Medical Plan Monthly Premiums
Medical Insurance 12 (Base Plan*)
| Pay |
Total |
Dependent |
| Employee |
$387.68 |
$0.00 |
| Employee + Spouse |
$814.13 |
$426.45 |
| Employee + Child(ren) |
$736.59 |
$348.91 |
| Family |
$1,124.27 |
$736.59 |
Medical Insurance 12 (Accelerated Plan**)
| Pay |
Total |
Dependent |
| Employee |
$482.03 |
$0.00 |
| Employee + Spouse |
$1,012.26 |
$530.23 |
| Employee + Child(ren) |
$915.86 |
$433.83 |
| Family |
$1,397.89 |
$915.86 |
Medical Insurance 10 (Base Plan*)
| Pay |
Total |
Dependent |
| Employee |
$465.22 |
$0.00 |
| Employee + Spouse |
$976.96 |
$511.74 |
| Employee + Child(ren) |
$883.91 |
$418.69 |
| Family |
$1,349.12 |
$883.91 |
Medical Insurance 10 (Accelerated Plan**)
| Pay |
Total |
Dependent |
| Employee |
$578.444 |
$0.00 |
| Employee + Spouse |
$1,214.71 |
$636.28 |
| Employee + Child(ren) |
$1,099.03 |
520.60 |
| Family |
$1,677.47 |
$1,099.03 |
*Full-time employee premium 100% funded
**Employee monthly contribution will apply ($22.00 - $90.00)
Monthly Dependent Medical Premium Supplement for Base Plan (based on 12 Pay)
| Employee + Spouse |
$75.00 |
| Employee + Child(ren) |
$100.00 |
| Family |
$200.00 |
Monthly Employee Contribution for Accelerated Plan
| < $27,000 |
$22.00 |
| $27,000 - $44,999 |
$45.00 |
| $45,000 - $69,999 |
$67.00 |
| $70,000 + |
$90.00 |
Employee contribution based on 2010 calendar year reported Form
W-2 Medicare wage (box 5).
Dental Plan Monthly Premiums
Dental Insurance 12 Pay
Plan A
| Employee |
$13.17 |
| Employee + Spouse |
$28.26 |
| Employee + Child(ren) |
$43.87 |
| Family |
$58.09 |
Plan B
| Employee |
$30.45 |
| Employee + Spouse |
$60.12 |
| Employee + Child(ren) |
$76.22 |
| Family |
$109.80 |
Dental Insurance 12 Pay
Plan A
| Employee |
$15.81 |
| Employee + Spouse |
$33.92 |
| Employee + Child(ren) |
$52.65 |
| Family |
$69.71 |
Plan B
| Employee |
$36.54 |
| Employee + Spouse |
$72.15 |
| Employee + Child(ren) |
$91.47 |
| Family |
$131.76 |
Vision Plan Monthly Premiums
Vision Insurance 12 Pay
Plan A
| Employee |
$3.05 |
| Employee + Spouse |
$4.30 |
| Employee + Child(ren) |
$4.37 |
| Family |
$6.46 |
Plan B
| Employee |
$11.44 |
| Employee + Spouse |
$18.35 |
| Employee + Child(ren) |
$18.73 |
| Family |
$30.22 |
Vision Insurance 10 Pay
Plan A
| Employee |
$3.66 |
| Employee + Spouse |
$5.16 |
| Employee + Child(ren) |
$5.24 |
| Family |
$7.75 |
Plan B
| Employee |
$13.73 |
| Employee + Spouse |
$22.02 |
| Employee + Child(ren) |
$22.48 |
| Family |
$36.26 |
2013 Cafeteria Plan Funding*
Base Plan: $750
Can apply funding to: dependent medical premiums, health savings account (HSA), medical reimbursement account (MRA), vision and dental premiums, and/or dependent care assistance.
Accelerated Plan: $250
Can apply funding to: employee's portion of medical premium, dependent medical premiums, vision and dental premiums, medical reimbursement (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.
