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titleEmployee Only Scenarios

Employee-Only Coverage Scenarios

Some of you may be wondering how likely, on average, it is to experience a high claims year. This data below may help you to see that the likelihood of experiencing a very high claims year is fairly low. (The statistics are based upon information received from our benefits consulting firm, Marsh Consulting Group.)

  • 5% of people will experience $40,000 or more in annual claims in any given year.

  • 30% of people will experience about $5,000 in annual claims in any given year.

  • 65% of people will experience $1,000 or less in annual claims in any given year.

These are simply statistics and you know your personal medical situation the best. But hopefully these help you see the potential financial effect that selecting the HS 3000 Plan may have for you. 

Examples to consider

This chart shows three different employee scenarios in annual claims and how this plays out for the HS 1500, HS 3000 and HS 5000 plans. 

  • Employee 1 — $1,000 or less in annual claims

  • Employee 2 — $5,000 in claims

  • Employee 3 — $40,000 and above in claims

NOTE: This chart takes into account the Reliant Employer HSA Contributions that will help offset your expenses and . Additionally, you may receive as much as a 20% tax savings that you’ll realize if you additionally elect to personally contribute up to the (ER + EE) maximum of $3,400 to into your HSA account (employee contributions).

 Scenario 1: $1,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $1,000 or less in claims

$0 (preventive only) to $1,000$0 (preventive only) to $1,000$0 (preventive only) to $1,000
HSA employer contribution

$420 from Reliant

 

$600 from Reliant 

$600 from Reliant 

Medical Costs

-Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual Costs

 

 *This is the amount you may consider making employee contributions into the HSA account to help offset

$0 to $1,000

-$420

=$0 to $580

$0 to $1,000

-$600

=$0 to $400

$0 to $1,000

-$600

=$0 to $400

Scenario 2: $5,000 or less in claims

 

HS 1500 Annual Cost

HS 3000 Annual Cost

HS 5000 Annual Cost

Medical Costs: $5000 in claims

Deductible: $1,500

10% Coinsurance: $350

Total: $1,850

Deductible: $3,000

10% Coinsurance: $200

Total: $3,200

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

HSA employer contribution

$420 from Reliant

 

$600 from Reliant

 

$600 from Reliant 

Medical Costs

-Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual CostCosts

*This is the amount you may consider making employee contributions into the HSA account to help offset

$1,850

-$420

= $1,430

$3,200

-$600

= $2,600

$5000

-$600

= $4,400

Scenario 3: $40,000 and above in claims

 

HS 1500 Annual Cost

HS 3000 Annual Cost

HS 5000 Annual Cost

Medical Costs: $40,000 and above in claims

Deductible: $1,500

10% Coinsurance: $1,500

Total: $3,000

Deductible: $3,000

10% Coinsurance: $3,000

Total $6,000

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

HSA employer contribution

$420 from Reliant 

$600 from Reliant 

$600 from Reliant

 

Medical Costs

-Minus HSA Employer Contribution (Use the HSA account to pay these costs)

= *Total Remaining Annual CostCosts

*This is the amount you may consider making employee contributions into the HSA account to help offset

$3,000

-$420

= $2,580

$6,000

-$600

= $5,400

$5,000

-$600

= $4,400


 *HSA Savings range includes Reliant HSA contribution plus optional member contribution up to $3,400 total. All out-of-pocket medical costs may be paid for from the HSA , resulting in a 20% or more savings from using pre-tax funds.account - see

 


 


Family Coverage Scenarios

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