UCR Benefits Rates
2012 Benefits Rate Table
|
DESCRIPTION |
NEW RATE | EFF. DATE |
OLD RATE | EFF. DATE |
|||||||||||||||||||||||||||||||||||||||||
| A | PERCENTAGE BASED BENEFITS | ||||||||||||||||||||||||||||||||||||||||||||
| A1 | Social Security Gross Limit |
6.20% $110,100 |
01/91 01/12 |
6.20% $106,800 |
01/91 01/09 |
||||||||||||||||||||||||||||||||||||||||
| A2 | Medicare Gross Limit |
1.45% NO LIMIT |
01/87 01/94 |
1.45% NO LIMIT |
01/87 01/94 |
||||||||||||||||||||||||||||||||||||||||
| A3 | Workers Compensation Insurance (plus $5,000 per qualified claim) | 0.56% | 07/11 | 0.73% | 07/10 | ||||||||||||||||||||||||||||||||||||||||
| A4 | Employee Support Program | 0.28% | 07/01 | 0.24% | 07/94 | ||||||||||||||||||||||||||||||||||||||||
| A5 | Unemployment Insurance | ||||||||||||||||||||||||||||||||||||||||||||
| General Funds Federal Funds Other Funds |
0.60% 0.60% 0.45% |
07/11 07/11 07/11 |
0.45% 0.54% 0.54% |
07/10 07/10 07/10 |
|||||||||||||||||||||||||||||||||||||||||
| A6 | UC Retirement Plan (UCRP) Employer Contribution | 7.00% | 07/11 | 4.00% | 05/10 | ||||||||||||||||||||||||||||||||||||||||
| A7 | UCRP Supplemental Assessment Rate | 0.68% | 08/11 | 0.00% | 07/11 | ||||||||||||||||||||||||||||||||||||||||
| A8 | Vacation Assessment (Gross salary times rate below) | ||||||||||||||||||||||||||||||||||||||||||||
Effective 12/2011 (old factors in parenthesis effective 10/2010)
|
|||||||||||||||||||||||||||||||||||||||||||||
| A9 | Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP) | ||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| A10 | Other PostEmployment Benefit (OPEB) | 3.51% | 07/11 | 3.31% | 07/10 | ||||||||||||||||||||||||||||||||||||||||
| A11 | Benefits Administration Rate related to OPEB | 0.17% | 07/10 | 0.16% | 07/08 | ||||||||||||||||||||||||||||||||||||||||
| A12 |
General Liability - Loc. 5 (UCRFS charge) |
0.7900%0.0700% |
07/11 |
1.1099%0.0800% |
07/10 |
||||||||||||||||||||||||||||||||||||||||
| A13 |
Employment Practices - Loc. 5 (UCRFS charge) |
0.1250%0.0400% |
07/11 |
0.0570%0.0500% |
07/10 |
||||||||||||||||||||||||||||||||||||||||
| B | FLAT RATED (DOLLAR) BENEFITS | NEW AMOUNT | EFF DATE | OLD AMOUNT | EFF DATE | ||||||||||||||||||||||||||||||||||||||||
| B1 | HEALTH INSURANCE - EMPLOYER RATES (separate table) | ||||||||||||||||||||||||||||||||||||||||||||
| HEALTH INSURANCE - EMPLOYEE RATES (separate table) | |||||||||||||||||||||||||||||||||||||||||||||
| B2 | Life Insurance(Flat Rate) | $4.34 | 01/07 | $4.82 | 01/96 | ||||||||||||||||||||||||||||||||||||||||
| B3 | Core Life Insurance (Flat Rate) | $0.47 | 01/96 | $0.52 | 01/94 | ||||||||||||||||||||||||||||||||||||||||
| B4 | U.C. Paid Disability (Flat Rate) | $6.71 | 01/09 | $6.13 | 01/00 | ||||||||||||||||||||||||||||||||||||||||
| B5 | Graduate Student (GS) Remission Programs | ||||||||||||||||||||||||||||||||||||||||||||
| GS Health Insurance Program (GSHIP) with Admin fee/QTR | $588.00 | 10/11 | $641.00 |
10/10 |
|||||||||||||||||||||||||||||||||||||||||
|
GS Partial Fee Remission (PFR) -Residents/QTR |
$3708.00$3708.00 |
10/11 |
$3434.00$3570.00 |
10/10 |
|||||||||||||||||||||||||||||||||||||||||
| GS Nonresident Suppl. Tuition Remission (NRST)/QTR | $5034.00 | 10/11 | $4898.00 | 10/04 | |||||||||||||||||||||||||||||||||||||||||
| B6 |
Comm. Worker Fee (CWF) per FTE (UCRFS charge) |
$53.02 |
08/11 |
$47.59 |
07/10 |
||||||||||||||||||||||||||||||||||||||||
2012 Health Plan Cost (Employer)
|
Health Net Blue & Gold HMO (HB & HE) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium - $48,000 or less |
539.99 |
971.98 |
1087.35 |
1519.34 |
|
Pay Band 2 - Employer premium - $48,001 - $96,000 |
503.94 |
907.09 |
1005.05 |
1408.20 |
|
Pay Band 3 - Employer premium - $96,001 - $144,000 |
466.94 |
840.49 |
931.29 |
1304.84 |
|
Pay Band 4 - Employer premium - $144,001 or more |
428.63 |
771.53 |
854.87 |
1197.77 |
|
Kaiser Permanente – CA (KN & KS) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium - $48,000 or less |
496.32 |
893.37 |
1042.27 |
1439.33 |
|
Pay Band 2 - Employer premium - $48,001 - $96,000 |
460.27 |
828.48 |
959.97 |
1328.19 |
|
Pay Band 3 - Employer premium - $96,001 - $144,000 |
423.27 |
761.88 |
886.21 |
1224.83 |
|
Pay Band 4 - Employer premium - $144,001 or more |
384.96 |
692.92 |
809.79 |
1117.76 |
|
Anthem Lumenos PPO with HRA (BL) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium - $48,000 or less |
513.02 |
923.43 |
1077.34 |
1487.76 |
|
Pay Band 2 - Employer premium - $48,001 - $96,000 |
476.97 |
858.54 |
995.04 |
1376.62 |
|
Pay Band 3 - Employer premium - $96,001 - $144,000 |
439.97 |
791.94 |
921.28 |
1273.26 |
|
Pay Band 4 - Employer premium - $144,001 or more |
401.66 |
722.98 |
844.86 |
1166.19 |
| WESTERN HEALTH ADVANTAGE (WH) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium - $48,000 or less |
505.32 |
909.57 |
1061.17 |
1465.43 |
|
Pay Band 2 - Employer premium - $48,001 - $96,000 |
469.27 |
844.68 |
978.87 |
1354.29 |
|
Pay Band 3 - Employer premium - $96,001 - $144,000 |
432.27 |
778.08 |
905.11 |
1250.93 |
|
Pay Band 4 - Employer premium - $144,001 or more |
393.96 |
709.12 |
828.69 |
1143.86 |
|
|
||||
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
|
CORE MEDICAL |
98.05 |
176.49 |
205.91 |
284.35 |
|
DELTA DENTAL PPO |
43.96 |
90.65 |
82.59 |
148.19 |
|
DELTACARE USA |
22.38 |
39.03 |
38.41 |
55.07 |
|
VISION SERVICE PLAN |
11.76 |
11.76 |
11.76 |
11.76 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
| PSBP MEDICAL HMO (Health Net, Group # 66700A) |
385.71 |
675.02 |
916.30 |
1164.45 |
| PSBP MEDICAL PPO (Health Net, Group #N2982A) |
368.14 |
636.76 |
895.54 |
1124.36 |
| PSBP DENTAL DHMO (Health Net, Group #Z0074A) |
9.18
|
17.45
|
16.52
|
25.71
|
| PSBP DENTAL PPO (Principal, Group #H12843) |
26.41
|
60.76
|
54.50
|
97.44
|
| PSBP VISION PPO (Health Net, Group #Z0074A) |
4.09
|
7.61
|
6.82
|
11.65
|
| PSBP BROKER/ADMIN FEE |
8.08
|
8.08
|
8.08
|
8.08
|
| PSBP LIFE/AD&D ($50,000) |
3.15
|
3.15
|
3.15
|
3.15
|
| PSBP SHORT-TERM DISABILITY |
8.82
|
8.82
|
8.82
|
8.82
|
| PSBP WORKERS COMP INSURANCE |
23.83
|
23.83
|
23.83
|
23.83
|
2012 Health Plan Cost (Employee)
|
Kaiser Permanente - CA (KN & KS) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium - $48,000 or less |
8.07 |
14.53 |
16.95 |
23.40 |
|
Pay Band 2 - Employee premium - $48,001 - $96,000 |
44.12 |
79.42 |
99.25 |
134.54 |
|
Pay Band 3 - Employee premium - $96,001 - $144,000 |
81.12 |
146.02 |
173.01 |
237.90 |
|
Pay Band 4 - Employee premium - $144,001 or more |
119.43 |
214.98 |
249.43 |
344.97 |
|
Health Net Blue & Gold HMO (HB & HE) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium - $48,000 or less |
23.08 |
41.55 |
95.10 |
113.56 |
|
Pay Band 2 - Employee premium - $48,001 - $96,000 |
59.13 |
106.44 |
177.40 |
224.70 |
|
Pay Band 3 - Employee premium - $96,001 - $144,000 |
96.13 |
173.04 |
251.16 |
328.06 |
|
Pay Band 4 - Employee premium - $144,001 or more |
134.44 |
242.00 |
327.58 |
435.13 |
|
Health Net HMO (HN & HC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium - $48,000 or less |
79.27 |
142.69 |
213.10 |
276.52 |
|
Pay Band 2 - Employee premium - $48,001 - $96,000 |
115.32 |
207.58 |
295.40 |
387.66 |
|
Pay Band 3 - Employee premium - $96,001 - $144,000 |
152.32 |
274.18 |
369.16 |
491.02 |
|
Pay Band 4 - Employee premium - $144,001 or more |
190.63 |
343.14 |
445.58 |
598.09 |
|
Anthem PLUS (BC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium - $48,000 or less |
75.24 |
135.43 |
204.63 |
264.83 |
|
Pay Band 2 - Employee premium - $48,001 - $96,000 |
111.29 |
200.32 |
286.93 |
375.97 |
|
Pay Band 3 - Employee premium - $96,001 - $144,000 |
148.29 |
266.92 |
360.69 |
479.33 |
|
Pay Band 4 - Employee premium - $144,001 or more |
186.60 |
335.88 |
437.11 |
586.40 |
|
Anthem PPO (BP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium - $48,000 or less |
52.57 |
94.63 |
157.02 |
199.09 |
