
2009 RATE SHEET [ PRINT VERSION ] 
2009 Part-time Rates
| Health - Choice Fund HRA |
|
|
|
|
|
|
| FTE |
Hours/Week |
EE Only |
EE Child |
EE Spouse |
EE Family |
|
|
|
|
|
|
| 0.5 |
20 |
$235.50 |
$444.00 |
$651.00 |
$860.00 |
| 0.55 |
22 |
$214.15 |
$421.00 |
$626.30 |
$833.60 |
| 0.6 |
24 |
$192.80 |
$398.00 |
$601.60 |
$807.20 |
| 0.625 |
25 |
$182.13 |
$386.50 |
$589.25 |
$794.00 |
| 0.65 |
26 |
$171.45 |
$375.00 |
$576.90 |
$780.80 |
| 0.675 |
27 |
$160.78 |
$363.50 |
$564.55 |
$767.60 |
| 0.7 |
28 |
$150.10 |
$352.00 |
$552.20 |
$754.40 |
| 0.75 |
30 |
$128.75 |
$329.00 |
$527.50 |
$728.00 |
| 0.8 |
32 |
$107.40 |
$306.00 |
$502.80 |
$701.60 |
| 0.825 |
33 |
$96.73 |
$294.50 |
$490.45 |
$688.40 |
| 0.833 |
33.32 |
$93.31 |
$290.82 |
$486.50 |
$684.18 |
| 0.85 |
34 |
$86.05 |
$283.00 |
$478.10 |
$675.20 |
| 0.9 |
36 |
$64.70 |
$260.00 |
$453.40 |
$648.80 |
| 1 |
40 |
$22.00 |
$214.00 |
$404.00 |
$596.00 |
|
|
|
|
|
|
|
| Health - Open Access Plus |
|
|
|
|
|
|
| FTE |
|
EE Only |
EE Child |
EE Spouse |
EE Family |
|
|
|
|
|
|
| 0.5 |
20 |
$206.50 |
$372.00 |
$555.00 |
$740.00 |
| 0.55 |
22 |
$186.95 |
$349.00 |
$530.30 |
$713.60 |
| 0.6 |
24 |
$167.40 |
$326.00 |
$505.60 |
$687.20 |
| 0.625 |
25 |
$157.63 |
$314.50 |
$493.25 |
$674.00 |
| 0.65 |
26 |
$147.85 |
$303.00 |
$480.90 |
$660.80 |
| 0.675 |
27 |
$138.08 |
$291.50 |
$468.55 |
$647.60 |
| 0.7 |
28 |
$128.30 |
$280.00 |
$456.20 |
$634.40 |
| 0.75 |
30 |
$108.75 |
$257.00 |
$431.50 |
$608.00 |
| 0.8 |
32 |
$89.20 |
$234.00 |
$406.80 |
$581.60 |
| 0.825 |
33 |
$79.43 |
$222.50 |
$394.45 |
$568.40 |
| 0.833 |
33.32 |
$76.30 |
$218.82 |
$390.50 |
$564.18 |
| 0.85 |
34 |
$69.65 |
$211.00 |
$382.10 |
$555.20 |
| 0.9 |
36 |
$50.10 |
$188.00 |
$357.40 |
$528.80 |
| 1 |
40 |
$11.00 |
$142.00 |
$308.00 |
$476.00 |
|
|
|
|
|
|
|
| Dental Insurance |
$26.04 |
|
|
$45.17 |
|
|
|
|
|
|
| FTE |
|
EE Only |
EE Child |
EE Spouse |
EE Family |
|
|
|
|
|
|
| 0.5 |
20 |
$13.02 |
|
|
$58.19 |
| 0.55 |
22 |
$11.72 |
|
|
$56.89 |
| 0.6 |
24 |
$10.42 |
|
|
$55.59 |
| 0.625 |
25 |
$9.77 |
|
|
$54.94 |
| 0.65 |
26 |
$9.11 |
|
|
$54.28 |
| 0.675 |
27 |
$8.46 |
|
|
$53.63 |
| 0.7 |
28 |
$7.81 |
|
|
$52.98 |
| 0.75 |
30 |
$6.51 |
|
|
$51.68 |
| 0.8 |
32 |
$5.21 |
|
|
$50.38 |
| 0.825 |
33 |
$4.56 |
|
|
$49.73 |
| 0.833 |
33.32 |
$4.35 |
|
|
$49.52 |
| 0.85 |
34 |
$3.91 |
|
|
$49.08 |
| 0.9 |
36 |
$2.60 |
|
|
$47.77 |
| 1 |
40 |
$0.00 |
|
|
$45.17 |
|
|
|
|
|
|
|
| Vision Insurance |
EE Only |
EE Child |
EE Spouse |
EE Family |
|
|
|
|
|
|
|
|
$5.35 |
$11.50 |
$10.73 |
$12.65 |
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