Premium Co-Shares
Premium Co-share effective July 1, 2023 through June 30, 2024.
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. | | | | |
| Rates are effective in the July 1, 2023 pay. The Spousal surcharge is $40 per pay. Rates below include the surcharge. |
| Tier Level | Keystone 15 | Modified Personal Choice 320 | Personal Choice 20/30/70% | Modified Personal Choice 320 | Personal Choice 20/30/70% |
| 3% of premium per pay cost for all salaries | per pay cost for CASA represented employees with an annual salary of less than $80,000. 8% of premium. | per pay cost for CASA represented employees with an annual salary of less than $80,000. 13% of premium. | per pay cost for CASA represented employees with an annual salary of $80,000 or more. 10% of premium. | per pay cost for CASA represented employees with an annual salary of $80,000 or more. 15% of premium |
| Single | $8.01 | $21.29 | $40.99 | $26.61 | $47.30 |
| Employee & Child | $11.22 | $29.80 | $57.39 | $37.25 | $66.22 |
| Employee & Children | $14.42 | $38.32 | $73.79 | $47.90 | $85.14 |
| Employee & Spouse or Life partner. Spouse or life partner does not have the option of employer health coverage or is an SDP employee | $16.02 | $42.57 | $81.99 | $53.22 | $94.61 |
| Family. Spouse or life partner does not have the option of employer health coverage or is an SDP employee | $24.04 | $63.86 | $122.99 | $79.83 | $141.91 |
| Employee & Spouse or Life partner with Surcharge | $56.03 | $82.57 | $121.99 | $93.22 | $134.61 |
| Family with Spouse or Life Partner Surcharge | $64.04 | $103.86 | $162.99 | $119.83 | $181.91 |
| Rates below are for Non Represented employees effective in the July 1, 2023 pay. | No new enrollments of same gender domestic partners as of 10/1/2019. All existing same gender domestic partners are grandfathered. | | | |
| | | | |
| Tier Level | Keystone 15 | Personal Choice 20/30/70% | Modified Personal Choice 320 | Personal 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. | 13% premium for Non Represented employees. |
| Single | $13.36 | $15.77 | $21.26 | $40.99 |
| Employee & Child | $18.70 | $22.08 | $29.80 | $57.39 |
| Employee & Children | $24.04 | $28.38 | $38.32 | $73.79 |
| Employee & Spouse or Life partner | $26.71 | $31.54 | $42.57 | $81.99 |
| Family | $40.07 | $47.30 | $63.86 | $122.99 |
| Employee & Spouse or Life partner with Surcharge | $66.71 | $71.54 | $82.57 | $121.99 |
| Family with Spouse or Life Partner Surcharge | $80.07 | $87.30 | $103.86 | $162.99 |
| Rates below are for PFT represented employees. | | | | |
| New premium increases are effective in the July 1, 2023 pay. | | | | |
| Tier Level | Keystone 20 | Personal 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 | $9.27 | $15.45 |
| Employee & Child | $0 | $0 | $12.97 | $21.63 |
| Employee & Children | $0 | $0 | $16.68 | $27.81 |
| Employee & Spouse or Life partner | $0 | $0 | $18.54 | $30.90 |
| Family | $0 | $0 | $27.80 | $46.34 |
| Employee & Spouse or Life partner with Surcharge | $34.62 | $34.62 | $53.15 | $65.51 |
| Family with Spouse or Life Partner Surcharge | $34.62 | $34.62 | $62.42 | $80.96 |
| Rates below are for SPAP represented employees. | | | |
| New premium increases are effective in the July 1, 2023 pay. | | | |
| Tier Level | Keystone 20 | Personal Choice 25/35/50% | Personal Choice 25/35/50% | Personal Choice 25/35/50% |
| 1.5% Salary | 0% 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 | $9.27 | $15.45 |
| Employee & Child | $0 | $0 | $12.97 | $21.63 |
| Employee & Children | $0 | $0 | $16.68 | $27.81 |
| Employee & Spouse or Life partner | $0 | $0 | $18.54 | $30.90 |
| Family | $0 | $0 | $27.80 | $46.34 |
| Employee & Spouse or Life partner with Surcharge | $34.62 | $34.62 | $53.15 | $65.51 |
| Family with Spouse or Life Partner Surcharge | $34.62 | $34.62 | $64.42 | $80.96 |
Last modified: April 26, 2023
