Medical, Dental, and Vision Rates

Medical Plan Rates

Costs for each medical plan option are based on your salary and your work status — full-time (regular employees scheduled to work 30 or more hours per week) or part-time (regular employees regularly scheduled to work between 20-29.9 hours per week).

Rates in the charts below do not include the monthly $50 per person tobacco use surcharge (see below for more details).

Medical Plan Full-time Rates

Full-time employee rates for the three salary-based rate bands are listed below:

* annual salary based on someone who works 40 hours per week.

Medical Plan Part-time Rates

Part-time employee rates for the three salary-based rate bands are listed below:

* annual salary based on someone who works 40 hours per week.

Tobacco Use Surcharge

To support the health and well-being of our employees, Emory has implemented a $50-per-person monthly ($25 biweekly per pay period) tobacco use surcharge on medical plan contributions for employees and their spouses covered under the Emory medical plan who certify as a “Tobacco User.”

A “Tobacco User” is someone who has used tobacco products within the past 90 days, but does not include religious or ceremonial use of tobacco. The term “tobacco products” refers to any tobacco product, including cigarettes, cigars, pipes, all forms of smokeless tobacco, clove cigarettes, and any other smoking devices that use tobacco, such as hookahs, or simulate the use of tobacco, such as electronic cigarettes.

When you enroll, you must certify online in Self-Service whether you are a Tobacco User.

If you certify yourself as a Tobacco User, the per-person tobacco use surcharge will be waived if:

• You certify that you and/or your spouse have not used tobacco within the last 90 days; OR
• You and/or your spouse complete a tobacco-cessation program offered by Emory and available on Tobacco Cessation or selected by you and/or your spouse; OR
• A physician currently treating you and/or your spouse for a medical condition such as nicotine addiction determines that completing a tobacco-cessation program is not medically appropriate or is medically inadvisable. In this case, you and the treating physician will need to complete and return the Tobacco Cessation Physician Affidavit form to the Benefits Department.

To remove the tobacco use surcharge for one of the reasons listed above, you must contact Emory-Benefits. You can request that the tobacco use surcharge be waived any time during the year, but:

• If you contact Emory-Benefits by March 31, the change will be effective as of January 1, and you will receive a full refund of your tobacco user surcharges for January, February, and March.
• If you contact Emory-Benefits after March 31, you may update your tobacco user status, but the change will go into effect on the first of the following month when you make the change. No refunds will be given.

If you believe you are being charged the surcharge in error, please contact Benefits as soon as you notice the charge.

Mail or Email copies of the tobacco cessation completion certificate or tobacco cessation physician affidavit form to the following:

• University Employees: hrbenef@emory.edu
• Healthcare Employees: ehc.hr.benefits@emoryhealthcare.org

Emory University, Benefits and Work Life, 1599 Clifton Road, NE, Atlanta, GA 30322.

Dental Plan Rates

Vision Plan Rates