College of Medicine Clinical Fringe Benefit Program/ Rate History

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