2024 Individual Choice Rates

This document provides employees with the 2024 Individual Choice Rates for benefits coverage. 

Contents

Medical Plans

Plan Option

Employee's Annual Contribution

College's Contribution to HSA* 
High Deductible Health Plan/Health Savings Account
Employee Only  $                        1,248.00  $                             1,000.00
Employee & Spouse/GFQDP*  $                        3,480.00  $                             1,500.00
Employee & Children  $                        3,354.00  $                             1,500.00
Employee & Family  $                        5,509.00  $                             1,500.00
Open Access Point of Service II Plan
Employee Only  $                        2,925.00 N/A
Employee & Spouse/GFQDP*  $                        6,341.00 N/A
Employee & Children  $                        6,178.00 N/A
Employee & Family  $                        8,069.00 N/A

Dental Plans

Plan Option

Employee's Annual Contribution
Dental - Legacy Prime
Employee Only  $                            192.00
Employee & Spouse/GFQDP*  $                            516.00
Employee & Children  $                            624.00
Employee & Family  $                            972.00
Dental - Ortho Advantage
Employee Only  $                            192.00
Employee & Spouse/GFQDP*  $                            516.00
Employee & Children  $                            624.00
Employee & Family  $                            972.00

Vision Care Plan

Plan Option

Employee's Annual Contribution
Employee Only  $                              36.00
Employee & Spouse/GFQDP*  $                              90.00
Employee & Children  $                              84.00
Employee & Family  $                            132.00

Employee Basic Life Insurance Plan

Amount of coverage

Employee's Annual Contribution
$50,000**  $                              0.00

Supplemental Life Insurance Plan

Age

Employee's Annual Premium Rate Per $20,000** Unit
< 25  $                                 8.40
25-29  $                                 8.40
30-34  $                                 9.60
34-39  $                              14.40
40-44  $                              21.60
45-49  $                              36.00
50-54  $                              55.20
55-59  $                              93.60
60-64  $                            124.80
65-69  $                            196.80
70-74  $                            344.40
75+  $                            494.40

Dependent Life Insurance Plan

Plan Options

Employee's Annual Contribution
Option 1 - (Spouse/GFQDP* = $5,000; Children - $2,500) $23.52
Option 2 - (Spouse/GFQDP* = $10,000; Children - $4,000)

$44.52

Accidental Death and Dismemberment (AD&D) Insurance Plan

Basic

Employee's Annual Contribution
$50,000**  $                                     0.00 
Voluntary**
Employee's Annual Contribution
Employee Only  $                                 9.36
Employee & Dependents  $                              13.68

Long-Term Disability

 

Employee's Annual Contribution
60% Benefit with Pension $0.00
60% Benefit without Pension $0.00

Saving Account Maximums (Includes the College's Contribution)

Health Savings Account

Health Care Flexible Spending Account

Dependent Care Flexible Spending Account
$4,150 - Individual Coverage
$8,30 - Family Coverage
$1,000 -- Catch-up (age 55+)		 $3,050 $5000 ($2,500 if you are married and you and your spouse file separate tax returns)
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