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.