WHITE PLAINS CITY SCHOOL DISTRICT
Teacher Benefits (7/11)
Effective 7/1/11-6/30/12 employee contributes 10.5% of health insurance premium.
Health Plan Individual 2/Person Family
SWSCHP $ 69.85 $147.39 $156.47
OXFORD $ 82.22 $173.48 $184.99
HIP $ 70.16 $128.31 $204.10
Choice of health plans
State Wide Schools Cooperative Health Plan/Alicare/BCBS
Participating providers - $10 co-pay for PCP; $15 co-pay Specialist with referral;
$25 co-pay Specialist without referral
Non-participating providers $300/individual - $900/family deductible,
70% Reasonable & Customary; Rx - $7.50/$30/$50 co-pay;
No referrals needed.
Participating providers - $20 co-pay
Rx - $5/$15/$25 co-pay; no referrals needed.
Participating providers - $0 co-pay; Rx - $0 co-pay;
Welfare Trust Fund Benefits - See summary from Teachers’ Association.
Flexible Spending Account for Medical
Flexible Spending Account for Dependent Day Care
Supplemental Dental Insurance
Short Term Disability Insurance
Employee receives 40% of premium minus applicable fringes for not taking health