  {"id":52966,"date":"2020-11-25T09:38:44","date_gmt":"2020-11-25T14:38:44","guid":{"rendered":"https:\/\/www.rochester.edu\/human-resources\/?page_id=52966"},"modified":"2026-01-08T15:53:38","modified_gmt":"2026-01-08T20:53:38","slug":"health-care-plan-rates-long-term-disability","status":"publish","type":"page","link":"https:\/\/www.rochester.edu\/human-resources\/benefits\/health-care\/rates\/health-care-plan-rates-long-term-disability\/","title":{"rendered":"Health care plan rates: Long-term disability"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"author":116,"featured_media":0,"parent":21596,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/one-column.php","meta":{"_acf_changed":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-52966","page","type-page","status-publish","hentry"],"acf":{"lead_in":"","display_title":"","subtitle":"","call_to_action":"","hero_image_placement":"no_image","hero_media":"images","hero_pattern_option":"","hero_video":"","hero_image_landing":"","hero_image_landing_two":"","hero_image_landing_three":"","content_modules_above":[{"acf_fc_layout":"accordion_new","anchor_id":"","classes":"","title":"<h2>2026 long-term disability rates<\/h2>\r\n&nbsp;","description":"<h3>January 1\u2013December 31, 2026<\/h3>","background":"plain","background_color":"#ffffff","style":"row_blank","expand":"yes","accordions":[{"acf_fc_layout":"accordion","accordion_title":"Share of Premiums for Faculty, Staff, and SEIU Members on Long-Term Disability who are Medicare-eligible and whose spouse or domestic partner are also Medicare-eligible*","icon":"","row_content":"<h3>Full-Time Employees Earning &lt; $72,400<\/h3>\r\n<h5>Monthly Premium Contributions<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$0.00<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$0.00<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contributions<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$0.00<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$0.00<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Full-Time Employees Earning $72,400- &lt; $107,500<\/h3>\r\n<h5>Monthly Premium Contributions<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$65.42<\/td>\r\n<td>$130.84<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$6.54<\/td>\r\n<td>$13.08<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contributions<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$196.26<\/td>\r\n<td>$392.52<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$19.62<\/td>\r\n<td>$39.24<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Full-Time Employees Earning $107,500-&lt; $154,400 AND Part-Time Employees Earning &lt; $154,400 with more than 5 years of service<\/h3>\r\n<h5>Monthly Premium Contributions<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$102.16<\/td>\r\n<td>$204.32<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$15.28<\/td>\r\n<td>$30.56<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contributions<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$306.48<\/td>\r\n<td>$612.96<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$45.84<\/td>\r\n<td>$91.68<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Part-time employees earning &lt; $154,400 with less than 5 years of service<\/h3>\r\n<strong>Monthly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$194.08<\/td>\r\n<td>$388.16<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$68.04<\/td>\r\n<td>$136.08<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<strong>Quarterly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$582.24<\/td>\r\n<td>$1,164.48<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$204.12<\/td>\r\n<td>$408.24<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning $154,400- &lt; $193,900<\/h3>\r\n<strong>Monthly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$194.08<\/td>\r\n<td>$388.16<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$49.86<\/td>\r\n<td>$99.72<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<strong>Quarterly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$582.24<\/td>\r\n<td>$1,164.48<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$149.58<\/td>\r\n<td>$299.16<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning $193,900- &lt; $254,400<\/h3>\r\n<strong>Monthly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$290.82<\/td>\r\n<td>$581.64<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$118.52<\/td>\r\n<td>$237.04<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<strong>Quarterly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$872.46<\/td>\r\n<td>$1,744.92<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$355.56<\/td>\r\n<td>$711.12<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning \u2265 $254,400<\/h3>\r\n<strong>Monthly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$396.46<\/td>\r\n<td>$792.92<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$185.52<\/td>\r\n<td>$371.04<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<strong>Quarterly Premium Contributions<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$1,189.38<\/td>\r\n<td>$2,378.76<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$556.56<\/td>\r\n<td>$1,113.12<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Dental plans**<\/h3>\r\n<strong>Monthly Rates<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Dental Plans\r\n<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Traditional Dental Plan<\/td>\r\n<td>$7.90<\/td>\r\n<td>$16.02<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medallion Dental Plan<\/td>\r\n<td>$17.04<\/td>\r\n<td>$34.74<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<strong>Quarterly Rates<\/strong>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Dental Plans**\r\n<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Traditional Dental Plan<\/td>\r\n<td>$23.70<\/td>\r\n<td>$48.06<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medallion Dental Plan<\/td>\r\n<td>$51.12<\/td>\r\n<td>$104.22<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n* The rates above apply only to Faculty\/Staff\/SEIU members on Long-Term Disability who are Medicare-eligible and whose spouse or domestic partner are also Medicare-eligible. Medicare is the primary payer for health care expenses and the above plans through the University are the secondary payer. Therefore, the above University Health Care Plans will not cover any expenses that would have been covered under Medicare Part A and Part B if you were enrolled (commonly known as \u201ccarve out\u201d plans).\r\n\r\n** Eligibility rules apply","accordion_anchor":""},{"acf_fc_layout":"accordion","accordion_title":"Share of Premiums for Faculty, Staff, and SEIU Members on Long-Term Disability who are Medicare eligible or are covering a Medicare eligible dependent*","icon":"","row_content":"<h3>Full-Time Employees Earning &lt; $72,400<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$161.26<\/td>\r\n<td>$128.86<\/td>\r\n<td>$290.12<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$27.52<\/td>\r\n<td>$21.88<\/td>\r\n<td>$49.40<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$483.78<\/td>\r\n<td>$386.58<\/td>\r\n<td>$870.36<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$0.00<\/td>\r\n<td>$82.56<\/td>\r\n<td>$65.64<\/td>\r\n<td>$148.20<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Full-Time Employees Earning $72,400- &lt; $107,500<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$65.42<\/td>\r\n<td>$292.10<\/td>\r\n<td>$246.76<\/td>\r\n<td>$473.44<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$6.54<\/td>\r\n<td>$40.60<\/td>\r\n<td>$33.74<\/td>\r\n<td>$67.80<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$196.26<\/td>\r\n<td>$876.30<\/td>\r\n<td>$740.28<\/td>\r\n<td>$1,420.32<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$19.62<\/td>\r\n<td>$121.80<\/td>\r\n<td>$101.22<\/td>\r\n<td>$203.40<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Full-Time Employees Earning $107,500-&lt; $154,400 AND Part-Time Employees Earning &lt; $154,400 with more than 5 years of service<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$102.16<\/td>\r\n<td>$365.58<\/td>\r\n<td>$312.86<\/td>\r\n<td>$576.28<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$15.28<\/td>\r\n<td>$58.08<\/td>\r\n<td>$49.44<\/td>\r\n<td>$92.24<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$306.48<\/td>\r\n<td>$1,096.74<\/td>\r\n<td>$938.58<\/td>\r\n<td>$1,728.84<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$45.84<\/td>\r\n<td>$174.24<\/td>\r\n<td>$148.32<\/td>\r\n<td>$276.72<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Part-time employees earning &lt; $154,400 with less than 5 years of service<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$194.08<\/td>\r\n<td>$549.42<\/td>\r\n<td>$478.32<\/td>\r\n<td>$833.66<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$68.04<\/td>\r\n<td>$163.60<\/td>\r\n<td>$144.36<\/td>\r\n<td>$239.92<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$582.24<\/td>\r\n<td>$1,648.26<\/td>\r\n<td>$1,434.96<\/td>\r\n<td>$2,500.98<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$204.12<\/td>\r\n<td>$490.80<\/td>\r\n<td>$433.08<\/td>\r\n<td>$719.76<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning $154,400- &lt; $193,900<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$194.08<\/td>\r\n<td>$549.42<\/td>\r\n<td>$478.32<\/td>\r\n<td>$833.66<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$49.86<\/td>\r\n<td>$127.24<\/td>\r\n<td>$111.72<\/td>\r\n<td>$189.10<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$582.24<\/td>\r\n<td>$1,648.26<\/td>\r\n<td>$1,434.96<\/td>\r\n<td>$2,500.98<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$149.58<\/td>\r\n<td>$381.72<\/td>\r\n<td>$335.16<\/td>\r\n<td>$567.30<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning $193,900- &lt; $254,400<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$290.82<\/td>\r\n<td>$742.90<\/td>\r\n<td>$652.54<\/td>\r\n<td>$1,104.62<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$118.52<\/td>\r\n<td>$264.56<\/td>\r\n<td>$235.26<\/td>\r\n<td>$381.30<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$872.46<\/td>\r\n<td>$2,228.70<\/td>\r\n<td>$1,957.62<\/td>\r\n<td>$3,313.86<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$355.56<\/td>\r\n<td>$793.68<\/td>\r\n<td>$705.78<\/td>\r\n<td>$1,143.90<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning \u2265 $254,400<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$396.46<\/td>\r\n<td>$954.18<\/td>\r\n<td>$842.66<\/td>\r\n<td>$1400.38<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$185.52<\/td>\r\n<td>$398.56<\/td>\r\n<td>$355.90<\/td>\r\n<td>$568.94<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$1,189.38<\/td>\r\n<td>$2,862.54<\/td>\r\n<td>$2,527.98<\/td>\r\n<td>$4,201.14<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$556.56<\/td>\r\n<td>$1,195.68<\/td>\r\n<td>$1,067.70<\/td>\r\n<td>$1,706.82<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Dental plans**<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Dental Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Traditional Dental Plan<\/td>\r\n<td>$7.90<\/td>\r\n<td>$16.02<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medallion Dental Plan<\/td>\r\n<td>$17.04<\/td>\r\n<td>$34.74<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Dental Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Traditional Dental Plan<\/td>\r\n<td>$23.70<\/td>\r\n<td>$48.06<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medallion Dental Plan<\/td>\r\n<td>$51.12<\/td>\r\n<td>$104.22<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n* The rates above apply to Faculty\/Staff\/SEIU members on Long-Term Disability who are Medicare-eligible or whose dependents are Medicare-eligible. For the Medicare-eligible member only, Medicare is the primary payer for health care expenses and the University Health Care Plans are the secondary payer. Therefore, the University Health Care Plans will not cover any expenses that would have been covered under Medicare Part A and Part B if the Medicare-eligible member were enrolled (commonly known as \u201ccarve out\u201d plans). The University Health Care Plans will continue to be primary payer of health care expenses for members not eligible for Medicare.\r\n\r\n** Eligibility rules apply","accordion_anchor":""},{"acf_fc_layout":"accordion","accordion_title":"Share of Premiums for Faculty, Staff, and SEIU Members on Long-Term Disability and both Member and Spouse\/Domestic Partner are NON-Medicare eligible*","icon":"","row_content":"<h3>Full-Time Employees Earning &lt; $72,400<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$161.26<\/td>\r\n<td>$380.82<\/td>\r\n<td>$290.12<\/td>\r\n<td>$519.26<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$27.52<\/td>\r\n<td>$64.90<\/td>\r\n<td>$49.40<\/td>\r\n<td>$88.46<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$483.78<\/td>\r\n<td>$1,142.46<\/td>\r\n<td>$870.36<\/td>\r\n<td>$1,557.78<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$82.56<\/td>\r\n<td>$194.70<\/td>\r\n<td>$148.20<\/td>\r\n<td>$265.38<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Full-Time Employees Earning $72,400- &lt; $107,500<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$226.68<\/td>\r\n<td>$535.44<\/td>\r\n<td>$408.02<\/td>\r\n<td>$730.12<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$34.06<\/td>\r\n<td>$80.48<\/td>\r\n<td>$61.26<\/td>\r\n<td>$109.74<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$680.04<\/td>\r\n<td>$1,606.32<\/td>\r\n<td>$1,224.06<\/td>\r\n<td>$2,190.36<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$102.18<\/td>\r\n<td>$241.44<\/td>\r\n<td>$183.78<\/td>\r\n<td>$329.22<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Full-Time Employees Earning $107,500-&lt; $154,400 AND Part-Time Employees Earning &lt; $154,400 with more than 5 years of service<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$263.42<\/td>\r\n<td>$622.18<\/td>\r\n<td>$474.12<\/td>\r\n<td>$848.38<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$42.80<\/td>\r\n<td>$101.10<\/td>\r\n<td>$76.96<\/td>\r\n<td>$137.90<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$790.26<\/td>\r\n<td>$1,866.54<\/td>\r\n<td>$1,422.36<\/td>\r\n<td>$2,545.14<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$128.40<\/td>\r\n<td>$303.30<\/td>\r\n<td>$230.88<\/td>\r\n<td>$413.70<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Part-time