Medical Insurance Rates for Nonexempt Staff

48 weekly payroll deductions will be taken during the calendar year

Tufts PPO (Group No. 48424)

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*
Employee Contribution Weekly / Monthly $105.82 / $423.28 $268.71 / $1,074.84 $262.53 / $1,050.12 $310.18 / $1,240.72
University Contribution Monthly $687.68 $1,313.72 $1,060.70 $2,186.69
Total Monthly Premium $1,110.96 $2,388.56 $2,110.82 $3,427.41
Employee / University Monthly Percentage 38% / 62% 45% / 55% 50% / 50% 36% / 64%

* Dependent coverage through end of month of 26th birthday under Federal Health Care Reform.

Tufts EPO Premium (Group No. 17205)

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*
Employee Contribution Weekly / Monthly $49.40 / $197.60 $125.55 / $502.20 $122.48 / $489.92 $144.64 / $578.56
University Contribution Monthly $639.59 $1,297.77 $1,100.75 $2,004.25
Total Monthly Premium $837.19 $1,799.97 $1,590.67 $2,582.81
Employee / University Monthly Percentage 24% / 76% 28% / 72% 31% / 69% 22% / 78%

* Dependent coverage through end of month of 26th birthday under Federal Health Care Reform.

Tufts EPO Value Deductible (Group No. 17206)

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*
Employee Contribution Weekly / Monthly $34.58 / $138.32 $87.95 / $351.80 $85.86 / $343.44 $101.26 / $405.04
University Contribution Monthly $640.82 $1,323.35 $1,136.92 $1,998.69
Total Monthly Premium $779.14 $1,675.15 $1,480.36 $2,403.73
Employee / University Monthly Percentage 18% / 82% 21% / 79% 23% / 77% 17% / 83%

* Dependent coverage through end of month of 26th birthday under Federal Health Care Reform.