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Benefits Guide

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2010 Part-Time Medical Plan Rates

 

Part-Time Medical Rates Per Month (Rates for Active Employees Who Work 20 - 31 Hours Per Week.)

 

Premium PPO Plan

Employee
Cost
Employer
Subsidy
Total
Plan Cost

Employee only

$263.50 $161.50 $  425.00

Employee + spouse

$574.00 $319.00 $  893.00

Employee + domestic partner

Pre-tax
$263.50
Post-tax
$310.50
$319.00 $  893.00

Employee + child(ren)

$531.50 $297.50 $  829.00

Employee + family

$840.50 $455.50 $1,296.00

Employee + family / domestic partner

Pre-tax
$530.00
Post-tax
$310.50
$455.50 $1,296.00

Standard PPO Plan

Employee
Cost
Employer
Subsidy
Total
Plan Cost

Employee only

$197.50 $161.50 $  359.00

Employee + spouse

$434.00 $319.00 $  753.00

Employee + domestic partner

Pre-tax
$197.50
Post-tax
$236.50
$319.00 $  753.00

Employee + child(ren)

$401.50 $297.50 $  699.00

Employee + family

$638.50 $455.50 $1,094.00

Employee + family / domestic partner

Pre-tax
$402.00
Post-tax
$236.50
$455.50 $1,094.00

Consumer Choice PPO Plan

Employee
Cost
Employer
Subsidy
Total
Plan Cost

Employee only

$131.50 $161.50 $293.00

Employee + spouse

$295.00 $319.00 $614.00

Employee + domestic partner

Pre-tax
$131.50
Post-tax
$163.50
$319.00 $614.00

Employee + child(ren)

$272.50 $297.50 $570.00

Employee + family

$436.50 $455.50 $892.00

Employee + family / domestic partner

Pre-tax
$273.00
Post-tax
$163.50
$455.50 $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.