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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. The statistics below may help you to see that the likelihood of experiencing a very high claims year is fairly low. (These 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.

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. Additionally, you may receive as much as a 20% tax savings if you elect to personally contribute 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 Costs

*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 Costs

*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

 *All out-of-pocket medical costs may be paid for from the HSA account - see Maximum HSA Contribution Amounts for details of how much you can contrbute into the HSA as a personal employee contrbution.

 

 

 

UI Expand
titleEmployee + Spouse/Employee + Child(ren)Coverage Scenarios

Employee + Spouse/ Employee + Child(ren) Coverage Scenarios

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

  • 1% of couples/households will experience $100,000 or more in annual claims in any given year.

  • 4% of couples/households will experience about $40,000 in annual claims in any given year.

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

  • 65% of couples/households will experience about $2,100 or less in annual claims in any given year.

These are simply statistics and you know your household's medical situation the best. 

 Examples to consider 

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

  • Couple/Household 1 — $1,000 or less in annual claims

  • Couple/Household 2 — $5,000 in claims

  • Couple/Household 3 — $40,000 in claims

  • Couple/Household — $100,000 and above in claims

NOTE: This chart takes into account the Reliant Employer HSA Contributions that will help offset your expenses. Additionally, you may receive as much as a 20% tax savings if you elect to personally contribute into your HSA account (employee contributions).

 Scenario 1: $1000 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$900 from Reliant$1,500 from Reliant$1,500 from Reliant

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$0 to$1,000

-$9000

$0 - $100

$0 to $1,000

-$1,500

$0

$0 to $1,000

-$1,500

$0

Scenario 2: $5,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $5,000 in claims

Deductible: $3,000

10% Coinsurance: $200

Total: $3,200

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

Deductible: $5,000

10% Coinsurance: $0

Total: $5,000

HSA Employer Contribution

$900 from Reliant

$1,500 from Reliant

$1,500 from Reliant

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$3,200

-$900

= $2,300

$5,000

-$1,500

= $3,500

$5,000

-$1,500

= $3,500

Scenario 3: $40,000 or less in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $40,000 in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $3,400

Total: $9,400

Deductible: $10,000

10% Coinsurance: $0

Total: $10,000

HSA Employer Contribution

$900 from Reliant

$1,500 from Reliant

$1,500 from Reliant

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$6,000

-$900

= $5,100

$9,400

-$1,500

= $7,900

 

$10,000

-$1,500

= $8,500

 

Scenario 4: $100,000 and above in claims

 HS 1500 Annual CostHS 3000 Annual CostHS 5000 Annual Cost

Medical Costs: $100,000 and above in claims

Deductible: $3,000

10% Coinsurance: $3,000

Total: $6,000

Deductible: $6,000

10% Coinsurance: $=6,000

Total: $12,000

Deductible: $10,000

10% Coinsurance: $0

Total: $10,000

HSA Employer Contribution

$900 from Reliant

$1,500 from Reliant

$2,100 from Reliant

Medical Costs

-HSA Savings

=Total Remaining Annual Cost

$6,000

-$900

= $5,100

$12,000

-$1,500

= $10,500

$10,000

-$1,500

= $8,500

 

*All out-of-pocket medical costs may be paid for from the HSA account - see Maximum HSA Contribution Amounts for details of how much you can contrbute into the HSA as a personal employee contrbution.

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