2016 Medical and Dental Rates
Temporary Faculty, Graduate Students, and Residence Hall Assistants

REMINDER: You must enroll in both a Medical and Dental plans. Medical and Dental cannot be purchased separately.

Medical Coverage

Blue Advantage POS/HMO and Blue Priority PPO

Tier
Total Monthly Cost
Mines Pays Monthly
Employee Pays Monthly
Employee Only
$637.52
$544.52
$93.00
Employee + Spouse
$1,528.84
$779.71
$749.13
Employee + Children
$1,401.84
$714.94
$686.90
Family
$1,759.13
$897.16
$861.97

Lumenos 2500 HDHP

Tier
Total Monthly Cost
Mines Pays
Employee Pays Monthly
Employee Only
$573.52
$480.52
$93.00
Employee + Spouse
$1376.84
$702.19
$674.65
Employee + Children
$1261.84
$643.54
$618.30
Family
$1584.13
$807.91
$776.22

Blue Priority HMO

Tier
Total Monthly Cost
Mines Pays
Employee Pays Monthly
Employee Only
$586.52
$493.52
$93.00
Employee + Spouse
$1406.84
$717.49
$689.35
Employee + Children
$1289.84
$657.82
$632.02
Family
$1619.13
$825.76
$793.37

Dental Coverage

Dental PPO Plus and Dental PPO
Tier
Employee Pay Monthly
Employee Only
$39.00
Employee + Spouse
$90.00
Employee + Children
$86.00
Family
$102.00

Total Employee Cost – Medical and Dental

Blue Advantage POS/HMO and Blue Priority PPO plus Dental Coverage
Tier
Employee Pays Monthly
Employee Only
$132.00
Employee + Spouse
$839.13
Employee + Children
$772.90
Family
$963.97





Lumenos 2500 HDHP plus Dental Coverage
Tier
Employee Pay Monthly
Employee Only
$132.00
Employee + Spouse
$764.65
Employee + Children
$704.30
Family
$878.22

Blue Priority HMO
Tier
Employee Pays Monthly
Employee Only
$132.00
Employee + Spouse
$779.35
Employee + Children
$718.02
Family
$895.37