University of Wisconsin Health Insurance Premium Employee Contribution Rates for the 2015 Plan Year
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1 Tier 3 : Standard Plan, Preferred Provider Plan (PPP) or Classified and Unclassified Employees Tier 1 $92.00 $ Tier 2 $ $ Tier 3 $ $ Classified and Unclassified Employees Tier 1 $32.00 $81.00 Tier 2 $76.00 $ Tier 3 $ $ Monthly Contribution Rates for UW Graduate Assistants Tier 1 $46.00 $ Tier 2 $68.00 $ Tier 3 $ $ UW Graduate Assistants and Teaching Assistants are not eligible for HDHP coverage.
2 Tier 3 : Standard Plan, Preferred Provider Plan (PPP) or 2015 Monthly Premiums for Crafts Employees -Prevea360 1 $ $1, $ $2, $ $1, $ $1, $ $1, $ $2, $ $2, $ $1, $ $1, $ $2, $ $1, $ $2, $ $2, $ $1, $ $1, $ $1, $ $1, $ $2, $1, $3, $1, $3, $ $2, $ $1, $ $1, $ $1, $ $1, $ $2, $ $2, $ $1, All represented and nonrepresented employees in craft-related classifications pay all of the total monthly premium.
3 or 2015 Monthly Premiums for Crafts Employees -Prevea360 1 $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $1, $3, $1, $3, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, $ $1, All represented and nonrepresented employees in craft-related classifications pay 100% of the total monthly HDHP premium and do not receive a State HSA contribution.
4 or Non-Represented and Represented Employees employed less than half-time -Prevea360 1 $ $ $ $1, $ $ $ $ $ $ $ $1, $ $1, $ $ $ $ $ $1, $ $ $ $1, $ $1, $ $ $ $ $ $ $ $ $ $1, $ $1, $ $1, $ $1, $ $ $ $ $ $ $ $ $ $1, $ $1, $ $ This table shows premium contribution amounts for part time employees with appointments of less than 1044 hours; employees working less than half-time pay 50% of the total monthly premium. These rates apply to represented and non-represented employees. These rates also apply to faculty and academic staff as established by their respective compensation plans.
5 or Non-Represented and Represented Employees employed less than half-time -Prevea360 1 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $1, $ $1, $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ This table shows premium contribution amounts for part time employees with appointments of less than 1044 hours; employees working less than half-time pay 50% of the total monthly HDHP premium and will receive 50% of the State HSA contribution. These rates apply to represented and non-represented employees. These rates also apply to faculty and academic staff as established by their respective compensation plans.
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