|
| Blue Cross/ Blue Shield (BCBS) - HIGH OPTION | |||||||
| Total Monthly Premium Cost | $ 361.16 | $ 686.86 | $ 917.42 | ||||
| Bi-Weekly Payroll Deduction: | Single | Two-Party | Family | ||||
| Employee Status | Annual Salary | Employee Portion | CNM Portion | Employee Portion | CNM Portion | Employee Portion | CNM Portion |
| Full-time | less than $19,999 | $36.12 | $144.46 | $68.69 | $274.74 | $91.74 | $366.97 |
| $20,000 to $24,999 | $45.15 | $135.44 | $85.86 | $257.57 | $114.68 | $344.03 | |
| $25,000 and above | $54.17 | $126.41 | $103.03 | $240.40 | $137.61 | $321.10 | |
| Three-Quarter time | less than $19,999 | $68.62 | $111.96 | $130.50 | $212.93 | $174.31 | $284.40 |
| $20,000 to $24,999 | $74.04 | $106.54 | $140.81 | $202.62 | $188.07 | $270.64 | |
| $25,000 and above | $81.26 | $99.32 | $154.54 | $188.89 | $206.42 | $252.29 | |
| Half-time | less than $19,999 | $99.32 | $81.26 | $188.89 | $154.54 | $252.29 | $206.42 |
| $20,000 to $24,999 | $104.74 | $75.84 | $199.19 | $144.24 | $266.05 | $192.66 | |
| $25,000 and above | $108.35 | $72.23 | $206.06 | $137.37 | $275.23 | $183.48 | |
| Blue Cross/Blue Shield (BCBS) - LOW OPTION | |||||||
| Total Monthly Premium Cost | $ 303.38 | $ 576.96 | $ 770.64 | ||||
| Bi-Weekly Payroll Deduction: | Single | Two-Party | Family | ||||
| Employee Status | Annual Salary | Employee Portion | CNM Portion | Employee Portion | CNM Portion | Employee Portion | CNM Portion |
| Full-time | less than $19,999 | $30.34 | $121.35 | $57.70 | $230.78 | $77.06 | $308.26 |
| $20,000 to $24,999 | $37.92 | $113.77 | $72.12 | $216.36 | $96.33 | $288.99 | |
| $25,000 and above | $45.51 | $106.18 | $86.54 | $201.94 | $115.60 | $269.72 | |
| Three-Quarter time | less than $19,999 | $57.64 | $94.05 | $109.62 | $178.86 | $146.42 | $238.90 |
| $20,000 to $24,999 | $62.19 | $89.50 | $118.28 | $170.20 | $157.98 | $227.34 | |
| $25,000 and above | $68.26 | $83.48 | $129.82 | $158.66 | $173.39 | $211.93 | |
| Half-time | less than $19,999 | $83.43 | $68.26 | $158.66 | $129.82 | $211.93 | $173.39 |
| $20,000 to $24,999 | $87.98 | $63.71 | $167.32 | $121.16 | $223.49 | $161.83 | |
| $25,000 and above | $91.01 | $60.68 | $173.09 | $115.39 | $231.19 | $154.13 | |
| Presbyterian Health Plan - HIGH OPTION | |||||||
| Total Monthly Premium Cost | $ 280.36 | $ 588.74 | $ 785.04 | ||||
| Bi-Weekly Payroll Deduction: | Single | Two-Party | Family | ||||
| Employee Status | Annual Salary | Employee Portion | CNM Portion | Employee Portion | CNM Portion | Employee Portion | CNM Portion |
| Full-time | less than $19,999 | $28.04 | $112.14 | $58.87 | $235.50 | $78.50 | $314.02 |
| $20,000 to $24,999 | $35.05 | $105.14 | $73.59 | $220.78 | $98.13 | $294.39 | |
| $25,000 and above | $42.05 | $98.13 | $88.31 | $206.06 | $117.76 | $274.76 | |
| Three-Quarter time | less than $19,999 | $53.27 | $86.91 | $111.86 | $182.51 | $149.16 | $243.36 |
| $20,000 to $24,999 | $57.47 | $82.71 | $120.69 | $173.68 | $160.98 | $231.59 | |
| $25,000 and above | $63.08 | $77.10 | $132.47 | $161.90 | $176.63 | $215.89 | |
| Half-time | less than $19,999 | $77.10 | $63.08 | $161.90 | $132.47 | $215.89 | $176.63 |
| $20,000 to $24,999 | $81.30 | $58.88 | $170.73 | $123.64 | $227.66 | $164.86 | |
| $25,000 and above | $84.11 | $56.07 | $176.62 | $117.75 | $235.51 | $157.01 | |
| Presbyterian Health Plan - LOW OPTION | |||||||
| Total Monthly Premium Cost | $ 235.50 | $ 494.54 | $ 659.44 | ||||
| Bi-Weekly Payroll Deduction: | Single | Two-Party | Family | ||||
| Employee Status | Annual Salary | Employee Portion | CNM Portion | Employee Portion | CNM Portion | Employee Portion | CNM Portion |
| Full-time | less than $19,999 | $23.55 | $94.20 | $49.45 | $197.82 | $65.94 | $263.78 |
