Full Water Service Restored at Southeast

Southeast Missouri State University

Medical Plan Monthly Premiums

Medical Insurance 12 Pay (Base Plan*)

Coverage

Total

Dependent**

Employee Only

$401.68

 

Employee + Spouse

$843.52

$441.84

Employee + Child(ren)

$763.19

$361.51

Family

$1,164.86

$763.18


Medical Insurance 12 Pay (Accelerated Plan***)

Coverage

Total

Dependent

Employee Only

$502.42

 

Employee + Spouse

$1,055.09

$552.67

Employee + Child(ren)

$954.60

$452.18

Family

$1,457.03

$954.61


Medical Insurance 10 Pay (Base Plan*)

Coverage

Total

Dependent**

Employee Only

$482.02

 

Employee + Spouse

$1,012.22

$530.21

Employee + Child(ren)

$915.83

$433.81

Family

$1,397.83

$915.82


Medical Insurance 10 Pay (Accelerated Plan**)

Coverage

Total

Dependent

Employee Only

$602.90

 

Employee + Spouse

$1,266.11

$663.20

Employee + Child(ren)

$1,145.52

$542.62

Family

$1,748.44

$1,145.53


*            Full-time employee premium 100% funded
**          Does not include monthly Dependent Medical Premium Supplement
***        Employee monthly contribution will apply to employee premium ($22.00-$90.00)

Monthly Dependent Medical Premium Supplement for Base Plan

Coverage

12 Pay

10 Pay

Employee + Spouse

$125.00

$150.00

Employee + Children

$150.00

$180.00

Family

$250.00

$300.00


Monthly Employee Contribution for Accelerated Plan

2012 W-2 Medicare wages

12 Pay

10 Pay

<$27,000

$22.00

$26.40

$27,000-$44,999.99

$45.00

$54.00

$45,000-$69,999.99

$67.00

$80.40

$70,000+

$90.00

$108.00


Employee contribution based on 2012 calendar year reported on form W-2 Medicare wages (box 5).

Dental Plan Monthly Premiums

Dental Insurance Plan A

Coverage

12 Pay

10 Pay

Employee Only

$13.18

$15.82

Employee + Spouse

$28.26

$33.91

Employee + Child(ren)

$43.88

$52.66

Family

$58.10

$69.72

 

Dental Insurance Plan B

Coverage

12 Pay

10 Pay

Employee Only

$30.46

$36.55

Employee + Spouse

$60.12

$72.14

Employee + Child(ren)

$76.22

$91.46

Family

$109.80

$131.76

 

Vision Plan Monthly Premiums

Vision Insurance Plan A

Coverage

12 Pay

10 Pay

Employee Only

$3.05

$3.66

Employee + Spouse

$4.30

$5.16

Employee + Child(ren)

$4.37

$5.24

Family

$6.46

$7.75

 

Vision Insurance Plan B

Coverage

12 Pay

10 Pay

Employee Only

$11.44

$13.73

Employee + Spouse

$18.35

$22.02

Employee + Child(ren)

$18.73

$22.48

Family

$30.22

$36.26

 

2014 Cafeteria Plan Funding ***

Base Plan: $62.50 monthly ($750.00 annually)

Can apply funding t dependent medical premiums, health savings account (HSA), medical reimbursement account (MRA), vision and dental premiums and/or dependent care assistance. 

Accelerated Plan: $20.83 monthly ($250.00 annually)

Can apply funding to: employee’s portion of medical premium, dependent medical premiums, vision and dental premiums, medical reimbursement account (MRA) and/or dependent care assistance. 

***Prorated funding for part-time employees

The University reserves the right to modify or terminate such plans at any time with or without notice.  Participation in these plans is provided to eligible employees and does not constitute a guarantee of employment.  Participation is subject to the terms and conditions specified in the plan documents. 

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