|
Pay Band 2 - Employee premium - $48,001 - $96,000 |
88.62 |
159.52 |
239.32 |
310.23 |
|
Pay Band 3 - Employee premium - $96,001 - $144,000 |
125.62 |
226.12 |
313.08 |
413.59 |
|
Pay Band 4 - Employee premium - $144,001 or more |
163.93 |
295.08 |
389.50 |
520.66 |
|
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
CORE MEDICAL – CA |
Free |
Free |
Free |
Free |
|
DELTA DENTAL PPO |
Free |
Free |
Free |
Free |
|
DELTACARE USA (formerly PMI DENTAL) |
Free |
Free |
Free |
Free |
|
VISION SERVICE PLAN |
Free |
Free |
Free |
Free |
|
LEGAL PLAN (ARAG) |
10.02 |
13.78 |
13.78 |
15.03 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
PSBP MED HMO |
7.87 |
13.78 |
28.34 |
36.01 |
|
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 |
|
PSBP LONG-TERM DISABILITY |
7.95 |
7.95 |
7.95 |
7.95 |
|
|
||||
|
UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP) |
Eff. Date |
New Rate |
Eff. Date |
Old Rate |
|
Members with Social Security (below FICA max) |
7/11 |
3.5% less ($19) |
5/10 | 2% less $19 |
|
Members with Social Security (above FICA max) |
7/11 |
3.5% less ($19) |
5/10 | 4% less $19 |
|
Members Uncoordinated with Social Security |
7/11 |
3.5% less ($19) |
5/10 | 3% less $19 |
|
Safety Members |
7/11 |
4.5% less ($19) |
5/10 | 3% less $19 |
2011 Benefits Rate Table
|
DESCRIPTION |
NEW RATE | EFF. DATE |
OLD RATE | EFF. DATE |
|||||||||||||||||||||||||||||||||||||||||
| A | PERCENTAGE BASED BENEFITS | ||||||||||||||||||||||||||||||||||||||||||||
| A1 | Social Security Gross Limit |
6.20% $106,800 |
01/91 01/09 |
6.20% $102,000 |
01/91 01/08 |
||||||||||||||||||||||||||||||||||||||||
| A2 | Medicare Gross Limit |
1.45% NO LIMIT |
01/87 01/94 |
1.45% NO LIMIT |
01/87 01/94 |
||||||||||||||||||||||||||||||||||||||||
| A3 | Workers Compensation Insurance (plus $5,000 per qualified claim) | 0.56% | 07/11 | 0.73% | 07/10 | ||||||||||||||||||||||||||||||||||||||||
| A4 | Employee Support Program | 0.28% | 07/01 | 0.24% | 07/94 | ||||||||||||||||||||||||||||||||||||||||
| A5 | Unemployment Insurance | ||||||||||||||||||||||||||||||||||||||||||||
| General Funds Federal Funds Other Funds |
0.60% 0.60% 0.45% |
07/11 07/11 07/11 |
0.45% 0.54% 0.54% |
07/10 07/10 07/10 |
|||||||||||||||||||||||||||||||||||||||||
| A6 | UC Retirement Plan (UCRP) Employer Contribution | 7.00% | 07/11 | 4.00% | 05/10 | ||||||||||||||||||||||||||||||||||||||||
| A7 | UCRP Supplemental Assessment Rate | 0.68% | 08/11 | 0.00% | 07/11 | ||||||||||||||||||||||||||||||||||||||||
| A8 | Vacation Assessment (Gross salary times rate below) | ||||||||||||||||||||||||||||||||||||||||||||
Effective 10/2010 (old factors in parenthesis effective 07/2010)
|
|||||||||||||||||||||||||||||||||||||||||||||
| A9 | Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP) | ||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| A10 | Other PostEmployment Benefit (OPEB) | 3.51% | 07/11 | 3.31% | 07/10 | ||||||||||||||||||||||||||||||||||||||||
| A11 | Benefits Administration Rate related to OPEB | 0.17% | 07/10 | 0.16% | 07/08 | ||||||||||||||||||||||||||||||||||||||||
| A12 |
General Liability - Loc. 5 (UCRFS charge) |
0.7900%0.0700% |
07/11 |
1.1099%0.0800% |
07/10 |
||||||||||||||||||||||||||||||||||||||||
| A13 |
Employment Practices - Loc. 5 (UCRFS charge) |
0.1250%0.0400% |
07/11 |
0.0570%0.0500% |
07/10 |
||||||||||||||||||||||||||||||||||||||||
| B | FLAT RATED (DOLLAR) BENEFITS | NEW AMOUNT | EFF DATE | OLD AMOUNT | EFF DATE | ||||||||||||||||||||||||||||||||||||||||
| B1 | HEALTH INSURANCE - EMPLOYER RATES (separate table) | ||||||||||||||||||||||||||||||||||||||||||||
| HEALTH INSURANCE - EMPLOYEE RATES (separate table) | |||||||||||||||||||||||||||||||||||||||||||||
| B2 | Life Insurance(Flat Rate) | $4.34 | 01/07 | $4.82 | 01/96 | ||||||||||||||||||||||||||||||||||||||||
| B3 | Core Life Insurance (Flat Rate) | $0.47 | 01/96 | $0.52 | 01/94 | ||||||||||||||||||||||||||||||||||||||||
| B4 | U.C. Paid Disability (Flat Rate) | $6.71 | 01/09 | $6.13 | 01/00 | ||||||||||||||||||||||||||||||||||||||||
| B5 | Graduate Student (GS) Remission Programs | ||||||||||||||||||||||||||||||||||||||||||||
| GS Health Insurance Program (GSHIP) with Admin fee/QTR | $588.00 | 10/11 | $641.00 |
10/10 |
|||||||||||||||||||||||||||||||||||||||||
|
GS Partial Fee Remission (PFR) -Residents/QTR |
$3708.00$3708.00 |
10/11 |
$3434.00$3570.00 |
10/10 |
|||||||||||||||||||||||||||||||||||||||||
| GS Nonresident Suppl. Tuition Remission (NRST)/QTR | $5034.00 | 10/11 | $4898.00 | 10/04 | |||||||||||||||||||||||||||||||||||||||||
| B6 |
Comm. Worker Fee (CWF) per FTE (UCRFS charge) |
$53.02 |
08/11 |
$47.59 |
07/10 |
||||||||||||||||||||||||||||||||||||||||
2011 Health Plan Cost (Employer)
|
Kaiser Permanente – CA (KN & KS) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $47,000 or less |
457.99 |
824.38 |
961.78 |
1328.17 |
|
Pay Band 2 - Employer premium for salaries of $47,001 - $93,000 |
424.84 |
764.71 |
886.10 |
1225.97 |
|
Pay Band 3 - Employer premium for salaries of $93,001 - $140,000 |
390.82 |
703.47 |
818.28 |
1130.93 |
|
Pay Band 4 - Employer premium for salaries $140,001 or more |
355.60 |
640.07 |
748.02 |
1032.50 |
|
Anthem Lumenos PPO with HRA (BL) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $47,000 or less |
476.74 |
858.14 |
999.78 |
1382.54 |
|
Pay Band 2 - Employer premium for salaries of $47,001 - $93,000 |
443.59 |
798.47 |
924.10 |
1280.34 |
|
Pay Band 3 - Employer premium for salaries of $93,001 - $140,000 |
409.57 |
737.23 |
856.28 |
1185.30 |
|
Pay Band 4 - Employer premium for salaries $140,001 or more |
374.35 |
673.83 |
786.02 |
1086.87 |
|
Health Net Blue & Gold HMO (HB & HE) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $47,000 or less |
496.50 |
893.70 |
999.78 |
1396.98 |
|
Pay Band 2 - Employer premium for salaries of $47,001 - $93,000 |
463.35 |
834.03 |
924.10 |
1294.78 |
|
Pay Band 3 - Employer premium for salaries of $93,001 - $140,000 |
429.33 |
772.79 |
856.28 |
1199.74 |
|
Pay Band 4 - Employer premium for salaries $140,001 or more |
394.11 |
709.39 |
786.02 |
1101.31 |
|
Health Net HMO (HN & HC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $47,000 or less |
496.50 |
893.70 |
999.78 |
1396.98 |
|
Pay Band 2 - Employer premium for salaries of $47,001 - $93,000 |
463.35 |
834.03 |
924.10 |
1294.78 |
|
Pay Band 3 - Employer premium for salaries of $93,001 - $140,000 |
429.33 |
772.79 |
856.28 |
1199.74 |
|
Pay Band 4 - Employer premium for salaries $140,001 or more |
394.11 |
709.39 |
786.02 |
1101.31 |
|
Anthem PLUS (BC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $47,000 or less |
496.50 |
893.70 |
999.78 |
1396.98 |
|
Pay Band 2 - Employer premium for salaries of $47,001 - $93,000 |
463.35 |
834.03 |
924.10 |
1294.78 |
|
Pay Band 3 - Employer premium for salaries of $93,001 - $140,000 |
429.33 |
772.79 |
856.28 |
1199.74 |
|
Pay Band 4 - Employer premium for salaries $140,001 or more |
394.11 |
709.39 |
786.02 |
1101.31 |
|
Anthem PPO (BP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $47,000 or less |
496.50 |
893.70 |
999.78 |
1396.98 |
|
Pay Band 2 - Employer premium for salaries of $47,001 - $93,000 |
463.35 |
834.03 |
924.10 |
1294.78 |
|
Pay Band 3 - Employer premium for salaries of $93,001 - $140,000 |
429.33 |
772.79 |
856.28 |
1199.74 |
|
Pay Band 4 - Employer premium for salaries $140,001 or more |
394.11 |
709.39 |
786.02 |
1101.31 |
|
|
||||
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
|
CORE MEDICAL |
70.70 |
127.26 |
148.47 |
205.03 |
|
DELTA DENTAL PPO |
43.96 |
90.65 |
82.59 |
148.19 |
|
DELTACARE USA |
22.38 |
39.03 |
38.41 |
55.07 |
|
VISION SERVICE PLAN |
13.58 |
13.58 |
13.58 |
13.58 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
| PSBP MEDICAL HMO (Health Net, Group # 66700A) |
360.85 |
631.52 |
866.09 |
1100.63 |
| PSBP MEDICAL PPO (Health Net, Group #N2982A) |
398.14 |
696.76 |
955.54 |
1214.36 |
