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, 2009 through September 30, 2010
Current Employees |
| |
Employee |
Employee/Chid(ren) |
Employee/Spouse |
Family |
| Total Premium |
$267.45 |
$518.06 |
$574.08 |
$824.69 |
| Board Pays |
$267.45 |
$267.45 |
$267.45 |
$267.45 |
| Employee Pays |
$0 |
$250.61 |
306.63 |
$557.24 |
|
Retirees |
| |
Employee |
Employee/Chid(ren) |
Employee/Spouse |
Family |
| Total Premium |
$267.45 |
$518.06 |
$574.08 |
$824.69 |
| Employee Pays |
$267.45 |
$518.06 |
$574.08 |
$824.69 |
|
COBRA |
| |
Employee |
Employee/Child(ren) |
Employee/Spouse |
Family |
Total Premium |
$267.45 |
$518.06 |
$574.08 |
$824.69 |
| 2% Admin Fee |
$5.35 |
$10.36 |
$11.48 |
$16.49 |
| COBRA Pays |
$272.80 |
$528.42 |
$585.56 |
$841.18 |
