Page 10 - 18 - 19 Benefits Bulletin
P. 10
PREMIUM RATES
Clear Creek ISD Employee
Monthly Premium Rates 2018-2019
Monthly
Plan Name Employee Employee Premium Per
Check
Premium
ActiveCare 1-HD
Employee Only $67.00 $33.50
Employee + Spouse $675.00 $337.50
Employee + Child(ren) $366.00 $183.00
Employee + Family $989.00 $494.00
ActiveCare2
Employee Only $482.00 $241.00
Employee + Spouse $1495.00 $747.00
Employee + Child(ren) $828.00 $414.00
Employee + Family $1809.00 $904.50
ActiveCare Select
Employee Only $240.00 $120.00
Employee + Spouse $967.00 $483.50
Employee + Child(ren) $541.00 $270.00
Employee + Family $1283.00 $641.50
Enrollment Deadline
All new enrollments, changes and cancellations must be made no later than
Friday, August 17, 2018. If you are changing medical plans and want your AETNA ID
card by September 1, 2018, please enroll by August 10, 2018. If you would like your
HSA Bank card by September 1, 2018, please enroll by August 3, 2018. All Evidence of
Insurability forms for Optional Life Insurance will be emailed to plan participant's CCISD email address
following Open Enrollment. Forms must be completed online no later than Friday, August 31, 2018.