| PSBP DENTAL DHMO (Health Net, Group #Z0074A) |
8.86
|
16.83
|
15.94
|
24.80
|
| PSBP DENTAL PPO (Principal, Group #H12843) |
26.41
|
60.76
|
54.50
|
97.44
|
| PSBP VISION PPO (Health Net, Group #Z0074A) |
3.98
|
7.40
|
6.63
|
11.33
|
| PSBP BROKER/ADMIN FEE |
8.08
|
8.08
|
8.08
|
8.08
|
| PSBP LIFE/AD&D ($50,000) |
3.15
|
3.15
|
3.15
|
3.15
|
| PSBP SHORT-TERM DISABILITY |
8.82
|
8.82
|
8.82
|
8.82
|
| PSBP WORKERS COMP INSURANCE |
24.00
|
24.00
|
24.00
|
24.00
|
2011 Health Plan Cost (Employee)
|
Kaiser Permanente - CA (KN & KS) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $47,000 or less |
7.45 |
13.41 |
15.65 |
21.61 |
|
Pay Band 2 - Employee premium for salaries of $47,001 - $93,000 |
40.60 |
73.08 |
91.33 |
123.81 |
|
Pay Band 3 - Employee premium for salaries of $93,001 - $140,000 |
74.62 |
134.32 |
159.15 |
218.85 |
|
Pay Band 4 - Employee premium for salaries of $140,001 or more |
109.84 |
197.72 |
229.41 |
317.28 |
|
Anthem Lumenos PPO with HRA (BL) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $47,000 or less |
7.45 |
13.41 |
15.65 |
21.61 |
|
Pay Band 2 - Employee premium for salaries of $47,001 - $93,000 |
40.60 |
73.08 |
91.33 |
123.81 |
|
Pay Band 3 - Employee premium for salaries of $93,001 - $140,000 |
74.62 |
134.32 |
159.15 |
218.85 |
|
Pay Band 4 - Employee premium for salaries of $140,001 or more |
109.84 |
197.72 |
229.41 |
317.28 |
|
Health Net Blue & Gold HMO (HB & HE) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $47,000 or less |
21.21 |
38.18 |
87.41 |
104.38 |
|
Pay Band 2 - Employee premium for salaries of $47,001 - $93,000 |
54.36 |
97.85 |
163.09 |
206.58 |
|
Pay Band 3 - Employee premium for salaries of $93,001 - $140,000 |
88.38 |
159.09 |
230.91 |
301.62 |
|
Pay Band 4 - Employee premium for salaries of $140,001 or more |
123.60 |
222.49 |
301.17 |
400.05 |
|
Health Net HMO (HN & HC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $47,000 or less |
74.40 |
133.92 |
199.11 |
258.63 |
|
Pay Band 2 - Employee premium for salaries of $47,001 - $93,000 |
107.55 |
193.59 |
274.79 |
360.83 |
|
Pay Band 3 - Employee premium for salaries of $93,001 - $140,000 |
141.57 |
254.83 |
342.61 |
455.87 |
|
Pay Band 4 - Employee premium for salaries of $140,001 or more |
176.79 |
318.23 |
412.87 |
554.30 |
|
Anthem PLUS (BC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $47,000 or less |
77.49 |
139.48 |
205.60 |
267.59 |
|
Pay Band 2 - Employee premium for salaries of $47,001 - $93,000 |
110.64 |
199.15 |
281.28 |
369.79 |
|
Pay Band 3 - Employee premium for salaries of $93,001 - $140,000 |
144.66 |
260.39 |
349.10 |
464.83 |
|
Pay Band 4 - Employee premium for salaries of $140,001 or more |
179.88 |
323.79 |
419.36 |
563.26 |
|
Anthem PPO (BP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $47,000 or less |
93.32 |
167.98 |
238.85 |
313.49 |
|
Pay Band 2 - Employee premium for salaries of $47,001 - $93,000 |
126.47 |
227.65 |
314.53 |
415.69 |
|
Pay Band 3 - Employee premium for salaries of $93,001 - $140,000 |
160.49 |
288.89 |
382.35 |
510.73 |
|
Pay Band 4 - Employee premium for salaries of $140,001 or more |
195.71 |
352.29 |
452.61 |
609.16 |
|
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
CORE MEDICAL – CA |
Free |
Free |
Free |
Free |
|
DELTA DENTAL PPO |
Free |
Free |
Free |
Free |
|
DELTACARE USA (formerly PMI DENTAL) |
Free |
Free |
Free |
Free |
|
VISION SERVICE PLAN |
Free |
Free |
Free |
Free |
|
LEGAL PLAN (ARAG) |
10.02 |
13.78 |
13.78 |
15.03 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Self |
Self + Child(ren) |
Self + Adult |
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 |
|
PSBP LONG-TERM DISABILITY |
6.36 |
6.36 |
6.36 |
6.36 |
|
|
||||
|
UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP) EX and SX pay UCRP old rate as of 5/10 CX pay DCP-Regular old rate as of 5/10 |
New Rate |
Eff. Date |
Old Rate |
|
|
Members with Social Security (below FICA max) |
7/11 |
3.5% less ($19) |
5/10 | 2% less $19 |
|
Members with Social Security (above FICA max) |
7/11 |
3.5% less ($19) |
5/10 | 4% less $19 |
|
Members Uncoordinated with Social Security |
3.5% less ($19) |
5/10 | 3% less $19 | |
|
Safety Members |
4.5% less ($19) |
5/10 | 3% less $19 |
2010 Benefits Rate Table
revised Oct 20, 2010
| DESCRIPTION | RATE/ AMOUNT |
EFF. DATE |
PRIOR RT/AMT |
EFF. DATE |
||||||||||||||||||||||||||||||||||||
| A | PERCENTAGE BASED BENEFITS | |||||||||||||||||||||||||||||||||||||||
| A1 | Social Security Gross Limit |
6.20% $106,800 |
01/91 01/09 |
6.20% $102,000 |
01/91 01/08 |
|||||||||||||||||||||||||||||||||||
| A2 | Medicare Gross Limit |
1.45% NO LIMIT |
01/87 01/94 |
1.45% NO LIMIT |
01/87 01/94 |
|||||||||||||||||||||||||||||||||||
| A3 | Workers Compensation Insurance | 0.73% | 07/10 | 0.99% | 07/09 | |||||||||||||||||||||||||||||||||||
| A4 | Employee Support Program | 0.28% | 07/01 | 0.24% | 07/94 | |||||||||||||||||||||||||||||||||||
| A5 | Unemployment Insurance | |||||||||||||||||||||||||||||||||||||||
| General Funds Federal Funds Other Funds |
0.45% 0.54% 0.54% |
07/10 07/10 07/10 |
0.25% 0.36% 0.30% |
01/10 01/10 01/10 |
||||||||||||||||||||||||||||||||||||
| A6 | UC Retirement Plan (UCRP) Employer Contribution | 4.00% | 05/10 | 0.00% | 10/90 | |||||||||||||||||||||||||||||||||||
| A7 | Vacation Assessment (Gross salary times rate below) | |||||||||||||||||||||||||||||||||||||||
Effective 10/2010 (old factors in parenthesis effective 07/2010)
|
||||||||||||||||||||||||||||||||||||||||
| A8 |
Staff Recognition & Development Award Program (SRDP) - 99 Incentive Award Program (IAP) - EX, PA Incentive Award Program (IAP) - CX, FF, K5, RX, SX Incentive Award Program (IAP) - TX Incentive Award Program (IAP) - HX Incentive Award Program (IAP) - NX |
0.89% 0.50% 0.00% 0.00% 0.00% 0.00% |
07/07 02/01 07/06 10/06 04/07 03/08 |
0.80% 1.09% 0.50% 0.50% 0.50% 0.50% |
04/07 07/98 01/01 10/00 02/01 02/01 |
|||||||||||||||||||||||||||||||||||
| A9 | Other PostEmployment Benefit (OPEB)(formerly Annuitant Health) | 3.31% | 07/10 | 3.12% | 07/09 | |||||||||||||||||||||||||||||||||||
| A10 | Benefits Administration Rate | 0.17% | 07/10 | 0.16% | 07/08 | |||||||||||||||||||||||||||||||||||
| A11 | General Liability - Loc. 5 (assessed outside the DOPE process) General Liability - Loc. N (assessed outside the DOPE process) |
1.1099% 0.0700% |
07/10 07/10 |
0.7140% 0.0800% |
07/09 09/09 |
|||||||||||||||||||||||||||||||||||
| A12 | Employment Practices - Loc. 5 (assessed outside the DOPE process) Employment Practices - Loc. N (assessed outside the DOPE process) |
0.0570% 0.0400% |
07/10 07/10 |
0.1734% 0.0500% |
07/09 09/09 |
|||||||||||||||||||||||||||||||||||
| B | FLAT RATED (DOLLAR) BENEFITS | |||||||||||||||||||||||||||||||||||||||
| B1 | HEALTH INSURANCE - EMPLOYER RATES (click for rates) | |||||||||||||||||||||||||||||||||||||||
| HEALTH INSURANCE - EMPLOYEE RATES (click for rates) | ||||||||||||||||||||||||||||||||||||||||
| B2 | Life Insurance(Flat Rate) | $4.34 | 01/07 | $4.82 | 01/96 | |||||||||||||||||||||||||||||||||||
| B3 | Core Life Insurance (Flat Rate) | $0.47 | 01/96 | $0.52 | 01/94 | |||||||||||||||||||||||||||||||||||
| B4 | U.C. Paid Disability (Flat Rate) | $6.71 | 01/09 | $6.13 | 01/00 | |||||||||||||||||||||||||||||||||||
| B5 | Graduate Remission Programs | |||||||||||||||||||||||||||||||||||||||
| Graduate Student Health Insurance (GSHIP) with Admin fee/QTR |
$641.00 |
10/10 |
$603.00 |
10/09 |
||||||||||||||||||||||||||||||||||||
|
Graduate Student Fee Remission (GSFR) -Residents per QTR Graduate Student Fee Remission (GSFR) -Non-Residents per QTR AGSM Graduate Student Fee Remission per QTR |
$3434.00 $3570.00 $3404.00 |
10/10 10/10 10/10 |
$2968.00 $3085.00 $2864.00 |
01/10 01/10 01/10 |
||||||||||||||||||||||||||||||||||||
| Graduate Student Tuition Remission (GSTR)/QTR | $4898.00 | 10/04 | $4082.00 | 10/03 | ||||||||||||||||||||||||||||||||||||
| B6 |
