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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.

 

Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. The provisions of the plans are subject to change.

©2007 University of Michigan Human Resources and Affirmative Action | Benefits Office | Wolverine Tower Low Rise G250, 3003 South State Street, Ann Arbor MI 48109-1278| Fax (734) 763-0363