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NMPSIA MONTHLY CONTRIBUTIONS EFFECTIVE OCTOBER 1, 2006 |
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PRUDENTIAL
BASIC LIFE ACCIDENTAL
DEATH & DISMEMBERMENT RATES PER
$1,000 |
PRUDENTIAL
VOLUNTARY LIFE (Employee, Spouse & Children) and AD&D (Employee Only) |
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Life $.12 |
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Person's |
Rate per |
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AD&D $.04 |
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Age |
$1,000 |
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Total $.16 |
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> 30 |
$0.06 |
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30-39 |
$0.08 |
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$10,000 Life/AD&D $1.60 per month |
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40-44 |
$0.10 |
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$25,000 Life/AD&D $4.00 per month |
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45-49 |
$0.16 |
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$50,000 Life/AD&D $8.00 per month |
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50-54 |
$0.30 |
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55-59 |
$0.46 |
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60-64 |
$0.76 |
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65-69 |
$1.10 |
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70 & over |
$1.42 |
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Child(ren) |
$.30 /mo. |
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PRUDENTIAL
LONG TERM DISABILITY |
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30 Day Wait $.82 per $100 payroll |
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60 Day Wait $.62 per $100 payroll |
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90 Day Wait $.52 per $100
payroll |
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HEALTH
COVERAGES |
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Single |
Two Party |
Family |
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Blue Cross Blue Shield - High Option |
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$404.56 |
$769.38 |
$1,027.62 |
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Blue Cross Blue Shield - Low Option |
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$339.82 |
$646.28 |
$863.22 |
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Presbyterian - High Option |
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$314.06 |
$659.46 |
$879.36 |
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Presbyterian - Low Option |
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$263.82 |
$553.96 |
$738.66 |
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United Concordia Dental - High Option |
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$22.60 |
$43.04 |
$67.64 |
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United Concordia Dental - Low Option |
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$11.32 |
$21.54 |
$33.82 |
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$6.26 |
$10.48 |
$14.14 |
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(Please see the reverse side for Monthly Payroll
Deductions for Health Coverages.) |
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NMPSIA CONTRIBUTIONS OCTOBER 1, 2006 |
Less |
$15,000 |
$20,000 |
$25,000 |
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than |
through |
through |
and |
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MONTHLY COST SHARING BASED ON SALARY |
$15,000 |
$19,999 |
$24,999 |
Over |
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BCBS Single (employee
deduction) |
$101.14 |
$121.36 |
$141.60 |
$161.82 |
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High
Option Single
(district contribution) |
$303.42 |
$283.20 |
$262.96 |
$242.74 |
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Two party (employee deduction) |
$192.34 |
$230.80 |
$269.28 |
$307.74 |
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Two party (district contribution) |
$577.04 |
$538.58 |
$500.10 |
$461.64 |
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Family (employee deduction) |
$256.90 |
$308.28 |
$359.66 |
$411.04 |
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Family (district contribution) |
$770.72 |
$719.34 |
$667.96 |
$616.58 |
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BCBS Single
(employee deduction) |
$84.96 |
$101.94 |
$118.94 |
$135.92 |
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Low Option Single
(district contribution) |
$254.86 |
$237.88 |
$220.88 |
$203.90 |
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Two party (employee deduction) |
$161.56 |
$193.88 |
$226.20 |
$258.50 |
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Two party (district
contribution) |
$484.72 |
$452.40 |
$420.08 |
$387.78 |
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Family (employee deduction) |
$215.80 |
$258.96 |
$302.12 |
$345.28 |
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Family (district
contribution) |
$647.42 |
$604.26 |
$561.10 |
$517.94 |
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Presbyterian Single (employee deduction) |
$78.52 |
$94.22 |
$109.92 |
$125.62 |
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High Option Single
(district contribution) |
$235.54 |
$219.84 |
$204.14 |
$188.44 |
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Two party (employee deduction) |
$164.86 |
$197.84 |
$230.80 |
$263.78 |
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Two party (district
contribution) |
$494.60 |
$461.62 |
$428.66 |
$395.68 |
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Family (employee deduction) |
$219.84 |
$263.80 |
$307.78 |
$351.74 |
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Family (district
contribution) |
$659.52 |
$615.56 |
$571.58 |
$527.62 |
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Presbyterian Single
(employee deduction) |
$65.96 |
$79.14 |
$92.34 |
$105.52 |
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Low Option Single
(district contribution) |
$197.86 |
$184.68 |
$171.48 |
$158.30 |