Page 9 - 2020FCSBenefitsGuide
P. 9
Medical Bi-Weekly Payroll Deductions
Part-Time Part-Time Full-Time High Part-Time (24-
29 HRS) High
Tier Full-Time Core Plan Full-Time Prime Plan (24–29 HRS) (24–29 HRS) Deductible Health Deductible Health
Core Plan Prime Plan Plan with HSA Plan with HSA
EE FCS EE FCS EE FCS EE FCS EE FCS EE FCS
Wellness Medical Beneit Costs
Employee $11.54 $234.82 $54.27 $217.09 $129.12 $117.24 $156.04 $115.33 $27.69 $227.46 $131.91 $123.24
Only
Employee $129.67 $372.90 $174.38 $379.21 $263.15 $239.43 $340.46 $213.13 $134.29 $386.21 $269.10 $251.40
and
Spouse
Employee $112.69 $343.08 $151.11 $350.92 $239.25 $216.52 $278.63 $223.40 $116.59 $355.44 $244.04 $227.99
and
Child(ren)
Family $229.22 $539.42 $292.10 $554.57 $403.12 $365.52 $469.90 $376.77 $237.23 $558.84 $411.56 $384.50
Non-Wellness Medical Beneit Costs
Employee $64.62 $181.74 $107.35 $164.02 $182.20 $64.16 $209.11 $62.26 $80.77 $174.38 $184.99 $70.16
Only
Employee $235.83 $266.75 $280.54 $273.06 $369.30 $133.28 $446.61 $106.98 $187.37 $333.13 $322.18 $198.33
and
Spouse
Employee $165.77 $290.00 $204.19 $297.84 $292.32 $163.44 $331.71 $170.33 $169.67 $302.36 $297.12 $174.91
and
Child(ren)
Family $335.38 $433.27 $398.26 $448.42 $509.28 $259.37 $576.06 $270.61 $290.30 $505.76 $464.64 $331.42
Non-Wellness: a per pay surcharge is added to your premium when the employee or the employee’s spouse/
domestic partner do not complete the wellness requirements. If both the employee and the employee’s spouse/
domestic partner do not complete the wellness requirements then a per pay surcharge is added.
Spousal Coverage Elsewhere: a $150 per pay surcharge is added if spouse/domestic partner enrolls on an FCS
plan when they are offered coverage through their employer. If enrolling spouse or domestic partner you must
complete an afidavit certifying they do not have access to medical coverage through their employer.
Provided you have met your wellness goals through BCBS for 2019 your wellness rates will continue into 2020.
We will announce new wellness goals with BCBS in 2020. Stay tuned!
Partner Monthly Rates (Full Cost)
Core Plan Prime Plan HDHP
Employee $533.78 $587.97 $552.82
Employee and Spouse $1,088.92 $1,199.45 $1,127.75
Employee and Child(ren) $987.50 $1,087.74 $1,022.72
Family $1,665.40 $1,834.46 $1,724.80
Note: Physicians may be subject to full premium cost sharing.
Florida Cancer Specialists and Research Institute 9
Part-Time Part-Time Full-Time High Part-Time (24-
29 HRS) High
Tier Full-Time Core Plan Full-Time Prime Plan (24–29 HRS) (24–29 HRS) Deductible Health Deductible Health
Core Plan Prime Plan Plan with HSA Plan with HSA
EE FCS EE FCS EE FCS EE FCS EE FCS EE FCS
Wellness Medical Beneit Costs
Employee $11.54 $234.82 $54.27 $217.09 $129.12 $117.24 $156.04 $115.33 $27.69 $227.46 $131.91 $123.24
Only
Employee $129.67 $372.90 $174.38 $379.21 $263.15 $239.43 $340.46 $213.13 $134.29 $386.21 $269.10 $251.40
and
Spouse
Employee $112.69 $343.08 $151.11 $350.92 $239.25 $216.52 $278.63 $223.40 $116.59 $355.44 $244.04 $227.99
and
Child(ren)
Family $229.22 $539.42 $292.10 $554.57 $403.12 $365.52 $469.90 $376.77 $237.23 $558.84 $411.56 $384.50
Non-Wellness Medical Beneit Costs
Employee $64.62 $181.74 $107.35 $164.02 $182.20 $64.16 $209.11 $62.26 $80.77 $174.38 $184.99 $70.16
Only
Employee $235.83 $266.75 $280.54 $273.06 $369.30 $133.28 $446.61 $106.98 $187.37 $333.13 $322.18 $198.33
and
Spouse
Employee $165.77 $290.00 $204.19 $297.84 $292.32 $163.44 $331.71 $170.33 $169.67 $302.36 $297.12 $174.91
and
Child(ren)
Family $335.38 $433.27 $398.26 $448.42 $509.28 $259.37 $576.06 $270.61 $290.30 $505.76 $464.64 $331.42
Non-Wellness: a per pay surcharge is added to your premium when the employee or the employee’s spouse/
domestic partner do not complete the wellness requirements. If both the employee and the employee’s spouse/
domestic partner do not complete the wellness requirements then a per pay surcharge is added.
Spousal Coverage Elsewhere: a $150 per pay surcharge is added if spouse/domestic partner enrolls on an FCS
plan when they are offered coverage through their employer. If enrolling spouse or domestic partner you must
complete an afidavit certifying they do not have access to medical coverage through their employer.
Provided you have met your wellness goals through BCBS for 2019 your wellness rates will continue into 2020.
We will announce new wellness goals with BCBS in 2020. Stay tuned!
Partner Monthly Rates (Full Cost)
Core Plan Prime Plan HDHP
Employee $533.78 $587.97 $552.82
Employee and Spouse $1,088.92 $1,199.45 $1,127.75
Employee and Child(ren) $987.50 $1,087.74 $1,022.72
Family $1,665.40 $1,834.46 $1,724.80
Note: Physicians may be subject to full premium cost sharing.
Florida Cancer Specialists and Research Institute 9
