Leave Without Pay Premiums Full-Time

Regular Full-Time Rates

Cardinal Care (with GHN Discount)LWOP
Employee Only$874.47
Employee & Spouse/QA$1,074.47
Employee & Child(ren)$941.47
Employee & Family$1,099.47
Cardinal Care (w/out GHN Discount)LWOP
Employee Only$914.47
Employee & Spouse/QA$1,114.47
Employee & Child(ren)$981.47
Employee & Family$1139.47
PPO (with GHN Discount)LWOP
Employee Only$798.05
Employee & Spouse/QA$1,135.93
Employee & Child(ren)$916.10
Employee & Family$1,180.09
PPO (w/out GHN Discount)LWOP
Employee Only$838.05
Employee & Spouse/QA$1,175.93
Employee & Child(ren)$956.10
Employee & Family$1220.09
EPO (with GHN Discount)LWOP
Employee Only$815.59
Employee & Spouse/QA$1,174.51
Employee & Child(ren)$947.68
Employee & Family$1,232.71
EPO (w/out GHN Discount)LWOP
Employee Only$855.59
Employee & Spouse/QA$1,214.51
Employee & Child(ren)$987.68
Employee & Family$1,272.71
PCA High (with GHN Discount)LWOP
Employee Only$746.59
Employee & Spouse/QA$1,022.71
Employee & Child(ren)$823.48
Employee & Family$1,025.71
PCA High (w/out GHN Discount)LWOP
Employee Only$786.59
Employee & Spouse/QA$1,062.71
Employee & Child(ren)$863.48
Employee & Family$1,065.71
PCA Low (with GHN Discount)LWOP
Employee Only$744.47
Employee & Spouse/QA$891.11
Employee & Child(ren)$744.47
Employee & Family$846.25
PCA Low (w/out GHN Discount)LWOP
Employee Only$784.47
Employee & Spouse/QA$931.11
Employee & Child(ren)$784.47
Employee & Family$886.25