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Premiums

Medical

CORE MEDICAL PLAN Full-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$132.01$60.93$440.05$203.10$448.85
Employee and Spouse or Same Sex Domestic Partner$340.38$157.10$972.50$448.85$991.95
Employee and Child$226.11$104.36$646.03$298.17$658.95
Employee and Children$296.88$137.02$848.23$391.49$865.19
Family$425.81$196.53$1,216.59$561.50$1,240.92
VALUE MEDICAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$70.67$32.62$368.08$169.88$375.44
Employee and Spouse or Same Sex Domestic Partner$196.86$90.86$813.46$375.44$829.73
Employee and Child$131.15$60.53$541.95$250.13$552.79
Employee and Children$172.08$79.42$711.09$355.89$725.31
Family$246.65$113.84$1,019.21$470.40$1,039.59

Dental

HIGH OPTION DENTAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$19.92$9.19$39.83$18.38$40.63
Employee and Spouse or Same Sex Domestic Partner$42.02$19.40$84.05$38.79$85.73
Employee and Child$33.54$15.48$67.09$30.96$68.43
Employee and Children$43.50$20.08$87.01$40.16$88.75
Family$64.41$29.73$128.83$59.46$131.41
LOW OPTION DENTAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$12.28$5.67$24.55$11.33$25.04
Employee and Spouse or Same Sex Domestic Partner$25.90$11.96$51.81$23.91$52.85
Employee and Child$20.86$9.63$41.73$19.26$42.56
Employee and Children$27.86$12.86$55.72$25.72$56.83
Family$39.89$18.41$79.78$36.82$81.38

Vision

VISION PLANFull & Part-Time
Monthly Faculty &
Staff		Full & Part-Time
Biweekly Faculty &
Staff		COBRA
Employee Only$6.18$2.85$6.30
Employee and 1 Dependent $11.96$5.52$12.20
Family$17.58$8.12$17.93

FSA

FLEXIBLE SPENDING ACCOUNTS - ANNUAL LIMITS
Health Care FSA$6,000/ maximum per year
Dependent Care FSA (Household Limit)$5,000/ maximum per year

Legal

LEGAL PLAN
Full & Part-Time Monthly Faculty & Staff$23.00
Full & Part-Time Biweekly Faculty & Staff$10.62

Life Insurance

VOLUNTARY LIFE INSURANCE PLAN
AgeMonthly Biweekly
Rate per $1,000Rate per $1,000
Less than 25$0.06 $0.03
25 - 29$0.07 $0.03
30 - 34$0.09 $0.04
35 - 39$0.10 $0.05
40 - 44$0.11 $0.05
45 – 49$0.17 $0.08
50 - 54$0.25 $0.12
55 - 59$0.47 $0.22
60 - 64$0.73 $0.34
65 – 69$1.40 $0.65
70 – 74$2.27 $1.05
75 and over$3.40 $1.57
VOLUNTARY LIFE INSURANCE PLANBenefitMonthly PremiumBiweekly Premium
Option 1 - Spouse/Partner & Children$25,000/$10,000$5.25 $2.42
Option 2 - Spouse/Partner & Children$10,000/$5,000$2.25 $1.04
Option 3 - Spouse/Partner$25,000 $4.05 $1.87
Option 4 - Children$10,000 $1.20 $0.55
Option 5 - Spouse/Partner$10,000 $1.65 $0.76
Option 6 - Children$5,000 $0.60 $0.28

AFLAC

AFLAC - ACCIDENT PLANFull & Part-Time
Monthly Faculty & Staff		Full & Part-Time
Biweekly Faculty & Staff
Employee$17.68$8.16
Employee and Spouse or Domestic Partner$25.09$11.58
1 Parent Family$28.60$13.20
2 Parent Family$37.31$17.22
AFLAC - SPECIFIED EVENT PLANFull & Part-Time
Monthly Faculty & Staff		Full & Part-Time Biweekly Faculty & Staff
Employee, 18-35$11.44$5.28
Employee, 36-45$18.46$8.52
Employee, 46-55$24.70$11.40
Employee, 56-64$32.11$14.82
1 Parent Family, 18-35$12.61$5.82
1 Parent Family, 36-45$19.24$8.88
1 Parent Family, 46-55$25.48$11.76
1 Parent Family, 56-64$33.02$15.24
2 Parent Family, 18-35$19.89$9.18
2 Parent Family, 36-45$32.76$15.12
2 Parent Family, 46-55$45.63$21.06
2 Parent Family, 56-64$62.40$28.80
AFLAC - CANCER PLANFull & Part-Time
Monthly Faculty & Staff		Full & Part-Time Biweekly Faculty & Staff
Employee or 1-Parent Family, 18-35$29.51$13.62
Employee or 1-Parent Family, 36-45$41.47$19.14
Employee or 1-Parent Family, 46-55$54.86$25.32
Employee or 1 Parent Family, 56-64$66.95$30.90
Employee and Spouse or 2 Parent Family, 18-35$55.90$25.80
Employee and Spouse or 2-Parent Family, 36-45$75.66$34.92
Employee and Spouse or 2-Parent Family, 46-55$102.57$47.34
Employee and Spouse or 2-Parent Family, 56-64$128.83$59.46

Retiree Information

Retiree on BCBS Medical (under age 65) Monthly Premiums
Retiree Only - Core Plan$353.05
Spouse Only - Core Plan$440.05
Retiree and Spouse - Core Plan$885.50
Retiree Only - Value Plan$281.08
Spouse Only - Value Plan$368.08
Retiree and Spouse - Value Plan$726.46
Retiree on BCBS and UHC
UHC Retiree, BCBS Core Spouse$565.65
UHC Retiree, BCBS Value Spouse$475.66
UHC Retiree, BCBS Core Spouse and Child$771.61
UHC Retiree, BCBS Value Spouse and Child$667.53
BCBS Core Retiree, UHC Spouse$478.63
BCBS Value Retiree, UHC Spouse$406.66
Retiree on UHC Medical (age 65 and over) Monthly Premiums
Retiree or Spouse Only $125.58
Retiree and Spouse $251.16
Retiree on AARP Medical (age 65 and over) Monthly Premiums
Outside of NCMonthly Rates Vary
Retiree Dental High Option Plan Monthly Premiums
Retiree or Spouse Only$39.83
Retiree and Spouse$84.05
Retiree Dental Low Option Plan Monthly Premiums
Retiree or Spouse Only$24.55
Retiree and Spouse$51.81
Retiree Vision Plan Monthly Premiums
Retiree or Spouse Only$6.18
Retiree and Spouse$11.96
Family$17.58