PEBA Annual
Membership Fees

2011

2011
Out of Texas

2012

2012
Out of Texas

0-100 Lives

$150

$250

$150

$250

101-500 Lives

$300

$450

$300

$450

501-1,000 Lives

$500

$750

$500

$750

1,001-5,000 Lives

$700

$900

$700

$900

5,001-15,000 Lives

$750

$1,250

$750

$1,250

15,001-25,000 Lives

$1,000

$3,000

$1,000

$3,000

>25,000 Lives

$1,750

$3,500

$1,750

$3,500

Proposal Costs

2011

2011
Out of Texas

2012

2012
Out of Texas

Late Fee

International Network Centers of Excellence

Value Added Benefit ~ Access is included at NO additional cost for PEBA Members who maintain their Annual Membership

Supplemental Benefits (Fee includes access to one or more of these products: Section 125/POP, Cancer, Accident, Critical Illness, EAP, Life/LTD/STD, Vision and Wellness)

$500

$750

$500

$750

$250

Online Enrollment

$500

$550

$500

$550

$250

Pharmacy Benefit Manager

$2,000

$3,500

$2,000

$3,500

$250

HIPAA Security Risk Assessment and Compliance

0-100 Active EE Lives

$450

$500

$450

$500

$250

101-500 Active EE Lives

$700

$750

$700

$750

$250

501-1,000 Active EE Lives

$1,200

$1,250

$1,200

$1,250

$250

1,001-5,000 Active EE Lives

$1,700

$1,750

$1,700

$1,750

$250

5,001-15,000 Active EE Lives

$2,200

$2,250

$2,200

$2,250

$250

15,001-25,000 Active EE Lives

$2,700

$2,750

$2,700

$2,750

$250

>25,000 Active EE Lives

$3,200

$3,250

$3,200

$3,250

$250

Pre/Post 65 Retiree Benefits (For access to Pre & Post)

0-100 Active EE Lives

$500

$550

$500

$550

$1,000

101-500 Active EE Lives

$750

$800

$750

$800

$2,000

501-1,000 Active EE Lives

$1,250

$1,300

$1,250

$1,300

$3,700

1,001-5,000 Active EE Lives

$1,750

$1,800

$1,750

$1,800

$5,000

5,001-15,000 Active EE Lives

$2,250

$2,300

$2,250

$2,300

$5,000

15,001-25,000 Active EE Lives

$2,750

$2,800

$2,750

$2,800

$5,000

>25,000 Active EE Lives

$3,250

$3,300

$3,250

$3,300

$5,000

Pre 65 Retiree Benefits (Pre Only)

0-100 Active EE Lives

$450

$500

$450

$500

$700

101-500 Active EE Lives

$700

$750

$700

$750

$1,200

501-1,000 Active EE Lives

$1,200

$1,250

$1,200

$1,250

$2,050

1,001-5,000 Active EE Lives

$1,700

$1,750

$1,700

$1,750

$2,700

5,001-15,000 Active EE Lives

$2,200

$2,250

$2,200

$2,250

$2,700

15,001-25,000 Active EE Lives

$2,700

$2,750

$2,700

$2,750

$2,700

>25,000 Active EE Lives

$3,200

$3,250

$3,200

$3,250

$2,700

Post 65 Retiree Benefits  (Post Only)

0-100 Active EE Lives

$450

$500

$450

$500

$500

101-500 Active EE Lives

$700

$750

$700

$750

$1,000

501-1000 Active EE Lives

$1,200

$1,250

$1,200

$1,250

$1,850

1001-5,000 Active EE Lives

$1,700

$1,750

$1,700

$1,750

$2,500

5,001-15,000 Active EE Lives

$2,200

$2,250

$2,200

$2,250

$2,500

15,001-25,000 Active EE Lives

$2,700

$2,750

$2,700

$2,750

$2,500

>25,000 Active EE Lives

$3,200

$3,250

$3,200

$3,250

$2,500