Communication Worker Fee (CWF) per FTE (outside DOPE process) CWF for Assistant I (4922) and Assistant II (4921) |
$47.59 $23.80 |
07/10 07/10 |
$24.00 $12.00 |
08/08 08/08 |
|||||||||||||||||||||||||||||||||||
2010 Health Plan Cost (Employer)
|
Kaiser Permanente – CA |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
420.36 |
756.65 |
882.76 |
1219.04 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
389.15 |
700.47 |
811.51 |
1122.82 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
357.12 |
642.82 |
747.65 |
1033.34 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
323.96 |
583.13 |
681.50 |
940.66 |
|
Health Net HMO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
467.46 |
841.43 |
941.30 |
1315.27 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
436.25 |
785.25 |
870.05 |
1219.05 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
404.22 |
727.60 |
806.19 |
1129.57 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
371.06 |
667.91 |
740.04 |
1036.89 |
|
Cigna Choice Fund |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
467.46 |
841.43 |
941.30 |
1315.27 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
436.25 |
785.25 |
870.05 |
1219.05 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
404.22 |
727.60 |
806.19 |
1129.57 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
371.06 |
667.91 |
740.04 |
1036.89 |
|
Anthem Blue Cross PLUS |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
467.46 |
841.43 |
941.30 |
1315.27 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
436.25 |
785.25 |
870.05 |
1219.05 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
404.22 |
727.60 |
806.19 |
1129.57 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
371.06 |
667.91 |
740.04 |
1036.89 |
|
Anthem Blue Cross PPO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
467.46 |
841.43 |
941.30 |
1315.27 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
436.25 |
785.25 |
870.05 |
1219.05 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
404.22 |
727.60 |
806.19 |
1129.57 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
371.06 |
667.91 |
740.04 |
1036.89 |
|
|
||||
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
|
CORE MEDICAL |
63.76 |
114.77 |
133.90 |
184.90 |
|
DELTA DENTAL PPO |
42.40 |
86.55 |
79.63 |
141.68 |
|
DELTACARE USA |
22.38 |
38.58 |
38.41 |
54.62 |
|
VISION SERVICE PLAN |
13.45 |
13.45 |
13.45 |
13.45 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
| PSBP MEDICAL HMO |
333.81 |
584.20 |
801.19 |
1018.16 |
| PSBP MEDICAL PPO |
351.80 |
608.16 |
856.32 |
1074.52 |
| PSBP DENTAL HMO |
8.86 |
16.83 |
15.94 |
24.80 |
| PSBP DENTAL PPO |
25.15 |
57.86 |
51.90 |
92.80 |
| PSBP VISION |
3.90 |
7.25 |
6.50 |
11.10 |
| PSBP BROKER/ADMIN FEE |
8.08 |
8.08 |
8.08 |
8.08 |
| PSBP LIFE/AD&D |
3.15 |
3.15 |
3.15 |
3.15 |
| PSBP SHORT-TERM DISABILITY |
6.21 |
6.21 |
6.21 |
6.21 |
| PSBP WORKERS COMP INSURANCE |
23.68 |
23.68 |
23.68 |
23.68 |
2010 Health Plan Cost (Employee)
|
Kaiser Permanente - CA (KN & KS) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
6.84 |
12.31 |
14.36 |
19.84 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
38.05 |
68.49 |
85.61 |
116.06 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
70.08 |
126.14 |
149.47 |
205.54 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
103.24 |
185.83 |
215.62 |
298.22 |
|
Health Net HMO (HN, HE, HC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
19.97 |
35.95 |
82.30 |
98.28 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
51.18 |
92.13 |
153.55 |
194.50 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
83.21 |
149.78 |
217.41 |
283.98 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
116.37 |
209.47 |
283.56 |
376.66 |
|
Cigna (CG) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
86.61 |
155.89 |
222.25 |
291.53 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
117.82 |
212.07 |
293.50 |
387.75 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
149.85 |
269.72 |
357.36 |
477.23 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
183.01 |
329.41 |
423.51 |
569.91 |
|
Anthem Blue Cross PLUS (BC) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
29.47 |
53.05 |
102.26 |
125.82 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
60.68 |
109.23 |
173.51 |
222.04 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
92.71 |
166.88 |
237.37 |
311.52 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
125.87 |
226.57 |
303.52 |
404.20 |
|
Anthem Blue Cross PPO (BP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
88.61 |
159.50 |
226.45 |
297.33 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
119.82 |
215.68 |
297.70 |
393.55 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
151.85 |
273.33 |
261.56 |
483.03 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
185.01 |
333.02 |
427.71 |
575.71 |
|
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
CORE MEDICAL – CA |
Free |
Free |
Free |
Free |
|
DELTA DENTAL PPO |
Free |
Free |
Free |
Free |
|
DELTACARE USA (formerly PMI DENTAL) |
Free |
Free |
Free |
Free |
|
VISION SERVICE PLAN |
Free |
Free |
Free |
Free |
|
LEGAL PLAN (ARAG) |
10.02 |
13.78 |
13.78 |
15.03 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)
|
Self |
Self + Child(ren) |
Self + Adult |
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
|
| PSBP LONG-TERM DISABILITY |
5.39
|
5.39
|
5.39
|
5.39
|
|
UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP) effective 5/2010 |
|
|
|
|
|
Members with Social Security (below FICA max) |
|
2% less ($19) |
|
|
|
Members with Social Security (above FICA max) |
|
4% less ($19) |
|
|
|
Members Uncoordinated with Social Security |
|
3% less ($19) |
|
|
|
Safety Members |
|
3% less ($19) |
|
2009 Benefits Rate Table
revised 09/21/2009
| DESCRIPTION | RATE/ AMOUNT |
EFF. DATE |
PRIOR RT/AMT |
EFF. DATE |
||||||||||||||||||||||||||||||||||||
| A | PERCENTAGE BASED BENEFITS | |||||||||||||||||||||||||||||||||||||||
| A1 | Social Security Gross Limit |
6.20% $106,800 |
01/91 01/09 |
6.20% $102,000 |
01/91 01/08 |
|||||||||||||||||||||||||||||||||||
| A2 | Medicare Gross Limit |
1.45% NO LIMIT |
01/87 01/94 |
1.45% NO LIMIT |
01/87 01/94 |
|||||||||||||||||||||||||||||||||||
| A3 | Workers Compensation Insurance | 0.99% | 07/09 | 1.15% | 07/08 | |||||||||||||||||||||||||||||||||||
| A4 | Employee Support Program | 0.28% | 07/01 | 0.24% | 07/94 | |||||||||||||||||||||||||||||||||||
| A5 | Unemployment Insurance | |||||||||||||||||||||||||||||||||||||||
| General Funds Federal Funds Other Funds |
0.10% 0.18% 0.18% |
07/87 07/08 07/08 |
0.10% 0.30% 0.24% |
07/87 07/07 07/07 |
||||||||||||||||||||||||||||||||||||
| A6 | UC Retirement Plan (UCRP) Employer Contribution | 0.00% | 10/90 | 4.03% | 02/90 | |||||||||||||||||||||||||||||||||||
| A7 | Vacation Assessment (Gross salary times rate below) | |||||||||||||||||||||||||||||||||||||||
Effective 07/2004 (old factors in parenthesis effective 01/2003)
|
||||||||||||||||||||||||||||||||||||||||
| A8 |
Staff Recognition & Development Award Program (SRDP) - 99 Incentive Award Program (IAP) - EX, PA Incentive Award Program (IAP) - CX, FF, K5, RX, SX Incentive Award Program (IAP) - TX Incentive Award Program (IAP) - HX Incentive Award Program (IAP) - NX |
0.89% 0.50% 0.00% 0.00% 0.00% 0.00% |
07/07 02/01 07/06 10/06 04/07 03/08 |
0.80% 1.09% 0.50% 0.50% 0.50% 0.50% |
04/07 07/98 01/01 10/00 02/01 02/01 |
|||||||||||||||||||||||||||||||||||
| A9 | Other PostEmployment Benefit (OPEB)(formerly Annuitant Health) | 3.12% | 07/09 | 3.09% | 07/08 | |||||||||||||||||||||||||||||||||||
| A10 | Benefits Administration Rate | 0.16% | 07/08 | 0.18% | 07/07 | |||||||||||||||||||||||||||||||||||
| A11 | General Liability - Loc. 5 (assessed outside the DOPE process) General Liability - Loc. N (assessed outside the DOPE process) |
0.7140% 0.0800% |
07/09 09/09 |
0.7782% 0.4900% |
07/08 07/09 |
|||||||||||||||||||||||||||||||||||
