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Medical Contributions

 

Ohio Med PPO Contributions

Full-Time Employee Contributions

BIWEEKLY PAID EMPLOYEE CONTRIBUTIONS1
15% TIER

FULL-TIME PERMANENT
PART-TIME PERMANENT (30 OR MORE HOURS A WEEK)
PART-TIME TEMPORARY (30 OR MORE HOURS A WEEK)

MONTHLY PAID EMPLOYEE CONTRIBUTIONS1
15% TIER

FULL-TIME EMPLOYEES

 

Employee Share

State Share

Total

Employee Share

State Share 

Total

Single

$53.60

$302.68

$356.28

$116.14

$655.81

$771.95

Family Minus Spouse

$146.81

$830.82

$977.63

$318.07

$1,800.08

$2,118.15

Family Plus Spouse2

$156.04

$830.82

$986.86

$338.07

$1,800.08

$2,138.15

Part-Time Employee Contributions

BIWEEKLY PAID EMPLOYEE CONTRIBUTIONS1
50% TIER

PART-TIME PERMANENT
(20.00 - 29.99 HOURS A WEEK)

BIWEEKLY PAID EMPLOYEE CONTRIBUTIONS1
100% TIER

PART-TIME PERMANENT EMPLOYEES
(UP TO 19.99 HOURS A WEEK)

 

Employee Share

State Share

Total

Employee Share

State Share

Total

Single

$178.14

$178.14

$356.28

$356.28

$0.00

$356.28

Family Minus Spouse

$488.81

$488.82

$977.63

$977.63

$0.00

$977.63

Family Plus Spouse2

$498.04

$488.82

$986.86

$986.86

$0.00

$986.86

These rates represent the total amount that will be contributed from your paycheck.
2 Family Plus Spouse rates above include a charge of $20 per month to cover a spouse. For those who receive paychecks biweekly, the Family Plus Spouse rates above include a charge of $9.23 per pay to cover a spouse.

 

Ohio Med HDHP Contributions

Full-Time Employee Contributions

BIWEEKLY PAID EMPLOYEE CONTRIBUTIONS1
10% TIER

FULL-TIME PERMANENT
PART-TIME PERMANENT (30 OR MORE HOURS A WEEK)
PART-TIME TEMPORARY (30 OR MORE HOURS A WEEK)

MONTHLY PAID EMPLOYEE CONTRIBUTIONS1
10% TIER

FULL-TIME EMPLOYEES

 

Employee Share

State Share

Total

Employee Share

State Share 

Total

Single

$35.93

$321.52

$357.45

$77.85

$696.62

$774.47

Single Plus Spouse

$80.55

723.13

$803.68

$174.53

$1,566.77

1,741.30

Family Minus Spouse

$62.70

$562.49

$625.19

$135.86

$1,218.70

$1,354.56

Family Plus Spouse

$107.32

$964.09

$1,071.41

$232.54

$2,088.85

$2,321.39

Part-Time Employee Contributions

BIWEEKLY PAID EMPLOYEE CONTRIBUTIONS1
50% TIER

PART-TIME PERMANENT
(20.00 - 29.99 HOURS A WEEK)

BIWEEKLY PAID EMPLOYEE CONTRIBUTIONS1
100% TIER

PART-TIME PERMANENT EMPLOYEES
(UP TO 19.99 HOURS A WEEK)

 

Employee Share

State Share

Total

Employee Share

State Share

Total

Single

$178.72

$178.73

$357.45

$357.45

$0.00

$357.45

Single Plus Spouse

$401.84

$401.84

$803.68

$803.68

$0.00

$803.68

Family Minus Spouse

$312.59

$312.60

$625.19

$625.19

$0.00

$625.19

Family Plus Spouse

$535.60

$535.71

$1,071.41

$1,071.14

$0.00

$1,071.14

These rates represent the total amount that will be contributed from your paycheck.

Board and commission members who submit direct payments to their agency human resources representative for their medical contributions cannot contribute to the HSA through payroll. For questions, contact your agency human resources representative.