2024-2025 Cost:
Staff eligible for medical coverage, the rates listed below are per month and are in effect July 1, 2024 through June 30, 2025.
Plans: Individual Two Person** Family**
PPO $1,000/$2,000 $165.70 $342.00 $467.86
CHOICE BLUE – PPO $1000/$2000 $127.96 $264.08 $361.22
Qualified High Deductible Health Plan $122.26 $251.24 $343.32
CHOICE BLUE – Qualified High Deductible Health Plan $96.68 $198.68 $271.50
**Part-time staff should contact Human Resources for Two Person and Family Rates
Spousal rule for those hired after July 1, 2019:
If an employee’s spouse has coverage available from his/her own employer at a cost that is equal to or less than thirty percent (30%) of the spouse’s employer’s premium cost, he/she is not permitted to enroll in the Cornwall-Lebanon School District’s healthcare plan.
Plan Documents:
PPO $1,000/$2,000
- PPO $1,000/$2,000 – Plan Grid – 2025
- PPO $1,000/$2,000 – Summary of Benefits and Coverage – 2025
- PPO $1,000/$2,000 – Benefit Booklet – 2023
CHOICE BLUE – PPO $1,000/$2,000
- CHOICE BLUE – PPO $1,000/$2,000 – Plan Grid – 2025
- CHOICE BLUE – PPO $1,000/$2,000 – Summary of Benefits and Coverage – 2025
- CHOICE BLUE – PPO $1,000/$2,000 – Benefit Booklet – 2023
Qualified High Deductible Health Plan (QHDHP)
- Qualified High Deductible Health Plan – Plan Grid – 2025
- Qualified High Deductible Health Plan – Summary of Benefits – 2025
- PPO Qualified High Deductible Health Plan – Benefit Booklet – 2023
CHOICE BLUE – Qualified High Deductible Health Plan (QHDHP)
- CHOICE BLUE – Qualified High Deductible Health Plan – Plan Grid – 2025
- CHOICE BLUE – Qualified High Deductible Health Plan – Summary of Benefits – 2025
- CHOICE BLUE – PPO Qualified High Deductible Health Plan – Benefit Booklet – 2023
Open Enrollment Information for the 2025 Plan Year:
- Wellness Coaching
- Telemedicine
- Sword Virtual Physical Care Member ASO Brochure, BS, MX1863707
- Site of Care
- Healthmap Kidney Flyer, BS, MX1344475
- Onduo Diabetes Management Open Enrollment Flyer, BS, MX1808125
Instructions:
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