Payroll Services

Health Insurance Premium Table (2013)

Monthly and Semi-Monthly Payroll Deduction Amounts--Coverage Month January 2013

HCA HLTH
PLAN CODE

WSU HLTH
PLAN CODE

 

HEALTH CARRIERS

RED
GTN

DED
GTN

 

EMPLOYEE

EMPLOYEE
& SPOUSE

EMPL &
CHILDREN

FULL
FAMILY

C

C

Group Health Classic

142

050

$115  ($57.50)

$240  ($120.00)

$201 ($100.50)

$326  ($163.00)

CV

B

Group Health Value

068

069

$ 66  ($33.00)

$142   ($71.00)

$116  ($58.00)

$192   ($96.00)

CHSA

J

Group Health HSA

041

053

$ 36   ($18.00)

$  82  ($41.00)

$ 63  ($31.50)

$109  ($54.50)

D

D

Kaiser Permanente Classic

078

052

$ 98   ($49.00)

$206  ($103.00)

$172  ($86.00)

$280  ($140.00)

DHSA

M

Kaiser HSA

047

046

$ 21   ($10.50)

$  52  ($26.00)

$ 37  ($18.50)

$  68   ($34.00)

U

U

Uniform Medical Plan

154

242

$ 77   ($38.50)

$164   ($82.00)

$135 ($67.50)

$222  ($111.00)

UHSA

R

Uniform Medical HSA

055

059

$ 22   ($11.00)

$  54  ($27.00)

$ 39  ($19.50)

$  71   ($35.50)

( ) = Semi-monthly rate

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