| A12 | Employment Practices - Loc. 5 (assessed outside the DOPE process) Employment Practices - Loc. N (assessed outside the DOPE process) |
0.1734% 0.0500% |
07/09 09/09 |
0.2080% 0.0600% |
07/08 07/09 |
|||||||||||||||||||||||||||||||||||
| B | FLAT RATED (DOLLAR) BENEFITS | |||||||||||||||||||||||||||||||||||||||
| B1 | HEALTH INSURANCE (click for ACTUAL COST PER PLAN) | |||||||||||||||||||||||||||||||||||||||
| B2 | Life Insurance(Flat Rate) | $4.34 | 01/07 | $4.82 | 01/96 | |||||||||||||||||||||||||||||||||||
| B3 | Core Life Insurance (Flat Rate) | $0.47 | 01/96 | $0.52 | 01/94 | |||||||||||||||||||||||||||||||||||
| B4 | U.C. Paid Disability (Flat Rate) | $6.71 | 01/09 | $6.13 | 01/00 | |||||||||||||||||||||||||||||||||||
| B5 | Graduate Remission Programs | |||||||||||||||||||||||||||||||||||||||
| Graduate Student Health Insurance (GSHIP) with Admin fee/QTR |
$603.00 |
10/09 |
$593.00 |
10/08 |
||||||||||||||||||||||||||||||||||||
|
Graduate Student Fee Remission (GSFR) -Residents per QTR Graduate Student Fee Remission (GSFR) -Non-Residents per QTR AGSM Graduate Student Fee Remission per QTR |
$2912.00 $3026.00 $2574.00 |
10/09 10/09 10/09 |
$2662.00 $2766.00 $2356.00 |
10/08 10/08 10/08 |
||||||||||||||||||||||||||||||||||||
| Graduate Student Tuition Remission (GSTR)/QTR | $4898.00 | 10/04 | $4082.00 | 10/03 | ||||||||||||||||||||||||||||||||||||
| B6 |
Communication Worker Fee (CWF) per FTE (outside DOPE process) CWF for Assistant I (4922) and Assistant II (4921) |
$24.00 $12.00 |
08/08 08/08 |
$23.41 $11.715 |
09/07 09/07 |
|||||||||||||||||||||||||||||||||||
2009 Health Plan Cost (Employer)
|
Kaiser Permanente – CA |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
394.37 |
710.49 |
829.91 |
1145.77 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
366.53 |
660.37 |
766.18 |
1059.77 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
338.10 |
609.19 |
709.49 |
980.34 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
307.58 |
554.26 |
648.82 |
895.26 |
|
Health Net HMO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
414.19 |
745.56 |
834.12 |
1165.47 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
386.56 |
695.82 |
770.87 |
1080.12 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
358.38 |
645.09 |
714.67 |
1001.38 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
328.64 |
591.56 |
655.55 |
918.47 |
|
Cigna Choice Fund |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
414.19 |
745.56 |
834.12 |
1165.47 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
386.56 |
695.82 |
770.87 |
1080.12 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
358.38 |
645.09 |
714.67 |
1001.38 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
328.64 |
591.56 |
655.55 |
918.47 |
|
Anthem Blue Cross PLUS |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
414.19 |
745.56 |
834.12 |
1165.47 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
386.56 |
695.82 |
770.87 |
1080.12 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
358.38 |
645.09 |
714.67 |
1001.38 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
328.64 |
591.56 |
655.55 |
918.47 |
|
Anthem Blue Cross PPO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $46,000 or less |
414.19 |
745.56 |
834.12 |
1165.47 |
|
Pay Band 2 - Employer premium for salaries of $46,001 - $92,000 |
386.56 |
695.82 |
770.87 |
1080.12 |
|
Pay Band 3 - Employer premium for salaries of $92,001 - $137,000 |
358.38 |
645.09 |
714.67 |
1001.38 |
|
Pay Band 4 - Employer premium for salaries $137,001 or more |
328.64 |
591.56 |
655.55 |
918.47 |
|
|
||||
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
|
CORE MEDICAL |
50.00 |
90.00 |
106.00 |
146.00 |
|
DELTA DENTAL PPO |
41.49 |
84.71 |
77.94 |
138.69 |
|
DELTACARE USA |
20.50 |
35.33 |
35.18 |
50.02 |
|
VISION SERVICE PLAN |
13.45 |
13.45 |
13.45 |
13.45 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
| PSBP MEDICAL HMO |
281.32 |
492.33 |
675.20 |
858.05 |
| PSBP MEDICAL PPO |
256.21 |
440.87 |
626.90 |
782.95 |
| PSBP DENTAL HMO |
8.86 |
16.83 |
15.94 |
24.80 |
| PSBP DENTAL PPO |
25.15 |
57.86 |
51.90 |
92.80 |
| PSBP VISION |
3.90 |
7.25 |
6.50 |
11.10 |
| PSBP BROKER/ADMIN FEE |
8.08 |
8.08 |
8.08 |
8.08 |
| PSBP LIFE/AD&D |
3.15 |
3.15 |
3.15 |
3.15 |
| PSBP SHORT-TERM DISABILITY |
6.21 |
6.21 |
6.21 |
6.21 |
| PSBP WORKERS COMP INSURANCE |
35.30 |
35.30 |
35.30 |
35.30 |
2009 Health Plan Cost (Employee)
|
Kaiser Permanente - CA |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
6.06 |
10.29 |
10.99 |
15.48 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
33.90 |
60.41 |
74.72 |
101.48 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
62.33 |
111.59 |
131.41 |
180.91 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
92.85 |
166.52 |
192.08 |
265.99 |
|
Health Net HMO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
17.73 |
31.90 |
72.91 |
87.10 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
45.36 |
81.64 |
136.16 |
172.45 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
73.54 |
132.37 |
192.36 |
251.19 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
103.28 |
185.90 |
251.48 |
334.10 |
|
Cigna Choice Fund |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
29.07 |
52.31 |
96.72 |
119.99 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
56.70 |
102.05 |
159.97 |
205.34 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
84.88 |
152.78 |
216.17 |
284.08 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
114.62 |
206.31 |
275.29 |
366.99 |
|
Blue Cross PLUS |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
31.07 |
55.91 |
100.92 |
125.79 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
58.70 |
105.65 |
164.17 |
211.14 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
86.88 |
156.38 |
220.37 |
289.88 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
116.62 |
209.91 |
279.49 |
372.792 |
|
Blue Cross PPO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $46,000 or less |
27.31 |
49.14 |
93.03 |
114.88 |
|
Pay Band 2 - Employee premium for salaries of $46,001 - $92,000 |
54.94 |
98.88 |
156.28 |
200.23 |
|
Pay Band 3 - Employee premium for salaries of $92,001 - $137,000 |
83.12 |
149.61 |
212.48 |
278.97 |
|
Pay Band 4 - Employee premium for salaries of $137,001 or more |
112.86 |
203.14 |
271.60 |
361.88 |
|
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
CORE MEDICAL – CA |
Free |
Free |
Free |
Free |
|
DELTA DENTAL PPO |
Free |
Free |
Free |
Free |
|
DELTACARE USA (formerly PMI DENTAL) |
Free |
Free |
Free |
Free |
|
VISION SERVICE PLAN |
Free |
Free |
Free |
Free |
|
LEGAL PLAN (ARAG) |
10.02 |
13.78 |
13.78 |
15.03 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Self |
Self + Child(ren) |
Self + Adult |
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 |
| PSBP LONG-TERM DISABILITY |
5.39 |
5.39 |
5.39 |
5.39 |
2008 Benefits Rate Table
revised August 8, 2008
| DESCRIPTION | RATE/ AMOUNT |
EFF. DATE |
PRIOR RT/AMT |
EFF. DATE |
||||||||||||||||||||||||||||||||||||
| A | PERCENTAGE BASED BENEFITS | |||||||||||||||||||||||||||||||||||||||
| A1 | Social Security Gross Limit |
6.20% $102,000 |
01/91 01/08 |
6.20% $97,500 |
01/91 01/07 |
|||||||||||||||||||||||||||||||||||
| A2 | Medicare Gross Limit |
1.45% NO LIMIT |
01/87 01/94 |
1.45% NO LIMIT |
01/87 01/94 |
|||||||||||||||||||||||||||||||||||
| A3 | Workers Compensation Insurance | 1.15% | 07/08 | 1.51% | 07/07 | |||||||||||||||||||||||||||||||||||
| A4 | Employee Support Program | 0.28% | 07/01 | 0.24% | 07/94 | |||||||||||||||||||||||||||||||||||
| A5 | Unemployment Insurance | |||||||||||||||||||||||||||||||||||||||
| General Funds Federal Funds Other Funds |
0.10% 0.18% 0.18% |
07/87 07/08 07/08 |
0.10% 0.30% 0.24% |
07/87 07/07 07/07 |
||||||||||||||||||||||||||||||||||||
| A6 | UC Retirement Plan (UCRP) Employer Contribution | 0.00% | 10/90 | 4.03% | 02/90 | |||||||||||||||||||||||||||||||||||
