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Health Insurance Premiums for Graduate Assistants

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					University of Wisconsin Service Center



                                Health Insurance Premiums for Graduate Assistants
                                 Effective July 2011 for deductions taken starting August 2011


Rates apply to Graduate Assistants and Short-Term Academic Staff.


                                                                     Single Premiums                          Family Premiums
                                                       Plan
                                                       Suffix   Employee                              Employee
                                                Tier   Code      Share     UW Share     Total          Share       UW Share        Total
STANDARD (STDIN)                                 3      .01       113.00    751.00      864.00           283.50     1,873.00      2,156.50
STANDARD--Out of State*                          2      .01        61.00    803.00      864.00           153.50     2,003.00      2,156.50
STATE MAINTENANCE (SMP)                          1      .05        42.00    494.90      536.90           104.00     1,234.40      1,338.40
ANTHEM BCBS NE (ANTHNE)                          1      .14        42.00    386.70      428.70           104.00          963.90   1,067.90
ANTHEM BCBS NW (ANTHNW)                          1      .13        42.00    395.00      437.00           104.00          984.60   1,088.60
ANTHEM BCBS SE (ANTHSE)                          1      .11        42.00    465.60      507.60           104.00     1,161.10      1,265.10
ARISE HEALTH (ARISE)                             1      .47        42.00    470.60      512.60           104.00     1,173.60      1,277.60
DEAN HEALTH (DEAN)                               1      .15        42.00    345.40      387.40           104.00          860.60    964.60
GHC-EAU CLAIRE (GHCEC)                           1      .30        42.00    511.90      553.90           104.00     1,276.90      1,380.90
GHC-SOUTH CENTRAL WI (GHCSC)                     1      .35        42.00    357.30      399.30           104.00          890.40    994.40
GUNDERSEN LUTHERAN (GUNLUT)                      1      .37        42.00    431.00      473.00           104.00     1,074.60      1,178.60
HEALTHPARTNERS (HLTPAR)                          1      .85        42.00    469.60      511.60           104.00     1,171.10      1,275.10
HEALTH TRADITION (HLTTRA)                        1      .55        42.00    477.60      519.60           104.00     1,191.10      1,295.10
HUMANA--EASTERN (HUMANE)                         1      .21        42.00    509.50      551.50           104.00     1,270.90      1,374.90
HUMANA--WESTERN (HUMANW)                         1      .22        42.00    509.50      551.50           104.00     1,270.90      1,374.90
MEDICAL ASSOCIATES (MDASSC)                      1      .63        42.00    354.60      396.60           104.00          883.60    987.60
MERCYCARE HEALTH (MERCYC)                        1      .64        42.00    326.60      368.60           104.00          813.60    917.60
NETWORK HEALTH (NETWRK)                          1      .70        42.00    387.70      429.70           104.00          966.40   1,070.40
PHYSICIANS PLUS (PPLUS)                          1      .74        42.00    333.40      375.40           104.00          830.60    934.60
SECURITY HEALTH (SECRTY)                         1      .71        42.00    512.00      554.00           104.00     1,277.10      1,381.10
UNITEDHEALTHCARE NE (UNITNE)                     1      .94        42.00    452.60      494.60           104.00     1,128.60      1,232.60
UNITEDHEALTHCARE SE (UNITSE)                     1      .83        42.00    465.70      507.70           104.00     1,161.40      1,265.40
UNITY-COMMUNITY (UNITYC)                         1      .40        42.00    421.90      463.90           104.00     1,051.90      1,155.90
UNITY-UW HEALTH (UNITYU)                         1      .92        42.00    370.70      412.70           104.00          923.90   1,027.90
WEA TRUST PPP (WEA)                              1      .86        42.00    509.00      551.00           104.00     1,269.60      1,373.60
WPS METRO CHOICE (WPSMET)                        1      .84        42.00    461.50      503.50           104.00     1,150.90      1,254.90

* Standard Plan Out-of-State Rates apply only to those assigned to work out-of-state, NOT those residing out-of-state.




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