Monthly Rates for Employees Paid on 12-month Schedule
Regular, Full-Time Active Employees
If you participate in Get Healthy Now, you will receive a "premium incentive" of $40 per month on your pay check. The rates below do not reflect the $40 reduction.
| |
PPO |
Cardinal Care |
EPO |
PCA High
|
PCA Low
|
| Employee |
$118.58 |
$75.00
|
$136.12
|
$67.12 |
$65.00
|
| Employee & Spouse/QA |
$456.46
|
$275.00
|
$495.04
|
$343.24
|
$211.64
|
| Employee & Child(ren) |
$236.63
|
$142.00
|
$268.21 |
$144.01
|
$65.00
|
| Family |
$500.62 |
$300.00 |
$553.24 |
$346.24 |
$166.78
|
Two-Employee Family
(rates per employee) |
$109.21
|
$70.00
|
$135.52
|
$52.50
|
$52.50
|
|
|
|
|
|
|
Monthly Rates for Part-time Active Employees and Contract Lecturers
If you participate in Get Healthy Now, you will receive a "premium incentive" of $40 per month on your pay check. The rates below do not reflect the $40 reduction.
|
PPO |
Cardinal Care
|
EPO |
PCA High |
PCA Low |
| Employee |
$334.96
|
$327.15 |
$353.24 |
$281.18 |
$247.74
|
| Employee & Spouse/QA |
$810.70 |
$750.73 |
$850.91 |
$692.39 |
$555.33 |
| Employee & Child(ren) |
$598.52 |
$576.37 |
$631.43
|
$501.73 |
$403.93 |
| Family |
$1,037.32 |
$978.95 |
$1,092.16 |
$876.00 |
$689.10 |
|
Monthly Rates for Retirees / Surviving Spouses of Retirees
Coverage is for retirees under the age of 65.
If you participate in Get Healthy Now, you will receive a "premium incentive" of $40 per month. The rates below do not reflect the $40 reduction.
|
PPO |
Cardinal Care
|
EPO |
PCA High |
PCA Low |
| Individual |
$389.07 |
$419.34
|
$430.78
|
$278.96
|
$207.64
|
| Individual & Spouse |
$762.57 |
$827.74 |
$850.15 |
$582.65 |
$450.82 |
| Individual & Child(ren) |
$610.96 |
$661.97 |
$671.42 |
$488.29 |
$369.97 |
| Family |
$815.02 |
$885.10
|
$906.77
|
$589.54 |
$455.97 |
|
|
Monthly Rates for Employees Paid on 10-month Schedule
Regular, Full-Time Active Employee
If you participate in Get Healthy Now, you will receive a "premium incentive" of $40 per month on your pay check. The rates below do not reflect the $40 reduction.
|
PPO |
Cardinal Care |
EPO |
PCA HIGH |
PCA LOW |
| Employee |
$142.30 |
$90.00
|
$163.34
|
$80.54
|
$78.00
|
| Employee and Spouse/QA |
$547.75 |
$330.00
|
$594.05
|
$411.89
|
$253.97
|
| Employee and Child(ren) |
$283.96
|
$170.40
|
$321.85
|
$172.81
|
$78.00
|
| Family |
$600.74
|
$360.00
|
$663.89
|
$415.49
|
$200.14
|
Two-Employee Family
(rates per employee) |
$131.05
|
$84.00
|
$162.62
|
$63.00
|
$63.00
|
|
|
|
|
|
|
Monthly Rates for Part-time Active Employees & Contract Lecturers Paid on a 10-month schedule
If you participate in Get Healthy Now, you will receive a "premium incentive" of $40 per month on your pay check. The rates below do not reflect the $40 reduction.
|
PPO |
Cardinal Care
|
EPO |
PCA HIGH |
PCA LOW |
| Employee |
$401.95
|
$392.58
|
$423.89
|
$337.42
|
$297.29 |
| Employee and Spouse/QA |
$972.84
|
$900.88
|
$1,021.09
|
$830.87 |
$666.40
|
| Employee and Child(ren) |
$718.22
|
$691.64
|
$757.72
|
$602.08
|
$484.72
|
| Family |
$1,244.78
|
$1,174.74 |
$1,310.59
|
$1,051.12
|
$826.92
|
|
|
|
|
|
|
Monthly Rates for Cobra
| |
PPO |
Cardinal Care Plan
|
EPO |
PCA High
|
PCA Low
|
Individual
|
$778.04 |
$774.39 |
$836.73 |
$766.35 |
$764.19 |
Individual & Spouse/QA
|
$1122.68 |
$978.39 |
$1202.83 |
$1048.00 |
$913.77 |
Individual & Children
|
$898.45 |
$842.73 |
$971.46 |
$844.78 |
$764.19 |
| Family |
$1167.73 |
$1003.89
|
$1262.20 |
$1051.06 |
$868.01 |
