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Medical Plan Premiums Information


Question: I don't understand why I have to pay more when the total cost of the medical plan premiums has not changed or decreased?

Article #445

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Posted: 31 Aug, 2009
Answer:
There are a couple of important factors in setting the rates that you’re viewing for 2010. First, the total combined University Contribution and Employee Contribution has increased for 2010 when you aggregate the premiums for all rate tiers rather than compare a single category. For example, the “employee only” rate went from 426.66 to 435, and the “employee plus children” rate changed from 657.06 to 765. Secondly, a factor in 2010 rates is the adjustment to the rate ratio for premium setting, which places more cost on the adult dependent cost, and less on the children. 
 
Additionally, 2010 marks the first year of our two-year transition in overall cost sharing, whereby we will move from an aggregate of 80% of costs being paid by the University and 20% paid by employees and retirees to an aggregate of 70% paid by the University and 30% paid by employees and retirees. The University’s overall health costs continue to increase, and the premium dollars contributed by employees and University are being fully utilized toward those costs.
Every effort has been made to ensure the accuracy of the information in this site. However, if any provision on these documents is unclear or ambiguous, University Human Resources reserves the right to interpret the document and resolve the problem. If any inconsistency exists between this site and any written plans or contracts, the actual provisions of the latter will govern. The University in its sole discretion may modify, amend, or terminate the contents of these documents with respect to any eligible individual - including active employees, retirees, and their dependents.