2005 UC Health Plan Rates
EMPLOYER CONTRIBUTION
(monthly)
|
Health Net |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
281.94 |
507.49 |
592.07 |
817.65 |
|
Employer premium for salaries of $40,001 - $80,000 |
268.96 |
484.12 |
551.67 |
766.84 |
|
Employer premium for salaries of $80,001 - $120,000 |
254.82 |
458.68 |
508.62 |
712.49 |
|
Employer premium for salaries over $120,000 |
238.82 |
429.88 |
475.02 |
666.09 |
|
Kaiser Permanente – CA |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
264.64 |
476.35 |
555.74 |
767.46 |
|
Employer premium for salaries of $40,001 - $80,000 |
255.35 |
459.63 |
530.66 |
735.01 |
|
Employer premium for salaries of $80,001 - $120,000 |
246.14 |
443.05 |
505.64 |
702.69 |
|
Employer premium for salaries over $120,000 |
230.14 |
414.25 |
472.04 |
656.29 |
|
PacifiCare of California |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
278.47 |
501.24 |
551.25 |
774.01 |
|
Employer premium for salaries of $40,001 - $80,000 |
264.92 |
476.84 |
509.65 |
721.55 |
|
Employer premium for salaries of $80,001 - $120,000 |
250.12 |
450.22 |
465.22 |
665.30 |
|
Employer premium for salaries over $120,000 |
234.12 |
421.42 |
431.62 |
618.90 |
|
Blue Cross PLUS |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
323.72 |
582.69 |
679.80 |
938.80 |
|
Employer premium for salaries of $40,001 - $80,000 |
313.67 |
564.59 |
645.54 |
896.49 |
|
Employer premium for salaries of $80,001 - $120,000 |
297.86 |
536.16 |
599.00 |
837.31 |
|
Employer premium for salaries over $120,000 |
281.86 |
507.36 |
565.40 |
790.91 |
|
Blue Cross PPO |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
367.85 |
662.12 |
772.49 |
1066.77 |
|
Employer premium for salaries of $40,001 - $80,000 |
351.76 |
633.15 |
725.55 |
1006.94 |
|
Employer premium for salaries of $80,001 - $120,000 |
332.73 |
598.92 |
672.24 |
938.43 |
|
Employer premium for salaries over $120,000 |
316.73 |
570.12 |
638.64 |
892.03 |
|
CORE Major Medical - CA |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
48.00 |
86.00 |
99.00 |
137.00 |
|
Employer premium for salaries of $40,001 - $80,000 |
48.00 |
86.00 |
99.00 |
137.00 |
|
Employer premium for salaries of $80,001 - $120,000 |
48.00 |
86.00 |
99.00 |
137.00 |
|
Employer premium for salaries over $120,000 |
134.24 |
241.62 |
308.40 |
415.78 |
|
|
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
DELTA DENTAL |
34.10 |
69.14 |
63.65 |
112.93 |
|
PMI DENTAL |
19.43 |
33.58 |
33.35 |
47.42 |
|
VISION SERVICE PLAN |
13.47 |
13.47 |
13.47 |
13.47 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
2005 UC Health Plan Rates
EMPLOYEE PREMIUMS (monthly)
|
Health Net |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employee premium for salaries of $40,000 or less |
12.29 |
22.12 |
25.81 |
35.62 |
|
Employee premium for salaries of $40,001 - $80,000 |
25.27 |
45.49 |
66.21 |
86.43 |
|
Employee premium for salaries of $80,001 - $120,000 |
39.41 |
70.93 |
109.26 |
140.78 |
|
Employee premium for salaries over $120,000 |
55.41 |
99.73 |
142.86 |
187.18 |
|
Kaiser Permanente – CA |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employee premium for salaries of $40,000 or less |
3.50 |
6.30 |
7.35 |
10.15 |