Helping You Choose Your Plan
Benefits Eligibility
Dependent Eligibility
Plan Eligibility by Zip Code
Medical Provider Search
Prime Care Connect Guide
HIPAA Notice of Privacy Practices
Complete the PHA and receive a PHA Medical Plan Premium Credit up to $360 annually ($30/monthly pay; $13.85/biweekly pay). To complete the PHA, log in to YourPlanForHealth.com and click Personal Health Assessment under Get Started.
Rates for 2012
| Plan | Rates | Effective Dates |
|---|---|---|
| Health Plan (Includes Medical, Dental and Vision) |
Faculty & Staff/Spouse/Dependent Child Coverage (PDF) (medical plans) | January 1 - December 31, 2012 |
| Faculty & Staff/Spouse/Dependent Child Coverage (PDF) (annual medical premium costs) | January 1 - December 31, 2012 | |
| Faculty & Staff/Spouse/Dependent Child Coverage (PDF) (dental and vision plans; includes taxable contribution implications for Same-Sex Domestic Partner/Dependent Child coverage) | January 1 - December 31, 2012 | |
| Adult Child Coverage (PDF) (medical, dental and vision plans) | January 1 - December 31, 2012 | |
| Faculty & Staff/Same-Sex Domestic Partner/Dependent Child Coverage (PDF) (Monthly rates - medical plans - includes taxable contribution implications) | January 1 - December 31, 2012 | |
| Faculty & Staff/Same-Sex Domestic Partner/Dependent Child Coverage (PDF) (Biweekly rates - medical plans - includes taxable contribution implications) | January 1 - December 31, 2012 | |
| Faculty & Staff Sponsored Dependent Coverage (PDF) | January 1 - December 31, 2012 | |
| Post-Doctoral Fellows (PDF) (includes taxable income implications) | January 1 - December 31, 2012 | |
| Funded Graduate Student/Spouse/Dependent Child Coverage (PDF) | September 16, 2009 - September 14, 2012 | |
| Funded Graduate Student/Same-Sex Domestic/Dependent Child Partner Coverage (PDF) | September 16, 2009 - September 14, 2012 | |
| Health Plan While On Leave (Includes Medical, Dental and Vision) |
Biweekly Funding Contribution Rates (PDF) | January 1 - December 31, 2012 |
| Monthly Funding Contribution Rates (PDF) | January 1 - December 31, 2012 | |
| COBRA | COBRA Contribution Rates (PDF) | January 1 - December 31, 2012 |
| Short-Term Disability | Short-Term Disability Plan Contribution Rates (PDF) | July 1, 2006 - December 31, 2012 |
| Dependent Group Life Insurance (DGLI) | Dependent Group Life Insurance (DGLI) Contribution Rates (PDF) | through December 31, 2012 |
| Voluntary Group Term Life Insurance (VGTLI) | Voluntary Group Term Life Insurance (VGTLI) Contribution Rates (PDF) | through December 31, 2012 |
| VGTLI Calculator (PDF) | - |
