Medical Plan Rates — Current Plan Year (2009–2010)

For Eligible Full-Time Faculty & Staff

	FULL-TIME WEEKLY PAID (per pay period)			FULL-TIME MONTHLY PAID (per pay period)
	Employee	Employee + 1	Employee + 2 or more	Employee	Employee + 1	Employee + 2 or more
Keystone/AmeriHealth* HMO	$10.85	$24.95	$31.45	$47.00	$108.10	$136.30
Aetna HMO	10.38	23.88	30.12	45.00	103.50	130.50
UPHS POS (administered by Keystone/AmeriHealth*)	18.46	42.46	53.54	80.00	184.00	232.00
PENNCare/Personal Choice	36.00	82.80	104.40	156.00	358.80	452.40

For Eligible Part-Time Faculty & Staff

	PART-TIME WEEKLY PAID (per pay period)			PART-TIME MONTHLY PAID (per pay period)
	Employee	Employee + 1	Employee + 2 or more	Employee	Employee + 1	Employee + 2 or more
Keystone/AmeriHealth* HMO	$91.05	$209.41	$264.04	$394.54	$907.45	$1,144.18
Aetna HMO	87.16	200.47	252.76	377.69	868.69	1,095.31
UPHS POS (administered by Keystone/AmeriHealth*)	100.85	231.95	292.46	437.01	1,005.12	1,267.33
PENNCare/Personal Choice	103.57	238.22	300.36	448.81	1,032.27	1,301.55

*This plan is administered by AmeriHealth in certain areas.