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Administrative Information

Participation Information

Monthly Premium Rates-Medical, Vision and Dental

Coverage for Dependents

Medical Plan Provisions

Prescription Summary

Prescription Copays

Global Emergency Services (Assist America)

Vision Plan Provisions

Dental Plan Provisions

Directories

UPMC Health Plan Network

Health Plan Participating Hospitals

Davis Vision Providers

United Concordia
(Select DHMO Concordia Plus)

Schedule of Rates for Research Associates

Insurance Plan Year -
July 1, 2005 to June 30, 2006

 

Medical Plan Rates

Plans Monthly Total Monthly University Contribution Your Monthly  Contribution
Panther Gold with Advantage Network  
Individual $356 $307 $49
Parent/Child(ren) $786 $663 $123
Two Adults $898 $710 $188
Family $979 $710 $269
Panther Premier
Individual $352 $307 $45
Parent/Child(ren) $776 $663 $113
Two Adults $884 $710 $174
Family $965 $710 $255
Panther Plus
Individual $313 $307 $6
Parent/Child(ren) $679 $663 $16
Two Adults $778 $710 $68
Family $852 $710 $142
Panther Basic
Individual $307 $307 $0
Parent/Child(ren) $663 $663 $0
Two Adults $716 $710 $6
Family $728 $710 $18

 

Dental Insurance Monthly Rates

Group Number ConcordiaPlus
821801-000
ConcordiaFLEX I
821800-000
ConcordiaFlex II
821801-002
Individual $13.53 $16.50 $24.41
Individual/Spouse or Child $27.44 $31.20 $47.85
Family $44.77 $50.96 $93.00

 

Vision Insurance Monthly Rates

Group Number Davis Vision
80793-00
Individual $3.71
Individual/Spouse or Child $6.66
Family $9.07