Your 2015-2016 Payroll Deductions
Health Enhancement Program Bi-Weekly Payroll Deductions
July 1, 2015 through June 30, 2016 (26 Pay Periods)
If you do not enroll in the Health Enhancement Program, an additional
$46.16 will be deducted from your paycheck bi-weekly.
(Employees on semi-monthly pay schedules will have slightly higher deductions.)
MEDICAL PLANS
EMPLOYEE
EMPLOYEE +1
FAMILY
FLES**
$26.81
$20.26
$77.54
$58.01
$99.63
$74.53
$52.14
$39.00
$29.45
$88.73
$118.10
$59.28
$23.76
$71.59
$95.28
$47.82
$37.93
$89.77
$131.05
$262.16
$151.40
$308.14
$67.90
$179.74
$31.09
$107.42
$124.11
$55.66
$37.93
$31.09
$131.05
$107.42
$151.40
$124.11
$67.90
$55.66
$0.00
$0.00
$0.00
$13.94
$11.94
$4.55
$13.94
$11.94
$6.45
$7.14
$6.12
$2.65
Point of Enrollment –
Gatekeeper Plans (POE-G)
Anthem State BlueCare POE Plus
UnitedHealthcare Oxford HMO
Point of Enrollment Plans (POE)
Anthem State BlueCare
UnitedHealthcare Oxford
HMO Select
Point of Service Plans (POS)
Anthem State BlueCare
Anthem State Preferred POS*
UnitedHealthcare Oxford
Freedom Select
Out of Area Plans (OOA)
Anthem OOA
UnitedHealthcare Oxford Out of Area
DENTAL PLANS – administered by Cigna
Basic
Enhanced
DHMO®
* Closed to new enrollment.
** The Family Less Employed Spouse (FLES) rate is available only when both spouses are enrolled in active coverage,
eligible for health insurance, and enrolled in the same plan, along with at least one child.
For employees enrolled in FLES: to participate in the Health Enhancement Program, both employees must enroll.
All of the medical plans offered to State of Connecticut employees cover the same
health care services. Saving a little each pay period can save you a lot each year.
• $5 each pay period saves you.............................................................................................. $130 per year
• $10 each pay period saves you...........................................................................................$260 per year
• $50 each pay period saves you....................................................................................... $1,300 per year
• $75 each pay period saves you ....................................................................................... $1,950 per year
• $110 each pay period saves you ..................................................................................... $2,860 per year
• $150 each pay period saves you .................................................................................... $3,900 per year
Health Care Options Planner
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