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EMPLOYEE MONTHLY CONTRIBUTIONS 2010 |
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Option 1-CIGNA HMO |
Option 2-CIGNA PPO |
Option 3-CIGNA HDHP |
Option 4-Kaiser Permanente HMO |
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| Full-time: |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
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| Employee
Only |
$399 |
$11 |
$410 |
$364 |
$11 |
$375 |
$45 |
$11 |
$56 |
$85 |
$11 |
$96 |
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| Employee
Plus One |
$790 |
$22 |
$812 |
$721 |
$22 |
$743 |
$90 |
$22 |
$112 |
$167 |
$22 |
$189 |
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| Employee
Plus Family |
$1,105 |
$32 |
$1,137 |
$1,009 |
$32 |
$1,041 |
$135 |
$32 |
$167 |
$234 |
$32 |
$266 |
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Option 1-CIGNA HMO |
Option 2-CIGNA PPO |
Option 3-CIGNA HDHP |
Option 4-Kaiser Permanente HMO |
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| Part-time: |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
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| Employee |
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| Only |
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| .90 |
$429.00 |
$14.50 |
$443.50 |
$394.00 |
$14.50 |
$408.50 |
$84.20 |
$14.50 |
$98.70 |
$115.00 |
$14.50 |
$129.50 |
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| .80 |
$459.00 |
$18.00 |
$477.00 |
$424.00 |
$18.00 |
$442.00 |
$123.40 |
$18.00 |
$141.40 |
$145.00 |
$18.00 |
$163.00 |
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| .75 |
$474.00 |
$19.75 |
$493.75 |
$439.00 |
$19.75 |
$458.75 |
$143.00 |
$19.75 |
$162.75 |
$160.00 |
$19.75 |
$179.75 |
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| .70 |
$489.00 |
$21.50 |
$510.50 |
$454.00 |
$21.50 |
$475.50 |
$162.60 |
$21.50 |
$184.10 |
$175.00 |
$21.50 |
$196.50 |
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| .60 |
$519.00 |
$25.00 |
$544.00 |
$484.00 |
$25.00 |
$509.00 |
$201.80 |
$25.00 |
$226.80 |
$205.00 |
$25.00 |
$230.00 |
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| .50 |
$549.00 |
$28.50 |
$577.50 |
$514.00 |
$28.50 |
$542.50 |
$241.00 |
$28.50 |
$269.50 |
$235.00 |
$28.50 |
$263.50 |
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| .40 |
$579.00 |
$32.00 |
$611.00 |
$544.00 |
$32.00 |
$576.00 |
$280.20 |
$32.00 |
$312.20 |
$265.00 |
$32.00 |
$297.00 |
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| .30 |
$609.00 |
$35.50 |
$644.50 |
$574.00 |
$35.50 |
$609.50 |
$319.40 |
$35.50 |
$354.90 |
$295.00 |
$35.50 |
$330.50 |
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| .25 |
$624.00 |
$37.25 |
$661.25 |
$589.00 |
$37.25 |
$626.25 |
$339.00 |
$37.25 |
$376.25 |
$310.00 |
$37.25 |
$347.25 |
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| .20 |
$639.00 |
$39.00 |
$678.00 |
$604.00 |
$39.00 |
$643.00 |
$358.60 |
$39.00 |
$397.60 |
$325.00 |
$39.00 |
$364.00 |
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Option 1-CIGNA HMO |
Option 2-CIGNA PPO |
Option 3-CIGNA HDHP |
Option 4-Kaiser Permanente HMO |
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| Part-time: |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
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| Employee |
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| Plus One |
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| .90 |
$849.40 |
$28.70 |
$878.10 |
$780.40 |
$28.70 |
$809.10 |
$167.50 |
$28.70 |
$196.20 |
$226.40 |
$28.70 |
$255.10 |
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| .80 |
$908.80 |
$35.40 |
$944.20 |
$839.80 |
$35.40 |
$875.20 |
$245.00 |
$35.40 |
$280.40 |
$285.80 |
$35.40 |
$321.20 |
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| .75 |
$938.50 |
$38.75 |
$977.25 |
$869.50 |
$38.75 |
$908.25 |
$283.75 |
$38.75 |
$322.50 |
$315.50 |
$38.75 |
$354.25 |
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| .70 |
$968.20 |
$42.10 |
$1,010.30 |
$899.20 |
$42.10 |
$941.30 |
$322.50 |
$42.10 |
$364.60 |
$345.20 |
$42.10 |
$387.30 |
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| .60 |
