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CUBS Health Solutions
Monthly Premiums for Non-PEO Firms |
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| Advantage Plan |
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| Contributory Monthly Rates | The employer pays at least 50% of the Employee Only rate for all eligible employees. Insured employess pay the balance, including coverage for any dependents, through payroll deduction.
| Employee's
Age | Employee* | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $43.00 | $70.00 | $107.00 | $134.00 | | 30-34 | $52.00 | $86.00 | $115.00 | $149.00 | | 35-39 | $57.00 | $95.00 | $120.00 | $158.00 | | 40-44 | $63.00 | $105.00 | $126.00 | $168.00 | | 45-49 | $69.00 | $115.00 | $132.00 | $179.00 | | 50-54 | $76.00 | $127.00 | $139.00 | $190.00 | | 55-59 | $87.00 | $146.00 | $150.00 | $210.00 | | 60-64 | $110.00 | $187.00 | $174.00 | $250.00 | | 65+ | $142.00 | $244.00 | $206.00 | $307.00 | | * Employer pays 50% of the Employee Only rate for all eligible employees. |
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Voluntary Monthly Rates
(100% Employee Paid by Payroll Deduction)
| Employee's
Age | Employee | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $52.00 | $85.00 | $131.00 | $165.00 | | 30-34 | $63.00 | $105.00 | $142.00 | $184.00 | | 35-39 | $69.00 | $116.00 | $148.00 | $196.00 | | 40-44 | $76.00 | $129.00 | $155.00 | $208.00 | | 45-49 | $84.00 | $142.00 | $163.00 | $221.00 | | 50-54 | $92.00 | $156.00 | $171.00 | $235.00 | | 55-59 | $106.00 | $180.00 | $185.00 | $260.00 | | 60-64 | $135.00 | $231.00 | $215.00 | $311.00 | | 65+ | $175.00 | $302.00 | $254.00 | $381.00 | | |
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| Advantage Plus Plan | | | Contributory Monthly Rates
| The employer pays at least 50% of the Employee Only rate for all eligible employees. Insured employess pay the balance, including coverage for any dependents, through payroll deduction.
| Employee's
Age | Employee* | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $71.00 | $121.00 | $184.00 | $233.00 | | 30-34 | $86.00 | $148.00 | $199.00 | $261.00 | | 35-39 | $96.00 | $165.00 | $209.00 | $278.00 | | 40-44 | $107.00 | $184.00 | $220.00 | $297.00 | | 45-49 | $118.00 | $203.00 | $231.00 | $316.00 | | 50-54 | $131.00 | $225.00 | $244.00 | $338.00 | | 55-59 | $153.00 | $263.00 | $266.00 | $376.00 | | 60-64 | $199.00 | $344.00 | $312.00 | $457.00 | | 65+ | $262.00 | $455.00 | $375.00 | $568.00 | | * Employer pays 50% of the Employee Only rate for all eligible employees. |
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Voluntary Monthly Rates
(100% Employee Paid by Payroll Deduction)
| Employee's
Age | Employee | Employee
& Spouse | Employee &
Child(ren) | Family | | Under 30 | $86.00 | $148.00 | $227.00 | $289.00 | | 30-34 | $105.00 | $183.00 | $247.00 | $324.00 | | 35-39 | $117.00 | $204.00 | $259.00 | $345.00 | | 40-44 | $131.00 | $228.00 | $272.00 | $369.00 | | 45-49 | $145.00 | $252.00 | $286.00 | $393.00 | | 50-54 | $161.00 | $279.00 | $302.00 | $420.00 | | 55-59 | $189.00 | $327.00 | $330.00 | $468.00 | | 60-64 | $246.00 | $427.00 | $388.00 | $569.00 | | 65+ | $325.00 | $567.00 | $466.00 | $708.00 | | |
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Note: - Employer Chooses Voluntary or Contributory Premium By Class of Employee
- Employer Chooses To Include Or Exclude Dental
- Employer Chooses Waiting Period - 0, 30, 60 Or 90 Days. And Whether Or Not It Applies To Active Employees On The Plan Start Date
- For Contributory Plans, Minimum Employer Contribution Is 50% Of Employee-Only Rate (Not Applicable To Dental Plan)
- Payroll Deduction Required For Employee-Paid Premiums
- Multiple Plans and Rate Options Available On a Class Basis
- An administrative fee of up to $9, depending on the group's size, is charged on each billing
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| Dental Plan Monthly Premiums | | Employee | Employee & Spouse | Employee & Child(ren) | Family | | $18.00 | $36.00 | $50.00 | $67.00 | | | | No employer contribution is required. | | |
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