UA Choice Health Plan Rates
Health care employee charges are effective for the benefit year, July 1, 2012 - June 30, 2013. Charges shown include annual totals and biweekly payroll deduction amounts. Nine, ten, and eleven month employees have deductions over 19 pay periods. Twelve-month employees have deductions over 26 pay periods. Employees choose their desired level of coverage, or may opt out of coverage with annual proof of other health coverage.
26 Payrolls |
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| 500 Plan (26 payrolls) |
Employee Bi-Weekly Charge |
Dependent Bi-Weekly Charge |
Total Bi-Weekly Charge |
Annual Charge |
| Employee | $ 149.47 | N/A | $149.47 | $3,886 |
| Employee + Spouse | $ 149.47 | $ 149.47 | $298.94 | $7,772 |
| Employee + Child(ren) | $ 149.47 | $ 119.58 | $269.05 | $6,995 |
| Employee + Family | $ 149.47 | $269.04 | $418.51 | $10,881 |
| 750 Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 87.70 | N/A | $ 87.70 | $2,280 |
| Employee + Spouse | $ 87.70 | $ 87.70 | $ 175.40 | $4,560 |
| Employee + Child(ren) | $ 87.70 | $ 70.16 | $ 157.86 | $4,104 |
| Employee + Family | $ 87.70 | $ 157.85 | $245.55 | $6,384 |
| High Deductible Health Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 56.35 | N/A | $ 56.35 | $ 1,465 |
| Employee + Spouse | $ 56.35 | $ 56.35 | $ 112.70 | $ 2,930 |
| Employee + Child(ren) | $ 56.35 | $ 45.08 | $ 101.43 | $ 2,637 |
| Employee + Family | $ 56.35 | $ 101.43 | $ 157.78 | $4,102 |
19 Payrolls |
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| 500 Plan (19 payrolls) |
Employee Bi-Weekly Charge |
Dependent Bi-Weekly Charge |
Total Bi-Weekly Charge |
Annual Charge |
| Employee | $204.53 | N/A | $204.53 | $3,886 |
| Employee + Spouse | $204.53 | $204.53 | $409.06 | $7,772 |
| Employee + Child(ren) | $204.53 | $163.64 | $368.17 | $6,995 |
| Employee + Family | $204.53 | $368.16 | $572.69 | $10,881 |
| 750 Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 120.00 | N/A | $ 120.00 | $2,280 |
| Employee + Spouse | $ 120.00 | $ 120.00 | $240.00 | $4,560 |
| Employee + Child(ren) | $ 120.00 | $ 96.00 | $216.00 | $4,104 |
| Employee + Family | $ 120.00 | $216.00 | $336.00 | $6,384 |
| High Deductible Health Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 77.11 | N/A | $ 77.11 | $ 1,465 |
| Employee + Spouse | $ 77.11 | $ 77.11 | $ 154.22 | $ 2,930 |
| Employee + Child(ren) | $ 77.11 | $ 61.69 | $ 138.80 | $ 2,637 |
| Employee + Family | $ 77.11 | $ 138.79 | $ 215.90 | $4,102 |
