USER FRIENDLY BUDGET SECTION - HEALTH BENEFITS
Active Employees - Health Benefits - Annual Cost
Active Employees - Health Benefits - Annual CostCurrent Year # of Covered Members (Medical & Rx)Current Year Annual Cost Estimate per EmployeeTotal Current Year CostPrior Year # of Covered Members (Medical & Rx)Prior Year Annual Cost per Employee (Average)Total Prior Year Cost
Single Coverage44.00$11,707.58$515,133.3642.00$11,437.31$480,367.08
Parent & Child21.00$20,901.04$438,921.8419.00$20,909.00$397,270.92
Employee & Spouse (or Partner)38.00$23,419.53$889,942.3238.00$23,438.74$890,672.04
Family86.00$32,776.68$2,818,794.3688.00$32,744.22$2,881,491.24
Employee Cost Sharing Contribution (enter as negative - )($1,049,324.36)($1,023,688.12)
Subtotal189.00$3,613,467.52187.00$3,626,113.16
Elected Officials - Health Benefits - Annual Cost
Elected Officials - Health Benefits - Annual CostSingle Coverage0$0.00$0.00
Single Coverage0$0.00$0.00
Parent & Child2$23,722.32$47,444.641$23,722.32$23,722.32
Employee & Spouse (or Partner)1$33,092.76$33,092.762$33,092.76$66,185.52
Employee Cost Sharing Contribution (enter as negative - )($2,890.56)($3,146.77)
Subtotal3.00$77,646.843.00$86,761.07
Retirees - Health Benefits - Annual Cost
Retirees - Health Benefits - Annual CostSingle Coverage$0.00$0.00
Single Coverage$0.00$0.00
Parent & Child$0.00$0.00
Employee & Spouse (or Partner)$0.00$0.00
Family$0.00$0.00
Employee Cost Sharing Contribution (enter as negative - )
Subtotal0.00$0.000.00$0.00
GRAND TOTAL192.00$3,691,114.36190.00$3,712,874.23
Note - other health insurances such as dental and vision are not included in this analysis unless included in the employees total premium. Therefore, the total from this sheet may not agree with the budgeted appropriation.
Is medical coverage provided by the SHBP (Yes or No)?
Is prescription drug coverage provided by the SHBP (Yes or No)?
Sheet UFB-8