Common use of Anchor Choice with HSA Plan Clause in Contracts

Anchor Choice with HSA Plan. Each member that enrolls in the Anchor Choice Plan with HSA shall receive an HSA contribution from the State in the amount of $1,500 for individuals or $3,000 for families. Fifty percent (50%) of each State HSA contribution shall be deposited on January 1st and 50% shall be deposited on July 1st during each year of the collective bargaining agreement. The State will not pro-rate its HSA contributions for members enrolling after January 1st or July 1st. In Network Deductible* $1,500 ($3,000 family) In network Out of Pocket Max** $3,000 ($6,000 family) Out of Network Deductible* $2,250 ($4,500 family) Out of Network Out of Pocket Max** $4,500 ($9,000 family) In-Network Coinsurance 10% Out of Network Coinsurance 30% *The family deductible is cumulative, meaning any combination of items covered by the deductible paid by family members counts toward the deductible until the full amount of the deductible has been met. The in-network and out of network deductibles and out-of-pocket maximums are combined deductibles and out-of-pocket maximums with the pharmacy deductibles and out-of-pocket maximum. The following in-network copays shall be in effect for the Anchor Choice HSA Plan:

Anchor Choice with HSA Plan. Each member MBU that enrolls in the Anchor Choice Plan with HSA shall receive an HSA contribution from the State in the amount of $1,500 for individuals or $3,000 for families. Fifty percent (50%) of each State HSA contribution shall be deposited on January 1st and 50% shall be deposited on July 1st during each year of the collective bargaining agreement. The State will not pro-rate its HSA contributions for members enrolling after January 1st or July 1st. 1st In Network Deductible* $1,500 ($3,000 family) In network Network Out of Pocket Max** $3,000 ($6,000 family) Out of Network Deductible*, ** $2,250 ($4,500 family) Out of Network Out of Pocket Max** In- Network Coinsurance Out of Network Coinsurance $1,500 ($3,000 family) $3,000 ($6,000 family) $2,250 ($4,500 family) $4,500 ($9,000 family) In-Network Coinsurance 10% Out of Network Coinsurance 30% *The family deductible is cumulative, meaning any combination of items covered by the deductible paid by family members counts toward the deductible until the full amount of the deductible has been met. The in-network and out of network deductibles and out-of-pocket maximums are combined deductibles and out-of-pocket maximums with the pharmacy deductibles and out-of-pocket maximum. The following in-network copays shall be in effect for the Anchor Choice HSA Plan:

Anchor Choice with HSA Plan. Each member that enrolls in the Anchor Choice Plan with HSA shall receive an HSA contribution from the State in the amount of $1,500 for individuals or $3,000 for families. Fifty percent (50%) of each State HSA contribution shall be deposited on January 1st and 50% shall be deposited on July 1st during each year of the collective bargaining agreement. The State will not pro-rate prorate its HSA contributions for members enrolling after January 1st or July 1st. In Network Deductible* $1,500 ($3,000 family) In network Network Out of Pocket Max** $3,000 ($6,000 family) Out of Network Deductible* Deductible $2,250 ($4,500 family) Out of Network Out of Pocket Max** Max $4,500 ($9,000 family) In-Network Coinsurance 10% Out of Network Coinsurance 30% *The family deductible is cumulative, meaning any combination of items covered by the deductible paid by family members counts toward the deductible until the full amount of the deductible HSA has been met. **The in-network and out of network deductibles and out-of-pocket maximums are maximum is combined deductibles and out-of-pocket maximums maximum with the pharmacy deductibles and out-of-pocket maximum. The following in-network copays shall be in effect for the Anchor Choice HSA Plus Plan: