UA Choice Health Plan Rates
Health care employee charges are effective for the benefit year, July 1, 2009 - June 30, 2010. 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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| Deluxe Plan (26 payrolls) |
Employee Bi-Weekly Charge |
Dependent Bi-Weekly Charge |
Total Bi-Weekly Charge |
Annual Charge |
| Employee | $ 59.97 | N/A | $ 59.97 | $1,559 |
| Employee + Spouse | $ 59.97 | $ 59.97 | $119.94 | $3,118 |
| Employee + Child(ren) | $ 59.97 | $ 47.97 | $107.94 | $2,806 |
| Employee + Family | $ 59.97 | $107.93 | $167.90 | $4,365 |
| Standard Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 29.54 | N/A | $ 29.54 | $ 768 |
| Employee + Spouse | $ 29.54 | $ 29.54 | $ 59.08 | $1,536 |
| Employee + Child(ren) | $ 29.54 | $ 23.62 | $ 53.16 | $1,382 |
| Employee + Family | $ 29.54 | $ 53.16 | $ 82.70 | $2,150 |
| Economy Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 6.58 | N/A | $ 6.58 | $ 171 |
| Employee + Spouse | $ 6.58 | $ 6.54 | $ 13.12 | $ 341 |
| Employee + Child(ren) | $ 6.58 | $ 5.24 | $ 11.82 | $ 307 |
| Employee + Family | $ 6.58 | $ 11.81 | $ 18.39 | $ 478 |
19 Payrolls |
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| Deluxe Plan (19 payrolls) |
Employee Bi-Weekly Charge |
Dependent Bi-Weekly Charge |
Total Bi-Weekly Charge |
Annual Charge |
| Employee | $ 82.06 | N/A | $ 82.06 | $1,559 |
| Employee + Spouse | $ 82.06 | $ 82.06 | $ 164.12 | $3,118 |
| Employee + Child(ren) | $ 82.06 | $ 65.64 | $147.70 | $2,806 |
| Employee + Family | $ 82.06 | $147.69 | $229.75 | $4,365 |
| Standard Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 40.43 | N/A | $ 40.43 | $ 768 |
| Employee + Spouse | $ 40.43 | $ 40.43 | $ 80.86 | $1,536 |
| Employee + Child(ren) | $ 40.43 | $ 32.32 | $ 72.75 | $1,382 |
| Employee + Family | $ 40.43 | $ 72.74 | $113.17 | $2,150 |
| Economy Plan | Employee Bi-Weekly Charge | Dependent Bi-Weekly Charge | Total Bi-Weekly Charge | Annual Charge |
| Employee | $ 9.00 | N/A | $ 9.00 | $ 171 |
| Employee + Spouse | $ 9.00 | $ 8.95 | $ 17.95 | $ 341 |
| Employee + Child(ren) | $ 9.00 | $ 7.16 | $ 16.16 | $ 307 |
| Employee + Family | $ 9.00 | $ 16.16 | $ 25.16 | $ 478 |



