Medical Insurance Rates for Nonexempt Staff

48 weekly payroll deductions will be taken during the calendar year

Tufts PPO & PPO Cigna (Group No. 48424)

Rate Type Employee Only Employee + Spouse Employee + Child(ren)* Family*
Employee Contribution Weekly / Monthly $114.50 / $458.00 $290.75 / $1,163.00 $284.06 / $1,136.24 $335.61 / $1,342.44
University Contribution Monthly $756.33 $1,447.81 $1,170.99 $2,403.86
Total Monthly Premium $1,214.33 $2,610.81 $2,307.23 $3,746.30
Employee / University Monthly Percentage 38% / 62% 45% / 55% 49% / 51% 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 $53.44 / $213.76 $135.84 / $543.36 $132.52 / $530.08 $156.50 / $626.00
University Contribution Monthly $701.33 $1,424.10 $1,208.60 $2,197.14
Total Monthly Premium $915.09 $1,967.46 $1,738.68 $2,823.14
Employee / University Monthly Percentage 23% / 77% 28% / 72% 30% / 70% 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 $37.41 / $149.64 $95.16 / $380.64 $92.90 / $371.60 $109.56 / $438.24
University Contribution Monthly $702.00 $1,450.38 $1,246.51 $2,189.16
Total Monthly Premium $851.64 $1,831.02 $1,618.11 $2,627.40
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.