Additional Employee Paid Premiums The premiums listed below are in addition to the premium for your selected medical plan. Working Spouse Premium • The working spouse premium is in addition to the premium for your selected medical plan. • If your spouse‘s employer offers group health insurance, regardless of cost or if they are enrolled in it or not, then you would select “YES” to pay the working spouse premium • If your spouse’s employer does not offer insurance, is self employed, unemployed or also works for USD 259, you would select “NO” to the working spouse premium • If you select NO and then later your spouse is offered health insurance, you need to notify us within 31 days of the event as you would be required to add the spouse working premium at that point to keep the spouse on your insurance. Failing to notify us of this could result in retroactive payments due on your health insurance
Bi-weekly (26)
Bi-weekly (20)
Monthly
Annually
Working Spouse
$92.31
$120.00
$200.00
$2,400.00
The working spouse premium will only apply if your spouse is enrolled in your medical plan
Tobacco Premium The additional tobacco premium applies to both the employee and spouse if enrolled under one of the medical plans. The tobacco premium applies to those who have used tobacco or nicotine products 4 or more times per week within the last 6 months. This includes cigarettes, electronic cigarettes, pipes, or any form of chewing tobacco. By selecting “NO” to tobacco use when enrolling, you and/or your spouse will be given 25 wellness points once your enrollment is approved and is subject to audit & confirmation testing.
Bi-weekly (26)
Bi-weekly (20)
Monthly
Annually
Employee
$46.15
$60.00
$100.00
$1,200.00
Spouse
$46.15
$60.00
$100.00
$1,200.00
Employee + Spouse
$92.30
$120.00
$200.00
$2,400.00
Once you have been tobacco free for 6 months, you can enroll as a non tobacco user the following Open Enrollment period.
Cash Option – Declining Medical Coverage Eligible employees who have medical coverage elsewhere may elect the cash option benefit in lieu of the Board provided group medical plan. The annual payout of $1,200 will be divided by your total number of remaining paychecks in the calendar year.
Bi-weekly (26)
Bi-weekly (20)
Monthly Annually
Cash Option
($46.15)
($60.00) ($100.00) ($1,200.00)
• New enrollees wishing to enroll in the Cash Option or those currently enrolled will need to go online and complete the benefit enrollment process to enroll for 2023 • Failure to go online and elect the Cash Option benefit will result in being defaulted to the Base Medical, Dental and Vision Plans, Employee Only Coverage • New enrollees into the Cash Option Plan will need to upload a copy of your current medical insurance card or military ID to receive the Cash Option benefit even if covered by another USD 259 employee • Current 2022 Cash Option enrollees re-enrolling in Cash Option for 2023 WILL need to upload another copy of your card • New Hires or newly benefit eligible hired after 4/1/22 currently enrolled in the cash option will not need to provide proof of coverage again.
12 - Employee Benefits Guide
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