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DOUGLAS COUNTY Human Resource Department 1316 N. 14th Street, Suite 301 Superior, WI 54880 (715) 395-1429 Fax (715) 395-1312 Equal Opportunity Employer Linda L. Corbin Human Resource Manager Holly Mortenson Human Resource Generalist Helena Frost Human Resource Specialist EMPLOYEE HEALTH, HDHP/HSA and DENTAL INSURANCE - 2017 The employer contribution on behalf of all eligible employees working thirty (30) hours or more per week is an amount equal to eighty-eight percent (88%) per month towards the cost of a single, an employee plus one or a family plan for health and dental insurance coverage. Health HDHP/HSA and Dental Insurance deductions are one month prior to coverage. HDHP/HSA PLAN LEVEL 1 $1500/$3000 RATE COUNTY CONTRIBUTION (88%) EMPLOYEE CONTRIBUTION (12%) Single 649.00 571.10 77.90 Employee + One 1,608.00 1,415.00 193.00 Family 2,182.00 1,920.20 261.80 HDHP/HSA PLAN LEVEL 2 $3000/$6000 RATE COUNTY CONTRIBUTION (88%) EMPLOYEE CONTRIBUTION (12%) Single 580.00 510.40 69.60 Employee + One 1,434.00 1,261.90 172.10 Family 1,945.00 1,711.60 233.40 DENTAL PLAN LEVEL RATE COUNTY CONTRIBUTION (88%) EMPLOYEE CONTRIBUTION (12%) Single 28.50 25.10 3.40 Employee + one 68.00 60.00 8.00 Family 103.00 91.00 12.00 Periodically the County may evaluate the health/dental insurance funding levels to determine the adequate premium level. To view benefit summaries for all plans, visit our website at www.douglascountywi.org under Departments/Human Resources/Employee Information/Benefits click on HDHP/HSA Summary or Dental Summary For questions regarding health/dental insurance, contact Sherri Freeman, Holden Insurance at [PHONE REDACTED]