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The University of Oklahoma Human Resources Website

Medical Plan Rates

Full-time, Salaried 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
Blue Cross PPO $0.00 $197.31 $283.39 $376.48
Blue Cross HMO  ($29.00) $118.73 $184.13 $254.47
Blue Cross CDHP ($14.49) $169.77 $248.61 $333.73
Tulsa HMO ($15.66) $167.55 $245.80 $330.27
TIER 2
($30,000.01 to $41,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Blue Cross PPO $18.35 $211.31 $318.39 $436.48
Blue Cross HMO  ($23.01) $132.73 $219.13 $314.47
Blue Cross CDHP $3.86 $183.77 $283.61 $393.73
Tulsa HMO $2.69 $181.55 $280.80 $390.27
TIER 3
($42,000 to $59,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Blue Cross PPO $28.16 $244.31 $364.39 $496.48
Blue Cross HMO  ($13.20) $165.73 $265.13 $374.47
Blue Cross CDHP $13.67 $216.77 $329.61 $453.73
Tulsa HMO $12.50 $214.55 $326.80 $450.27
TIER 4
($60,000 to $99,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Blue Cross PPO $38.16 $255.31 $410.39 $556.48
Blue Cross HMO  ($3.20) $176.73 $311.13 $434.47
Blue Cross CDHP $23.67 $227.77 $375.61 $513.73
Tulsa HMO $22.50 $225.55 $372.80 $510.27
TIER 5
($100,000 to $184,999)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Blue Cross PPO $57.16 $265.31 $459.39 $666.48
Blue Cross HMO  $15.80 $186.73 $360.13 $544.47
Blue Cross CDHP $42.67 $237.77 $424.61 $623.73
Tulsa HMO $41.50 $235.55 $421.80 $620.27
TIER 6
($185,000 and Above)
EMPLOYEE
ONLY
EMPLOYEE AND
CHILD(REN) 
EMPLOYEE AND
SPOUSE
EMPLOYEE AND
FAMILY
Blue Cross PPO $77.16 $273.31 $508.39 $666.48
Blue Cross HMO  $35.80 $194.73 $409.13 $544.47
Blue Cross CDHP $62.67 $245.77 $473.61 $623.73
Tulsa HMO $61.50 $243.55 $470.80 $620.27