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Medical Insurance Provider: | Guidestone | www.GuideStone.org | 1-888-98GUIDE |
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Third Party Administrator: | Highmark | www.highmarkbcbs.com | 1-866-472-0924 |
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Table of Contents
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Medical Plan Options
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Monthly Premium RatesEffective January 1, 2019
*HSA plans will also have an Employer HSA Contribution in addition to the above premium. Anchor | | HSA plan options | HSA plan options
HSA 1500 | Base-Level ER contribution from non-MTD funds | Remaining ER contribution charged to MTD accounts | Total Reliant employer HSA contribution | Total charge to MTD account, including premium |
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Employee | $25 | $10 | $35 | $495.61 |
Employee + Spouse or child(ren) | $50 | $25 | $75 | $1,093.34 |
Family | $75 | $50 | $125 | $1,506.83 |
HSA 3000 | Base-Level ER contribution from non-MTD funds | Remaining ER contribution charged to MTD accounts | Total Reliant employer HSA contribution | Total charge to MTD account, including premium |
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Employee | $25 | $25 | $50 | $429.56 |
Employee + Spouse or child(ren) | $50 | $75 | $125 | $965.03 |
Family | $75 | $100 | $175 | $1,313.68 |
HSA 5000 | Base-Level ER contribution from non-MTD funds | Remaining ER contribution charged to MTD accounts | Total Reliant employer HSA contribution | Total charge to MTD account, including premium |
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Employee | $25 | $25 | $50 | $368.09 |
Employee + Spouse or child(ren) | $50 | $75 | $125 | $829.80 |
Family | $75 | $100 | $175 | $1,129.27 |
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