Print Version

The University of Oklahoma Human Resources Website

Medical Plan Rates

Part-time .6-.75 FTE, Biweekly Active Employees

This is the amount that you will pay from each paycheck.

TIER 1
($22,500 and Below)		 EMPLOYEE ONLY EMPLOYEE AND CHILD(REN) EMPLOYEE AND SPOUSE EMPLOYEE AND FAMILY
Aetna PPO $47.73 $165.86 $222.31 $283.81
Aetna HMO $31.18 $122.69 $167.78 $216.79
Aetna HealthFund $43.89 $146.85 $198.30 $254.30
TIER 2
($22,500.01 to $31,500)		 EMPLOYEE ONLY EMPLOYEE AND CHILD(REN) EMPLOYEE AND SPOUSE EMPLOYEE AND FAMILY
Aetna PPO $55.23 $171.11 $235.44 $306.31
Aetna HMO $32.51 $127.94 $180.91 $239.29
Aetna HealthFund $45.23 $152.10 $211.43 $276.80
TIER 3
($31,500.01 to $45,000)		 EMPLOYEE ONLY EMPLOYEE AND CHILD(REN) EMPLOYEE AND SPOUSE EMPLOYEE AND FAMILY
Aetna PPO $58.91 $183.48 $252.69 $328.81
Aetna HMO $36.19 $140.31 $198.16 $261.79
Aetna HealthFund $48.91 $164.47 $228.68 $299.30
TIER 4
($45,000.01 to $75,000)		 EMPLOYEE ONLY EMPLOYEE AND CHILD(REN) EMPLOYEE AND SPOUSE EMPLOYEE AND FAMILY
Aetna PPO $62.66 $187.61 $269.94 $351.31
Aetna HMO $39.94 $144.44 $215.41 $284.29
Aetna HealthFund $52.66 $168.60 $245.93 $321.80
TIER 5
($75,000.01 to $138,750)		 EMPLOYEE ONLY EMPLOYEE AND CHILD(REN) EMPLOYEE AND SPOUSE EMPLOYEE AND FAMILY
Aetna PPO $69.79 $191.36 $288.31 $373.81
Aetna HMO $47.07 $148.19 $233.78 $306.79
Aetna HealthFund $59.78 $172.35 $264.30 $344.30
TIER 6
($138,750.01 and Above)		 EMPLOYEE ONLY EMPLOYEE AND CHILD(REN) EMPLOYEE AND SPOUSE EMPLOYEE AND FAMILY
Aetna PPO $77.29 $194.36 $306.69 $392.56
Aetna HMO $54.57 $151.19 $252.16 $325.54
Aetna HealthFund $67.28 $175.35 $282.68 $363.05