Last Year's Premiums

Premium Rate Based on Annualized Salary + Coverage Options

January 1, 2013

Employee pays monthly premium based on schedule below. Employee premium is subject to change January 1st of each year.

Faculty/Staff contributions per annualized salary range

Faculty's annualized salary is 1/10th of contracted salary X 12.

Coverage Elections
Total Premiums
Less than $33,700
$33,701-$46,200
$46,201-$58,700
$58,701-$71,100
$71,101-$83,600
$83,601 & over
Employee Only
$497

$46

$105

$126

$151

$175

$182

Employee + Spouse
$994

$94

$209

$248

$301

$348

$365

Employee + Children
$869

$82

$182

$218

$268

$303

$319

Employee + Family
$1,245

$104

$221

$287

$354

$396

$412



Plan - DR Dental

Your Cost

Monthly

Employee Only

$0.00

Employee + One

$42.00

Employee + More than One (Family)

$55.00


Plan - QCD Red

Your Cost

Monthly

Employee Only

$0.00

Employee + One

$0.00

Employee + More than One (Family)

$0.00


Plan - QCD White

Your Cost

Monthly

Employee Only

$0.00

Employee + One

$27.00

Employee + More than One (Family)

$51.00