2018 FACULTY BENEFITS
Medical Rates
Point of Service/HMO, Blue Priority PPO, Custom Plus

2017
2018
You Pay
Employee
$637.52
$671.52
$0.00
Employee + Spouse
$1,528.84
$1,608.84
$0.00
Employee + Child(ren)
$1,401.84
$1,475.84
$0.00
Family
$1,759.13
$1,851.13
$0.00

Blue Priority HMO

2017
2018
You Pay
Employee
$586.52
$617.52
$0.00
Employee + Spouse
$1,406.84
$1,480.84
$0.00
Employee + Child(ren)
$1,289.84
$1,357.84
$0.00
Family
$1,619.13
$1,704.13
$0.00

2500 HDHP (Formerly Lumenos 2500 HDHP)

2017
2018
You Pay
Employee
$573.52
$516.52
$0.00
Employee + Spouse
$1,376.84
$1,238.84
$0.00
Employee + Child(ren)
$1,261.84
$1,135.84
$0.00
Family
$1,584.13
$1,426.13
$0.00

Dental Rates
Dental PPO Plus and Dental PPO

2017
2018
You Pay
Employee
$41.00
$42.00
$0.00
Employee + Spouse
$94.00
$95.00
$0.00
Employee + Child(ren)
$90.00
$91.00
$0.00
Family
$107.00
$109.00
$0.00

Vision Rates – No Change
Basic Life and AD&D (Ful y Employer Paid)
2017
2018
< Age 65 2x base salary maximum $500,000
< Age 67 2x base salary maximum $500,000
Age 65-69 2x base salary maximum $50,000
Age 67-69 2x base salary maximum $50,000
Age 70+ Flat $10,000 benefit
Age 70+ Flat $10,000 benefit (no change)



Travel and Accident Insurance – No Change (Ful y Employer Paid)
Long Term Disability – No Change (Ful y Employer Paid)
Optional Life
Increments of $10,000
2017
2018
Guaranteed Issue - Employee
Up to $30,000
Up to $60,000
Guaranteed Issue - Spouse
Up to $30,000
Up to $30,000 (no change)
Child Life (age 26 and under)
$5,000
Increments of $5,000 up to
Guaranteed Issue
$25,000
Maximum Coverage –
$300,000
$500,000 or 5x base salary
Employee
whichever is less
(current coverage > 5x base
salary grandfathered)
Maximum Coverage – Spouse
$300,000
$300,000 (no change)
Most employees and/or spouses may request guaranteed issue coverage amounts (new or
increase) during this Open Enrollment only, without providing evidence of insurability. See
Open Enrollment materials for complete details.

Optional Life Rates – Decrease!
Non-Smoker – per $1,000

Smoker – per $1,000

2017
2018

2017
2018
Age Band


Age Band


< 25
$0.090
$0.054
< 25
$0.140
$0.084
25-29
$0.090
$0.060
25-29
$0.140
$0.084
30-34
$0.090
$0.080
30-34
$0.140
$0.084
35-39
$0.120
$0.090
35-39
$0.200
$0.120
40-44
$0.170
$0.102
40-44
$0.310
$0.186
45-49
$0.300
$0.180
45-49
$0.570
$0.342
50-54
$0.470
$0.282
50-54
$0.920
$0.552
55-59
$0.860
$0.516
55-59
$1.640
$0.984
60-64
$1.20
$0.720
60-64
$2.000
$1.200
65-69
$1.940
$1.280
65-69
$3.220
$1.932
70-74
$3.370
$2.060
70-74
$5.100
$3.060
75-79
$6.890
$4.134
75-79
$9.440
$5.664
80-84
$10.120
$6.072
80-84
$12.640
$7.584
85 +
$18.150
$10.890
85 +
$20.140
$12.084
Child Life $1.50 per $5,000 of Coverage – Covers all Dependents age 26 and under

Mutual of Omaha Accidental Death and Disability – No Change



Medical
Blue Advantage Point of Service/HMO – HMO In-Network

2017
2018
Adult Hearing Aids
Not Applicable
$4,000 every three years
(Durable Medical Equipment)

PRIME Blue Priority PPO – In –Network

2017
2018
Deductible
$400/$800
$500/$1,000
Out-of-Pocket Maximum
$2,000/$4,000
$3,000/$6,000
Adult Hearing Aids
Not Applicable
$4,000 every three years
(Durable Medical Equipment –
Deductible and Co-Insurance
apply)

Blue Priority HMO

2017
2018
Adult Hearing Aids
Not Applicable
$4,000 every three years
(Durable Medical Equipment –
Deductible and Co-Insurance
apply)

2500 HDHP (Formerly Lumenos 2500 HDHP)

2017
2018
Co-Insurance
Not Applicable
15%
Out-of-Pocket Maximum
$2,500/$5,000
$3,500/$7,000
Adult Hearing Aids
Not Applicable
$4,000 every three years
(Durable Medical Equipment –
Deductible and Co-Insurance
apply)

Custom Plus
(Closed to New Enrollment)
2017
2018
Adult Hearing Aids
Not Applicable
$4,000 every three years
(Durable Medical Equipment –
Deductible and Co-Insurance
apply)

PLEASE REFER TO THE 2018 BENEFITS BOOK FOR OUT-OF-NETWORK COVERAGE



Dental
Dental PPO Plus and Dental PPO – In-Network

2017
2018
Child Orthodontia
50% up to $1,000
50% up to $1,500

Flexible Spending Accounts

2017
2018
Healthcare Flex Account
$2,550
$2,600

Vision Plan – Materials Coverage – No Change