​Bi-weekly Medical and Dental Plans FY21 Rates, Options and Information

Medical and Dental Insurance deductions can be used by those paid bi-weekly and monthly (excludes universities).  Adjustments are completed by the Office of Group Insurance using the Employer Deduction Adjustment action in IPOPS.  Eligible employees should use Employee Self-Service to set up their initial insurance selections and make any changes to existing options, plans and dependents.  Insurance premiums are taken in equal amounts on the first and second pay dates of each month for those paid bi-weekly and every pay period for those paid monthly.
 
Pre Tax - Medical and Dental deduction amounts are subtracted from the gross pay prior to the calculation of taxes.
 
Post Tax - Medical and Dental deduction amounts are taken after the taxes have been calculated.
 
Employees on Federal Military Deployment will have their Health/Dental eligibility and plan updated to Eligible/No Remittance Taken.
 
Employees with termination dates prior to the 15th of the current month when their final pay is received will not have employee/employer insurance premiums withheld.
 
Group Insurance Contact Information - (208)-332-1860
 
 
 
Insurance premiums are taken in equal amounts on the first and second pay dates of each month.
 
 
Medical
Plans
 
 
Dental
Plans
Pay Period Amount
2021
Rate
Tier 1
 
30 - 40 hrs per week
2021
Rate
Tier 2
 
20 - 29.9 hrs per week
* Employer Contribution Amount - Dental
 
 
  $7.72
$5.69
Employer Contribution Amount - Medical
 
 
$477.70
$382.16
 
 
 
 
 
Not Eligible
NE
 
 
 
Not Wanted
NW
 
 
 
 
 
 
 
 
No Remittance Taken
NS
 
 
 
 
 
 
 
 
Blue Cross Dental Pre-Tax Deduction  # 115
 
 
 
 
Employee
T1
 
$4.82
$6.85
 
 
 
 
 
Employee and Spouse
T2
 
$22.08
$24.11
 
 
 
 
 
Employee and Child
T3
 
$18.60
$20.63
 
 
 
 
 
Employee, Spouse and Child
T4
 
$31.60
$33.63
 
 
 
 
 
Employee and Children
T5
 
$28.50
$30.53
 
 
 
 
 
Employee, Spouse and Children
T6
 
$36.54
$38.57
 
 
 
 
 
 
 
 
 
 
Blue Cross Dental Post-Tax Deduction  #  180
 
 
 
 
Employee
TA
 
$4.82
$6.85
 
 
 
 
 
Employee and Spouse
TB
 
$22.08
$24.11
 
 
 
 
 
Employee and Child
TC
 
$18.60
$20.63
 
 
 
 
 
Employee, Spouse and Child
TD
 
$31.60
$33.63
 
 
 
 
 
Employee and Children
TE
 
$28.50
$30.53
 
 
 
 
 
Employee, Spouse and Children
TF
 
$36.54
$38.57
 
 
 
 
 
 
 
 
 
 
Blue Cross Traditional Coverage Pre-Tax Deduction  # 118
 
 
 
 
Employee
FA
T1
$36.50
$132.04
 
 
 
 
 
Employee and Spouse
FB
T1 or T2
$89.50
$185.04
 
 
 
 
 
Employee and Child
FD
T1 or T3
$63.00
$158.54
 
 
 
 
 
Employee, Spouse and Child
FF
T1 or T4
$116.00
$211.54
 
 
 
 
 
Employee and Children
FH
T1 or T5
$89.50
$185.04
 
 
 
 
 
Employee, Spouse and Children
FJ
T1 or T6
$135.50
$231.04
 
 
 
 
 
 
 
 
 
 
Blue Cross Traditional Coverage Post-Tax Deduction  #  185
 
 
 
 
Employee
GA
TA
$36.50
$132.04
 
 
 
 
 
Employee and Spouse
GB
TA or TB
$89.50
$185.04
 
 
 
 
 
Employee and Child
GD
TA or TC
$63.00
$158.54
 
 
 
 
 
Employee, Spouse and Child
GF
TA or TD
$116.00
$211.54
 
 
 
 
 
Employee and Children
GH
TA or TE
$89.50
$185.04
 
 
 
 
 
Employee, Spouse and Children
GJ
TA or TF
$135.50
$231.04
 
 
 
 
 
 
 
 
 
 
Blue Cross PPO Pre-Tax Deduction # 120
 
 
 
 
Employee
JA
T1
$29.50
$125.04
 
 
 
 
 
Employee and Spouse
JB
T1 or T2
$73.50
$169.04
 
 
 
 
 
Employee and Child
JD
T1 or T3
$50.50
$146.04
 
 
 
 
 
Employee, Spouse and Child
JF
T1 or T4
$94.50
$190.04
 
 
 
 
 
Employee and Children
JH
T1 or T5
$71.50
$167.04
 
 
 
 
 
Employee, Spouse and Children
JJ
T1 or T6
$115.50
$211.04
 
 
 
 
 
 
 
 
 
 
Blue Cross PPO Post-Tax Deduction  #  187
 
 
 
 
Employee
KA
TA
$29.50
$125.04
 
 
 
 
 
Employee and Spouse
KB
TA or TB
$73.50
$169.04
 
 
 
 
 
Employee and Child
KD
TA or TC
$50.50
$146.04
 
 
 
 
 
Employee, Spouse and Child
KF
TA or TD
$94.50
$190.04
 
 
 
 
 
Employee and Children
KH
TA or TE
$71.50
$167.04
 
 
 
 
 
Employee, Spouse and Children
KJ
TA or TF
$115.50
$211.04
 
 
 
 
 
 
 
 
 
 
Blue Cross High Deductible Coverage Pre-Tax # 119
 
 
 
 
Employee
HA
T1
$11.50
$107.04
 
 
 
 
 
Employee and Spouse
HB
T1 or T2
$31.00
$126.54
 
 
 
 
 
Employee and Child
HD
T1 or T3
$20.50
$116.04
 
 
 
 
 
Employee, Spouse and Child
HF
T1 or T4
$40.00
$135.54
 
 
 
 
 
Employee and Children
HH
T1 or T5
$29.50
$125.04
 
 
 
 
 
Employee, Spouse and Children
HJ
T1 or T6
$49.00
$144.54
 
 
 
 
 
 
 
 
 
 
Blue Cross High Deductible Coverage Post-Tax # 186
 
 
 
 
Employee
IA
TA
$11.50
$107.04
 
 
 
 
 
Employee and Spouse
IB
TA or TB
$31.00
$126.54
 
 
 
 
 
Employee and Child
ID
TA or TC
$20.50
$116.04
 
 
 
 
 
Employee, Spouse and Child
IF
TA or TD
$40.00
$135.54
 
 
 
 
 
Employee and Children
IH
TA or TE
$29.50
$125.04
 
 
 
 
 
Employee, Spouse and Children
IJ
TA or TF
$49.00
$144.54