2024 Medical Insurance Rates: Weekly

Non-Exempt Staff

Best Buy HSA HMO

(Group No. 177065-0000)

48 weekly payroll deductions will be taken during the calendar year.

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*
Employee Contribution Weekly/Monthly $28.75 / $115.00 $79.55/ $318.20 $77.17/ $308.68 $94.58 / $378.32
University Contribution Monthly $712.33 $1,460.55 $1,263.24 $2,174.07
Total Premium Monthly $827.33 $1,778.75 $1,571.92 $2,552.39
Employee / University Monthly % 14% / 86% 18% / 82% 20% / 80% 15% / 85%

*Dependent coverage through end of month of 26th birthday.

Best Buy HMO

(Group No. 175972-0000)

48 weekly payroll deductions will be taken during the calendar year.

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*
Employee Contribution Weekly/Monthly $38.91 / $155.63 $98.97/ $395.86 $96.62 / $386.48 $113.94 / $455.77
University Contribution Monthly $727.28 $1,502.39 $1,291.06 $2,268.13
Total Monthly Premium $882.92 $1,898.27 $1,677.54 $2,723.90
Employee / University Monthly Percentage 18% / 82% 21% / 79% 23% / 77% 17% / 83%

*Dependent coverage through end of month of 26th birthday.

HMO

(Group No. 175971-0000)

48 weekly payroll deductions will be taken during the calendar year.

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*

Employee Contribution Weekly/Monthly

$55.58 / $222.32 $141.28 / $565.12 $137.83 / $551.32 $162.76 / $651.04
University Contribution Monthly $726.38 $1,474.60 $1,251.22 $2275.79
Total Monthly Premium $948.70 $2039.72 $1,802.54 $2,926.83
Employee / University Monthly Percentage 23% / 77% 28% / 72% 31% / 69% 22% / 78%

*Dependent coverage through end of month of 26th birthday.

PPO

(Group No. 176054-0000)

48 weekly payroll deductions will be taken during the calendar year.

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*
Employee Contribution Weekly / Monthly $119.08 / $476.32 $302.38 / $1,209.52 $295.42 / $1,181.68 $342.29/ $1,369.16
University Contribution Monthly $782.61 $1,497.18 $1,210.29 $2,514.77
Total Monthly Premium $1,258.93 $2,706.70 $2,391.97 $3,883.93
Employee / University Monthly Percentage 38% / 62% 45% / 55% 49% / 51% 35% / 65%

*Dependent coverage through end of month of 26th birthday.