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The University of Oklahoma Human Resources Website

Medical Plan Rates

Part-time .5-.59 FTE, Monthly Active Employees

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

TIER 1
($15,000 and Below)
EMPLOYEE ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND SPOUSE
EMPLOYEE AND FAMILY
Aetna PPO $190.91 $462.96 $601.87 $753.87
Aetna HMO $153.69 $376.62 $492.81 $619.82
Aetna HealthFund $179.12 $424.94 $553.85 $694.85
TIER 2
($15,000.01 to $21,000)
EMPLOYEE ONLY
EMPLOYEE AND
CHILD(REN)
EMPLOYEE AND SPOUSE
EMPLOYEE AND FAMILY
Aetna PPO $200.92 $469.96 $619.37 $783.87
Aetna HMO $155.48 $383.62 $510.31 $649.82
Aetna HealthFund $180.91 $431.94 $571.35 $724.85
TIER 3
($21,000.01 to $30,000)
EMPLOYEE ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND SPOUSE
EMPLOYEE AND FAMILY
Aetna PPO $205.82 $486.46 $642.37 $813.87
Aetna HMO $160.38 $400.12 $533.31 $679.82
Aetna HealthFund $185.81 $448.44 $594.35 $754.85
TIER 4
($30,000.01 to $50,000)
EMPLOYEE ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND SPOUSE
EMPLOYEE AND FAMILY
Aetna PPO $210.82 $491.96 $665.37 $843.87
Aetna HMO $165.38 $405.62 $556.31 $709.82
Aetna HealthFund $190.81 $453.94 $617.35 $784.85
TIER 5
($50,000.01 to $92,500)
EMPLOYEE ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND SPOUSE
EMPLOYEE AND FAMILY
Aetna PPO $220.32 $496.96 $689.87 $873.87
Aetna HMO $174.88 $410.62 $580.81 $739.82
Aetna HealthFund $200.31 $458.94 $641.85 $814.85
TIER 6
($92,500.01 and Above)
EMPLOYEE ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND SPOUSE
EMPLOYEE AND FAMILY
Aetna PPO $230.32 $500.96 $714.37 $898.87
Aetna HMO $184.88 $414.62 $605.31 $764.82
Aetna HealthFund $210.31 $462.94 $666.35 $839.85