Rate Code** Flat Rate Table ID

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1 1 MEDICAL SERVICES PLAN (MSP) GROUP ID* Rate Code** Flat Rate Table ID (EE) U.B.C. (ER) Total Notes BCGEU Okanagan (excluding job sharing) BCGEU and Non-Union Child Care Executive Administrative IUOE /01/01 MSP Alumni Association Clerical/Secretarial Faculty Association Executive Director Faculty Association Staff Academic Executives Faculty Sessional Faculty (including under 50% FTE or less than 12 mos) PDF employees & award recipients paid via UBC Farm Workers Techs/Res Assistants Other Staff M&P excluding Excluded M&P and SUDs 2018/01/01 MSP Paymaster M&P and Clerical Secretarial: Alumni Association M&P IC-IMPACTS Neurodev Network PROOF TRIUMF (BA, M&P, Techs) TRIUMF Innovations UBC FPP Board of Trustees CUPE 2278 (ELI) Administrative Executives Excluded M&P Service Unit Directors 2018/01/01 MSP % EE/25% ER * ID is for processing use only. ** Rate Codes indicate coverage level: 08 is coverage for one adult (with or without children); 09 is coverage for two adults (with or without children). Page 1

2 2 MEDICAL SERVICES PLAN (MSP) GROUP ID* Rate Code** Flat Rate Table ID (EE) U.B.C. (ER) Total Notes BCGEU Okanagan Job Sharing 2018/01/01 MSP % EE/50% ER * ID is for processing use only. ** Rate Codes indicate coverage level: 08 is coverage for one adult (with or without children); 09 is coverage for two adults (with or without children). Page 2

3 3 EXTENDED HEALTH BENEFIT PLAN (EHB) Group/Div # ID* Rate Code** Flat Rate Table ID (EE) U.B.C. (ER) Total Notes Faculty PDF employees Sessional Faculty (min 50% and min 4 mos) Academic Executives /01/01 EHB TRIUMF BA M&P Excluded M&P Service Unit Directors Administrative Executives /01/01 EHB Paymaster M&P (ineligible for HSA): Alumni Association IC-IMPACTS Neurodev Network PROOF TRIUMF M&P TRIUMF Innovations UBC FPP Board of Trustees /09/01 EHB /01/01 EHB Techs/Res Assts Executive Administrative Farm Workers Other Staff CUPE 2278 (ELI) (2018/04/01) BCGEU and Non-union Child Care effective 2019/01/ /01/01 EHB Paymaster Clerical/Secretarial: Alumni Association Faculty Association Exec Director and Staff IC-IMPACTS Neurodev Network PROOF * TRIUMF Techs ID is for processing use only. ** TRIUMF Innovations Rate Codes indicate coverage level: 08 is coverage for one adult (with or without children); 09 is coverage for two adults (with or without children). UBC FPP Board Payroll of deductions Trustees are taken in advance; e.g. Sept. 30 deduction is for coverage during October. Page 3

4 4 EXTENDED HEALTH BENEFIT PLAN (EHB) Group/Div # ID* Rate Code** Flat Rate Table ID Employe e (EE) U.B.C. (ER) Total Notes /01/01 EHB Sessional Faculty (less than 50% or less than 4 months) /01/01 EHB % EE / 50% ER IUOE /01/01 EHB BCGEU Okanagan (excluding job sharing) /01/01 EHB BCGEU Okanagan Job Sharing /01/01 EHB % EE / 50% ER PDF award recipients regardless of funding Source /01/01 EHB * ID is for processing use only. ** Rate Codes indicate coverage level: 08 is coverage for one adult (with or without children); 09 is coverage for two adults (with or without children). Page 4

5 5 DENTAL PLAN (DEN) Group/Div # 0 ID* Rate Code** 2018/09/01 DEN0 01 Flat Rate Table ID (EE) U.B.C. (ER) Total Notes M&P Administrative Executives Paymaster M&P: Alumni Association IC-IMPACTS Neurodev Network PROOF TRIUMF M&P TRIUMF Innovations UBC FPP Board of Trustees /09/01 DEN Faculty PDF employees Sessional Faculty (min 50% and min 4 months) Academic Executives TRIUMF BA /09/01 DEN /09/01 DEN Techs/Res Assts Executive Administrative Farm Workers Other Staff CUPE 2278 (ELI) (2018/04/01) BCGEU and Non-union Child Care effective 2019/01/ /01/01 DEN Paymaster Clerical/Secretarial: Alumni Association Faculty Association Exec Director and Staff IC-IMPACTS * Neurodev Network ID is for processing use only. ** PROOF Rate Codes indicate coverage level: 08 is coverage for one adult (with or without children); 09 is coverage for two adults (with or without children). TRIUMF Techs Payroll deductions are taken in advance; e.g. Sept. 30 deduction is for coverage during October. TRIUMF Innovations G:\Admin&Ben\administrators UBC FPP Board of Trustees package\ben management\rates\2019\2019_januaryfordistribution.doc Page 5

