LSU First -- The LSU System Health Plan

How LSU First Works -- Plan Info

Current 2012 Employee Premiums

Option 1

Employee Premiums for Option 1

ACTIVE

SINGLE

$146.04

WITH SPOUSE

$375.06

WITH CHILDREN

$212.34

FAMILY

$476.96

RETIRED NO MEDICARE & RE-EMPLOYED RETIREE

SINGLE

$146.04

WITH SPOUSE

$427.14

WITH CHILDREN

$212.34

FAMILY

$476.96

RETIRED WITH 1 MEDICARE

SINGLE

$85.00

WITH SPOUSE

$293.56

WITH CHILDREN

$161.46

FAMILY

$416.52

RETIRED WITH 2 MEDICARE

WITH SPOUSE

148.34

FAMILY

201.42

COBRA

SINGLE

$595.82

WITH SPOUSE

$1,063.06

WITH CHILDREN

$731.08

FAMILY

$1,270.90

DISABILITY COBRA

SINGLE

$876.24

WITH SPOUSE

$1,563.32

WITH CHILDREN

$1,075.12

FAMILY

$1,868.96

Option 2

Employee Premiums for Option 2

ACTIVE

SINGLE

$126.28

WITH SPOUSE

$324.28

WITH CHILDREN

$193.94

FAMILY

$418.76

RETIRED NO MEDICARE & RE-EMPLOYED RETIREE

SINGLE

$126.28

WITH SPOUSE

$324.28

WITH CHILDREN

$193.94

FAMILY

$418.76

RETIRED WITH 1 MEDICARE

SINGLE

$73.50

WITH SPOUSE

$253.82

WITH CHILDREN

$145.32

FAMILY

$364.16

RETIRED WITH 2 MEDICARE

WITH SPOUSE

$128.26

FAMILY

$176.10

COBRA

SINGLE

$515.18

WITH SPOUSE

$919.14

WITH CHILDREN

$653.26

FAMILY

$1,111.84

DISABILITY COBRA

SINGLE

$757.62

WITH SPOUSE

$1,351.70

WITH CHILDREN

$960.66

FAMILY

$1,635.08


LSU First Option 1 Benefit Amounts

Level of Coverage

Deductible Amounts

Employee Only

 

HRA

$1,000

Remaining Deductible

$500

Total Deductible

$1,500

Employee + Spouse

 

HRA

$1,500

Remaining Deductible

$750

Total Deductible

$2,250

Employee + Child(ren)

 

HRA

$1,500

Remaining Deductible

$750

Total Deductible

$2,250

Family

 

HRA

$2,000

Remaining Deductible

$1,000

Total Deductible

$3,000


LSU First Option 2 Benefit Amounts

Level of Coverage

Deductible Amounts

Employee Only

 

HRA

$1,000

Remaining Deductible

$1,500

Total Deductible

$2,500

Employee + Spouse

 

HRA

$1,500

Remaining Deductible

$2,250

Total Deductible

$3,750

Employee + Child(ren)

 

HRA

$1,500

Remaining Deductible

$2,250

Total Deductible

$3,750

Family

 

HRA

$2,000

Remaining Deductible

$3,000

Total Deductible

$5,000