|
|
|
|
Plan |
Premium |
State Pays |
Skip Subsidy |
Employee Pays |
|
Health Select |
||||
|
Member Only
|
$360.25
|
$360.65
|
N/A
|
$0.00
|
|
Member and Spouse
|
$772.60
|
$566.57
|
N/A
|
$206.03
|
|
Member and Child(ren)
|
$636.44
|
$498.49
|
N/A
|
$137.95
|
|
Member and Family
|
$1048.50 |
$704.52 |
N/A |
$343.98 |
|
Skip I |
|
|
|
|
|
Member and Child(ren) |
$636.44 |
$498.49 |
$122.95 |
$15.00 |
|
Member and Family |
$1048.50 |
$704.52 |
$122.95 |
$221.03 |
|
Skip II |
|
|
|
|
|
Member and Child(ren) |
$636.44 |
$498.49 |
$112.95 |
$25.00 |
|
Member and Family |
$1048.50 |
$704.52 |
$112.95 |
$231.03 |
Health Plan Monthly Rates for Part-Time Employees
|
Plan |
Premium |
State Pays |
Skip Subsidy |
Employee Pays |
|
Health Select |
|
|
|
|
|
Member Only
|
$360.54
|
$180.28
|
N/A
|
$180.26
|
|
Member and Spouse
|
$772.60
|
$283.30
|
N/A
|
$489.30
|
|
Member and Child(ren)
|
$636.44
|
$249.26
|
N/A
|
$387.18
|
|
Member and Family
|
$1048.50 |
$352.27 |
N/A |
$696.23 |
|
Skip I |
|
|
|
|
|
Member and Child(ren) |
$636.44 |
$249.26 |
$191.92 |
$195.26 |
|
Member and Family |
$1048.50 |
$352.27 |
$191.93 |
$504.30 |
|
Skip II |
|
|
|
|
|
Member and Child(ren) |
$636.44 |
$249.26 |
$181.92 |
$205.26 |
|
Member and Family |
$1048.50 |
$352.27 |
$181.92 |
$514.31 |
? 2009 Texas Southern University, all rights reserved
3100 Cleburne Street, Houston, TX 77004
Phone: 713-313-7011