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The University of Oklahoma Human Resources Website

Medical Plan Rates

Full-time .76-1.0 FTE, Biweekly Active Employees

This is the amount that you will pay from each paycheck.
Amounts in parentheses ( ) are credited to your paycheck.

TIER 1
($30,000 or Below)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
AetnaPPO $0.00 $100.23 $143.69 $190.69
Aetna HMO ($14.50) $57.06 $89.16 $123.66
Aetna HealthFund ($1.79) $81.22 $119.68 $161.18
TIER 2
($30,000.01 to $41,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Aetna PPO $10.01 $107.23 $161.19 $220.69
Aetna HMO ($12.72) $64.06 $106.66 $153.66
Aetna HealthFund $0.00 $88.22 $137.18 $191.18
TIER 3
($42,000 to $59,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Aetna PPO $14.91 $123.73 $184.19 $250.69
Aetna HMO ($7.81) $80.56 $129.66 $183.66
Aetna HealthFund $4.91 $104.72 $160.18 $221.18
TIER 4
($60,000 to $99,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Aetna PPO $19.91 $129.23 $207.19 $280.69
Aetna HMO ($2.81) $86.06 $152.66 $213.66
Aetna HealthFund $9.91 $110.22 $183.18 $251.18
TIER 5
($100,000 to $184,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Aetna PPO $29.41 $134.23 $231.69 $310.69
Aetna HMO $6.69 $91.06 $177.16 $243.66
Aetna HealthFund $19.41 $115.22 $207.68 $281.18
TIER 6
($185,000 and Above)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Aetna PPO $39.41 $138.23 $256.19 $335.69
Aetna HMO $16.69 $95.06 $201.66 $268.66
Aetna HealthFund $29.41 $119.22 $232.18 $306.18