2014 Monthly Contributions for the University Benefits Programs State Health Plan

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2014 Monthly Contributions for the University Benefits Programs
State Health Plan
Employee
Only
Plan
Traditional 70/30 Plan
Employee
+ Children
Employee
+ Spouse
Employee
+ Family
Critical Illness Insurance (MetLife)
Age
Employee
Spouse
$0
$205.12
$528.52
$562.94
Enhanced 80/20 Plan
$63.56
$336.36
$692.10
$729.94
25-29
$1.64
$1.64
Consumer-Directed
Health Plan
$40.00
$224.60
$515.68
$546.64
30-34
$2.78
$2.78
35-39
$4.56
$4.56
If you are enrolled in the Enhanced 80/20 Plan or the Consumer-Directed Health Plan,
you will have the opportunity to earn wellness premium credits each year, which will
reduce your monthly premiums.
40-44
$7.70
$7.70
45-49
$13.00
$13.00
50-54
$20.04
$20.04
55-59
$30.34
$30.34
60-64
$45.46
$45.46
65-59
$68.28
$68.28
70-74
$99.64
$99.64
Less than 25
NCFlex Benefit Plans
Plan
Employee
Only
Employee +
Spouse
Employee +
One Child
Employee
+ Two
or More
Children
Family
Dental (United Concordia)
High Option
$37.40
$75.00
$71.96
$90.96
$132.42
Low Option
$21.34
$43.04
$41.30
$52.62
$73.68
$0
N/A
N/A
N/A
N/A
Basic Plan
(Exams and
Materials)
$5.76
N/A
N/A
N/A
$15.98
Enhanced Plan
(Enhanced
Exams and
Materials)
$8.88
N/A
N/A
N/A
$23.62
Vision (Superior Vision Plan)
Core Wellness
Plan
$1.42
75-79
$157.68
$157.68
80-84
$197.64
$197.64
85 and older
$213.62
$213.62
Employees may also cover eligible dependent children. Employee will pay one flat rate
($0.90) no matter how many children.
Supplemental Retirement Plans
Plan
Contribution Limit
Catch-Up Contribution*
UNC 403(b)
$17,500
$5,500
State 401(k)
$17,500
$5,500
NC Deferred Comp
$17,500
$5,500
* Catch-up contributions are available to participants who are age 50 by the end of the Plan Year.
Cancer Insurance (American Heritage Life)
Plan
$1.42
Employee Only
Employee + Family
Low Option
$6.78
$11.26
High Option
$15.68
$26.06
Premium Option
$21.64
$35.96
Income Protection Plans
Mandatory Retirement Plan Contribution Rates
Voluntary Group Term Life Insurance (ING)
Teachers’ and State Employees’ Retirement System (TSERS)
You can elect the following options:
1. Employee Only or Employee & Spouse*: Increments of $10,000. A minimum of
$20,000 of coverage is available up to a maximum of $500,000 of coverage (spouse
coverage cannot exceed 100% of employee’s elected amount).
2.Child(ren)*: $5,000 or $10,000.
The following chart outlines the cost of coverage per $1,000 increments based on age.
Your Age
Under 24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-59
70-74
75 and above
Dependent Child(ren)
Monthly
Rates/$1,000
Coverage
$0.048
$0.058
$0.078
$0.088
$0.12
$0.18
$0.28
$0.512
$0.764
$1.56
$2.28
$2.28
Per Dependent Unit
$5,000
$0.68
$10,000
$1.36
9.14%
Death Benefit Trust Fund
0.16%
Retiree Health Plan Reserves
5.49%
Disability Income Plan
0.41%
Qualified Excess Benefit Arrangement
0.01%
Total Employer Contribution Rate
15.21%
Employee Contribution
6.00%
TSERS – Law Enforcement Officers
Pension Accumulation Fund
9.14%
Death Benefit Trust Fund
0.16%
Retiree Health Plan Reserves
5.49%
Disability Income Plan
0.41%
Qualified Excess Benefit Arrangement
0.01%
State 401(k) Plan
5.00%
Total Employer Contribution Rate
Accidental Death & Dismemberment Insurance (AC Newman and Company)
The amount of insurance you purchase is called the principal sum. Example benefit
amounts include:
$50,000
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$250,000
$300,000
$350,000
$400,000
$500,000
Pension Accumulation Fund
Employer Contribution (consists of the following):
* Employee must be enrolled to cover spouse/child(ren)
Principal
Employer Contribution (consists of the following):
Cost for Employee Only
$0.96
$1.42
$1.90
$2.38
$2.86
$3.32
$3.80
$4.76
$5.70
$6.64
$7.60
$9.50
Cost for Employee/Family
$1.50
$2.26
$3.00
$3.74
$4.50
$5.26
$6.00
$7.50
$9.00
$10.50
$12.00
$15.00
Employee Contribution
20.21%
6.00%
UNC Optional Retirement Program (ORP)
Employer Contribution (consists of the following):
ORP Contribution Rate
6.84%
Retiree Health Plan Reserves
5.49%
Disability Income Plan
0.41%
Total Employer Contribution Rate
12.74%
Employee Contribution
6.00%
The information contained in this document is not a contract and is subject to change by the proper
authorities. It should be understood that explanations in this summary cannot alter, modify or otherwise
change the controlling legal document or general statutes in any way, nor can any right accrue by reason of
any inclusion or omission of any statement in this document.
7/2014
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