00 | | |
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| Advantage Plus Plan | | | Contributory Monthly Rates
| The employer pays at least 50% of the Employee Only rate for all eligible employees. Insured employess pay the balance, including coverage for any dependents, through payroll deduction.
| Employee's
Age | Employee* | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $75.00 | $127.00 | $195.00 | $247.00 | | 30-34 | $92.00 | $159.00 | $213.00 | $279.00 | | 35-39 | $103.00 | $177.00 | $223.00 | $297.00 | | 40-44 | $114.00 | $197.00 | $234.00 | $317.00 | | 45-49 | $125.00 | $217.00 | $246.00 | $337.00 | | 50-54 | $139.00 | $239.00 | $259.00 | $360.00 | | 55-59 | $161.00 | $278.00 | $281.00 | $398.00 | | 60-64 | $206.00 | $357.00 | $326.00 | $477.00 | | 65+ | $269.00 | $467.00 | $389.00 | $587.00 | | *Employer pays 50% of the Employee Only rate for all eligible employees. |
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Voluntary Monthly Rates
(100% Employee Paid by Payroll Deduction)
| Employee's
Age | Employee | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $91.00 | $157.00 | $241.00 | $307.00 | | 30-34 | $113.00 | $196.00 | $263.00 | $347.00 | | 35-39 | $126.00 | $219.00 | $276.00 | $369.00 | | 40-44 | $140.00 | $243.00 | $290.00 | $393.00 | | 45-49 | $154.00 | $268.00 | $304.00 | $419.00 | | 50-54 | $171.00 | $297.00 | $321.00 | $447.00 | | 55-59 | $199.00 | $345.00 | $349.00 | $495.00 | | 60-64 | $255.00 | $444.00 | $406.00 | $594.00 | | 65+ | $333.00 | $581.00 | $483.00 | $731.00 | | |
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Note: - Employer Chooses Voluntary or Contributory Premium By Class of Employee
- Employer Chooses To Include Or Exclude Dental
- Employer Chooses Waiting Period - 0, 30, 60 Or 90 Days And Whether Or Not It Applies To Active Employees On The Plan Start Date
- For Contributory Plans, Minimum Employer Contribution Is 50% Of Employee-Only Rate (Not Applicable To Dental Plan)
- Payroll Deduction Required For Employee-Paid Premiums
- Multiple Plans and Rate Options Available On a Class Basis
- An administrative fee of up to $9, depending on the group's size, is charged on each billing
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| Dental Plan Monthly Premiums | | Employee | Employee & Spouse | Employee & Child(ren) | Family | | $18.00 | $36.00 | $50.00 | $67.00 | | | | No employer contribution is required. | | |
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