2009 Medical, Dental & Vision Premiums: Office of Faculty and Staff Benefits

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2009 Medical, Dental & Vision Premiums

The Charts on this page list premiums for medical, dental and vision insurance plans offered to benefits-eligible Georgetown University faculty, AAP and staff members (including those represented by Allied International Union).   Premiums for staff represented by SEIU 1199  United Healthcare Workers East are available here.

EMPLOYEE ONLY (insures employee only)

    Your biweekly premium Your monthly premium University pays Total
MEDICAL Kaiser Signature HMO $33.80 $67.60 $270.40 $338.00
  CareFirst BlueChoice $42.32 $84.63 $270.40 $355.03
  United Healthcare Choice Plus $108.05 $216.09 $323.88 $539.97
DENTAL Aetna DMO $11.47 $22.93 $5.19 $28.12
  CareFirst PPO: Standard $7.82 $15.64 $5.19 $20.83
  CareFirst PPO: Enhanced $14.03 $28.05 $5.19 $33.24
VISION EyeMed Vision Care $3.09 $6.18 $0.00 $6.18


EMPLOYEE + SPOUSE/LDA (insures employee and spouse or legally domiciled adult*)

    Your biweekly premium Your monthly premium University pays Total
MEDICAL Kaiser  Signature HMO $70.98 $141.96 $567.84 $709.80
  CareFirst BlueChoice $88.87 $177.73 $567.84 $745.57
  United Healthcare Choice Plus $230.40 $460.80 $673.13 $1,133.93
DENTAL Aetna DMO $28.28 $56.56 $5.19 $61.75
  CareFirst PPO: Standard $21.36 $42.72 $5.19 $47.91
  CareFirst PPO:  Enhanced $35.63 $71.26 $5.19 $76.45
VISION EyeMed Vision Care $5.83 $11.66 $0.00 $11.66


EMPLOYEE + CHILD(REN) (insures employee and one or more children)

    Your biweekly premium Your monthly premium University pays Total
MEDICAL Kaiser Signature HMO $64.22 $128.44 $513.76 $642.20
  CareFirst BlueChoice $80.41 $160.81 $513.76 $674.57
  United Healthcare Choice Plus $221.76 $443.52 $609.42 $1,052.94
DENTAL Aetna DMO $31.96 $63.91 $5.19 $69.10
  CareFirst PPO: Standard $17.19 $34.38 $5.19 $39.57
  CareFirst PPO: Enhanced $28.98 $57.96 $5.19 $63.15
VISION EyeMed Vision Care $6.14 $12.27 $0.00 $12.27


FAMILY (insures employee, spouse/LDA and one or more children)

    Your biweekly premium Your monthly premium University pays Total
MEDICAL Kaiser Signature HMO $101.40 $202.80 $811.20 $1,014.00
  CareFirst BlueChoice $126.95 $253.90 $811.20 $1,065.10
  United Healthcare Choice Plus $263.52 $527.04 $1,092.87 $1,619.91
DENTAL Aetna DMO $48.03 $96.05 $5.19 $101.24
  CareFirst PPO: Standard $26.56 $53.12 $5.19 $58.31
  CareFirst PPO: Enhanced $43.94 $87.88 $5.19 $93.07
VISION EyeMed Vision Care $9.00 $18.00 $0.00 $18.00

* Employees with Legally Domiciled Adults (LDA): Federal law requires that an employee with a non-tax-dependent LDA must pay taxes on part of the benefit. The IRS considers the employer-provided value of the healthcare benefit for a LDA who is not the employee's tax dependent (as defined by the IRS) to be income to the employee. The IRS calls this "imputed income" - and it is subject to taxation.

Monthly imputed income tax liability
Medical: $371.80 for Kaiser, $390.54 for CareFirst and $593.96 for United.
Dental: $33.63 for Aetna, $27.08 for CareFirst Standard, and $43.21 for CareFirst Enhanced.
Vision: $5.48 for EyeMed

For more information you may contact the Office of Faculty and Staff Benefits by emailing us.

Office of Faculty and Staff Benefits · Georgetown University
37th & O St NW, Ground Floor, Healy Hall · Washington, DC 20057-1021
tel. (202) 687-2500 · fax. (202) 687-2389 ·
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