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2009 Full-Time Medical Plan Rates

Full-Time Medical Rates Per Month (Rates for Active Employees Who Work 32 or More Hours Per Week.)

Premium PPO Plan	Medical Plan Cost	Employer Subsidy	Employee Cost
Employee Only	$400.00	$320.00	$80.00
Employee + Spouse/Domestic Partner*	$801.00	$601.00	$200.00
Employee + Child(ren)	$701.00	$531.00	$170.00
Family	$1,201.00	$881.00	$320.00
Standard PPO Plan	Medical Plan Cost	Employer Subsidy	Employee Cost
Employee Only	$351.00	$320.00	$31.00
Employee + Spouse/Domestic Partner*	$702.00	$601.00	$101.00
Employee + Child(ren)	$615.00	$531.00	$84.00
Family	$1,053.00	$881.00	$172.00
Consumer Choice PPO Plan	Medical Plan Cost	Employer Subsidy	Employee Cost
Employee Only	$287.00	$320.00	$ 0 ($33.00 will be deposited in your HSA account)
Employee + Spouse/Domestic Partner*	$573.00	$601.00	$0 ($28.00 will be deposited in your HSA account)
Employee + Child(ren)	$501.00	$531.00	$0 ($30.00 will be deposited in your HSA account)
Family	$860.00	$881.00	$0 ($21.00 will be deposited in your HSA account)

*For plan purposes, a Domestic Partner means:

•

Two unmarried adults at least 18 years of age of the same or opposite sex that are not related by blood that have lived together for more than six months in a exclusive committed relationship of mutual caring and financial support.

•

Your share of coverage for your domestic partner will be deducted on an after-tax basis and the portion of the employer subsidy attributable to your domestic partner will be reported on your W-2 as taxable income.

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