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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$147.26$67.97$486.02$224.32$495.74
Employee and Spouse or Domestic Partner$395.72$182.64$1,117.85$515.93$1,140.21
Employee and Child$258.08$119.11$729.03$336.48$743.61
Employee and Children$344.10$158.82$972.04$448.63$991.48
Family$498.95$230.28$1,409.46$650.52$1,437.65
VALUE MEDICAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$79.07$36.49$411.81$190.07$420.05
Employee and Spouse or Domestic Partner$229.21$105.79$947.15$437.15$966.09
Employee and Child$149.49$69.00$617.71$285.10$630.06
Employee and Children$199.31$91.99$823.61$380.13$840.08
Family$289.01$133.39$1,194.24$551.19$1,218.12

Dental

HIGH OPTION DENTAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$26.03$12.01$40.05$18.48$40.85
Employee and Spouse or Domestic Partner$54.20$25.02$83.38$38.48$85.05
Employee and Child$43.27$19.97$66.56$30.72$67.89
Employee and Children$56.11$25.90$86.32$39.84$88.05
Family$83.07$38.34$127.80$58.98$130.36
LOW OPTION DENTAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$14.75$6.81$22.70$10.48$23.15
Employee and Spouse or Domestic Partner$31.13$14.37$47.90$22.11$48.86
Employee and Child$25.08$11.58$38.58$17.81$39.35
Employee and Children$33.48$15.45$51.51$23.77$52.54
Family$47.94$22.13$73.76$34.04$75.24

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

Legal

Ultimate Advisor PlusUltimate 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 PLANBenefitMonthly PremiumBiweekly 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 PLANFull & 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$399.02
Spouse Only - Core Plan$486.02
Retiree and Spouse - Core Plan$1,030.85
Retiree Only - Value Plan$324.81
Spouse Only - Value Plan$411.81
Retiree and Spouse - Value Plan$860.15
Retiree on BCBS and UHC
UHC Retiree, BCBS Core Spouse$614.14
UHC Retiree, BCBS Value Spouse$539.93
UHC Retiree, BCBS Core Spouse and Child$857.15
UHC Retiree, BCBS Value Spouse and Child$745.83
BCBS Core Retiree, UHC Spouse$527.14
BCBS Value Retiree, UHC Spouse$452.93
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$40.05
Retiree and Spouse$83.38
Retiree Dental Low Option Plan Monthly Premiums
Retiree or Spouse Only$22.70
Retiree and Spouse$47.90
Retiree Vision Plan Monthly Premiums
Retiree or Spouse Only$6.18
Retiree and Spouse$11.96
Family$17.58