Benefits

UA Choice Health Plan Rates

Health care employee charges are effective for the benefit year, July 1, 2015 - June 30, 2016. 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.  These rates do not reflect the FY16 wellness rebate of $600 for employee and $1,200 for employee with spouse.

26 Payrolls

750 PlanEmployee Bi-Weekly ChargeDependant Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$110.16N/A$110.16$2,864
EE + Spouse$110.16$127.54$237.70$6,180
EE + 1 Child

$110.16

$43.54$153.70$3,996
EE + 2 Children$110.16$78.35$188.51$4,901
EE + 3 or more Children$110.16$104.47$214.63$5,580
EE, Spouse, 1 Child$110.16$171.08$281.24$7,312
EE, Spouse, 2 Children$110.16$205.93$316.09$8,218
EE, Spouse, 3 or more Children$110.16$232.00$342.16$8,896
High Deductible Health Plan (HDHP)Employee Bi-Weekly ChargeDependant Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$65.81N/A$65.81$1,711
EE + Spouse$65.81$74.35$140.16$3,644
EE + 1 Child$65.81$21.35$87.16$2.266
EE + 2 Children$65.81$38.47$104.28$2,711
EE + 3 or more Children$65.81$51.27$117.08$3,044
EE, Spouse, 1 Child$65.81$95.70$161.51$4,199
EE, Spouse, 2 Children$65.81$112.77$178.58$4,643
EE, Spouse, 3 or more Children$65.81$125.58$191.39$4,976
Consumer-Directed Health Plan (CDHP) with Health Savings Account (HSA)Employee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$52.35N/A$52.35$1,361
EE + Spouse$52.35 $58.20 $110.55 $2,874
EE + 1 Child$52.35 $14.66 $67.01 $1,742
EE +2 Children$52.35 $26.35 $78.70 $2,046
EE + 3 or more Children$52.35 $35.12 $87.47 $2,274
EE, Spouse, 1 Child$52.35 $72.81 $125.16 $3,254
EE, Spouse, 2 Child$52.35 $84.54 $136.89 $3,559
EE, Spouse, 3 or more Children$52.35 $93.31 $145.66 $3,787

19 Payrolls

750 PlanEmployee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$150.74N/A$150.74$2,864
EE + Spouse$150.74$174.53$325.27$6,180
EE + 1 Child$150.74$59.58$210.32$3,996
EE + 2 Children$150.74$107.22$257.96$4,901
EE + 3 or more Children$150.74$142.95$293.69$5,580
EE, Spouse, 1 Child$150.74$234.11$384.85$7,312
EE, Spouse, 2 Children$150.74$281.79$432.53$8,218
EE, Spouse, 3 or more Children$150.74$317.48$468.22$8,896
High Deductible Health Plan (HDHP)Employee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$90.06N/A$90.06$1,711
EE + Spouse$90.06$101.74$191.80$3,644
EE + 1 Child$90.06$29.22$119.28$2,266
EE + 2 Children$90.06$52.64$142.70$2,711
EE + 3 or more Children$90.06$70.16$160.22$3,044
EE, Spouse, 1 Child$90.06$130.95$221.01$4,199
EE, Spouse, 2 Children$90.06$154.32$244.38$4,643
EE, Spouse, 3 or moe Children$90.06$171.85$261.91$4,976
Consumer-Directed Health Plan (CDHP) with Health Savings Account (HSA)Employee Bi-Weekly ChargeDependent Bi-Weekly ChargeTotal Bi-Weekly ChargeAnnual Charge
Employee (EE)$71.64N/A$71.64$1,361
EE + Spouse$71.64$79.64$151.28$2874
EE + 1 Child$71.64$20.06$91.70$1,742
EE + 2 Children$71.64$36.06$107.70$2,046
EE + 3 or more Children$71.64$48.06$119.70$2,274
EE, Spouse, 1 Child$71.64$99.64$171.28$3,254
EE, Spouse, 2 Children$71.64$115.69$187.33$3,559
EE, Spouse, 3 or more Children$71.64$127.69$199.33$3,787
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