Insurance Rates - Per Month

Plan Year November 1, 2009 - October 31, 2010

Health Insurance

Total
Cost

College
Contribution
Employee
Contribution
Personal Choice High      
Single $ 583.64 $ 484.99 $ 98.65
Parent/Child 1,145.59 856.01 289.58
Parent/Children 1,262.23 856.01 406.22
Employee/Spouse 1,462.31 974.83 487.48
Family 1,579.10 1,045.15 533.95
       
Keystone POS

Single $ 505.14 $ 484.99 $ 20.15
Parent/Child 894.49 856.01 38.48
Parent/Children 894.49 856.01 38.48
Employee/Spouse 1,160.28 974.83 185.45
Family 1,492.43 1,045.15 447.28

Keystone HMO

Single $ 484.99 $ 484.99 $ 0.00
Parent/Child 858.79 856.01 2.78
Parent/Children 858.79 856.01 2.78
Employee/Spouse 1,113.98 974.83 139.15
Family 1,432.88 1,045.15 387.73

Please Note:

All College Contributions indicated include the $100 budget plus an additional medical subsidy. Employees who waive health insurance through the College will receive the $100 per month budget as additional earnings.

All Employee/Spouse and Family costs and contributions also apply to Single with Domestic Partner and Family with Domestic Partner coverage.

 

Dental Insurance (Delta Dental)

Single Coverage is provided at no cost to eligible employees.

Total
Cost
College
Contribution
Employee
Contribution

Single

$ 28.27 $ 28.27

$ 0.00

Parent/Child

60.42 28.27 32.15

Parent/Children

94.49 28.27 66.22

Employee/Spouse

60.42 28.27 32.15

Family

94.49 28.27 66.22

 

Life Insurance

Employee/Spouse/Domestic Partner Rates per $10,000

 Age as of November 1, 2009 Monthly Rate

Under Age 30

$0.72
Age 30-34 $0.83
Age 35-39 $1.12
Age 40-44 $1.78
Age 45-49 $2.99
Age 50-54 $4.77
Age 55-59 $7.57
Age 60-64 $9.54
Age 65-69 $15.24
Age 70-74 $26.93
Over Age 74 $45.63

All Children Ages 15 days to 19 years old. Rates per $10,000 (one rate for all children enrolled)

 Amount of Coverage Monthly Rate
$2500 $0.37
$5000 $0.73
$7500 $1.09
$10000 $1.44