University Human Resource Services
2009 Monthly Employee Contributions for IU-Sponsored Medical and Dental Plans
IU PPO $900 Deductible |
Blue Preferred Primary POS |
IU HDHP & Medical Savings Plan |
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| Monthly Rates | Employee Contribution |
With Additional IU Subsidy* |
Employee Contribution |
With Additional IU Subsidy* |
Employee Contribution |
With Additional IU Subsidy* |
| Employee Only | $ 5.00 |
$ 3.50 |
$ 5.00 |
$ 3.50 |
$ 5.00 |
$ 3.50 |
| Employee w/Child(ren) | $10.00 |
$ 7.00 |
$10.00 |
$ 7.00 |
$10.00 |
$ 7.00 |
| Employee w/Spouse | $10.00 |
$ 7.00 |
$17.04 |
$11.93 |
$10.00 |
$ 7.00 |
| Family | $39.74 |
$27.82 |
$76.42 |
$53.50 |
$10.00 |
$ 7.00 |
Dental Plan |
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| Monthly Rates | Employee Contribution |
With Additional IU Subsidy* |
| Employee Only | $ 2.06 |
$ 1.44 |
| Employee w/Child(ren) | $11.90 |
$ 8.33 |
| Employee w/Spouse |
$14.07 |
$ 9.85 |
| Family |
$22.65 |
$15.85 |
*Indiana University contributes a greater amount for Support and Service Staff employees with an annual base salary of less than $28,143.

