Premium Co-Shares

Great news! There are no increases to the health insurance premiums for the 2021/2022 school year.

Premium Co-share effective July 1, 2021 through June 30, 2022.

Refer to the below charts for your union classification. Costs are based on per pay.

  • PFT and SPAP represented employees may have a salary contribution in addition to a premium co-share.
  • Employees represented by Local 634 do not have payroll contribution for medical coverage.
Rates below are for CASA represented employees.    
Effective 9/1/2020, the Spousal surcharge is $100 per pay. Rates below include the increase.
 Tier Level Modified Personal Choice 320Personal Choice 20/30/70%Modified Personal Choice 320Personal Choice 20/30/70%
5% premium for CASA represented employees with an annual salary of less than $60,000."Buyup" for CASA represented employees with an annual salary of less than $60,000. 8% premium for CASA represented employees with an annual salary of $60,000 or more."Buyup" premium for CASA represented employees with an annual salary of $60,000 or more.
Single $12.75
$48.14
$20.40$55.79
Employee & Child$17.84
$67.40
$28.55
$78.11
Employee & Children$22.94
$86.66
$36.71
$100.43
Employee & Spouse or Life partner$25.49
$96.29
$40.79
$111.59
Family$38.24
$144.43
$61.18
$167.38
Employee & Spouse or Life partner with Surcharge$125.49
$196.29$140.79
$211.59
Family with Spouse or Life Partner Surcharge$138.24
$244.43$161.18
$267.38
Rates below are for Non Represented employees.No new enrollments of same gender domestic partners as of 10/1/2019. All existing same gender domestic partners are grandfathered.   
 Tier Level Keystone 15Personal Choice 20/30/70%Modified Personal Choice 320Personal Choice 20/30/70%
5 % premium for Non Represented employees.5 % premium for Non Represented employees. Closed 6/30/2014 .8% premium for Non Represented employees. "Buyup" premium for Non Represented employees.
Single $12.79$15.11$20.39$55.79
Employee & Child$17.91$21.15$28.55$78.11
Employee & Children$23.03$27.19$36.71$100.43
Employee & Spouse or Life partner$25.59$30.21$40.79$111.58
Family$38.39$45.32$61.18$167.38
Employee & Spouse or Life partner with Surcharge$65.59$70.21$80.79$151.58
Family with Spouse or Life Partner Surcharge$78.39$85.32$101.18$207.38
Rates below are for PFT represented employees.    
 Tier Level Keystone 20Personal Choice 25/35/50%. Personal Choice 25/35/50%. Personal Choice 25/35/50%
PFT
1.5% Salary
0 % premium + 1.5% Salary. Closed to new enrollment.3 % premium+1.5% Salary. Closed to new enrollment. 5 % premium +1.5% Salary.
Single $0$0$8.88$14.80
Employee & Child$0$0$12.43$20.72
Employee & Children$0$0$15.98$26.64
Employee & Spouse or Life partner$0$0$17.76$29.60
Family$0$0$26.64$44.40
Employee & Spouse or Life partner with Surcharge$34.62$34.62$52.38$64.21
Family with Spouse or Life Partner Surcharge$34.62$34.62$61.26$79.02
Rates below are for SPAP represented employees.    
Effective 9/1/2020, the salary contribution is 1.5% and the spousal surcharge is $75 a month. Rates below include the increase.
 Tier Level Keystone 20Personal Choice 25/35/50%Personal Choice 25/35/50%Personal Choice 25/35/50%
1.5% Salary0% of premium + 1.5% Salary. Closed to new enrollment. 3 % of premium +1.5% Salary. Closed to new enrollment.5 % of premium+1.5% Salary.
Single $0$0$8.88$14.80
Employee & Child$0$0$12.43$20.72
Employee & Children$0$0$15.98$26.64
Employee & Spouse or Life partner$0$0$17.76$29.60
Family$0$0$26.64$44.40
Employee & Spouse or Life partner with Surcharge$34.62$34.62$52.38$64.21
Family with Spouse or Life Partner Surcharge$34.62$34.62$61.26$79.02