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Premiums

Medical

CORE MEDICAL PLAN
Full-Time Monthly Faculty & Staff
Full-Time Biweekly Faculty & Staff
Part-Time Monthly Faculty & Staff
Part-Time Biweekly Faculty & Staff
COBRA
Employee Only$139.48$64.38$460.34$212.46$469.55
Employee and Spouse or Domestic Partner$360.14$166.22$1,017.34$469.54$1,037.69
Employee and Child$239.24$110.42$675.81$311.91$689.33
Employee and Children$314.12$144.98$887.34$409.54$905.09
Family$450.53$207.94$1,272.68$587.39$1,298.13
VALUE MEDICAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$73.14$33.76$380.94$175.82$388.56
Employee and Spouse or Domestic Partner$203.73$94.03$841.87$388.56$858.71
Employee and Child$135.74$62.65$560.88$258.87$572.10
Employee and Children$178.10$82.20$735.93$339.66$750.65
Family$255.26$117.81$1,054.81$486.84$1,075.91

Dental

HIGH OPTION DENTAL PLAN
Full-Time Monthly Faculty & Staff
Full-Time Biweekly Faculty & Staff
Part-Time Monthly Faculty & Staff
Part-Time Biweekly Faculty & Staff
COBRA
Employee Only$19.96$9.21$39.39$18.18$40.18
Employee and Spouse or Domestic Partner$42.12$19.44$83.11$38.36$84.77
Employee and Child$33.62$15.52$66.35$30.62$67.68
Employee and Children$43.60$20.12$86.04$39.71$87.76
Family$64.56$29.80$127.39$58.80$129.94
LOW OPTION DENTAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$12.39$5.72$23.66$10.92$24.13
Employee and Spouse or Domestic Partner$26.14$12.06$49.93$23.04$50.93
Employee and Child$21.05$9.72$40.22$18.56$41.02
Employee and Children$28.11$12.98$53.70$24.78$54.77
Family$40.25$18.58$76.89$35.49$78.43

Vision

VISION PLAN
Full & 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 (per employee limit)$2,500/ maximum per year
Dependent Care FSA (per household limit)$5,000/ maximum per year

Legal

Ultimate Advisor Plus
Ultimate Advisor
Full & Part-Time Monthly Faculty & Staff $23.00 $16.00
Full & Part-Time Biweekly Faculty & Staff $10.62 $7.39

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 PLAN
Benefit
Monthly Premium
Biweekly Premium
Option 1 - Spouse or Domestic Partner and Children$25,000/$10,000$5.25 $2.42
Option 2 - Spouse or Domestic Partner and Children$10,000/$5,000$2.25 $1.04
Option 3 - Spouse or Domestic Partner$25,000 $4.05 $1.87
Option 4 - Children$10,000 $1.20 $0.55
Option 5 - Spouse or Domestic Partner$10,000 $1.65 $0.76
Option 6 - Children$5,000 $0.60 $0.28

AFLAC

AFLAC - ACCIDENT PLAN
Full & Part-Time
Monthly Faculty & Staff
Full & Part-Time
Biweekly Faculty & Staff
Employee
Age 18-70
$17.68$8.16
Employee and Spouse or Domestic Partner
Age 18-70
$25.09$11.58
One-Parent Family
Age 18-70
$28.60$13.20
Two-Parent Family
Age 18-70
$37.31$17.22
AFLAC - SPECIFIED EVENT PLANFull & Part-Time
Monthly Faculty & Staff
Full & Part-Time Biweekly Faculty & Staff
Employee
Age 18-35
$11.44$5.28
Employee
Age 36-45
$18.46$8.52
Employee
Age 46-55
$24.70$11.40
Employee
Age 56-64
$32.11$14.82
One-Parent Family
Age 18-35
$12.61$5.82
One-Parent Family
Age 36-45
$19.24$8.88
One-Parent Family
Age 46-55
$25.48$11.76
One-Parent Family
Age 56-64
$33.02$15.24
Two-Parent Family
Age 18-35
$19.89$9.18
Two-Parent Family
Age 36-45
$32.76$15.12
Two-Parent Family
Age 46-55
$45.63$21.06
Two-Parent Family
Age 56-64
$62.40$28.80
AFLAC - CANCER PLANFull & Part-Time
Monthly Faculty & Staff
Full & Part-Time Biweekly Faculty & Staff
Employee
Age 18-75
$38.48$17.76
Employee and Spouse or Domestic Partner
Age 18-75
$68.64$31.68
One-Parent Family
Age 18-75
$38.48$17.76
Two-Parent Family
Age 18-75
$68.64$31.68

Retiree Information

Retiree on BCBS Medical (under age 65) Monthly Premiums
Retiree Only - Core Plan$373.34
Spouse Only - Core Plan$460.34
Retiree and Spouse - Core Plan$930.34
Retiree Only - Value Plan$293.94
Spouse Only - Value Plan$380.94
Retiree and Spouse - Value Plan$754.87
Retiree on BCBS and UHC
UHC Retiree, BCBS Core Spouse$588.46
UHC Retiree, BCBS Value Spouse$509.06
UHC Retiree, BCBS Core Spouse and Child$803.93
UHC Retiree, BCBS Value Spouse and Child$689.00
BCBS Core Retiree, UHC Spouse$501.46
BCBS Value Retiree, UHC Spouse$422.06
Retiree on UHC Medical (age 65 and over) Monthly Premiums
Retiree or Spouse Only $128.12
Retiree and Spouse $256.24
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$39.39
Retiree and Spouse$83.11
Retiree Dental Low Option Plan Monthly Premiums
Retiree or Spouse Only$23.66
Retiree and Spouse$49.93
Retiree Vision Plan Monthly Premiums
Retiree or Spouse Only$6.18
Retiree and Spouse$11.96
Family$17.58