Payroll Services

Health Insurance Premium Table (2012)

Monthly and Semi-Monthly Payroll Deduction Amounts--Coverage Month January 2012

HCA HLTH PLAN CODE WSU HLTH PLAN CODE HEALTH CARRIERS RED GTN DED GTN EMPLOYEE EMPLOYEE & SPOUSE EMPLOYEE & CHILDREN FULL FAMILY
C C Group Health Classic 142 050 $101  ($50.50) $212
($106.00)
$177
($88.50)
$288
($144.00)
CV B Group Health Value 068 069 $ 52
($26.00)
$114
($57.00)
$ 91
($45.50)
$153
($76.50)
CHSA J Group Health HSA 041 053 $ 26
($13.00)
$ 62
($31.00)
$ 46
($23.00)
$ 82
($41.00)
D D Kaiser Permanente Classic 078 052 $ 89
($44.50)
$188
($ 94.00)
$156
($78.00)
$255
($127.50)
DHSA M Kaiser HSA 047 046 $ 24
($12.00)
$  58
($29.00)
$  42
($21.00)
$  76
($38.00)
U U Uniform Medical Plan 154 242 $ 82
($41.00)
$174
($87.00)
$144
($72.00)
$236
($118.00)
UHSA R Uniform Medical HSA 055 059 $ 27
($13.50)
$  64
($32.00)
$  47
($23.50)
$  84
($42.00)

( ) = Semi-monthly rate

 
 
Payroll Services, PO Box 641024, Washington State University, Pullman WA 99164-1024, 509-335-9575, Contact Us
Counter