Premiums: Effective July 01, 2017

Medical

HIGH MEDICAL PLAN Full-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$182.00$84.00$608.51$280.85$620.68
Employee and Spouse$486.00$224.00$1,399.57$645.95$1,427.56
Employee and Child$317.00$146.00$912.76$421.27$931.02
Employee and Children$424.00$196.00$1,217.02$561.70$1,241.36
Family$614.00$283.00$1,764.67$814.46$1,799.97
LOW MEDICAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$97.00$45.00$529.00$244.15$539.58
Employee and Spouse$284.00$131.00$1,216.70$561.55$1,241.03
Employee and Child$186.00$86.00$793.50$366.23$809.37
Employee and Children$248.00$114.00$1,058.00$488.31$1,079.16
Family$359.00$166.00$1,534.10$708.04$1,564.78

Dental

HIGH OPTION DENTAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$29.00$13.00$44.40$20.49$45.29
Employee and Spouse$60.00$28.00$92.43$42.66$94.28
Employee and Child$48.00$22.00$73.79$34.06$75.27
Employee and Children$62.00$29.00$95.69$44.17$97.61
Family$92.00$42.00$141.68$65.39$144.52
LOW OPTION DENTAL PLANFull-Time Monthly Faculty & StaffFull-Time Biweekly Faculty & StaffPart-Time Monthly Faculty & StaffPart-Time Biweekly Faculty & StaffCOBRA
Employee Only$16.00$7.00$24.19$11.16$24.68
Employee and Spouse$33.00$15.00$51.05$23.56$52.07
Employee and Child$27.00$12.00$41.12$18.98$41.95
Employee and Children$36.00$17.00$54.91$25.34$56.01
Family$51.00$24.00$78.62$36.29$80.19

FSA

FLEXIBLE SPENDING ACCOUNTS - ANNUAL LIMITS
Health Care FSA (per employee limit)$2,600/ 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 $17.50
Full & Part-Time Biweekly Faculty & Staff $10.62 $8.08

Voluntary Employee 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 Dependent Life Insurance

VOLUNTARY LIFE INSURANCE PLANBenefitMonthly PremiumBiweekly Premium
Option 1 - Spouse and Children$25,000/$10,000$5.25 $2.42
Option 2 - Spouse and Children$10,000/$5,000$2.25 $1.04
Option 3 - Spouse$25,000 $4.05 $1.87
Option 4 - Children$10,000 $1.20 $0.55
Option 5 - Spouse$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 18-75
$17.29$7.98
Employee and Spouse
Age 18-75
$24.57$11.34
One-Parent Family
Age 18-75
$29.25$13.50
Two-Parent Family
Age 18-75
$38.22$17.64
AFLAC - SPECIFIED EVENT PLANFull & Part-Time
Monthly Faculty & Staff
Full & Part-Time Biweekly Faculty & Staff
Employee
Age 18-35
$11.70$5.40
Employee
Age 36-45
$18.86$8.70
Employee
Age 46-55
$25.35$11.70
Employee
Age 56-64
$32.89$15.18
One-Parent Family
Age 18-35
$12.87$5.94
One-Parent Family
Age 36-45
$19.63$9.06
One-Parent Family
Age 46-55
$26.13$12.06
One-Parent Family
Age 56-64
$33.80$15.60
Two-Parent Family
Age 18-35
$20.28$9.36
Two-Parent Family
Age 36-45
$33.54$15.48
Two-Parent Family
Age 46-55
$46.67$21.54
Two-Parent Family
Age 56-64
$63.96$29.52
Employee and Spouse
Age 18-35
$18.07$8.34
Employee and Spouse
Age 36-45
$30.94$14.28
Employee and Spouse
Age 46-55
$43.68$20.16
Employee and Spouse
Age 56-64
$60.32$27.84
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
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