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Medical Rates

Coverage Dates for 2017-2018

Annual - 08/10/17- 08/12/18  |   Fall - 08/10/2017 - 12/31/2017  |   Spring - 01/01/18 - 08/12/18


Student Rates for 2017-2018
Annual Fall Spring
Total: $ 3,418.00 100% $1,352.00 100% $2,066.00 100%
PSU: $2,734.40 80% $1,081.60 80% $1,652.80 80%
Student: $683.60 20% $270.40 divided by 4 = $67.60 20% $413.20 divided by 5 = $82.64 20%

Student & Spouse Rates for 2017-2018
Annual Fall Spring
Total: $6,836.00 100% $2,704.00 100% $4,132.00 100%
PSU: $5,297.90 80%/75% $2,095.00 80%/75% $3,202.30 80%/75%
Student: $1538.10 20%/25% $608.40 divided by 4 = $152.10 20%/25% $929.70 divided by 5 = $185.94 20%/25%

Student & 1 Child Rates for 2017-2018
Annual Fall Spring
Total: $6,836.00 100% $2,704.00 100% $4,132.00 100%
PSU: $5297.90 80%/75% $2,095.00 80%/75% $3,202.30 80%/75%
Student: $1,538.10 20%/25% $608.40 divided by 4 = $152.10 20%/25% $929.70 divided by 5 = $185.94 20%/25%

 

Student & 2 or More Children Rates for 2017-2018
Annual Fall Spring
Total: $10,254.00 100% $4,056.00 100% $6,198.00 100%
PSU: $7,929.84 80%/76% $3,136.64 80%/76% $4,793.20 80%/76%
Student: $2,324.16 20%/24% $919.36 divided by 4 = $229.84 20%/24% $1,404.80 divided by 5 = $280.96 20%/24%

 

 

Student & Spouse &1 Child for 2017-2018
Annual Fall Spring
Total: $10,254.00 100% $4,056.00 100% $6,198.00 100%
PSU: $7,929.84 80%/76% $3,136.64 80%/76% $4,793.20 80%/76%
Student: $2,324.16 20%/24% $919.36 divided by 4 = $229.84 20%/24% $1,404.80 divided by 5 = $280.96 20%/24%


Student & Spouse & 2 or More Children for 2017-2018
Annual Fall Spring
Total: $13,672.00 100% $5,408.00 100%

$8,264.00

100%
PSU: $10,527.80 80%/76% $4,164.16 80%/76% $6,363.40 80%/76%
Student: $3,144.44 20%/24% $1,243.84 divided by 4 = $310.96 20%/24% $1,900.60 divided by 5 = $380.12 20%/24%

Payroll Deductions will appear on paycheck as follows:
Fall (Sept through Dec) Spring (Jan through May)
Single Student $67.60 $82.64
Student and Spouse $152.10 $185.94
Student & Child $152.10 $185.94
Student & Children $229.84 $280.96
Family (Child) $229.84 $280.96
Family (Children) $310.96 $380.12

Student Health Center | 814.865.6556 | Contact University Health Services