6 6 DENTAL PLAN (DEN) Sessional Faculty (less than 50% or less than 4 months) Group/Div # 001 ID* Rate Code** 2018/09/01 DEN Flat Rate Table ID (EE) U.B.C. (ER) Total Notes 50% EE/50% ER IUOE /01/01 DEN BCGEU Okanagan (excluding job sharing) /01/01 DEN BCGEU Okanagan Job Sharing /01/01 DEN PDF award recipients regardless of funding source effective 2010/04/01 for those paid through UBC and effective 2011/09/01 for those who are funded from a source external to UBC /09/01 DEN * ID is for processing use only. ** Rate Codes indicate coverage level: 08 is coverage for one adult (with or without children); 09 is coverage for two adults (with or without children). Page 6

7 7 EMPLOYEE AND FAMILY ASSISTANCE PROGRAM (EFAP) ID* Rate Code** Flat Rate Table ID (EE) U.B.C. (ER) Total All s PDF employees and award recipients receiving earnings through UBC 2000/04/01 EAP Includes Union/Association President and Executive Directors BCGEU Child Care BCGEU Okanagan AAPS CUPE 2950 CUPE 116 Faculty Association PROOF Alumni Association Excludes all other Paymaster employees not mentioned above, BCGEU Okanagan Job Sharing and PDF award recipients receving funding from a source external to UBC BCGEU Okangan Job Sharing 2016//01 EAP PDF award recipients receiving funding from a source external to UBC 2011/07/01 EAP * ID is for processing use only. ** Rate Codes indicate coverage level: 08 is coverage for one adult (with or without children); 09 is coverage for two adults (with or without children). Page 7

8 8 ID* INCOME REPLACMENT PLAN (IRP) / DISABILITY BENEFIT PLAN (DBP) Faculty Faculty Associaton Executive Director Sessional Faculty (min 50% and min 4 months) TRIUMF BA Flat Rate Table ID (EE) U.B.C. (ER) Total Notes 2019/01/01 IRP % % 1.487% (gross salary) Group fully insured Jan. 1, 2012 Academic Executives Administrative Executives who choose to enroll in the Faculty Pension Plan Staff High Earners in excess of 2019 SPP Maximum Earnings of $168, /01/01 IRP % % 1.487% (gross salary) Group fully insured Jan. 1, 2012 M&P Administrative Executives who choose to enroll in the Staff Pension Plan Paymaster M&P: Alumni Association Neurodev Network PROOF TRIUMF M&P TRIUMF Innovations UBC FPP Board of Trustees CUPE 2278 (ELI) Faculty Association Staff (No Pens contr) 2019/01/01 IRP % % 0.732% (gross salary) 2019/01/01 IRP % % 0.732% (gross salary) Group 1028 fully insured effective June 1, 2010 Group 1028 fully insured effective Dec. 1, 2010 * ID is for processing use only. Page 8

9 9 ID* INCOME REPLACMENT PLAN (IRP) / DISABILITY BENEFIT PLAN (DBP) Techs/Res Assts Executive Administrative IUOE 115 BCGEU and Non-union Child Care Farm Workers Other Staff Paymaster Clerical/Secretarial: Alumni Association Faculty Association Executive Director Faculty Association Staff Neurodev Network PROOF TRIUMF Techs TRIUMF Innovations UBC FPP Board of Trustees Flat Rate Table ID (EE) U.B.C. (ER) Total Notes 2019/01/01 IRP % % 0.495% (gross salary) Group 1028 fully insured effective April 1, 2010 BCGEU Okanagan 2019/01/01 IRP % % 0.495% (gross salary) Group 1028 fully insured effective April 1, /01/01 IRP % % 1.073% (gross salary) Group 1028 fully insured effective Jan. 1, /01/01 IRP % % 1.150% (gross salary) Group 1028 fully insured effective Dec. 1, 2010 * ID is for processing use only. Page 9

10 10 BASIC GROUP LIFE INSURANCE M&P; Administrative Executives Paymaster M&P: Alumni Association Neurodev Network PROOF TRIUMF M&P TRIUMF Innovations UBC FPP Board of Trustees ID* / Flat Rate Table 2019/01/01 BGL001 / 0072 (EE) U.B.C. (ER) Total Notes 0% 0.225% 0.225% (based on gross salary) CUPE 2278 IUOE 115 BCGEU and Non-union Child Care BCGEU Okanagan Techs/Res Assts Executive Administrative Farm Workers Other 2019/01/01 BGL0 / % 0.225% 0.225% (based on gross salary) Paymaster Clerical/Secretarial: Alumni Association Faculty Association Staff Neurodev Network, PROOF TRIUMF Techs TRIUMF Innovations UBC FPP Board of Trustees TRIUMF Techs Faculty Academic Executives Staff High Earners in excess of 2019 SPP Maximum Earnings of $168, /01/01 BGL004 / 85 0% 0.225% 0.225% (based on gross salary) Faculty Association Executive Director TRIUMF BA * ID is for processing use only. Page 10

