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2009 Part-Time Medical Plan Rates

Part-Time Medical Rates Per Month (Rates for Active Employees Who Work 20 - 31 Hours Per Week.)

Premium PPO Plan	Medical Plan Cost	Employer Subsidy	Employee Cost
Employee Only	$400.00	$160.00	$240.00
Employee + Spouse/Domestic Partner*	$801.00	$300.50	$500.50
Employee + Child(ren)	$701.00	$265.50	$435.50
Family	$1,201.00	$440.50	$760.50
Standard PPO Plan	Medical Plan Cost	Employer Subsidy	Employee Cost
Employee Only	$351.00	$160.00	$191.00
Employee + Spouse/Domestic Partner*	$702.00	$300.50	$401.50
Employee + Child(ren)	$615.00	$265.50	$349.50
Family	$1053.00	$440.50	$612.50
Consumer Choice PPO Plan	Medical Plan Cost	Employer Subsidy	Employee Cost
Employee Only	$287.00	$160.00	$127.00
Employee + Spouse/Domestic Partner*	$573.00	$300.50	$272.50
Employee + Child(ren)	$501.00	$265.50	$235.50
Family	$860.00	$440.50	$419.50

*For plan purposes, a Domestic Partner means:

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Two 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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