Page 11 - October 2020

Plan Rates

Salary Tiers
Our goal is to ensure that our medical plans remain affordable for all employees.
Johns Hopkins continues to pay most of the cost of your medical and dental coverage,
and all of the cost of your short-term disability and basic life insurance.

Your biweekly cost of medical and prescription coverage for See the rates table below for the 2021 tiers. Your tier is deter-
you and your covered dependents is determined by salary level. mined by your salary on Jan. 1, 2021. Salaries of part-time
Salary levels are grouped into three tiers — employees who employees are “annualized” to determine their tier.
earn the least pay the lowest premiums. Our goal is to ensure
that the medical plans remain affordable to all employees.

2021 MEDICAL PLAN PREMIUMS (BI-WEEKLY)
EHP EPO EHP PPO
Full Time Under $50,000- $120,000 Under $50,000- $120,000
Rates by Salary $50,000 $119,000 & over $50,000 $119,000 & over
Employee $45.95 $49.92 $52.65 $56.67 $60.64 $63.37
Employee + Child(ren) $82.81 $89.94 $94.84 $102.11 $109.25 $114.15
Employee & Spouse $105.81 $114.94 $121.19 $129.28 $129.28 $129.28
Family $148.48 $162.92 $171.78 $181.07 $193.92 $193.92

EHP EPO EHP PPO
Part Time Under $50,000- $120,000 Under $50,000- $120,000
Rates by Salary $50,000 $119,000 & over $50,000 $119,000 & over
Employee $102.63 $110.56 $116.00 $113.35 $121.27 $126.72
Employee + Child(ren) $184.92 $199.19 $208.99 $204.22 $218.49 $228.30
Employee & Spouse $236.29 $243.60 $243.60 $258.55 $258.55 $258.55
Family $323.10 $352.37 $365.40 $355.69 $384.97 $387.84

2021 DENTAL PLAN PREMIUMS (BI-WEEKLY)
Comprehensive High Option
e
ehensiv
Compr
Coverage Full Time Par t Time Full Time Part Time
Full Time
Part Time
Employee $5.18 $7.60 $8.64 $12.66
Employee + Child(ren) $10.36 $15.19 $17.27 $25.31
Employee & Spouse $14.25 $20.88 $23.75 $34.81
Family $15.54 $22.78 $25.91 $37.97

2021 VISION PLAN PREMIUMS (BI-WEEKLY)
Part Time
F ull Time P ar t Time
Full Time
Employee $1.64 $2.63
Employee & Child(ren) $2.96 $4.73
Employee & Spouse $3.29 $5.26
Family $4.93 $7.89

6 Enroll at hopkinssmartsource.com from Oct. 14–30.