| A7 | Vacation Assessment (Gross salary times rate below) | |||||||||||||||||||||||||||||||||||||||
Effective 07/2004 (old factors in parenthesis effective 01/2003)
|
||||||||||||||||||||||||||||||||||||||||
| A8 |
Staff Recognition & Development Award Program (SRDP) - 99 Incentive Award Program (IAP) - EX, PA Incentive Award Program (IAP) - CX, FF, K5, RX, SX Incentive Award Program (IAP) - TX Incentive Award Program (IAP) - HX Incentive Award Program (IAP) - NX |
0.89% 0.50% 0.00% 0.00% 0.00% 0.00% |
07/07 02/01 07/06 10/06 04/07 03/08 |
0.80% 1.09% 0.50% 0.50% 0.50% 0.50% |
04/07 07/98 01/01 10/00 02/01 02/01 |
|||||||||||||||||||||||||||||||||||
| A9 | Other PostEmployment Benefit (OPEB)(formerly Annuitant Health) | 3.09% | 07/08 | 2.86% | 07/07 | |||||||||||||||||||||||||||||||||||
| A10 | Benefits Administration Rate | 0.16% | 07/08 | 0.18% | 07/07 | |||||||||||||||||||||||||||||||||||
| A11 |
General Liability - Loc. 5 (assessed outside the DOPE process) General Liability - Loc. N (assessed outside the DOPE process) |
0.7782% 0.1200% |
07/08 07/06 |
0.2194% 0.1300% |
07/07 07/04 |
|||||||||||||||||||||||||||||||||||
| A12 |
Employment Practices - Loc. 5 (assessed outside the DOPE process) Employment Practices - Loc. N (assessed outside the DOPE process) |
0.2080% 0.0800% |
07/08 07/06 |
0.1964% 0.0600% |
07/08 07/04 |
|||||||||||||||||||||||||||||||||||
| B | FLAT RATED (DOLLAR) BENEFITS | |||||||||||||||||||||||||||||||||||||||
| B1 | HEALTH INSURANCE (click for ACTUAL COST PER PLAN) | |||||||||||||||||||||||||||||||||||||||
| B2 | Life Insurance(Flat Rate) | $4.34 | 01/07 | $4.82 | 01/96 | |||||||||||||||||||||||||||||||||||
| B3 | Core Life Insurance (Flat Rate) | $0.47 | 01/96 | $0.52 | 01/94 | |||||||||||||||||||||||||||||||||||
| B4 | U.C. Paid Disability (Flat Rate) | $6.13 | 01/00 | $7.21 | 01/93 | |||||||||||||||||||||||||||||||||||
| B5 | Graduate Remission Programs | |||||||||||||||||||||||||||||||||||||||
| Graduate Student Health Insurance (GSHIP) with Admin fee/QTR |
$593.00 |
10/08 |
$592.00 |
10/07 |
||||||||||||||||||||||||||||||||||||
|
Graduate Student Fee Remission (GSFR) -Residents per QTR Graduate Student Fee Remission (GSFR)-Non-Residents per QTR AGSM Graduate Student Fee Remission per QTR |
$2662.00 $2766.00 $2356.00 |
10/08 10/08 10/08 |
$2480.00 $2578.00 $2194.00 |
10/07 10/07 10/07 |
||||||||||||||||||||||||||||||||||||
| Graduate Student Tuition Remission (GSTR)/QTR | $4898.00 | 10/04 | $4082.00 | 10/03 | ||||||||||||||||||||||||||||||||||||
| B6 |
Communication Worker Fee (CWF) per FTE (outside DOPE process) CWF for Assistant I (4922) and Assistant II (4921) |
$24.00 $12.00 |
08/08 08/08 |
$23.41 $11.715 |
09/07 09/07 |
|||||||||||||||||||||||||||||||||||
2008 Health Plan Cost (Employer)
|
Kaiser Permanente – CA |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $45,000 or less |
362.18 |
651.91 |
760.57 |
1050.31 |
|
Pay Band 2 - Employer premium for salaries of $45,001 - $89,000 |
335.62 |
604.11 |
699.80 |
968.29 |
|
Pay Band 3 - Employer premium for salaries of $89,001 - $133,000 |
308.52 |
555.33 |
646.17 |
892.98 |
|
Pay Band 4 - Employer premium for salaries over $133,001 or more |
280.33 |
504.60 |
590.39 |
814.66 |
|
Health Net HMO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $45,000 or less |
371.66 |
668.99 |
746.55 |
1043.88 |
|
Pay Band 2 - Employer premium for salaries of $45,001 - $89,000 |
345.91 |
622.64 |
687.98 |
964.71 |
|
Pay Band 3 - Employer premium for salaries of $89,001 - $133,000 |
319.66 |
575.39 |
635.78 |
891.51 |
|
Pay Band 4 - Employer premium for salaries over $133,001 or more |
292.91 |
527.24 |
582.57 |
816.90 |
|
Cigna Choice Fund |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $45,000 or less |
371.66 |
668.99 |
746.55 |
1043.88 |
|
Pay Band 2 - Employer premium for salaries of $45,001 - $89,000 |
345.91 |
622.64 |
687.98 |
964.71 |
|
Pay Band 3 - Employer premium for salaries of $89,001 - $133,000 |
319.66 |
575.39 |
635.78 |
891.51 |
|
Pay Band 4 - Employer premium for salaries over $133,001 or more |
292.91 |
527.24 |
582.57 |
816.90 |
|
Blue Cross PLUS |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $43,000 or less |
371.66 |
668.99 |
746.55 |
1043.88 |
|
Pay Band 2 - Employer premium for salaries of $45,001 - $89,000 |
345.91 |
622.64 |
687.98 |
964.71 |
|
Pay Band 3 - Employer premium for salaries of $89,001 - $133,000 |
319.66 |
575.39 |
635.78 |
891.51 |
|
Pay Band 4 - Employer premium for salaries over $133,001 or more |
292.91 |
527.24 |
582.57 |
816.90 |
|
Blue Cross PPO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employer premium for salaries of $43,000 or less |
371.66 |
668.99 |
746.55 |
1043.88 |
|
Pay Band 2 - Employer premium for salaries of $45,001 - $89,000 |
345.91 |
622.64 |
687.98 |
964.71 |
|
Pay Band 3 - Employer premium for salaries of $89,001 - $133,000 |
319.66 |
575.39 |
635.78 |
891.51 |
|
Pay Band 4 - Employer premium for salaries over $133,001 or more |
292.91 |
527.24 |
582.57 |
816.90 |
|
|
||||
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
|
CORE MEDICAL |
50.00 |
90.00 |
106.00 |
146.00 |
|
DELTA DENTAL PPO |
37.82 |
76.92 |
70.79 |
125.76 |
|
DELTACARE USA (formerly PMI DENTAL) |
20.10 |
34.64 |
34.49 |
49.04 |
|
VISION SERVICE PLAN |
13.45 |
13.45 |
13.45 |
13.45 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Self |
Self + Child(ren) |
Self + Adult |
Family |
| PSBP MEDICAL HMO |
241.27 |
422.24 |
579.07 |
735.89 |
| PSBP MEDICAL PPO |
257.65 |
443.39 |
630.35 |
787.34 |
| PSBP DENTAL HMO |
9.52 |
18.09 |
17.13 |
26.65 |
| PSBP DENTAL PPO |
25.15 |
57.86 |
51.90 |
92.80 |
| PSBP VISION |
5.10 |
8.25 |
8.13 |
13.38 |
| PSBP BROKER/ADMIN FEE |
8.08 |
8.08 |
8.08 |
8.08 |
| PSBP LIFE/AD&D |
3.15 |
3.15 |
3.15 |
3.15 |
| PSBP SHORT-TERM DISABILITY |
6.21 |
6.21 |
6.21 |
6.21 |
| PSBP WORKERS COMP INSURANCE |
35.30 |
35.30 |
35.30 |
35.30 |
2008 Health Plan Cost (Employee)
|
Kaiser Permanente - CA |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $45,000 or less |
6.50 |
11.71 |
13.66 |
18.86 |
|
Pay Band 2 - Employee premium for salaries of $45,001 - $89,000 |
33.06 |
59.51 |
74.43 |
100.88 |
|
Pay Band 3 - Employee premium for salaries of $89,001 - $133,000 |
60.16 |
108.29 |
128.06 |
176.19 |
|
Pay Band 4 - Employee premium for salaries of $133,001 or more |
88.35 |
159.02 |
183.84 |
254.51 |
|
Health Net PPO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $45,000 or less |
16.86 |
30.34 |
69.34 |
82.83 |
|
Pay Band 2 - Employee premium for salaries of $45,001 - $89,000 |
42.61 |
76.69 |
127.91 |
162.00 |
|
Pay Band 3 - Employee premium for salaries of $89,001 - $133,000 |
68.86 |
123.94 |
180.11 |
235.20 |
|
Pay Band 4 - Employee premium for salaries of $133,001 or more |
95.61 |
172.09 |
233.32 |
309.81 |
|
Cigna Choice Fund |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $45,000 or less |
14.86 |
26.74 |
65.14 |
77.03 |
|
Pay Band 2 - Employee premium for salaries of $45,001 - $89,000 |
40.61 |
73.09 |
123.71 |
156.20 |
|
Pay Band 3 - Employee premium for salaries of $89,001 - $133,000 |
66.86 |
120.34 |
175.91 |
229.40 |
|
Pay Band 4 - Employee premium for salaries of $133,001 or more |
93.61 |
168.49 |
229.12 |
304.01 |
|
Blue Cross PLUS |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $45,000 or less |
46.59 |
83.86 |
131.78 |
169.04 |
|
Pay Band 2 - Employee premium for salaries of $45,001 - $89,000 |
72.34 |
130.21 |
190.35 |
248.21 |
|
Pay Band 3 - Employee premium for salaries of $89,001 - $133,000 |
98.59 |
177.46 |
242.55 |
321.41 |
|
Pay Band 4 - Employee premium for salaries of $133,001 or more |
125.34 |
225.61 |
295.76 |
396.02 |
|
Blue Cross PPO |
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
Pay Band 1 - Employee premium for salaries of $45,000 or less |
75.91 |
136.64 |
193.35 |
254.07 |
|
Pay Band 2 - Employee premium for salaries of $45,001 - $89,000 |
