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Anne Arundel Community College

Group Medical Insurance Premiums

CY 2017

Jan. 1, 2017-Dec. 31, 2017

Employee Per Pay Period Amount

Full Time Employee

Part Time Employee*

100% Monthly 12 Month

10 Month

12 Month

10 Month

CAREFIRST BLUE CHOICE TRIPLE OPTION OPEN ACCESS

(College Pays 75%, Employee Pays 25%)

Individual

734.62

91.83

110.19

183.66

220.39

Parent/Child

1297.58

162.20

194.64

324.40

389.27

Employee/Spouse 1556.29

194.54

233.44

389.07

466.89

Family

2021.03

252.63

303.16

505.26

606.31

CAREFIRST BLUE CHOICE HMO OPEN ACCESS

(College Pays 85%, Employee Pays 15%)

Individual

560.82

42.06

50.47

140.21

168.25

Parent/Child

1005.59

75.42

90.50

251.40

301.68

Employee/Spouse 1197.26

89.80

107.75

299.32

359.18

Family

1548.36

116.13

139.35

387.09

464.51

CAREFIRST EPO

(College Pays 85%, Employee Pays 15%)

Individual

613.84

46.04

55.25

153.46

184.15

Parent/Child

1107.85

83.09

99.71

276.96

332.36

Employee/Spouse 1314.83

98.61

118.34

328.71

394.45

Family

1697.41

127.31

152.77

424.35

509.22

*These rates apply to part-time employees hired after Feb. 15, 1994.

Rates for vested part-time employees equal two times the full time rate.

Anne Arundel Community College

Group Dental and Vision

Insurance Premiums

CY 2017

Jan. 1, 2017-Dec. 31, 2017

EMPLOYEE PER PAY PERIOD AMOUNT

Full Time Employee

Part Time Employee*

Total Monthly

Premium 12 Month

10 Month

12 Month

10 Month

CIGNA DENTAL CARE PLAN (DHMO)

College Pays 100%

Individual

18.80

0.00

0.00

4.70

5.64

Parent/Child

37.58

0.00

0.00

9.40

11.27

Employee/Spouse 47.75

0.00

0.00

11.94

14.33

Family

54.29

0.00

0.00

13.57

16.29

CIGNA PREFERRED PROVIDER ORGANIZATION DENTAL PLAN (INDEMNITY)

College Pays 100%

Individual

35.16

0.00

0.00

8.79

10.55

Parent/Child

62.37

0.00

0.00

15.59

18.71

Employee/Spouse 80.89

0.00

0.00

20.22

24.27

Family

89.90

0.00

0.00

22.48

26.97

CIGNA GROUP VISION PLAN (VSP)

College Pays 100%

Individual

2.44

0.00

0.00

0.61

0.73

Parent/Child

4.87

0.00

0.00

1.22

1.46

Employee/Spouse 6.22

0.00

0.00

1.56

1.87

Family

7.07

0.00

0.00

1.77

2.12

EMPLOYEES WHO DO NOT ELECT COVERAGE RECEIVE A STIPEND PER YEAR IN THE AMOUNT OF:

*These rates apply to part-time

employees hired after Feb. 15, 1994.

Rates for vested part-time employees

equal two times the full time rate.

Full Time Employees:

Part Time Employees:

Medical:

450.00

Medical:

225.00

Dental:

96.00

Dental:

48.00

Total:

546.00

Total:

273.00