There have been many questions and misunderstandings about the new PEIA rate structure using Total Family Income (TFI) to set rates for Employee and Spouse and Family coverages (Please note that these figures will only include the Employee and Spouse incomes and will not include income from children). Below is the EXAMPLE of the rate table provided to the Finance Board at their meeting on December 7, 2017. These numbers are not final. We are providing them for illustration while we finalize the actuarial review of the rates. Please remember that these are the standard rates. If you do not use tobacco, subtract $25 per month for single coverage and $50 per month for Employee and Child, Employee and Spouse, and Family coverages.
Premium Example for Plan Year 2019.pdf