Reduce Medical Premium Plan Year 2011
Note for 2012
The information on this page is for the remainder of 2011. The Tobacco-free Affidavit for 2012 will be available during Open Enrollment, November 7 - 18. Employees will be able to sign and submit the affidavit online when making their medical plan selection. $25 per month for an employee or spouse ($50 for both) who do not use tobacco will be deducted from the employee's contribution to the medical plan.
Introduction
In 2011, an additional premium according to salary level was added to the base medical premium amount. Employees and covered spouses/domestic partners have the opportunity to reduce or eliminate this additional premium by completing specific activities that promote healthy behaviors and health improvement. If these activities are completed, the employee pays only the base premium amount.
- Active employees hired prior to August 1, 2011 receive premium reductions when they (and their spouse or domestic partner, if enrolled) sign the Tobacco Affidavit to verify non-use of tobacco products.
- Email enews@indiana.edu to obtain the form.
- Return the signed affidavit via fax to University Human Resources at 812-855-3409.
Employees who have not completed a biometric screening can contact Human Resources for information about the opportunity to reduce their premium by completing this activity.
Calculating Actual Monthly Cost for Medical Coverage
Base Premium (monthly cost for medical plan)
+ Additional Premium (based on salary level)
- Reduction (full or partial depending on completion of activities)
= Actual monthly cost
How Much is the Additional Premium?
The additional monthly premiums for 2011 are listed below:
 |
||
Employee‘s Annual Base Salary |
Additional Premium for Employee Coverage |
Additional Premium for Spouse or Domestic Partner Coverage |
|
||
Less than $30,000 |
$20 |
$20 |
$30,000 to $59,999 |
$40 |
$40 |
$60,000 to $119,999 |
$60 |
$60 |
$120,000 or more |
$80 |
$80 |
Get Healthy Programs
IU provides two support programs to help employees and their covered spouses improve their health:
Confidentiality
- Any personal health information you provide to the Healthy Results program is protected by federal and state privacy laws.
- IU will never use information collected by the Healthy Results program to make decisions about an employee's employment or health plan enrollment.
Questions
University Human Resources 812-855-1286 or
