Results for Medical

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What You Pay for Medical Coverage

Here are the annual rates based on who you cover, the plan you choose and your annual benefits pay. The rates shown below are for full-time employees who work 40 hours per week and part-time employees who work 32 to 39 hours per week. If you are part-time and work 20 to 31 hours per week, your costs are approximately double the amounts shown below.

Medical Premiums

Premiums (Salary Band: <$25,000)

 HSA OptionHRA Option
 Your shareRockwell’s shareYour shareRockwell’s share
You Only$414.00$5,954.88$899.00$6,107.80
You + One$919.00$13,357.28$2,014.00$13,751.36
You + Family$1,149.00$17,957.64$2,602.00$18,418.52

Premiums (Salary Band: $25,000 – $50,000)

 HSA OptionHRA Option
 Your shareRockwell’s shareYour shareRockwell’s share
You Only$686.00$5,682.88$1,389.00$5,617.80
You + One$1,766.00$12,510.28$3,401.00$12,364.36
You + Family$2,341.00$16,765.64$4,447.00$16,573.52

Premiums (Salary Band: $50,000 – $75,000)

 HSA OptionHRA Option
 Your shareRockwell’s shareYour shareRockwell’s share
You Only$959.00$5,409.88$1,651.00$5,355.80
You + One$2,493.00$11,783.28$4,106.00$11,659.36
You + Family$3,316.00$15,790.64$5,402.00$15,618.52

Premiums (Salary Band: $75,000 – $100,000)

 HSA OptionHRA Option
 Your shareRockwell’s shareYour shareRockwell’s share
You Only$1,231.00$5,137.88$1,924.00$5,082.80
You + One$3,221.00$11,055.28$4,829.00$10,936.36
You + Family$4,291.00$14,815.64$6,373.00$14,647.52

Premiums (Salary Band: >$100,000)

 HSA OptionHRA Option
 Your shareRockwell’s shareYour shareRockwell’s share
You Only$1,504.00$4,864.88$2,195.00$4,811.80
You + One$3,948.00$10,328.28$5,546.00$10,219.36
You + Family$5,266.00$13,840.64$7,334.00$13,686.52

You + One Definition: You + One means You + Spouse/Domestic Partner or You + Children

Benefits Pay for 2019 Annual Enrollment: Annual benefits pay is your annual base pay, or your total targeted compensation (sales employees only), as of Oct. 1, 2018.

HMO Rates

For HMO rates, go online to EmployeeConnect or call the Rockwell Automation Service Center.

Working Spouse or Domestic Partner Adjustment

If you cover a spouse or domestic partner who has access to coverage through his or her own employer, your premium cost will be increased by a Working Spouse or Domestic Partner Adjustment. Your annual adjustment is $420 if your salary is less than $50,000 or $900 if your salary is greater than or equal to $50,000. If your spouse or domestic partner also has access to primary medical coverage for your children, your premium cost will be increased.