101.66 |
182.99 |
251.92 |
333.24 |
|
Pay Band 3 - Employee premium for salaries of $89,001 - $133,000 |
127.91 |
230.24 |
304.12 |
406.44 |
|
Pay Band 4 - Employee premium for salaries of $133,001 or more |
154.66 |
278.39 |
357.33 |
481.05 |
|
|
Self |
Self + Child(ren) |
Self + Adult |
Family |
|
CORE MEDICAL – CA |
Free |
Free |
Free |
Free |
|
DELTA DENTAL PPO |
Free |
Free |
Free |
Free |
|
DELTACARE USA (formerly PMI DENTAL) |
Free |
Free |
Free |
Free |
|
VISION SERVICE PLAN |
Free |
Free |
Free |
Free |
|
LEGAL PLAN (ARAG) |
10.02 |
13.78 |
13.78 |
15.03 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Self |
Self + Child(ren) |
Self + Adult |
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 |
| PSBP LONG-TERM DISABILITY |
5.99 |
5.99 |
5.99 |
5.99 |
2007 Benefits Rate Table
Revised 09/2007
| DESCRIPTION | RATE/ AMOUNT |
EFF. DATE |
PRIOR RT/AMT |
EFF. DATE |
||||||||||||||||||||||||||||||||||||
| A | PERCENTAGE BASED BENEFITS | |||||||||||||||||||||||||||||||||||||||
| A1 | Social Security Gross Limit |
6.20% $97,500 |
01/91 01/07 |
6.20% $94,200 |
01/91 01/06 |
|||||||||||||||||||||||||||||||||||
| A2 | Medicare Gross Limit |
1.45% NO LIMIT |
01/87 01/94 |
1.45% NO LIMIT |
01/87 01/94 |
|||||||||||||||||||||||||||||||||||
| A3 | Workers Compensation Insurance | 1.51% | 07/07 | 1.62% | 07/06 | |||||||||||||||||||||||||||||||||||
| A4 | Employee Support Program | 0.28% | 07/01 | 0.24% | 07/94 | |||||||||||||||||||||||||||||||||||
| A5 | Unemployment Insurance | |||||||||||||||||||||||||||||||||||||||
| General Funds Federal Funds Other Funds |
0.10% 0.30% 0.24% |
07/87 07/07 07/07 |
0.10% 0.35% 0.30% |
07/87 07/06 07/06 |
||||||||||||||||||||||||||||||||||||
| A6 | UC Retirement Plan (UCRP) Employer Contribution | 0.00% | 10/90 | 4.03% | 02/90 | |||||||||||||||||||||||||||||||||||
| A7 | Public Employees Retirement System (PERS) -Employer | 16.663% | 07/07 | 16.997% | 07/06 | |||||||||||||||||||||||||||||||||||
| A8 | Vacation Assessment (Gross salary times rate below) | |||||||||||||||||||||||||||||||||||||||
Effective 07/2004 (old factors in parenthesis effective 01/2003)
|
||||||||||||||||||||||||||||||||||||||||
| A9 | Staff Recognition & Development Award Program (SRDP) - 99Incentive Award Program (IAP) - EX, NX, PAIncentive Award Program (IAP) - CX, FF, K5, RX, SXIncentive Award Program (IAP) - TXIncentive Award Program (IAP) - HX |
0.89%0.50% 0.00%0.00%0.00% |
07/0702/01 07/0610/0604/07 |
0.80%1.09% 0.50%0.50%0.50% |
04/0707/98 01/0110/0002/01 |
|||||||||||||||||||||||||||||||||||
| A10 | Other PostEmployment Benefit (OPEB)(formerly Annuitant Health) | 2.86% | 07/07 | 2.75% | 07/06 | |||||||||||||||||||||||||||||||||||
| A11 | Benefits Administration Rate | 0.18% | 07/07 | 0.14% | 07/06 | |||||||||||||||||||||||||||||||||||
| B | FLAT RATED (DOLLAR) BENEFITS | |||||||||||||||||||||||||||||||||||||||
| B1 | HEALTH INSURANCE (click for ACTUAL COST PER PLAN) | |||||||||||||||||||||||||||||||||||||||
| B2 | Life Insurance(Flat Rate) | $4.34 | 01/07 | $4.82 | 01/96 | |||||||||||||||||||||||||||||||||||
| B3 | Core Life Insurance (Flat Rate) | $0.47 | 01/96 | $0.52 | 01/94 | |||||||||||||||||||||||||||||||||||
| B4 | U.C. Paid Disability (Flat Rate) | $6.13 | 01/00 | $7.21 | 01/93 | |||||||||||||||||||||||||||||||||||
| B5 | Graduate Remission Programs | |||||||||||||||||||||||||||||||||||||||
| Graduate Student Health Insurance (GSHIP) with Admin fee/QTR |
$592.00 |
10/07 |
$574.00 |
10/06 |
||||||||||||||||||||||||||||||||||||
|
Graduate Student Fee Remission-Residents (GSFR)/QTR Graduate Student Fee Remission-NON-Residents (GSFR)/QTR (AGSM students pay different rates) |
$2480.00 $2578.00 |
10/07 10/07 |
$2299.00 $2388.00 |
10/05 10/05 |
||||||||||||||||||||||||||||||||||||
| Graduate Student Tuition Remission (GSTR)/QTR | $4898.00 | 10/04 | $4082.00 | 10/03 | ||||||||||||||||||||||||||||||||||||
2007 Health Plan Cost (Employer)
|
Health Net |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employer premium for salaries of $43,000 or less |
344.70 |
620.46 |
689.74 |
965.50 |
|
Pay Band 2 - Employer premium for salaries of $43,001 - $86,000 |
320.20 |
576.36 |
633.68 |
889.84 |
|
Pay Band 3 - Employer premium for salaries of $86,001 - $129,000 |
295.20 |
531.36 |
584.20 |
820.36 |
|
Pay Band 4 - Employer premium for salaries over $129,000 |
269.20 |
484.56 |
532.75 |
748.11 |
|
Kaiser Permanente – CA |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employer premium for salaries of $43,000 or less |
312.44 |
562.39 |
656.12 |
906.08 |
|
Pay Band 2 - Employer premium for salaries of $43,001 - $86,000 |
287.94 |
518.29 |
600.06 |
830.42 |
|
Pay Band 3 - Employer premium for salaries of $86,001 - $129,000 |
262.94 |
473.29 |
550.58 |
760.94 |
|
Pay Band 4 - Employer premium for salaries over $129,000 |
236.94 |
426.49 |
499.13 |
688.69 |
|
PacifiCare of California |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employer premium for salaries of $43,000 or less |
344.70 |
620.46 |
689.74 |
965.50 |
|
Pay Band 2 - Employer premium for salaries of $43,001 - $86,000 |
320.20 |
576.36 |
633.68 |
889.84 |
|
Pay Band 3 - Employer premium for salaries of $86,001 - $129,000 |
295.20 |
531.36 |
584.20 |
820.36 |
|
Pay Band 4 - Employer premium for salaries over $129,000 |
269.20 |
484.56 |
532.75 |
748.11 |
|
Blue Cross PLUS |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employer premium for salaries of $43,000 or less |
344.70 |
620.46 |
689.74 |
965.50 |
|
Pay Band 2 - Employer premium for salaries of $43,001 - $86,000 |
320.20 |
576.36 |
633.68 |
889.84 |
|
Pay Band 3 - Employer premium for salaries of $86,001 - $129,000 |
295.20 |
531.36 |
584.20 |
820.36 |
|
Pay Band 4 - Employer premium for salaries over $129,000 |
269.20 |
484.56 |
532.75 |
748.11 |
|
Blue Cross PPO |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employer premium for salaries of $43,000 or less |
344.70 |
620.46 |
689.74 |
965.50 |
|
Pay Band 2 - Employer premium for salaries of $43,001 - $86,000 |
320.20 |
576.36 |
633.68 |
889.84 |
|
Pay Band 3 - Employer premium for salaries of $86,001 - $129,000 |
295.20 |
531.36 |
584.20 |
820.36 |
|
Pay Band 4 - Employer premium for salaries over $129,000 |
269.20 |
484.56 |
532.75 |
748.11 |
|
|
||||
|
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
|
CORE MEDICAL |
48.00 |
86.00 |
101.00 |
139.00 |
|
DELTA DENTAL |
37.27 |
75.74 |
69.71 |
123.80 |
|
PMI DENTAL |
20.42 |
35.29 |
35.05 |
49.83 |
|
VISION SERVICE PLAN |
13.45 |
13.45 |
13.45 |
13.45 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Single |
Adult + Child(ren) |
Two Adults |
Family |
| PSBP MEDICAL HMO |
224.44 |
392.78 |
538.67 |
684.55 |
| PSBP MEDICAL PPO |
257.65 |
443.39 |
630.35 |
787.34 |
| PSBP DENTAL HMO |
11.19 |
21.26 |
20.14 |
31.33 |
| PSBP DENTAL PPO |
27.34 |
62.89 |
56.42 |
100.87 |
| PSBP VISION |
7.52 |
11.98 |
12.22 |
19.72 |
| PSBP BROKER/ADMIN FEE |
9.02 |
9.02 |
9.02 |
9.02 |
| PSBP LIFE/AD&D |
3.65 |
3.65 |
3.65 |
3.65 |
| PSBP SHORT-TERM DISABILITY |
7.28 |
7.28 |
7.28 |
7.28 |
| PSBP WORKERS COMP INSURANCE |
29.89 |
29.89 |
29.89 |
29.89 |
2007 Health Plan Cost (Employee)
|
Health Net |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employee premium for salaries of $43,000 or less |
20.64 |
37.15 |
77.47 |
93.99 |
|
Pay Band 2 - Employee premium for salaries of $43,001 - $86,000 |
45.14 |
81.25 |
133.53 |
169.65 |
|
Pay Band 3 - Employee premium for salaries of $86,001 - $129,000 |
70.14 |
126.25 |
183.01 |
239.13 |
|
Pay Band 4 - Employee premium for salaries over $129,000 |
96.14 |
173.05 |
234.46 |
311.38 |
|
Kaiser Permanente – CA |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employee premium for salaries of $43,000 or less |
6.00 |
10.80 |
12.60 |
17.40 |
|
Pay Band 2 - Employee premium for salaries of $43,001 - $86,000 |
30.50 |
54.90 |
68.66 |
93.06 |
|
