Benefits

UA Choice Health Plan Rates

Health care employee charges are effective for the benefit year, July 1, 2013 - June 30, 2014. 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.

Health Plan Rates (pdf)

26 Payrolls

750 PlanEmployee Bi-Weekly ChargeDependant Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$79.74N/A$79.74$2,073
EE + Spouse$79.74$79.74$159.48$4,146
EE + 1 Child$79.74$39.89$119.63$3,110
EE + 2 Children$79.74$71.77$151.51$3,939
EE + 3 or more Children$79.74$95.70$175.44$4,561
EE, Spouse, 1 Child$79.74$119.62$199.36$5,183
EE, Spouse, 2 Children$79.74$151.50$231.24$6,012
EE, Spouse, 3 or more Children$79.74$175.43$255.17$6,634
High Deductible Health Plan (HDHP)Employee Bi-Weekly ChargeDependant Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$51.27N/A$51.27$1,333
EE + Spouse$51.27$51.27$102.54$2,666
EE + 1 Child$51.27$25.66$76.93$2,000
EE + 2 Children$51.27$46.16$97.43$2,533
EE + 3 or more Children$51.27$61.54$112.81$2,933
EE, Spouse, 1 Child$51.27$76.93$128.20$3,333
EE, Spouse, 2 Children$51.27$97.43$148.70$3,866
EE, Spouse, 3 or more Children$51.27$112.81$164.08$4,266
Consumer-Directed Health Plan (CDHP) with Health Savings Account (HSA)Employee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$45.50N/A$45.50$1,183
EE + Spouse$45.50 $45.50 $91.00 $2,366
EE + 1 Child$45.50 $22.77 $68.27 $1,775
EE +2 Children$45.50 $40.97 $86.47 $2,248
EE + 3 or more Children$45.50 $54.62 $100.12 $2,603
EE, Spouse, 1 Child$45.50 $68.27 $113.77 $2,958
EE, Spouse, 2 Child$45.50 $86.47 $131.97 $3,431
EE, Spouse, 3 or more Children$45.50 $100.12 $145.62 $3,786

19 Payrolls

750 PlanEmployee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$109.11N/A$109.11$2,073
EE + Spouse$109.11$109.11$218.22$4,146
EE + 1 Child$109.11$54.58$163.69$3,110
EE + 2 Children$109.11$98.22$207.33$3,939
EE + 3 or more Children$109.11$130.95$240.06$4,561
EE, Spouse, 1 Child$109.11$163.69$272.80$5,183
EE, Spouse, 2 Children$109.11$207.32$316.43$6,012
EE, Spouse, 3 or more Children$109.11$240.06$349.17$6,634
High Deductible Health Plan (HDHP)Employee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$70.16N/A$70.16$1,333
EE + Spouse$70.16$70.16$140.32$2,666
EE + 1 Child$70.16$35.11$105.27$2,000
EE + 2 Children$70.16$63.16$133.32$2,533
EE + 3 or more Children$70.16$84.22$154.38$2,933
EE, Spouse, 1 Child$70.16$105.27$175.43$3,333
EE, Spouse, 2 Children$70.16$133.32$203.48$3,866
EE, Spouse, 3 or moe Children$70.16$154.37$224.53$4,266
Consumer-Directed Health Plan (CDHP) with Health Savings Account (HSA)Employee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$62.27N/A$62.27$1,183
EE + Spouse$62.27$62.27$124.54$2,366
EE + 1 Child$62.27$31.16$93.43$1,775
EE + 2 Children$62.27$56.06$118.33$2,248
EE + 3 or more Children$62.27$74.74$137.01$2,603
EE, Spouse, 1 Child$62.27$93.43$155.70$2,958
EE, Spouse, 2 Children$62.27$118.32$180.59$3,431
EE, Spouse, 3 or more Children$62.27$137.00$199.27$3,786
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