2009 Purdue Medical Benefits Annual Contribution Chart

Medical Plan	If Your Annual Pay Is Under $40,000		If Your Annual Pay Is $40,000 or More
	You pay:	Purdue pays:	You pay:	Purdue pays:
Incentive PPO
Employee only	$262	$4,975	$680	$4,556
Employee and children	$475	$8,165	$1,121	$7,517
Employee and spouse	$691	$11,876	$1,632	$10,933
Employee and family	$835	$14,351	$1,972	$13,211
Purdue 500
Employee only	$980	$4,975	$1,398	$4,556
Employee and children	$1,661	$8,165	$2,307	$7,517
Employee and spouse	$2,416	$11,876	$3,357	$10,933
Employee and family	$2,919	$14,351	$4,056	$13,211
UnitedHealthcare
Employee only	$501	$4,975	$919	$4,556
Employee and children	$869	$8,165	$1,515	$7,517
Employee and spouse	$1,263	$11,876	$2,204	$10,933
Employee and family	$1,526	$14,351	$2,663	$13,211

Same-Sex Domestic Partners:  

• Medical coverage for same-sex domestic partners and children of same-sex domestic partners is available.  The rates for coverage are the same as the rates listed above for spouse, children, and family; however, IRS regulations require different taxing of contributions and benefits.  

Flexible Spending Accounts:

• Maximum amount employee can contribute to the Health Care FSA is $6,000.
• Maximum amount employee can contribute to the Day Care FSA is $5,000.