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Centralized Supply Chain Services | 2019 Benefits Overview

BCBSKC MEDICAL RATES EFFECTIVE JANUARY 1, 2019
Preferred Care Blue: $1,500
Deductible Monthly Rate Company Pays You Pay Per Pay Period Deduction
Employee Only $594.99 $350.45 $244.54 $122.27
Employee +
Spouse(subsidized) $1,499.37 $883.13 $616.24 $308.12
Employee +
Spouse(unsubsidized) $1,499.37 $733.13 $766.24 $383.12
Employee + Child(ren) $1,148.33 $676.37 $471.96 $235.98
Employee + Family(subsidized) $1,701.67 $1,002.28 $699.39 $349.69
Employee +
Family(unsubsidized) $1,701.67 $852.28 $849.39 $424.69
BCBSKC MEDICAL RATES EFFECTIVE JANUARY 1, 2019
HSA Employer
Preferred Care Blue: $2,700 Per Pay Period Contribution per
Deductible-HSA Monthly Rate Company Pays You Pay Deduction Pay Period
Employee Only $533.96 $381.25 $152.71 $76.36 $14.00
Employee +
Spouse(subsidized) $1,345.58 $960.74 $384.84 $192.42 $56.50
Employee +
Spouse(unsubsidized) $1,345.58 $810.74 $534.84 $267.42 $56.50
Employee + Child(ren) $1,030.54 $735.81 $294.73 $147.37 $23.00
Employee + Family(subsidized) $1,527.13 $1,090.37 $436.76 $218.38 $33.50
Employee +
Family(unsubsidized) $1,527.13 $940.37 $586.76 $293.38 $33.50
THE STANDARD DENTAL RATES EFFECTIVE JANUARY 1, 2019
Core Plan (Plan 1) Monthly Rate Company Pays You Pay Per Pay Period Deduction
Employee Only $30.60 $16.83 $13.77 $6.89
Employee + Spouse $68.72 $37.80 $30.92 $15.46
Employee + Child(ren) $72.20 $39.71 $32.49 $16.25
Employee + Family $112.60 $61.93 $50.67 $25.34
THE STANDARD DENTAL RATES EFFECTIVE JANUARY 1, 2019
Buy Up Plan (Plan 1) Monthly Rate Company Pays You Pay Per Pay Period Deduction
Employee Only $40.60 $16.83 $23.77 $11.89
Employee + Spouse $90.88 $37.80 $53.08 $26.54
Employee + Child(ren) $88.80 $39.71 $49.09 $24.55
Employee + Family $140.40 $61.93 $78.47 $39.24
THE STANDARD VISION RATES EFFECTIVE JANUARY 1, 2019
Monthly Rate Company Pays You Pay Per Pay Period Deduction
Employee Only $6.81 $4.77 $2.04 $1.02
Employee + Spouse $13.61 $9.53 $4.08 $2.04
Employee + Child(ren) $12.93 $9.05 $3.88 $1.94
Employee + Family $20.33 $14.23 $6.10 $3.05

Centralized Supply Chain Services | 2019 Benefits Overview