Report of Voluntary Premium Contribution Participation as of 07.27.

12
Non-Contract:

Name

Dept

Current Plan

New Plan

New Monthly
EE Share

Jeannie Adams
Linda Anderson
Laverne Armstrong
John Bauercamper
Carmine Boal
Jeffrey Boeyink
Peggy Bowman
Terry Branstad
Mike Carroll
Cavid Castello
Gerd Clabaugh
Michael Cormack
Mary Cownie
Swati Dandekar
Jeffrey Dawson
Deborah Durham
Rebecca Elming
Linda Fandel
Sharon Findley
Alicia Freed
Charles Gipp
Darrell Hanson
Danielle Hardon
Donna Harvey
Stephen Hasenour
Lisa Hennessey
James Hester
Douglas Hoelscher
Margaret Hough
Leo Hough
Elizabeth Jacobs
David Jamison
Jenae Jenison
Joann Johnson
Lawrence Johnson
Courtney Kay-Decker
Monique Kuester
Samuel Langholz
Stephen Larson * Double Spouse
David Lingren
Steven Lukan
Michael Mauro
Lynn McRoberts
Mariannette Miller-Meeks
Michelle Minnehan-Golightly
Donna Mueller
Janelle Niebuhr
William Northey
Matthew Oetker
Brian Ohorilko
Timothy Orr

005 - DAS
645 - DOT
401 - DHS
444 - Judicial
350 - IA Gov
350 - IA Gov
112 - Justice
350 - IA Gov
005 - DAS
252 - Corr Ft. Dodge
588 - Public Health
282 - Education
259 - Cultural Affairs
219 - Comm Utilities
259 - Cultural Affairs
269 - Econo Dev
350 - IA Gov
282 - Education
350 - IA Gov
350 - IA Gov
542 - DNR
219 - Comm Utilities
379 - Human Rights
297 - Dept On Aging
409 - DHS Independence
645 - DOT
625 - Revenue
350 - IA Gov
350 - IA Gov
350 - IA Gov
219 - Comm Utilities
270 - IA Fin Authority
350 - IA Gov
214 - Comm Credit Union
350 - IA Gov
625 - Revenue
427 - Inspect & Appeals
428 - Inspect & Appeals
212 - Comm Alcoh Bev
336 - ICN
642 - Office of Drug
309 - IWD
350 - IA Gov
588 - Public Health
005 - DAS
553 - IPERS
572 - PERB
009 - AGR
112 - Justice
429 - Inspect & Appeals
582 - Public Defense

UN600 - Blue Adv

CX600 - Blue Access
1N400 - D3P
1X600 - P3P
CN600 - Blue Access
CN600 - Blue Access
SN400 - IA Select
CN600 - Blue Access
SN600 - IA Select
SN400 - IA Select
UN600 - Blue Adv
CN600 - Blue Access
CN600 - Blue Access
1N600 - D3P
SN400 - IA Select
SN600 - IA Select
SN400 - IA Select
CN600 - Blue Access
CN400 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN400 - Blue Access
UN600 - Blue Adv
CN600 - Blue Access
1N400 - D3P
CN810 - cont Spouse
CN800 - Blue Access
CN600 - Blue Access
CN400 - Blue Access
CN400 - Blue Access
CN600 - Blue Access
SN400 - IA Select
SN400 - IA Select
CN600 - Blue Access
CN600 - Blue Access
1N800 - DS D3P
UN600 - Blue Adv
CN600 - Blue Access
CN600 - Blue Access
CN400 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN400 - Blue Access
SN600 - IA Select
SN600 - IA Select
CN600 - Blue Access
CN600 - Blue Access

UV600 - Blue Adv

CV600 - Blue Access
2V400 - D3P
1V600 - P3P
CV600 - Blue Access
CV600 - Blue Access
SV400 - IA Select
CV600 - Blue Access
SV600 - IA Select
SV400 - IA Select
UV600 - Blue Adv
CV600 - Blue Access
CV600 - Blue Access
2V600 - D3P
CV400 - Blue Access
SV600 - IA Select
CV400 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
UV600 - Blue Adv
CV600 - Blue Access
2V400 - D3P
CV400 - Blue Access
CV400 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
CV400 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
SV400 - IA Select
CV600 - Blue Access
CV600 - Blue Access
2V800 - DS D3P
UV600 - Blue Adv
CV600 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
SV600 - IA Select
SV600 - IA Select
CV600 - Blue Access
CV600 - Blue Access

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

216.04
224.46
154.46
359.12
224.46
224.46
153.04
224.46
358.12
153.04
216.04
224.46
224.46
361.44
95.92
358.12
95.92
224.46
95.92
224.46
224.46
224.46
224.46
224.46
95.92
216.04
224.46
154.46
95.92
95.92
224.46
95.92
95.92
224.46
95.92
153.04
224.46
224.46
180.72
216.04
224.46
224.46
224.46
224.46
224.46
224.46
95.92
358.12
358.12
224.46
224.46

Annual State
Share Savings
(20% only)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

2,387.40
2,474.88
1,711.68
761.59
2,474.88
2,474.88
1,702.92
2,474.88
808.56
1,702.92
2,387.40
2,474.88
2,474.88
649.32
4,444.68
808.56
4,444.68
2,474.88
1,057.56
2,474.88
2,474.88
2,474.88
2,474.88
2,474.88
1,057.56
2,387.40
2,474.88
1,711.68
2,020.08
2,020.08
2,474.88
1,057.56
1,057.56
2,474.88
4,444.68
1,702.92
2,474.88
2,474.88
2,002.62
2,387.40
2,474.88
2,474.88
2,474.88
2,474.88
2,474.88
2,474.88
1,057.56
808.56
808.56
2,474.88
2,474.88

