2006 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

12.49

22.48

43.18

53.18

Employee premium for salaries of $40,001 - $80,000

26.49

47.68

89.58

110.78

Employee premium for salaries of $80,001 - $120,000

45.49

81.88

137.98

174.38

Employee premium for salaries over $120,000

69.49

125.08

188.38

243.98

Kaiser Permanente – CA

Single

Adult + Child(ren)

Two Adults

Family

Employee premium for salaries of $40,000 or less

4.10

7.38

8.61

11.89

Employee premium for salaries of $40,001 - $80,000

18.10

32.58

55.01

69.49

Employee premium for salaries of $80,001 - $120,000

37.10

66.78

103.41

133.09

Employee premium for salaries over $120,000

61.10

109.98

153.81

202.69

PacifiCare of California

Single

Adult + Child(ren)

Two Adults

Family

Employee premium for salaries of $40,000 or less

13.19

23.74

44.65

55.21

Employee premium for salaries of $40,001 - $80,000

27.19

48.94

91.05

112.81

Employee premium for salaries of $80,001 - $120,000

46.19

83.14

139.45

176.41

Employee premium for salaries over $120,000

70.19

126.34

189.85

246.01

Blue Cross PLUS

Single

Adult + Child(ren)

Two Adults

Family

Employee premium for salaries of $40,000 or less

56.21

101.18

135.00

179.96

Employee premium for salaries of $40,001 - $80,000

70.21

126.38

181.40

237.56

Employee premium for salaries of $80,001 - $120,000

89.21

160.58

229.80

301.16

Employee premium for salaries over $120,000

113.21

203.78

280.20

370.76

Blue Cross PPO

Single

Adult + Child(ren)

Two Adults

Family

Employee premium for salaries of $40,000 or less

61.21

110.19

145.50

194.48

Employee premium for salaries of $40,001 - $80,000

75.21

135.39

191.90

252.08

Employee premium for salaries of $80,001 - $120,000

94.21

169.59

240.30

315.68

Employee premium for salaries over $120,000

118.21

212.79

290.70

385.28

 

Single

Adult + Child(ren)

Two Adults

Family

CORE MEDICAL – CA

Free

Free

Free

Free

DELTA DENTAL

Free

Free

Free

Free

PMI DENTAL

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

8.49

11.67

11.67

12.73

         
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Single

Adult + Child(ren)

Two Adults

Family

PSBP MED HMO
Free
Free
Free
Free
PSBP MED PPO
30.00
60.00
60.00
90.00
PSBP DENTAL HMO
Free
Free
Free
Free
PSBP DENTAL PPO
Free
Free
Free
Free
PSBP VISION
Free
Free
Free
Free