ENOUGH INFO, WHAT’S IT GOING TO COST ME?
SALARY RANGE: BELOW $35,000
Cost for Coverage Amounts shown are per pay check ( 24 payments/year )
Base HDHP H.S.A Plan
Copay H.R.A. Plan
Copay Premium Plan
Employee Only
EE ES EC
$ 56.23 $ 153.51 $ 128.21 $ 194.00
$ 91.73 $ 225.84 $ 192.31 $ 294.16
$ 144.09 $ 339.49 $ 293.80 $ 453.36
Employee + Spouse Employee + Child(ren) Employee + Family
FAM
SALARY RANGE: $35,000 TO BELOW $50,000
Cost for Coverage Amounts shown are per pay check ( 24 payments/year )
Base HDHP H.S.A Plan
Copay H.R.A. Plan
Copay Premium Plan
Employee Only
EE ES EC
$ 64.67 $ 171.22 $ 144.23 $ 219.30
$ 101.22 $ 245.77 $ 210.34 $ 322.62
$ 154.63 $ 361.63 $ 313.84 $ 484.99
Employee + Spouse Employee + Child(ren) Employee + Family
FAM
SALARY RANGE: $50,000 AND OVER
Cost for Coverage Amounts shown are per pay check ( 24 payments/year )
Base HDHP H.S.A Plan
Copay H.R.A. Plan
Copay Premium Plan
Employee Only
EE ES EC
$ 73.10 $ 188.94 $ 160.26 $ 244.60
$ 110.70 $ 265.69 $ 228.37 $ 351.09
$ 165.18 $ 383.77 $ 333.87 $ 516.62
Employee + Spouse Employee + Child(ren) Employee + Family
FAM
REMINDER : If you sign up for the Base HDHP H.S.A Plan AMIkids WILL GIVE YOU $500, pro-rated, into your open and active Health Savings Account Of course you have to open the account and keep it open to get the money! If you sign up for the Copay H.R.A. Plan AMIkids WILL GIVE YOU up to the first $500 of any deductible related expenses as they are incurred.
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