Pay Band 3 - Employee premium for salaries of $86,001 - $129,000 |
55.50 |
99.90 |
118.14 |
162.54 |
|
Pay Band 4 - Employee premium for salaries over $129,000 |
81.50 |
146.70 |
169.59 |
234.79 |
|
PacifiCare of California |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employee premium for salaries of $43,000 or less |
17.67 |
31.81 |
71.24 |
85.37 |
|
Pay Band 2 - Employee premium for salaries of $43,001 - $86,000 |
42.17 |
75.91 |
127.30 |
161.03 |
|
Pay Band 3 - Employee premium for salaries of $86,001 - $129,000 |
67.17 |
120.91 |
176.78 |
230.51 |
|
Pay Band 4 - Employee premium for salaries over $129,000 |
93.17 |
167.71 |
228.23 |
302.76 |
|
Blue Cross PLUS |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employee premium for salaries of $43,000 or less |
70.43 |
126.78 |
182.04 |
238.38 |
|
Pay Band 2 - Employee premium for salaries of $43,001 - $86,000 |
94.93 |
170.88 |
238.10 |
314.04 |
|
Pay Band 3 - Employee premium for salaries of $86,001 - $129,000 |
119.93 |
215.88 |
287.58 |
383.52 |
|
Pay Band 4 - Employee premium for salaries over $129,000 |
145.93 |
262.68 |
339.03 |
455.77 |
|
Blue Cross PPO |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Pay Band 1 - Employee premium for salaries of $43,000 or less |
74.29 |
133.72 |
190.13 |
249.55 |
|
Pay Band 2 - Employee premium for salaries of $43,001 - $86,000 |
98.79 |
177.82 |
246.19 |
325.21 |
|
Pay Band 3 - Employee premium for salaries of $86,001 - $129,000 |
123.79 |
222.82 |
295.67 |
394.69 |
|
Pay Band 4 - Employee premium for salaries over $129,000 |
149.79 |
269.62 |
347.12 |
466.94 |
|
|
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) |
9.17 |
12.61 |
12.61 |
13.75 |
|
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 |
| PSBP LONG-TERM DISABILITY |
6.66 |
6.66 |
6.66 |
6.66 |
2006 Benefits Rate Table
| DESCRIPTION | RATE/ AMOUNT |
EFF. DATE |
PRIOR RT/AMT |
EFF. DATE |
||||||||||||||||||||||||||||||||||||
| A | PERCENTAGE BASED BENEFITS | |||||||||||||||||||||||||||||||||||||||
| A1 | Social Security Gross Limit |
6.20% $94,200 |
01/91 01/06 |
6.20% $90,000 |
01/91 01/05 |
|||||||||||||||||||||||||||||||||||
| A2 | Medicare Gross Limit |
1.45% NO LIMIT |
01/87 01/94 |
1.45% NO LIMIT |
01/87 01/94 |
|||||||||||||||||||||||||||||||||||
| A3 | Workers Compensation Insurance | 1.62% | 07/06 | 1.86% | 07/05 | |||||||||||||||||||||||||||||||||||
| A4 | Employee Support Program | 0.28% | 07/01 | 0.24% | 07/94 | |||||||||||||||||||||||||||||||||||
| A5 | Unemployment Insurance | |||||||||||||||||||||||||||||||||||||||
| General Funds Federal Funds Other Funds |
0.10% 0.35% 0.30% |
07/87 07/06 07/06 |
0.10% 0.25% 0.41% |
07/87 07/04 07/04 |
||||||||||||||||||||||||||||||||||||
| A6 | UC Retirement Plan (UCRP) Employer Contribution | 0.00% | 10/90 | 4.03% | 02/90 | |||||||||||||||||||||||||||||||||||
| A7 | Public Employees Retirement System (PERS) -Employer | 16.997% | 07/06 | 15.942% | 07/05 | |||||||||||||||||||||||||||||||||||
| A8 | Vacation Assessment (Gross salary times rate below) | |||||||||||||||||||||||||||||||||||||||
Effective 07/2004 (old factors in parenthesis effective 01/2003)
|
||||||||||||||||||||||||||||||||||||||||
| A9 |
Staff Recognition & Development Award Program (SRDP) - 99 Incentive Award Program (IAP) - EX, HX, NX, PA Incentive Award Program (IAP) - CX, FF, K5, RX, SX Incentive Award Program (IAP) - TX |
0.92% 0.50% 0.00% 0.00% |
07/06 02/01 07/06 10/06 |
0.92% 1.09% 0.50% 0.50% |
07/05 07/98 01/01 10/00 |
|||||||||||||||||||||||||||||||||||
| A10 | Other PostEmployment Benefit (OPEB)(formerly Annuitant Health) | 2.75% | 07/06 | 2.55% | 07/05 | |||||||||||||||||||||||||||||||||||
| A11 | Benefits Administration Rate | 0.14% | 07/06 | 0.13% | 07/05 | |||||||||||||||||||||||||||||||||||
| B | FLAT RATED (DOLLAR) BENEFITS | |||||||||||||||||||||||||||||||||||||||
| B1 | HEALTH INSURANCE (click for ACTUAL COST PER PLAN) | |||||||||||||||||||||||||||||||||||||||
| B2 | Life Insurance(Flat Rate) | $4.82 | 01/96 | $5.38 | 01/94 | |||||||||||||||||||||||||||||||||||
| B3 | Core Life Insurance (Flat Rate) | $0.47 | 01/96 | $0.52 | 01/94 | |||||||||||||||||||||||||||||||||||
| B4 | U.C. Paid Disability (Flat Rate) | $6.13 | 01/00 | $7.21 | 01/93 | |||||||||||||||||||||||||||||||||||
| B5 | Graduate Remission Programs | |||||||||||||||||||||||||||||||||||||||
| Graduate Student Health Insurance (GSHIP) with Admin fee/QTR |
$574.00 |
10/06 |
$518.00 |
10/05 |
||||||||||||||||||||||||||||||||||||
|
Graduate Student Fee Remission-Residents (GSFR)/QTR Graduate Student Fee Remission-NON-Residents (GSFR)/QTR (AGSM students pay different rates) |
$2299.00 $2388.00 |
10/05 10/05 |
$2090.00 $2172.00 |
10/04 10/04 |
||||||||||||||||||||||||||||||||||||
| Graduate Student Tuition Remission (GSTR)/QTR | $4898.00 | 10/04 | $4082.00 | 10/03 | ||||||||||||||||||||||||||||||||||||
2006 Health Plan Cost (Employer)
|
Health Net |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
308.35 |
555.03 |
630.58 |
877.26 |
|
Employer premium for salaries of $40,001 - $80,000 |
294.35 |
529.83 |
584.18 |
819.66 |
|
Employer premium for salaries of $80,001 - $120,000 |
275.35 |
495.63 |
535.78 |
756.06 |
|
Employer premium for salaries over $120,000 |
251.35 |
452.43 |
485.38 |
686.46 |
|
Kaiser Permanente – CA |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
293.16 |
527.69 |
615.64 |
850.16 |
|
Employer premium for salaries of $40,001 - $80,000 |
279.16 |
502.49 |
569.24 |
792.56 |
|
Employer premium for salaries of $80,001 - $120,000 |
260.16 |
468.29 |
520.84 |
728.96 |
|
Employer premium for salaries over $120,000 |
236.16 |
425.09 |
470.44 |
659.36 |
|
PacifiCare of California |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
308.35 |
555.03 |
630.58 |
877.26 |
|
Employer premium for salaries of $40,001 - $80,000 |
294.35 |
529.83 |
584.18 |
819.66 |
|
Employer premium for salaries of $80,001 - $120,000 |
275.35 |
495.63 |
535.78 |
756.06 |
|
Employer premium for salaries over $120,000 |
251.35 |
452.43 |
485.38 |
686.46 |
|
Blue Cross PLUS |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
308.35 |
555.03 |
630.58 |
877.26 |
|
Employer premium for salaries of $40,001 - $80,000 |
294.35 |
529.83 |
584.18 |
819.66 |
|
Employer premium for salaries of $80,001 - $120,000 |
275.35 |
495.63 |
535.78 |
756.06 |
|
Employer premium for salaries over $120,000 |
251.35 |
452.43 |
485.38 |
686.46 |
|
Blue Cross PPO |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
308.35 |
555.03 |
630.58 |
877.26 |
|
Employer premium for salaries of $40,001 - $80,000 |
294.35 |
529.83 |
584.18 |
819.66 |
|
Employer premium for salaries of $80,001 - $120,000 |
275.35 |
495.63 |
535.78 |
756.06 |
|
Employer premium for salaries over $120,000 |
251.35 |
452.43 |
485.38 |
686.46 |
|
CORE Medical - CA |
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
Employer premium for salaries of $40,000 or less |
48.00 |
86.00 |
101.00 |
139.00 |
|
Employer premium for salaries of $40,001 - $80,000 |
48.00 |
86.00 |
101.00 |
139.00 |
|
Employer premium for salaries of $80,001 - $120,000 |
48.00 |
86.00 |
101.00 |
139.00 |
|
Employer premium for salaries over $120,000 |
48.00 |
86.00 |
101.00 |
139.00 |
|
|
Single |
Adult + Child(ren) |
Two Adults |
Family |
|
DELTA DENTAL |
35.98 |
72.98 |
67.18 |
119.21 |
|
PMI DENTAL |
20.42 |
35.29 |
35.05 |
49.83 |
|
VISION SERVICE PLAN |
13.47 |
13.47 |
13.47 |
13.47 |
|
LEGAL PLAN (ARAG) |
0.00 |
0.00 |
0.00 |
0.00 |
|
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP) |
Single |
Adult + Child(ren) |
Two Adults |
Family |
| PSBP MED HMO |
229.02 |
400.80 |
549.66 |
698.52 |
| PSBP MED PPO |
289.61 |
499.32 |
707.06 |
884.82 |
| PSBP DENTAL HMO |
11.19 |
20.14 |
21.26 |
31.33 |
| PSBP DENTAL PPO |
27.34 |
56.42 |
62.89 |
100.87 |
| PSBP VISION |
7.52 |
11.98 |
12.22 |
19.72 |
2006 Health Plan Cost (Employee)
|
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 |