|

|
 |
2009 Monthly Rates for Leave of Action or Reduction in Force
| Effective January 1, 2009
Medical Insurance Option |
2009 LOA / RIF Monthly Premium |
Blue Cross Blue Shield of Michigan Community Blue PPO |
You Only |
$ 499.22 |
You + Adult |
$ 998.44 |
You + Adult + Children |
$ 1,407.82 |
You + Child |
$ 768.82 |
You + Children |
$ 768.82 |
Comprehensive Major Medical |
You Only |
$ 390.40 |
You + Adult |
$ 780.80 |
You + Adult + Children |
$ 1,100.94 |
You + Child |
$ 601.22 |
You + Children |
$ 601.22 |
GradCare |
You Only |
$ 206.18 |
You + Adult |
$ 412.36 |
You + Adult + Children |
$ 581.44 |
You + Child |
$ 317.54 |
You + Children |
$ 317.54 |
Health Alliance Plan |
You Only |
$433.76 |
You + Adult |
$867.52 |
You + Adult + Children |
$1,223.22 |
You + Child |
$668.00 |
You + Children |
$668.00 |
Priority Health HMO |
You Only |
$508.06 |
You + Adult |
$1,016.12 |
You + Adult + Children |
$1,432.74 |
You + Child |
$782.42 |
You + Children |
$782.42 |
U-M Premier Care |
You Only |
$426.66 |
You + Adult |
$853.32 |
You + Adult + Children |
$1,203.20 |
You + Child |
$657.06 |
You + Children |
$657.06 |
DENTAL PLAN |
2009 LOA / RIF Monthly Premium |
Option 1 |
You Only |
$ 20.10 |
You + 1 Child |
$ 40.20 |
You + 1 Adult |
$ 40.20 |
You + 1 Adult + Children |
$ 64.12 |
You + 2 or More Children |
$ 64.12 |
Option 2 |
You Only |
$ 35.60 |
You + 1 Child |
$ 71.20 |
You + 1 Adult |
$ 71.20 |
You + 1 Adult + Children |
$ 110.72 |
You + 2 or More Children |
$ 110.72 |
Option 3 |
You Only |
$ 51.10 |
You + 1 Child |
$ 102.20 |
You + 1 Adult |
$ 120.20 |
You + 1 Adult + Children |
$ 158.92 |
You + 2 or More Children |
$ 158.92 |
VISION PLAN |
2009 LOA / RIF Monthly Premium |
You Only |
$ 10.36 |
You + 1 Child |
$ 16.18 |
You + 1 Adult |
$ 16.18 |
You + 1 Adult + Children |
$ 28.02 |
You + 2 or More Children |
$ 28.02 |
LEGAL PLAN |
2009 LOA / RIF Monthly Premium |
You Only |
$ 6.82 |
You + 1 Child |
$ 11.82 |
You + 1 Adult |
$ 11.82 |
You + 1 Adult + Children |
$ 11.82 |
You + 2 or More Children |
$ 11.82 |
|
|
Limitations
The University in its sole discretion may modify, amend, or
terminate the benefits provided with respect to any individual
receiving benefits, including active Yous, retirees,
and their dependents. Although the
University has elected to provide these benefits this year,
no individual has a vested right to any of the benefits provided.
Nothing in these materials gives any individual the right
to continued benefits beyond the time the University modifies,
amends, or terminates the benefit. Anyone seeking or accepting
any of the benefits provided will be deemed to have accepted
the terms of the benefits programs and the University's right
to modify, amend or terminate them.
|
|