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Contributions |
 |
2008
Monthly Health and Dental Employee Premiums ( PDF)
Full Time Employees Dental Premium Rates
| Plan |
You only |
You + spouse |
You + child(ren) |
You + spouse and child(ren) |
| Blue Cross Dental PPO |
$17 |
$36 |
$40 |
$57 |
| First Commonwealth DHMO |
$7 |
$13 |
$14 |
$20 |
Part Time Employees Dental Premium Rates
| Plan |
You only |
You + spouse |
You + child(ren) |
You + spouse and child(ren) |
| Blue Cross Dental PPO |
$27 |
$58 |
$64.50 |
$91.50 |
| First Commonwealth DHMO |
$11.50 |
$21 |
$22 |
$32 |
NOTE: Part Time status is defined as employees scheduled to work at least 17.5 hours per week or at least a 50% appointment but less than 100%. |
Leave of Absence (Personal - At Large) Dental Premium Rates
| Coverage |
You only |
You + spouse |
You + child(ren |
You + spouse and child(ren) |
| Blue Cross Denta PPO |
$37 |
$80 |
$89 |
$126 |
| First Commonwealth DHMO |
$16 |
$29 |
$30 |
$44 |
COBRA Dental Premium Rates
| Plan |
You only |
You + spouse |
You + child(ren) |
You + spouse and child(ren) |
| Blue Cross Dental PPO |
$37.74 |
$81.60 |
$90.78 |
$128.52 |
| First Commonwealth DHMO |
$16.32 |
$29.58 |
$30.60 |
$44.88 |
2008
Monthly COBRA Premiums ( PDF)
Retiree Premium Dental Premium
Rates
| Coverage |
You only |
You + spouse |
You +child(ren) |
You + spouse and child(ren) |
| Blue Cross Dental PPO |
$39 |
$80 |
$89 |
$126 |
| First Commonwealth DHMO |
$16 |
$29 |
$30 |
$44 |
2008
Monthly Retiree Premiums ( PDF)
NRSA Post Doctoral Fellows Dental
Premium Rates
| PLAN |
You only |
You + spouse |
| Individual |
University Grant |
Total |
Individual |
University Grant |
Total |
| Blue Cross Denta PPO |
$0 |
$37 |
$37 |
$19 |
$61 |
$80 |
| First Commonwealth Dental DHMO |
$0 |
$16 |
$16 |
$9 |
$20 |
$29 |
| |
PLAN |
You + child |
You + spouse and child(ren) |
| |
Individual |
Univeristy Grant |
Total |
Individual |
University Grant |
Total |
| Blue Cross Dental PPO |
$23 |
$66 |
$89 |
$40 |
$86 |
$126 |
| First Commonwealth DHMO |
$7 |
$23 |
$30 |
$13 |
$31 |
$44 |
|