| $20,000 to $24,999 | $29.44 | $88.31 | $61.82 | $185.45 | $82.43 | $247.29 | |
| $25,000 and above | $35.33 | $82.43 | $74.18 | $173.09 | $98.92 | $230.80 | |
| Three-Quarter time | less than $19,999 | $44.75 | $73.01 | $93.96 | $153.31 | $125.29 | $204.43 |
| $20,000 to $24,999 | $48.28 | $69.47 | $101.38 | $145.89 | $135.19 | $194.53 | |
| $25,000 and above | $52.99 | $64.76 | $111.27 | $136.00 | $148.37 | $181.35 | |
| Half-time | less than $19,999 | $64.76 | $52.99 | $136.00 | $111.27 | $181.35 | $148.37 |
| $20,000 to $24,999 | $68.30 | $49.46 | $143.42 | $103.85 | $191.24 | $138.48 | |
| $25,000 and above | $70.65 | $47.10 | $148.36 | $98.91 | $197.83 | $131.89 | |
| United Dental/Concordia - HIGH OPTION | |||||||
| Total Monthly Premium Cost | $ 20.78 | $ 39.58 | $ 62.20 | ||||
| Bi-Weekly Payroll Deduction: | Single | Two-Party | Family | ||||
| Employee Status | Annual Salary | Employee Portion | CNM Portion | Employee Portion | CNM Portion | Employee Portion | CNM Portion |
| Full-time | less than $19,999 | $2.08 | $8.31 | $3.96 | $15.83 | $6.22 | $24.88 |
| $20,000 to $24,999 | $2.60 | $7.79 | $4.95 | $14.84 | $7.78 | $23.33 | |
| $25,000 and above | $3.12 | $7.27 | $5.94 | $13.85 | $9.33 | $21.77 | |
| Three-Quarter time | less than $19,999 | $3.95 | $6.44 | $7.52 | $12.27 | $11.82 | $19.28 |
| $20,000 to $24,999 | $4.26 | $6.13 | $8.11 | $11.68 | $12.75 | $18.35 | |
| $25,000 and above | $4.68 | $5.71 | $8.91 | $10.88 | $14.00 | $17.11 | |
| Half-time | less than $19,999 | $5.71 | $4.68 | $10.88 | $8.91 | $17.11 | $14.00 |
| $20,000 to $24,999 | $6.03 | $4.36 | $11.48 | $8.31 | $18.04 | $13.06 | |
| $25,000 and above | $6.23 | $4.16 | $11.87 | $7.92 | $18.66 | $12.44 | |
| United Dental/Concordia - LOW OPTION | |||||||
| Total Monthly Premium Cost | $ 10.40 | $ 19.80 | $ 31.10 | ||||
| Bi-Weekly Payroll Deduction: | Single | Two-Party | Family | ||||
| Employee Status | Annual Salary | Employee Portion | CNM Portion | Employee Portion | CNM Portion | Employee Portion | CNM Portion |
| Full-time | less than $19,999 | $1.04 | $4.16 | $1.98 | $7.92 | $3.11 | $12.44 |
| $20,000 to $24,999 | $1.30 | $3.90 | $2.48 | $7.43 | $3.89 | $11.66 | |
| $25,000 and above | $1.56 | $3.64 | $2.97 | $6.93 | $4.67 | $10.89 | |
| Three-Quarter time | less than $19,999 | $1.98 | $3.22 | $3.76 | $6.14 | $5.91 | $9.64 |
| $20,000 to $24,999 | $2.13 | $3.07 | $4.06 | $5.84 | $6.38 | $9.17 | |
| $25,000 and above | $2.34 | $2.86 | $4.46 | $5.45 | $7.00 | $8.55 | |
| Half-time | less than $19,999 | $2.86 | $2.34 | $5.45 | $4.46 | $8.55 | $7.00 |
| $20,000 to $24,999 | $3.02 | $2.18 | $5.74 | $4.16 | $9.02 | $6.53 | |
| $25,000 and above | $3.12 | $2.08 | $5.94 | $3.96 | $9.33 | $6.22 | |
| Davis Vision | |||||||
| Total Monthly Premium Cost | $ 6.26 | $ 10.48 | $ 14.14 | ||||
| Bi-Weekly Payroll Deduction: | Single | Two-Party | Family | ||||
| Employee Status | Annual Salary | Employee Portion | CNM Portion | Employee Portion | CNM Portion | Employee Portion | CNM Portion |
| Full-time | less than $19,999 | $0.63 | $2.50 | $1.05 | $4.19 | $1.41 | $5.66 |
| $20,000 to $24,999 | $0.78 | $2.35 | $1.31 | $3.93 | $1.77 | $5.30 | |
| $25,000 and above | $.94 | $2.19 | $1.57 | $3.67 | $2.12 | $4.95 | |
| Three-Quarter time | less than $19,999 | $1.19 | $1.94 | $1.99 | $3.25 | $2.69 | $4.38 |
| $20,000 to $24,999 | $1.28 | $1.85 | $2.15 | $3.09 | $2.90 | $4.17 | |
| $25,000 and above | $1.41 | $1.72 | $2.36 | $2.88 | $3.18 | $3.89 | |
| Half-time | less than $19,999 | $1.72 | $1.41 | $2.88 | $2.36 | $3.89 | $3.18 |
| $20,000 to $24,999 | $1.82 | $1.31 | $3.04 | $2.20 | $4.10 | $2.97 | |
| $25,000 and above | $1.88 | $1.25 | $3.14 | $2.10 | $4.24 | $2.83 | |