2008 Medical, Dental & Vision Premiums for 1199 SEIU
The Charts on this page list premiums for medical and dental insurance plans offered to benefits-eligible Georgetown University staff represented by 1199 SEIU.
|
EMPLOYEE ONLY (insures employee only) |
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| Your biweekly premium | Your monthly premium | University pays | Total | ||
| MEDICAL | Kaiser Select HMO | $25.48 | $50.96 | $303.81 | $354.77 |
| Kaiser Select POS | $43.37 | $86.75 | $346.98 | $433.73 | |
| DENTAL | Aetna DMO | $11.06 | $22.11 | $5.19 | $27.30 |
| CareFirst PPO: Standard | $7.82 | $15.64 | $5.19 | $20.83 | |
| CareFirst PPO: Enhanced | $14.02 | $28.05 | $5.19 | $33.24 | |
|
EMPLOYEE + SPOUSE/LDA (insures employee and spouse or legally domiciled adult*) |
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| Your biweekly premium | Your monthly premium | University pays | Total | ||
| MEDICAL | Kaiser Select HMO | $61.40 | $122.79 | $835.17 | $957.96 |
| Kaiser Select POS | $117.12 | $234.23 | $936.93 | $1,171.16 | |
| DENTAL | Aetna DMO | $27.38 | $54.76 | $5.19 | $59.95 |
| CareFirst PPO: Standard | $21.36 | $42.72 | $5.19 | $47.91 | |
| CareFirst PPO: Enhanced | $35.63 | $71.26 | $5.19 | $76.45 | |
|
EMPLOYEE + CHILD(REN) (insures employee and one or more children) |
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| Your biweekly premium | Your monthly premium | University pays | Total | ||
| MEDICAL | Kaiser Select HMO | $61.40 | $122.79 | $835.17 | $957.96 |
| Kaiser Select POS | $117.12 | $234.23 | $936.93 | $1,171.16 | |
| DENTAL | Aetna DMO | $30.95 | $61.90 | $5.19 | $67.09 |
| CareFirst PPO: Standard | $17.19 | $34.38 | $5.19 | $39.57 | |
| CareFirst PPO: Enhanced | $28.98 | $57.96 | $5.19 | $63.15 | |
|
FAMILY (insures employee, spouse/LDA and one or more children) |
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| Your biweekly premium | Your monthly premium | University pays | Total | ||
| MEDICAL | Kaiser Select HMO | $61.40 | $122.79 | $835.17 | $957.96 |
| Kaiser Select POS | $117.12 | $234.23 | $936.93 | $1,171.16 | |
| DENTAL | Aetna DMO | $46.55 | $93.10 | $5.19 | $98.29 |
| CareFirst PPO: Standard | $26.56 | $53.12 | $5.19 | $58.31 | |
| CareFirst PPO: Enhanced | $43.94 | $87.88 | $5.19 | $93.07 | |
* 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 teh 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: $390.25 for Kaiser HMO, $477.10 for Kaiser POS.
Dental: $32.65 for Aetna, $27.08 for CareFirst Standard, and $43.21 for CareFirst Enhanced.
For more information you may contact the Office of Faculty and Staff Benefits by emailing us.
