Leave Without Pay Premiums Part-Time

Regular Part-Time Rates

Cardinal Care (with GHN Discount)LWOP
Employee Only$722.54
Employee & Spouse/QA$1,146.12
Employee & Child(ren)$971.76
Employee & Family$1,374.34
Cardinal Care (w/out GHN Discount)LWOP
Employee Only$762.54
Employee & Spouse/QA$1,186.12
Employee & Child(ren)$1,011.76
Employee & Family$1,414.34
PPO (with GHN Discount)LWOP
Employee Only$610.35
Employee & Spouse/QA$1,086.09
Employee & Child(ren)$873.91
Employee & Family$1,312.71
PPO (w/out GHN Discount)LWOP
Employee Only$650.35
Employee & Spouse/QA$1,126.09
Employee & Child(ren)$913.91
Employee & Family$1,352.71
EPO (with GHN Discount)LWOP
Employee Only$628.63
Employee & Spouse/QA$1,126.30
Employee & Child(ren)$906.82
Employee & Family$1,367.55
EPO (w/out GHN Discount)LWOP
Employee Only$668.63
Employee & Spouse/QA$1,166.30
Employee & Child(ren)$946.82
Employee & Family$1,407.55
PCA High (with GHN Discount)LWOP
Employee Only$556.57
Employee & Spouse/QA$967.78
Employee & Child(ren)$777.12
Employee & Family$1,151.39
PCA High (w/out GHN Discount)LWOP
Employee Only$596.57
Employee & Spouse/QA$1,007.78
Employee & Child(ren)$817.12
Employee & Family$1,191.39
PCA Low (with GHN Discount)LWOP
Employee Only$523.13
Employee & Spouse/QA$830.72
Employee & Child(ren)$679.32
Employee & Family$964.49
PCA Low (w/out GHN Discount)LWOP
Employee Only$563.13
Employee & Spouse/QA$870.72
Employee & Child(ren)$719.32
Employee & Family$1,004.49