UNIVERSITY SYSTEM OF GEORGIA
Insurance Premium Rates as of January 1, 2011
HEALTH INSURANCE MONTHLY PREMIUMS
PPO - HDHP
PPO Consumer
PPO - HDHP PPO - HDHP Consumer PPO PPO
Choice
PPO - HDHP Alternative Consumer Choice PPO Alternative Consumer
Alternative
Network Choice Alternative Network Choice
Network Network
Employee Only 27.70 25.24 55.40 50.50 166.68 151.94 222.26 202.60
Employer Contribution 249.28 227.24 249.28 227.24 388.92 354.52 388.92 354.52
Total Premium 276.98 252.48 304.68 277.74 555.60 506.46 611.18 557.12
Employee + Child 48.40 44.12 96.82 88.24 300.02 273.48 400.08 364.70
Employer Contribution 435.60 397.10 435.60 397.10 700.02 638.14 700.02 638.14
Total Premium 484.00 441.22 532.42 485.34 1000.04 911.62 1100.10 1002.84
Employee + Spouse 56.16 51.20 112.34 102.40 350.02 319.06 466.72 425.44
Employer Contribution 505.50 460.80 505.50 460.80 816.72 744.50 816.72 744.50
Total Premium 561.66 512.00 617.84 563.20 1166.74 1063.56 1283.44 1169.94
Employee w/Family 76.88 70.06 153.74 140.14 483.34 440.60 644.46 587.46
Employer Contribution 691.80 630.64 691.80 630.64 1127.78 1028.06 1127.78 1028.06
Total Premium 768.68 700.70 845.54 770.78 1611.12 1468.66 1772.24 1615.52
BlueChoice BlueChoice Kaiser
Kaiser HMO
HMO HMO HMO
Consumer
Consumer
Choice
Choice
Employee Only 123.96 196.26 122.36 193.74
Employer Contribution 289.24 289.24 285.50 285.50 A Tobacco Surcharge
Total Premium 413.20 485.50 407.86 479.24 will be added to your monthly
premium if you use Tobacco
Employee + Child 223.14 353.28 220.24 348.70 products. The $50 Tobacco
Employer Contribution 520.62 520.62 513.90 513.90 Surcharge applies to any
Total Premium 743.76 873.90 734.14 862.60 Tobacco use.
Employee + Spouse 260.32 412.18 256.96 406.84
Employer Contribution 607.40 607.40 599.56 599.56
Total Premium 867.72 1,019.58 856.52 1,006.40
Employee w/Family 359.50 569.20 354.84 561.80
Employer Contribution 838.80 838.80 827.92 827.92
Total Premium 1,198.30 1,408.00 1,182.76 1,389.72
DENTAL INSURANCE MONTHLY PREMIUM
Employee 30.84
Employee + Child 58.58
Employee + Spouse 61.66
Family 98.66
LONG TERM DISABILITY RATE: 0.44 per thousand of annual salary
SUPPLEMENTAL LIFE INSURANCE RATES
Under 25 0.09 Rates are for each $1,000 of
25-29 0.10 insurance and include a rider for
30-34 0.12 Accidental Death and
35-39 0.13 Dismemberment.
40-44 0.15
45-49 0.20 Dependant Life Insurance Monthly
50-54 0.29 4.70 ($10,000 on each eligible dependant)
55-59 0.52
60-64 0.80
65-69 1.55
70 and Over 2.46 (No AD&D)
RETIREMENT
Employee Contribution CSU Contribution
Teachers Retirement System of Georgia 5.53% Pretax 10.28%
Optional Retirement Plan 5% Pretax 9.24% 10/13/10