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FRINGE

CURRENT RATES

FACULTY MEDICAL

FACULTY Rx

CLASSIFIED / MGMT / CONF.   MEDICAL  

CLASSIFIED / MGMT / CONF.  Rx

DENTAL

VISION

AFLAC

COBRA

RETIREES

INVESTMENTS

F. A. Q.

 

 

Below is a quick reference of the current insurance plans and their costs (before fringe).

SISC (Blue Cross) rates effective to 9/30/07

Blue Shield, Dental & Vision rates effective to 12/31/06

Monthly Premiums for 2005-06

Faculty

Composite Rate
 SISC PPO-A,   Group #40303A

  $400 individual/$800 family Deductible

$631

  $20 Office Visits / 20% Co-insurance
  Medco Rx $7 Generic /$25 Brand
 SISC PPO-B,   Group #40303B

  $500 individual/$1000 family Deductible

$598

  $20 Office Visits / 20% Co-insurance
  Consumer Share Rx $5/ $15/ $35
 SISC PPO-C,   Group #40303C

  $2,000 individual/$4000 family Deductible

  $30 Office Visits / 20% Co-insurance

$474

  Medco Rx  $200  Brand Name Deductible
  $10 Generic /$35 Brand
 SISC PPO-D,     Group #40403D

  HSA Compatible High Deductible Plan

  $1,200 individual/$2,400 family Deductible

$513

  Office Visits Subject to ded., then 10%
  WellPoint Rx subject to ded., then 10%      
       

Classified

Single Double Family
 Blue Shield PPO A        Group #943189 
  $250 individual / $500 family Deductible
  $10 Office Visit / 10% Co-insurance $392.05 $729.06 $1138.55
  Separate $150 Brand Name Deductible
  Rx $10 Generic /$20 Formulary/$35 Brand
 Blue Shield PPO B        Group #943190
  $500 individual / $1000 family Deductible
  $25 Office Visits / 10% Co-insurance $330.67 $614.51 $960.22
  Separate $150 Brand Name Deductible
  Rx $10 Generic /$20 Formulary/$35 Brand
 
 Blue Shield PPO C        Group #944077  
  $2,250 individual/$4,500 family Deductible $239.29 $444.97 $694.92
  Office Visits 20% after deductible   
  Rx subject to deductible, then 20%

Management

Single Double Family
 Blue Shield PPO A        Group #943189 
  $250 individual / $500 family Deductible
  $10 Office Visit / 10% Co-insurance $384.36 $714.76 $1116.23
  Separate $150 Brand Name Deductible
  Rx $10 Generic /$20 Formulary/$35 Brand
 Blue Shield PPO B       Group #943190
  $500 individual / $1000 family Deductible
  $25 Office Visits / 10% Co-insurance $324.19 $602.79 $941.40
  Separate $150 Brand Name Deductible
  Rx $10 Generic /$20 Formulary/$35 Brand
 
 
 Blue Shield PPO C       Group #944077
  $2,250 individual/$4,500 family Deductible  $234.60 $436.24 $681.29
  Office Visits 20% after deductible   
  Rx subject to deductible, then 20%

All Staff

Single Double Family
 Delta Dental             Group #6736-0001
  $50 Deductible per person $41.90 $74.50 $108.04
  Maximum annual benefit $1,200 each
 Medical Eye Services - MES Vision $7.14 $14.18 $18.27
 MES Group # 03573  /  Policy # F21306
 
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