Payroll Services

Health Insurance Premium Table (2014)

Monthly and Semi-Monthly Payroll Deduction Amounts--Coverage Month January 2014

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

$117  ($58.50)

$244  ($122.00)

$205 ($102.50)

$332  ($166.00)

CV

B

Group Health Value

068

069

$ 65  ($32.50)

$140   ($70.00)

$114  ($57.00)

$189   ($94.50)

CHSA

J

Group Health HSA

041

053

$ 21   ($10.50)

$ 52 ($26.00)

$ 37  ($18.50)

$68   ($34.00) 

D

D

Kaiser Permanente Classic

078

052

$ 116   ($58.00)

$242  ($121.00)

$203  ($101.50)

$329  ($164.50)

DHSA

M

Kaiser HSA

047

046

$ 23   ($11.50)

$ 56  ($28.00)

$ 40  ($20.00)

$ 73   ($36.50)

U

U

Uniform Medical Plan

154

242

$ 79   ($39.50)

$168   ($84.00)

$138 ($69.00)

$227  ($113.50)

UHSA

R

Uniform Medical HSA

055

059

$ 25   ($12.50)

$ 60  ($30.00)

$ 44  ($22.00)

$  79   ($39.50)

( ) = Semi-monthly rate

 

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