Michigan School District Health Insurance

Wayne-Westland Community School District - Custodians/Food, Union Contract

Provider (TPA)	Type	Plan	Enrollees	District Cost	Worker Cost	Total Cost	Notes
BCBS	Single	Community Blue PPO IV	13	398.53	0.00	398.53
BCBS	Two Person	Community Blue PPO IV	29	896.09	0.00	896.09
BCBS	Family	Community Blue PPO IV	7	1115.88	0.00	1115.88
Health Alliance Plan	Single	HMO	19	413.35	0.00	413.35
Health Alliance Plan	Two Person	HMO	15	950.76	0.00	950.76
Health Alliance Plan	Family	HMO	36	1074.70	0.00	1074.70
Priority Health	Single	HMO	20	444.69	0.00	444.69
Priority Health	Two Person	HMO	17	1034.78	0.00	1034.78
Priority Health	Family	HMO	33	1123.10	0.00	1123.10

Wayne-Westland Community School District - All Insured Employees

Provider (TPA)	Type	Plan	Enrollees	District Cost	Worker Cost	Total Cost	Notes
Self-Funded	n/a	n/a	n/a	n/a	n/a	n/a	Districts using self-funded plans do not make monthly premium payments

Wayne-Westland Community School District - Teachers, Union Contract

Provider (TPA)	Type	Plan	Enrollees	District Cost	Worker Cost	Total Cost	Notes
BCBS	Single	Community Blue PPO IV	5	398.52	0.00	398.52
BCBS	Two Person	Community Blue PPO IV	7	896.09	0.00	896.09
BCBS	Two Person	Community Blue PPO IV	3	896.09	0.00	896.09
BCBS	Family	Community Blue PPO IV	15	1115.88	0.00	1115.88
Health Alliance Plan	Single	HMO	9	388.93	40.00	428.93
Health Alliance Plan	Single	HMO	1	413.35	0.00	413.35
Health Alliance Plan	Single	HMO	1	413.25	0.00	413.25
Health Alliance Plan	Two Person	HMO	1	950.76	0.00	950.76
Health Alliance Plan	Two Person	HMO	3	950.76	0.00	950.76
Health Alliance Plan	Two Person	HMO	7	946.60	40.00	986.60
Health Alliance Plan	Family	HMO	23	1075.20	40.00	1115.20
Health Alliance Plan	Family	HMO	5	1074.70	0.00	1074.70
Health Alliance Plan	Family	HMO	7	1074.70	0.00	1074.70
MESSA	PAK	PAK A - Choices (HV, LI, LTD, AD&D)	266	1049.95	40.00	1089.95
MESSA	PAK	PAK A - SuperCare (HV, LI, LTD, AD&D)	31	1210.78	175.48	1386.26
MESSA	PAK	PAK B - In Lieu (V, LI, LTD, AD&D)	42	114.27	0.00	114.27
MESSA	PAK	PAK B - In Lieu (V, LI, LTD, AD&D)	39	140.75	0.00	140.75
MESSA	PAK	PAK C - Choices (HV, LI, LTD, AD&D)	361	1210.78	40.00	1250.78
MESSA	PAK	PAK H (V, LI, LTD, AD&D)	26	180.57	0.00	180.57
MESSA	PAK	PAK H (V, LI, LTD, AD&D)	47	129.89	0.00	129.89
Priority Health	Single	HMO	3	444.69	0.00	444.69
Priority Health	Single	HMO	9	418.63	40.00	458.63
Priority Health	Single	HMO	1	444.69	0.00	444.69
Priority Health	Two Person	HMO	1	1034.78	0.00	1034.78
Priority Health	Two Person	HMO	2	1027.20	40.00	1067.20
Priority Health	Family	HMO	2	1123.10	0.00	1123.10
Priority Health	Family	HMO	1	1123.10	0.00	1123.10
Priority Health	Family	HMO	25	1118.28	40.00	1158.28

Wayne-Westland Community School District - Administration, Union Contract

Provider (TPA)	Type	Plan	Enrollees	District Cost	Worker Cost	Total Cost	Notes
BCBS	Single	Community Blue PPO IV	11	398.53	0.00	398.53
BCBS	Two Person	Community Blue PPO IV	24	896.09	0.00	896.09
BCBS	Family	Community Blue PPO IV	26	1115.88	0.00	1115.88
Health Alliance Plan	Two Person	HMO	1	986.60	0.00	986.60
Health Alliance Plan	Family	HMO	1	1115.20	0.00	1115.20
Priority Health	Family	HMO	4	1158.28	0.00	1158.28

Wayne-Westland Community School District - Support Staff, Union Contract

Provider (TPA)	Type	Plan	Enrollees	District Cost	Worker Cost	Total Cost	Notes
Health Alliance Plan	Two Person	HMO	1	950.76	0.00	950.76
Priority Health	Single	HMO	2	444.69	0.00	444.69
Priority Health	Two Person	HMO	1	1034.78	0.00	1034.78

Wayne-Westland Community School District - Paraprofessionals, Union Contract

Provider (TPA)	Type	Plan	Enrollees	District Cost	Worker Cost	Total Cost	Notes
BCBS	Single	Community Blue PPO IV	1	398.53	0.00	398.53
BCBS	Two Person	Community Blue PPO IV	1	896.09	0.00	896.09
Health Alliance Plan	Single	HMO	15	413.35	0.00	413.35
Health Alliance Plan	Two Person	HMO	13	950.76	0.00	950.76
Health Alliance Plan	Family	HMO	27	1074.70	0.00	1074.70
Priority Health	Single	HMO	12	444.69	0.00	444.69
Priority Health	Two Person	HMO	13	1034.78	0.00	1034.78
Priority Health	Family	HMO	25	1123.10	0.00	1123.10

Wayne-Westland Community School District - Secretaries, Union Contract

Provider (TPA)	Type	Plan	Enrollees	District Cost	Worker Cost	Total Cost	Notes
BCBS	Single	Community Blue PPO IV	3	398.53	0.00	398.53
BCBS	Two Person	Community Blue PPO IV	7	896.09	0.00	896.09
BCBS	Family	Community Blue PPO IV	2	1115.88	0.00	1115.88
Health Alliance Plan	Single	HMO	2	428.93	0.00	428.93
Health Alliance Plan	Two Person	HMO	8	986.60	0.00	986.60
Health Alliance Plan	Family	HMO	13	1115.20	0.00	1115.20
Priority Health	Single	HMO	6	458.63	0.00	458.63
Priority Health	Two Person	HMO	17	1067.20	0.00	1067.20
Priority Health	Family	HMO	15	1158.28	0.00	1158.28