AGGREGATE COVERAGE CALCULATION

If applicable, organizations may calculate the total percentage of premiums paid across all three types of health care coverage (i.e., medical, dental, and vision) to generate an aggregate percentage value and achieve Just recognition at the corresponding level.

EXAMPLE:

  • The monthly insurance premiums per employee are as follows:
    • Medical = $400
    • Dental = $100
    • Vision = $50
    • TOTAL = $550
  • The employer covers:
    • 90% of medical at $360 ($400 × 90% = $360)
    • 0% of dental
    • 0% of vision

The organization pays $360/$550 = 65%, which meets the threshold for Level 2.