College of Medicine Clinical Fringe Benefit Program/ Rate History

July 1, 2009 - June 30, 2010

Faculty Programs (employer-paid premiums)

Group Health Coverage
Single - $485.36/month | Family - $1189.14/month

$500,000 Group Term Life (employee only) - $39.50/month

$150,000 AD&D (employee only) - $3.30/month

Long Term Disability (employee only)
rate = $.0121 x total monthly salary (subject to max monthly salary of $15,000)

Housestaff Programs (employer-paid premiums)

Group Health Coverage
Single - $485.36/month | Family - $1189.14/month

$50,000 Group Term Life (employee only) $3.95/month

$10,000 AD&D (employee only) $.22/month

Long Term Disability (employee only)
rate = $.0020 x total monthly salary

COBRA (premiums are paid by the participant)

Single: $495.06/month | Family: $1,212.91/month

July 1, 2008

Faculty Programs

Coverage Single Family
Health $423.11 $1036.63
Life $39.50 N/A
AD&D $3.30 N/A
Disability $.0121 x mo. salary N/A

Housestaff Programs
Coverage Single Family
Health $423.11 $1036.63
Life $3.95 N/A
AD&D $.22 N/A
Disability $.0020 x mo. salary N/A

COBRA
Single Family
$479.52 $1174.85

July 1, 2007

Faculty Programs

Coverage Single Family
Health $332.28 $814.10
Life $60.00 N/A
AD&D $4.50 N/A
Disability $.0126 x mo. salary N/A

Housestaff Programs

Coverage Single Family
Health $332.28 $814.10
Life $.80 N/A
AD&D $.30 N/A
Disability $7.00 N/A

COBRA
Single Family
$413.71 $1013.62

July 1, 2006

FACULTY
Coverage

Single

Family

Health

$332.28

$814.0

Life

$60.00

N/A

AD&D

$4.50

N/A

Disability

$.0126 x mo. salary

N/A

HOUSESTAFF

Coverage

Single

Family

Health

$332.28

$814.0

Life

$.80

N/A

AD&D

$.30

N/A

Disability

$7.00

N/A

COBRA

Single

Family

$376.58

$922.65

August 1, 2005

FACULTY

Coverage

Employee

Dependents

Family

Health

$324.11

$469.98

$794.09

Life

$60.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0126 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$324.11

$469.98

$794.09

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$7.00

N/A

N/A

COBRA

Single

Family

$367.32

$899.96

January 1, 2005

FACULTY

Coverage

Employee

Dependents

Family

Health

$234.73

$399.81

$634.54

Life

$60.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0126 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$234.73

$399.81

$634.54

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$7.00

N/A

N/A

COBRA

Employee

Dependents

Family

$ 362.74

$509.12

$ 871.86

July 1,2004

FACULTY

Coverage

Employee

Dependents

Family

Health

$234.73

$399.81

$634.54

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0110 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$234.73

$399.81

$634.54

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$7.00

N/A

N/A

COBRA

Employee

Dependents

Family

$239.42

$407.81

$647.23

January 1, 2004

FACULTY

Coverage

Employee

Dependents

Family

Health

$234.73

$399.81

$634.54

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0110 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$234.73

$399.81

$634.54

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$5.67

N/A

N/A

COBRA

Employee

Dependents

Family

$239.42

$407.81

$647.23

July 1, 2003

FACULTY

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0110 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$5.67

N/A

N/A

COBRA

Employee

Dependents

Family

$238.45

$406.32

$644.76

January 1, 2003

FACULTY

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0110 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$2.67

N/A

N/A

COBRA

Employee

Dependents

Family

$238.45

$406.32

$644.76

January 1, 2002

FACULTY

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0086 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$2.67

N/A

N/A

COBRA

Employee

Dependents

Family

$238.45

$406.32

$644.76

July 1, 2001

FACULTY

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0072 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$233.77

$398.35

$632.12

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$2.67

N/A

N/A

COBRA

Employee

Dependents

Family

$238.45

$406.32

$644.76

January 1, 2001

FACULTY

Coverage

Employee

Dependents

Family

Health

$220.54

$375.80

$596.34

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0072 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$220.54

$375.80

$596.34

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$2.33

N/A

N/A

COBRA

Employee

Dependents

Family

$224.95

$383.32

$608.27

January 1, 2000

FACULTY

Coverage

Employee

Dependents

Family

Health

$214.76

$365.96

$580.72

Life

$112.00

N/A

N/A

AD&D

$4.50

N/A

N/A

Disability

$.0072 x mo. salary

N/A

N/A

HOUSESTAFF

Coverage

Employee

Dependents

Family

Health

$214.76

$365.96

$580.72

Life

$.80

N/A

N/A

AD&D

$.30

N/A

N/A

Disability

$2.33

N/A

N/A

COBRA

Employee

Dependents

Family

$219.06

$373.28

$592.33