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Benefits Guide

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2010 Full-Time Medical Plan Rates

 

Full-Time Medical Rates Per Month (Rates for Active Employees Who Work 32 or More Hours Per Week.)

 

Premium PPO Plan

Employee
Cost
Employer
Subsidy
Total
Plan Cost

Employee only

$102.00 $323.00 $  425.00

Employee + spouse

$255.00 $638.00 $  893.00

Employee + domestic partner

Pre-tax
$102.00
Post-tax
$153.00
$638.00 $  893.00

Employee + child(ren)

$234.00 $595.00 $  829.00

Employee + family

$385.00 $911.00 $1,296.00

Employee + family / domestic partner

Pre-tax
$232.00
Post-tax
$153.00
$911.00 $1,296.00

Standard PPO Plan

Employee
Cost
Employer
Subsidy
Total
Plan Cost

Employee only

$36.00 $323.00 $  359.00

Employee + spouse

$115.00 $638.00 $  753.00

Employee + domestic partner

Pre-tax
$36.00
Post-tax
$79.00
$638.00 $  753.00

Employee + child(ren)

$104.00 $595.00 $  699.00

Employee + family

$183.00 $911.00 $1,094.00

Employee + family / domestic partner

Pre-tax
$104.00
Post-tax
$79.00
$911.00 $1,094.00

Consumer Choice PPO Plan

Employee
Cost
Employer
Subsidy
Total
Plan Cost

Employee only

($30.00) $323.00 $293.00

Employee + spouse

($24.00) $638.00 $614.00

Employee + domestic partner

Pre-tax
($30.00)
Post-tax
$6.00
$638.00 $614.00

Employee + child(ren)

($25.00) $595.00 $570.00

Employee + family

($19.00) $911.00 $892.00

Employee + family / domestic partner

Pre-tax
($25.00)
Post-tax
$6.00
$911.00 $892.00

 

 

*For plan purposes, a Domestic Partner means:

  • Two adults at least 18 years of age of the same or opposite sex that are not related by blood that have lived together for more than six months in a exclusive committed relationship of mutual caring and financial support.
  • Your share of coverage for your domestic partner will be deducted on an after-tax basis and the portion of the employer subsidy attributable to your domestic partner will be reported on your W-2 as taxable income.