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)

Details

Article ID: 1518
Created
Tue 10/17/23 4:30 PM
Modified
Thu 10/19/23 10:18 AM

Related Articles (1)

2024 Annual Open Enrollment is the time for Benefits Eligible IC employees can make benefit plan changes without having a qualified life event (e.g. family or employment change). Changes made during this period will be effective January 1, 2024. The open enrollment period will begin on October 30th and end at 5pm on November 10th. There will be no exceptions to the deadline due to the short amount of time we must process all changes and send updated files to our benefit partners.