Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

...

Enrollment Status

Choice Biweekly

Copay Biweekly

Choice Monthly

Copay Monthly

Employee Only$318.27 $414$405.09 96 $689.58 $897$879.20 57
Employee Plus One$700.18 $910$893.98 09 $1,517.06 $1973$1,935.80 02
Family$891.14 $1,159136.43 65 $1,930.80 $2,512462.10 75

Quality Incentive Medical Coverage: Wellness Participants

Employee Share of Premium

Choice Biweekly

Copay Biweekly

Choice Monthly

Copay Monthly

Employee Only$159.13 $207 $202.05 98 $344.79 $448$439.60 79
Employee Plus One $350.09 $455 $446.4954 $758.53$986$967.90 51
Family$445.57 $579$568.72 33 $965.40 $1,256231.0538

Quality Incentive Medical Coverage: Wellness Non-Participants

Employee Share of Premium

Choice Biweekly

Copay Biweekly

Choice Monthly

Copay Monthly

Employee Only$190.96 $248 $243.4657$413.75 $538$527.32 74
Employee Plus One$420.11 $546 $535.5985$910.24$1,184161.28 01
Family$534.68$695 $681.66 99 $1,158.48 $1,507477.2665

 Dental Coverage

Enrollment Status

Biweekly

Premium

Monthly Premium

Employee Only $10.71$21.41
Employee Plus One $28.49 $56.97
Family $56.21$112.42

...

BenefitBi-Weekly ContributionMonthly Contribution

Health Care Account

Minimum annual pledge of $200
Maximum annual pledge of $2,700


$7.69 41 Employee Minimum*
$103$100.84 00 Employee Maximum*


$16.67 Employee Minimum
$225.00 Employee Maximum*

Dependent Day Care Account

Minimum annual pledge of $200
Maximum annual pledge of $5,000


$7.69 41 Employee Minimum*
$192$185.30 19 Employee Maximum*


$16.67 Employee Minimum
$416.67 Employee Maximum*

*Maximum estimated amounts are based on 26 27 (biweekly) & 12 (monthly) pay periods.

...

BenefitBi-Weekly ContributionMonthly Contribution

Individual Coverage in Choice Plan
Maximum Combined Max of $3,600550*

$38$37.46 04 University*
$0.00 - $100 $131.00 48 Employee*

$83.33 University*
$0.00 - $216 $295.66 84 Employee*

Family Coverage in Choice Plan
Maximum Combined Max of $7,200100*

$76$74.92 07 University*
$0.00 - $200 $262.00 96 Employee**

$166.66 University*
$0.00 - $433 $591.33 67 Employee*

*Maximum estimated amounts are based on 26 27 (biweekly) & 12 (monthly) pay periods.
Additional $1,000 Catch-Up if over 55