Charles Palmer
Sara Peterson * Double Spouse
James Phillips
Steven Ponsetto
Kimberly Reynolds
Terry Rich
Wendy Rickman
Rodney Roberts
Cloyd Robinson
David Roederer
Rob Sand
Todd Schulz
Tina Shaw
Susan Shields
Megan Tooker
Beth Townsend
Lorrie Tritch
Paul Trombino
Jodi Tymeson
Julie Vandehoef
James Van Fossen
David Vaudt
Siew-San Wong
Mark Schouten
Teresa Wahlert
Jason Glass

401 - DHS
282 - Education
645 - DOT
595 - Public Safety
350 - IA Gov
627 - Lottery
402 - DHS
427 - Inspect & Appeals
427 - Inspect & Appeals
532 - Mgmt
112 - Justice
350 - IA Gov
350 - IA Gov
244 - Corr Oakdale
140 - Ethics & Campaign
167 - Civil Rights
005 - DAS
645 - DOT
670 - Vet Home Camp Dodge
350 - IA Gov
572 - PERB
126 - Auditor
379 - Human Rights
583 - Homeland Security
309 - IWD
282 - Education

CN600 - Blue Access

1N800 - DS D3P
SN400 - IA Select
SN400 - IA Select
SN400 - IA Select
CN600 - Blue Access
SN400 - IA Select
UN600 - Blue Adv
CN600 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
CN400 - Blue Access
CN400 - Blue Access
CN600 - Blue Access
CN400 - Blue Access
CN600 - Blue Access
CN600 - Blue Access
1N400 - D3P
DECL
CN600 - Blue Access
1N400 - D3P
CN600 - Blue Access
1X810 - cont Spouse
DECL
DECL

CV600 - Blues Access

2V800 - DS D3P
SV400 - IA Select
SV400 - IA Select
CV400 - Blue Access
CV600 - Blue Access
SV400 - IA Select
UV600 - Blue Adv
CV600 - Blue Access
CV400 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
CV400 - Blue Access
CV600 - Blue Access
CV400 - Blue Access
CV600 - Blue Access
CV600 - Blue Access
2V400 - D3P
CV810 - DSCS Blue Access
CV600 - Blue Access
2V400 - D3P
CV600 - Blue Access
2V400 - D3P
DECL
DECL

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

224.46
180.72
153.04
153.04
95.92
224.46
153.04
216.04
224.46
95.92
224.46
224.46
95.92
224.46
224.46
224.46
224.46
224.46
154.46
112.24
224.46
154.46
224.46
154.46

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

2,474.88
2,002.62
1,702.92
1,702.92
4,444.68
2,474.88
1,702.92
2,387.40
2,474.88
8,644.68
2,474.88
2,474.88
1,057.56
2,474.88
2,474.88
2,474.88
2,474.88
2,474.88
1,711.68
(5,387.28)
2,474.88
1,711.68
2,474.88
3,206.70

212 - Comm Alcoh

283 - Voc Rehab
625 - Revenue
009 - AGR
252 - Corr Ft. Dodge
248 - Corr Clarinda
270 - IA Finance
645 - DOT
402 - DHS
228 - CBC8
542 - DNR
645 - DOT
402 - DHS
402 - DHS
009 - AGR
427 - Inspect & Appeals
611 - UNI

CX600 - Blue Access

CX600 - Blue Access
CX600 - Blue Access
CX600 - Blue Access
SX600 - IA Select
SV600 - IA Select
1N810 - D3P DSCS
CX600 - Blue Access
CX600 - Blue Access
1X400 - P3P
1N810 - D3P DSCS
UX400 - Blue Adv
UX400 - Blue Adv
CX600 - Blue Access
CX600 - Blue Access
UX600 - Blue Adv
CX400 - Blue Access

CV600 - Blue Acccess

CV600 - Blue Acccess
CV600 - Blue Acccess
CV600 - Blue Acccess
CV600 - Blue Acccess
SV600 - IA Select
2V810 - D3P DSCS
CV600 - Blue Acccess
SV600 - IA Select
1V400 - P3P
2V810 - D3P DSCS
UV400 - Blue Adv
UV400 - Blue Adv
CV600 - Blue Acccess
CV800 - DS Blue Access
UV600 - Blue Adv
CV400 - Blue Access

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

224.46
224.46
224.46
224.46
224.46
358.12
180.72
224.46
358.12
154.46
180.72
92.32
92.32
224.46
112.24
216.04
95.92

$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

2,474.88
2,474.88
2,474.88
2,474.88
4,444.68
808.56
2,002.62
2,474.88
(3,941.28)
1,711.68
2,002.62
1,020.29
1,020.29
2,474.88
7,862.04
2,387.40
1,057.56

402 - DHS
401 - DHS

CI400 - Blue Access

UI600 - Blue Adv

CV400 - Blue Access

UV600 - Blue Adv

$
$

95.92 $
216.04 $

TOTAL Non-Contract: 74
AFSCME:
Robert Anderson
Peggy Christensen
Christina Dykstra
Brian Harrison
Monte Kaufman

Nancy Koch
Jane Larson
Cheryl Meyer
Meridith Myers
Raymond Olson
Donald Peterson
Ronald Schappaugh
Denisse Scott
Darin Thompson
Dustin Vandehoef
Rick Wood
Nancy Yuska

TOTAL AFSCME: 17
UE/IUP:
Lori Brandenburg
Kara Harvey

TOTAL UE/IUP: 2
SPOC:

1,057.56
2,387.40

Chad Peters

TOTAL SPOC: 1

GRAND TOTAL Participating: 95

595 - Public Safety

AS600 - Alliance Select

AV600 - Alliance Select

214.56 $

317.29