VALENCIA COLLEGE 2011 Health Insurance Premium Rates Shown below are the monthly premium rates for Plan Year 2011: OPEN ACCESS PLUS (OAP)
OAP IN-NETWORK
HRA PLAN
2011 Rates $0.00* $429.11 $308.02 $403.62 $659.60 $659.60
2011 Rates $0.00* $466.28 $433.36 $433.36 $898.58 $962.31
$0.00* $357.94 $357.94 (1 dep. only) $527.89 (2 or more dep.) $527.89 (2 or more dep.) $527.89 (2 or more dep.)
Retiree (no Medicare) Retiree - Spouse/Domestic Partner Retiree - Child 1-2 Retiree - Children 3 or more Retiree - Family Spouse & 1-2 child Retiree - Family Spouse & 3 or more children
$528.89 $429.11 $308.02 $403.62 $659.60 $659.60
$545.31 $466.28 $433.36 $433.36 $898.58 $962.31
N/A N/A N/A N/A N/A N/A
Medicare COB Part D - Retired Employee Medicare COB Part D - Retiree & Spouse Medicare COB Part D-Retiree & Spouse (with only one retiree or spouse enrolled in Medicare)
$340.37 $668.91
N/A N/A
N/A N/A
$660.48
N/A
N/A
Medicare COB Part D-Retiree & non-Medicare child Medicare COB Part D-Retiree & non-Medicare family members
$598.51
N/A
N/A
$989.70
N/A
N/A
**COBRA - Participant **COBRA - Spouse/Domestic Partner **COBRA - Child 1-2 **COBRA - Children 3 or more **COBRA - Family Spouse & 1-2 child **COBRA - Family Spouse & 3 or more children
$528.89 $429.11 $308.02 $403.62 $659.60 $659.60
$545.31 $466.28 $433.36 $433.36 $898.58 $962.31
$559.55 $357.94 $357.94 (1 dep. only) $527.89 (2 or more dep.) $527.89 (2 or more dep.) $527.89 (2 or more dep.)
DENTAL 2011 Rates $0.00* $32.14 $31.50 $44.00
VISION 2011 Rates $5.46 $5.45 $5.56 $11.90
Employee* (College paid) Spouse/Domestic Partner Child 1-2 Children 3 or more Family - Spouse & 1-2 child Family - Spouse & 3 or more children
DENTAL & VISION INSURANCE Employee/Retiree only Spouse/Domestic Partner Child(ren) Family
2011 Rates
Employee only Spouse/Domestic Partner Child(ren) Family
VISION FOR OPT OUT PLAN ONLY $0.00* $5.45 $5.56 $11.90
OPT OUT PLAN : For those employees who do not need health insurance, the College will pay for employee only coverage for both dental and vision and provide a Healthcare Flexible Spending Account in the amount of $600. Employees in the Opt Out Plan may elect and pay to cover dependents under the dental and vision plans only. *The college covers the cost of employee-only health insurance or Opt Out Plan. The college also pays for each employee to have dental coverage, if employee enrolls, and a $25,000 basic term life insurance policy. Employees may elect to cover dependents under dental and vision only without enrollment of their dependents into the health plan. Retiree only coverage for dental is $23.95 per month. **Add a 2% administrative fee to the COBRA coverage premium as allowed by law. 7/5/2011