1133 SW Topeka Blvd.
Topeka, KS 66629-0001
Email Form
Phone: 1-800-432-3990
Hearing Impaired: 1-800-430-1270
Fax: 1-785-290-0711
Quick Facts
Deductible: |
$500/person or $1,000/family |
Coinsurance: |
20% |
Maximum Out of Pocket Expense: |
$1,000/person or $2,000/family (after deductible) |
Office Copay: |
$25 |
Lab & Radiology: |
First $300 paid at 100%, then subject to deductible & coinsurance |
Lifetime Benefit Maximum: |
$5,000,000 |
Prescriptions:
|
50% after $100/person or $200/family deductible
(does not apply to Max. Out of Pocket expense)
|
View Schedule of Benefits
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Premiums
Effective October 1, 2007 through September 30, 2008
Current Employees |
| |
Employee |
Employee/Chid(ren) |
Employee/Spouse |
Family |
| Total Premium |
$279.36 |
$539.73 |
$599.70 |
$860.09 |
| Board Pays |
$279.36 |
$279.36 |
$279.36 |
$279.36 |
| Employee Pays |
$0 |
$260.37 |
$320.34 |
$580.73 |
|
Retirees |
| |
Employee |
Employee/Chid(ren) |
Employee/Spouse |
Family |
| Total Premium |
$279.36 |
$539.73 |
$599.70 |
$860.09 |
| Employee Pays |
$279.36 |
$539.73 |
$599.70 |
$860.09 |
|
COBRA |
| |
Employee |
Employee/Child(ren) |
Employee/Spouse |
Family |
Total Premium |
$279.36 |
$539.73 |
$599.70 |
$860.09 |
| 2% Admin Fee |
$5.59 |
$10.79 |
$11.99 |
$17.20 |
| COBRA Pays |
$284.95 |
$550.52 |
$611.69 |
$877.29 |
