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| |
FY2008-09 Premium Rates
FY2008-09 Domestic
Partner Rates
FY2007-08
Flex Credits &
Premium Rates
Important Reminder:
Payroll deductions for the health insurance plans are taken over 24 pay
periods for 12-month employees. Payroll deductions are taken on a pro-rated
basis over 18 pay periods for less than 12-month employees. Flex Credits
and Premiums listed here reflect the monthly amount based on a 12-month
employee. (For less than 12-month employees – in order to find a per
pay period amount, multiply the monthly amount by 12 and divide by 18.)
Flex Credits Table
|
Full-time Employees
(.75-1.00 FTE) |
Half-time Employees
(.50-.74 FTE) |
One Year Only
(FTE .50 - 1.00) |
|
Waivers |
$208.33 |
Waivers |
$ 0.00 |
Waivers |
$ 0.00 |
|
Employee Only |
457.25 |
Employee Only |
368.58 |
Employee Only |
368.58 |
|
Employee & Child(ren) |
754.67 |
Employee & Child(ren) |
415.07 |
Employee & Child(ren) |
368.58 |
|
Employee & Spouse |
803.92 |
Employee & Spouse |
442.15 |
Employee & Spouse |
368.58 |
|
Family |
939.08 |
Family |
516.50 |
Family |
368.58 |
Premium
Rate Table
|
Medical ‘Core’ Plan
(Includes Mental Health Rate) |
Medical ‘Buy-Up’ Plan
(Includes Mental Health Rate) |
|
Employee Only |
$368.58 |
Employee Only |
$ 406.75 |
|
Employee & Child(ren) |
727.42 |
Employee & Child(ren) |
802.42 |
|
Employee & Spouse |
791.42 |
Employee & Spouse |
873.25 |
|
Family |
952.92 |
Family |
1050.58 |
|
MetLife Dental |
Assurant Dental |
|
Employee Only |
$ 47.61 |
Employee Only |
$10.61 |
|
Employee & Child(ren) |
107.31 |
Employee & Child(ren) |
24.89 |
|
Employee & Spouse |
100.12 |
Employee & Spouse |
17.95 |
|
Family |
118.74 |
Family |
29.38 |
|
Aetna
Supplemental Life Insurance* |
Aetna
Dependent Life Insurance |
|
Levels of Coverage |
Age |
Cost per Thousand |
Levels of Coverage |
Cost of Coverage |
|
$ 5,000 |
50,000 |
1-24 |
$0.040 |
$ 5,000 |
$1.72 |
|
10,000 |
75,000 |
25-29 |
0.043 |
10,000 |
3.43 |
|
15,000 |
100,000 |
30-34 |
0.055 |
15,000 |
5.15 |
|
20,000 |
150,000 |
35-39 |
0.071 |
20,000 |
6.86 |
|
25,000 |
$200,000 |
40-44 |
0.100 |
25,000 |
8.58 |
|
30,000 |
250,000 |
45-49 |
0.150 |
|
|
|
35,000 |
300,000 |
50-54 |
0.230 |
|
|
|
40,000 |
400,000 |
55-59 |
0.397 |
|
|
|
45,000 |
500,000 |
60-64 |
0.495 |
|
|
|
|
|
65-69 |
0.685 |
|
|
|
|
|
70-74 |
0.951 |
|
|
|
|
|
75-79 |
1.320 |
|
|
|
|
|
80-99 |
1.617 |
|
|
*To determine the monthly cost for Supplement Life Insurance you are electing
determine the number of “units” of coverage by dividing your elected coverage
amount by $1,000—For example, $35,000 divided by $1,000 equals 35 units. From
the rate chart below, find the monthly rate per unit based on your age. Multiply
the monthly rate by the number of units.
|
Aetna
Accidental Death & Dismemberment |
|
MetLife Short-Term Disability |
|
Levels of Coverage |
Cost of Coverage
(Employee) |
Cost of Coverage
(Family) |
|
Annual Salary |
Levels of Monthly Coverage |
Cost of Coverage |
|
$ 25,000 |
$ 0.63 |
$ 0.75 |
|
$ 4,500.00 |
$ 250.00 |
$ 1.46 |
|
$ 50,000 |
$ 1.25 |
1.50 |
|
7,200.00 |
400.00 |
2.34 |
|
100,000 |
2.50 |
3.00 |
|
9,900.00 |
550.00 |
3.22 |
|
150,000 |
3.75 |
4.50 |
|
12,600.00 |
700.00 |
4.10 |
|
200,000 |
5.00 |
6.00 |
|
15,300.00 |
850.00 |
4.97 |
|
250,000 |
6.25 |
7.50 |
|
18,000.00 |
1,000.00 |
5.85 |
|
300,000 |
7.50 |
9.00 |
|
20,700.00 |
1,150.00 |
6.74 |
|
350,000 |
8.75 |
10.50 |
|
23,400.00 |
1,300.00 |
7.61 |
|
400,000 |
10.00 |
12.00 |
|
26,100.00 |
1,450.00 |
8.49 |
|
450,000 |
11.25 |
13.50 |
|
28,800.00 |
1,600.00 |
9.36 |
|
500,000 |
12.50 |
15.00 |
|
31,500.00 |
1,750.00 |
10.25 |
|
|
|
|
|
34,200.00 |
1,900.00 |
11.12 |
|
|
|
|
|
36,900.00 |
2,050.00 |
12.00 |
|
|
|
|
|
39,600.00 |
2,200.00 |
12.87 |
|
|
|
|
|
42,300.00 |
2,350.00 |
13.76 |
|
|
|
|
|
45,000.00 |
2,500.00 |
14.64 |
|
|
|
|
|
47,700.00 |
2,650.00 |
15.51 |
|
|
|
|
|
50,400.00 |
2,800.00 |
16.40 |
|
|
|
|
|
53,100.00 |
2,950.00 |
17.27 |
|
|
|
|
|
55,800.00 |
3,100.00 |
18.15 |
|
|
|
|
|
58,500.00 |
3,250.00 |
19.02 |
|
|
|
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