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:
•
 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.