Federal Employees Pay Income Tax by eok30690

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Federal Employees Pay Income Tax document sample

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									                Calculated based on Actual State Cost
    Additional Annual Employee Income Attributable to Non-Qualified
     Dependent Child/Domestic Partner/Civil Union Health Benefits
                              2009 - 2010
    (Employee Cannot Claim Person as a Dependent under I.R.S Rules)
                        True Market Value to Add Non-Qualfied Persons
                     Add One Person Add Two Persons        Add Three or
                                                          More Persons
                   Medical and Prescription Coverage
Anthem Blue Cross
     State Preferred          $7,502.64        $15,217.32          $18,948.48
        Out of Area           $8,147.28        $16,974.24          $21,017.52
     BlueCare POS             $5,784.96        $11,777.16          $14,639.28
     BlueCare POE             $5,749.92        $12,173.28          $14,754.72
 BlueCare POE Plus            $5,749.92        $12,357.84          $15,074.16

Health Net
        Charter POS           $5,497.92        $11,209.80          $13,938.00
       Charter HMO            $5,320.92        $11,270.28          $13,665.48
      Passport HMO            $5,448.00        $11,622.48          $14,181.60

Oxford
                  POS         $4,945.80        $10,118.40          $12,589.08
                  POE         $4,851.24        $10,281.48          $12,472.80
            POE Plus          $4,490.52         $9,631.92          $11,765.52
           Out of Area        $5,280.12        $10,853.88          $13,491.72
             Dental Plans - Domestic Partner or Civil Union Only
United
          Basic Dental          $448.92         $1,093.08           $1,093.08
         Judges Dental          $448.92         $1,093.08           $1,093.08
           Dental PPO           $277.08         $1,005.72           $1,005.72

CIGNA DHMO                      $277.08           $509.88            $606.84
                                                                  The additional State cost to cover a child who is not a dependent under §152 of
                                                                  the Internal Revenue Code is taxable income to the employee, and the employer
                                                                  is required to include the Fair Market Value for the additional benefit in the
    If adding a child or children to your plan will change your   employees taxable wages. Chart II indicates the per-child Bi-Weekly and Annual
  Option (Coverage Class), use Chart I to find your current and   State cost (Fair Market Value) that will be added to the employee’s gross pay, is
new bi-weekly deduction amount. If you are currently paying the   subject to State and Federal tax withholding, and will be included on the
   Family or FLES rate, there will be no change in your health    employee’s Form W-2. Weekly and Annual State cost (Fair Market Value) that
 insurance deduction amount. Any additional deduction will be     will be added to the employee’s gross pay, is subject to State and Federal tax
              subject to both federal and state taxes.            withholding, and will be included on the employee’s Form W-2.
       Chart I – Employee BW Health Plan Deductions
                              2009-10                                    Chart II - Fair Market Value to Add Non-Qualified Persons
                      Bi-Weekly Deduction
                                                                        Add 1Person                Add 2 Persons          Add 3 or More Persons
       Medical Plan          Employee    Empl+1       Family
Anthem                                                               Annual    Bi-Weekly        Annual    Bi-Weekly        Annual    Bi-Weekly
             State Preferred   $68.74      $200.78     $235.92       $7,502.64    $288.56      $15,217.32    $585.28      $18,948.48    $728.79
             BlueCare POS      $28.79       $99.87     $115.44       $5,784.96    $222.50      $11,777.16    $452.97      $14,639.28    $563.05
             BlueCare POE      $22.25       $67.28      $89.70       $5,749.92    $221.15      $12,173.28    $468.20      $14,754.72    $567.49
         BlueCare POE Plus     $19.94       $58.11      $74.87       $5,785.44    $222.52      $12,357.84    $475.30      $15,074.16    $579.78
Health Net
               Charter POS     $28.08       $95.83     $110.67       $5,497.92      $211.46    $11,209.80       $431.15   $13,938.00       $536.08
              Charter HMO      $21.20       $63.40      $84.20       $5,320.92      $204.65    $11,270.28       $433.47   $13,665.48       $525.60
             Passport HMO      $18.89       $55.52      $71.31       $5,448.00      $209.54    $11,622.48       $447.02   $14,181.60       $545.45
Oxford
 Oxford Freedom Select POS     $26.70       $88.05     $101.49       $4,945.80      $190.22    $10,118.40       $389.17   $12,589.08       $484.20
   Oxford HMO Select POE       $20.04       $59.15      $78.18       $4,851.24      $186.59    $10,281.48       $395.44   $12,472.80       $479.72
              Oxford HMO       $17.74       $48.53      $61.69       $4,490.52      $172.71     $9,631.92       $370.46   $11,765.52       $452.52

								
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