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MultiExcerptNameMedical additional details

Monthly Premium Rates

Effective January 1, 2019


Plan type
Employee only		Employee +
spouse or child(ren)
Family
HS 1500 (HSA)*$485.61$1,068.34$1,456.83
HS 3000 (HSA)*$404.56$890.03$1,213.68
HS 5000 (HSA)*$343.09$754.80$1,029.27

*HSA plans will also have an Employer HSA Contribution in addition to the above premium.

Employer HSA Contributions

There will be two funding sources for Reliant employer contributions to personal Health Savings Accounts. 

  • First, there will be a Base-Level portion of the employer contribution (to all personal HSA accounts) that will be funded from non-MTD funds. So missionary MTD accounts will not be charged for the Base-Level portion of the contribution as in the past. 
  • Second, the remaining portion of the Reliant employer contribution will be charged to MTD accounts (as in the past). Remember, these entire employer contributions (regardless of the source) can be used to help pay for your present and future qualified medical expenses. And they are yours to keep, even if they build up in your HSA and you don't use them right away for your current medical claims. 

Contribution Levels

HSA 1500
Plan 

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
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
Plan 

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
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
Plan 

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
Employee$25$25$50$368.09
Employee + Spouse
or child(ren) 		$50$75$125$829.80
Family$75$100$175$1,129.27


Enrollment Form

View file
nameMedical insurance - GuideStone Enrollment Form - current year.pdf
pageAll Forms
spaceFMHOME
height250

Adding Dependents:

For more information on adding a dependent to coverage see Adding a Dependent to Insurance

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