employees earning &lt; $154,400 with less than 5 years of service<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$355.34<\/td>\r\n<td>$839.28<\/td>\r\n<td>$639.58<\/td>\r\n<td>$1,144.42<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$95.56<\/td>\r\n<td>$225.64<\/td>\r\n<td>$171.88<\/td>\r\n<td>$307.64<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$1,066.02<\/td>\r\n<td>$2,517.84<\/td>\r\n<td>$1,918.74<\/td>\r\n<td>$3,433.26<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$286.68<\/td>\r\n<td>$676.92<\/td>\r\n<td>$515.64<\/td>\r\n<td>$922.92<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning $154,400- &lt; $193,900<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$355.34<\/td>\r\n<td>$839.28<\/td>\r\n<td>$639.58<\/td>\r\n<td>$1,144.42<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$77.38<\/td>\r\n<td>$182.76<\/td>\r\n<td>$139.24<\/td>\r\n<td>$249.20<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$1,066.02<\/td>\r\n<td>$2,517.84<\/td>\r\n<td>$1,918.74<\/td>\r\n<td>$3,433.26<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$232.14<\/td>\r\n<td>$548.28<\/td>\r\n<td>$417.72<\/td>\r\n<td>$747.60<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning $193,900- &lt; $254,400<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$452.08<\/td>\r\n<td>$1,067.80<\/td>\r\n<td>$813.80<\/td>\r\n<td>$1,456.06<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$146.04<\/td>\r\n<td>$344.94<\/td>\r\n<td>$262.78<\/td>\r\n<td>$470.36<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$1,356.24<\/td>\r\n<td>$3,203.40<\/td>\r\n<td>$2,441.40<\/td>\r\n<td>$4,368.18<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$438.12<\/td>\r\n<td>$1,034.82<\/td>\r\n<td>$788.34<\/td>\r\n<td>$1,411.08<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Employees Earning \u2265 $254,400<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$557.72<\/td>\r\n<td>$1,317.28<\/td>\r\n<td>$1,003.92<\/td>\r\n<td>$1,796.26<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$213.04<\/td>\r\n<td>$503.22<\/td>\r\n<td>$383.42<\/td>\r\n<td>$686.18<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Health Care Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Employee &amp; Spouse\/ Domestic Partner<\/strong><\/td>\r\n<td><strong>Employee &amp; Child(ren)<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR PPO Plan<\/td>\r\n<td>$1,673.16<\/td>\r\n<td>$3,951.84<\/td>\r\n<td>$3,011.76<\/td>\r\n<td>$5,388.78<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>YOUR HSA-Eligible Plan<\/td>\r\n<td>$639.12<\/td>\r\n<td>$1,509.66<\/td>\r\n<td>$1,150.26<\/td>\r\n<td>$2,058.54<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3>Dental plans**<\/h3>\r\n<h5>Monthly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Dental Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Traditional Dental Plan<\/td>\r\n<td>$7.90<\/td>\r\n<td>$16.02<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medallion Dental Plan<\/td>\r\n<td>$17.04<\/td>\r\n<td>$34.74<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5>Quarterly Premium Contribution<\/h5>\r\n<table width=\"100%\">\r\n<tbody>\r\n<tr>\r\n<td><strong>University Dental Plans<\/strong><\/td>\r\n<td><strong>Single<\/strong><\/td>\r\n<td><strong>Family<\/strong><\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Traditional Dental Plan<\/td>\r\n<td>$23.70<\/td>\r\n<td>$48.06<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medallion Dental Plan<\/td>\r\n<td>$51.12<\/td>\r\n<td>$104.22<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n* The rates above apply to Faculty\/Staff\/SEIU members on Long-Term Disability who are not eligible for Medicare. The University Health Care Plan will be primary payer for health care expenses.\r\n\r\n** Eligibility rules apply","accordion_anchor":""}]}],"sidebar":"show__sidebar","sidebar_feed":"menu_select","menu":"736","page_links":null,"sub_menu":"746","content_modules":null},"yoast_head":"<title>Long-Term Disability Rates | 糖心传媒 Human Resources<\/title>\n<meta name=\"description\" content=\"Long-term disability (LTD) rates and premiums for health care for relevant 糖心传媒 employees.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rochester.edu\/human-resources\/benefits\/health-care\/rates\/health-care-plan-rates-long-term-disability\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Long-Term Disability Rates | 糖心传媒 Human Resources\" \/>\n<meta property=\"og:description\" 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