MonteCare PPO Bi-weekly Premiums (non-nicotine user rates)
Montefiore pays 100% of the MontePrime EPO premium for you and your family members.
MonteCare PPO Stipend Band Under $39,999
Full-time You Only
$74.77
Full-time You and Your Family
$209.43
Part-time You Only
$139.43
Part-time You and Your Family
$390.38
MonteCare PPO Stipend Band $40,000 – $64,999
Full-time You Only
$81.94
Full-time You and Your Family
$229.40
Part-time You Only
$144.68
Part-time You and Your Family
$405.09
MonteCare PPO Stipend Band $65,000 – $99,999
Full-time You Only
$89.10
Full-time You and Your Family
$249.46
Part-time You Only
$149.93
Part-time You and Your Family
$419.80
MonteCare PPO Stipend Band $100,000 – $149,999
Full-time You Only
$100.56
Full-time You and Your Family
$281.55
Part-time You Only
$158.34
Part-time You and Your Family
$443.33
MonteCare PPO Stipend Band $150,000 – $199,999
Full-time You Only
$106.29
Full-time You and Your Family
$297.60
Part-time You Only
$162.54
Part-time You and Your Family
$455.10
MonteCare PPO Stipend Band $200,000 – $249,999
Full-time You Only
$112.02
Full-time You and Your Family
$313.65
Part-time You Only
$166.74
Part-time You and Your Family
$466.87
MonteCare PPO Stipend Band $250,000 and over
Full-time You Only
$117.75
Full-time You and Your Family
$329.69
Part-time You Only
$170.94
Part-time You and Your Family
$478.63
UNITEDHEALTHCARE VISION PLAN
Bi-weekly Premiums
LOW OPTION
You Only
$2.30
You and One Family Member
$4.10
You and Your Family
$6.95
HIGH OPTION
You Only
$3.54
You and One Family Member
$6.79
You and Your Family
$9.39
Dental
Bi-weekly Premiums
Cigna DHMO
Cigna DHMO – You Only
$0
Cigna DHMO – You and Your Family
$0
Preventive & Diagnostic Dental Care Only
Preventive & Diagnostic – You Only
$0
Preventive & Diagnostic – You and Your Family
$0
Cigna DPPO Dental Plan
Cigna DPPO – You Only
$8.52
Cigna DPPO – You and Your Family
$27.84
Life Insurance
Basic Life Insurance
Montefiore provides Basic Life Insurance – at no cost to you after you complete one year at Montefiore.
- Your Basic Life Insurance monthly premium is $0.08 for every $1,000 of your annual stipend.
- If you elect to opt down to $50,000, your monthly premium is $4.00 ($1.85 bi-weekly).
Supplemental Life Insurance
Under 25 Age Group
Non-nicotine user
$0.026 per $1,000
Nicotine user
$0.028 per $1,000
25-29 Age Group
Non-nicotine user
$0.028 per $1,000
Nicotine user
$0.030 per $1,000
30-34 Age Group
Non-nicotine user
$0.035 per $1,000
Nicotine user
$0.038 per $1,000
35-39 Age Group
Non-nicotine user
$0.044 per $1,000
Nicotine user
$0.046 per $1,000
40-44 Age Group
Non-nicotine user
$0.057 per $1,000
Nicotine user
$0.063 per $1,000
45-49 Age Group
Non-nicotine user
$0.091 per $1,000
Nicotine user
$0.101 per $1,000
50-54 Age Group
Non-nicotine user
$0.146 per $1,000
Nicotine user
$0.162 per $1,000
55-59 Age Group
Non-nicotine user
$0.249 per $1,000
Nicotine user
$0.277 per $1,000
60-64 Age Group
Non-nicotine user
$0.354 per $1,000
Nicotine user
$0.393 per $1,000
65-69 Age Group
Non-nicotine user
$0.598 per $1,000
Nicotine user
$0.664 per $1,000
70+ Age Group
Non-nicotine user
$0.939 per $1,000
Nicotine user
$1.043 per $1,000
Supplemental Life Insurance Premium Calculator
AD&D Insurance
Montefiore provides Basic AD&D Insurance – at no cost to you after you complete one year at Montefiore. Your Basic AD&D Insurance monthly premium is $0.014 for every $1,000 of your annual stipend.
SUPPLEMENTAL AD&D
For every $1,000 of coverage you elect, your Supplemental AD&D monthly premium is based on:
- $0.018 for yourself
- $0.018 for your spouse
- $0.015 for each child.
Dependent Life Insurance
If you elect Dependent Life Insurance, the bi-weekly cost is:
- $1.49 – $10,000 for your spouse; $5,000 for each child
- $2.97 – $20,000 for your spouse; $10,000 for each child.
Group Legal Services
If you elect Group Legal Services, the bi-weekly cost is:
- $3.62 for yourself
- $4.85 for you and your family.