$1,027.60 |
$48.80 |
$1,076.40 |
$958.60 |
$48.80 |
$1,007.40 |
$400.00 |
$48.80 |
$448.80 |
$404.60 |
$48.80 |
$453.40 |
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| .50 |
$1,087.00 |
$55.50 |
$1,142.50 |
$1,018.00 |
$55.50 |
$1,073.50 |
$477.50 |
$55.50 |
$533.00 |
$464.00 |
$55.50 |
$519.50 |
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| .40 |
$1,146.40 |
$62.20 |
$1,208.60 |
$1,077.40 |
$62.20 |
$1,139.60 |
$555.00 |
$62.20 |
$617.20 |
$523.40 |
$62.20 |
$585.60 |
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| .30 |
$1,205.80 |
$68.90 |
$1,274.70 |
$1,136.80 |
$68.90 |
$1,205.70 |
$632.50 |
$68.90 |
$701.40 |
$582.80 |
$68.90 |
$651.70 |
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| .25 |
$1,235.50 |
$72.25 |
$1,307.75 |
$1,166.50 |
$72.25 |
$1,238.75 |
$671.25 |
$72.25 |
$743.50 |
$612.50 |
$72.25 |
$684.75 |
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| .20 |
$1,265.20 |
$75.60 |
$1,340.80 |
$1,196.20 |
$75.60 |
$1,271.80 |
$710.00 |
$75.60 |
$785.60 |
$642.20 |
$75.60 |
$717.80 |
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Option 1-CIGNA HMO |
Option 2-CIGNA PPO |
Option 3-CIGNA HDHP |
Option 4-Kaiser Permanente HMO |
|
| Part-time: |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
|
| Employee
Plus |
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| Family |
|
| .90 |
$1,188.10 |
$42.10 |
$1,230.20 |
$1,092.10 |
$42.10 |
$1,134.20 |
$242.50 |
$42.10 |
$284.60 |
$317.10 |
$42.10 |
$359.20 |
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| .80 |
$1,271.20 |
$52.20 |
$1,323.40 |
$1,176.20 |
$52.20 |
$1,227.40 |
$350.00 |
$52.20 |
$402.20 |
$400.20 |
$52.20 |
$452.40 |
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| .75 |
$1,312.75 |
$57.25 |
$1,370.00 |
$1,216.75 |
$57.25 |
$1,274.00 |
$403.75 |
$57.25 |
$461.00 |
$441.75 |
$57.25 |
$499.00 |
|
| .70 |
$1,354.30 |
$62.30 |
$1,416.60 |
$1,258.30 |
$62.30 |
$1,320.60 |
$457.50 |
$62.30 |
$519.80 |
$483.30 |
$62.30 |
$545.60 |
|
| .60 |
$1,437.40 |
$72.40 |
$1,509.80 |
$1,341.40 |
$72.40 |
$1,413.80 |
$565.00 |
$72.40 |
$637.40 |
$566.40 |
$72.40 |
$638.80 |
|
| .50 |
$1,520.50 |
$82.50 |
$1,603.00 |
$1,424.50 |
$82.50 |
$1,507.00 |
$672.50 |
$82.50 |
$755.00 |
$649.50 |
$82.50 |
$732.00 |
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| .40 |
$1,603.60 |
$92.60 |
$1,696.20 |
$1,507.60 |
$92.60 |
$1,600.20 |
$780.00 |
$92.60 |
$872.60 |
$732.60 |
$92.60 |
$825.20 |
|
| .30 |
$1,686.70 |
$102.70 |
$1,789.40 |
$1,590.70 |
$102.70 |
$1,693.40 |
$887.50 |
$102.70 |
$990.20 |
$815.70 |
$102.70 |
$918.40 |
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| .25 |
$1,728.25 |
$107.75 |
$1,836.00 |
$1,632.25 |
$107.75 |
$1,740.00 |
$941.25 |
$107.75 |
$1,049.00 |
$857.25 |
$107.75 |
$965.00 |
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| .20 |
$1,769.80 |
$112.80 |
$1,882.60 |
$1,673.80 |
$112.80 |
$1,786.60 |
$995.00 |
$112.80 |
$1,107.80 |
$898.80 |
$112.80 |
$1,011.60 |
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| COBRA and Retirees under age 65 Monthly Rates |
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Option 1-CIGNA HMO |
Option 2-CIGNA PPO |
Option 3-CIGNA HDHP |
Option 4-Kaiser Permanente HMO |
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| COBRA
(paid by COBRA beneficiary) |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
Medical |
Dental |
M/D |
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| Single
Coverage |
$668 |
$46 |
$714 |
$634 |
$46 |
$680 |
$417 |
$46 |
$463 |
$392 |
$46 |
$438 |
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| Single
plus one |
$1,322 |
90 |
$1,413 |
$1,256 |
$90 |
$1,346 |
$826 |
$90 |
$916 |
$776 |
$90 |
$866 |
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| Family |
$1,850 |
$136 |
$1,986 |
$1,757 |
$136 |
$1,893 |
$1,156 |
$136 |
$1,292 |
$1,086 |
$136 |
$1,222 |
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To qualify as a UCAR Retiree, the employee must meet the formula of age (minimum 50) + Years of Service
(minimum 5 years) = 65 or more and upon termination must formally indicate retirement as the
reason for termination.