11 11 BASIC GROUP LIFE INSURANCE M&P; Administrative Executives; Alumni Association M&P; TRIUMF M&P; Paymaster M&P (excluding Faculty Association, IC Impacts) CUPE 2950; CUPE 116; CUPE 2278 (ELI); IUOE 115; BCGEU and Nonunion Child Care; BCGEU Okanagan (2005/07/01); Techs/Res Assts; Executive Admnistrative (formerly Non-Union Clerical/Secretarial); Farm Workers; Other; TRIUMF (Techs); Alumni Association (Cler/Sec Staff); Faculty Association Staff; Paymaster Clerical/Secretarial ID* / Flat Rate Table 2019/01/01 BGL001 / /01/01 BGL0 / 0185 (EE) U.B.C. (ER) Total Notes 0% 0.225% 0.225% (based on gross salary) 0% 0.225% 0.225% (based on gross salary) Faculty; Academic Executives; TRIUMF (BA); Fac Assoc Exec Dir; Staff High Earners in excess of 2019 SPP Maximum Earnings of $168, /01/01 BGL004 / 85 0% 0.225% 0.225% (based on gross salary) Maximum coverage is $300,000. Age Benefit Under x salary x salary x salary For employees not actively-at-work (unpaid leave or leave while receiving Income Replacement plan income benefits) at the time the new schedule below became effective, the following schedule is applicable**: Coverage: Age Benefit Age Benefit Age Benefit Age Benefit under x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary 49 or over 1.0 x salary Maximum coverage is $300,000. For employees not actively-at-work (unpaid leave or leave while receiving Income Replacement plan income benefits) at the time the new schedule below became effective, the following schedule is applicable+: Coverage: Age Benefit Age Benefit Age Benefit Age Benefit under x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary x salary Maximum coverage is $300,000. *New schedule applies upon return to active employment. **For those employees who were not actively at work on or after: January 1, 2001 (CUPE Local 2278, CUPE Local 2950, CUPE Local 116 and BCGEU Childcare); July 1, 2001 (Managament & Professionals, Administrative Executives, Excluded/Non-Union Clerical/Secretarial Staff, Farm Workers and Non-Union Technician & Research Associates. January 1, 20 (Faculty, Academic Executives and IUOE 882). +For those employees who were not actively at work on or after January 1, 2019 for all employee groups. * ID is for processing use only. Page 11

12 12 STAFF AND SPOUSE OPTIONAL LIFE INSURANCE Participating s and Spouses See Basic Life **Spousal Optional Life is only available if the Staff Member is under the age of 65 at the time of enrollment. FACULTY, M&P AND SPOUSE OPTIONAL LIFE INSURANCE Participating Faculty** and Spouses See Basic Life **Spousal Optional Life is only available if the Staff Member is under the age of 65 at the time of enrollment. OPT001/ SPL001 Age-Graded Table LIF1 See table on next page OPT0/ SPL0 Age-Graded Table LIF1 See table on next page STAFF AND SPOUSE OPTIONAL ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE See Staff and Spouse Optional Life Insurance ADD0 / SDD001 Flat Rate Table 0074 FACULTY, M&P AND SPOUSE OPTIONAL ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE See Faculty, M&P and Spouse Optional Life Insurance ADD0 / SDD001 OPTIONAL AD&D RATE TABLE FOR FACULTY AND STAFF EFFECTIVE 2000//01 Coverage 25,000 50,000 75, , , , , ,000 Premium Coverage 225, , , , , , , ,000 Premium Coverage 425, , , , , , , ,000 Premium Coverage 625, , , , , ,000 Premium * ID is for processing use only. Page 12

13 13 OPTIONAL LIFE RATE TABLE FOR FACULTY AND STAFF EFFECTIVE 2019/01/01 Unit of To Age 34 Age Age Age Age Age Age Coverage N/S SMKR N/S SMKR N/S SMKR N/S SMKR N/S SMKR N/S SMKR N/S SMKR 25, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , * ID is for processing use only. Page 13

14 14 Unit of Age Age Age Age Coverage N/S SMKR N/S SMKR N/S SMKR N/S SMKR 25, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , * ID is for processing use only. Page 14

15 15 FACULTY PENSION PLAN Faculty; Academic Executives; Administrative Executives who choose to enroll in the Faculty Pension Plan; Staff High Earners in excess of 2019 SPP Maximum Earnings of $168, Faculty Associaton Executive Director TRIUMF BA STAFF PENSION PLAN Staff; Administrative Executives who choose to enroll in the Staff Pension or those with earnings less than 2019 SPP Maximum Earnings of $168, ID* (EE) U.B.C. (ER) 2019/01/01 FAP % to $3, % between $3,500 and $57, % over $57,400 (based on gross annual salary**) 10.0% to $3, % between $3,500 and $57, % over $57,400 (based on gross annual salary**) 2019/01/01 STP0 6.5% of gross annual salary** 9.4% of gross annual salary** Alumni Association Faculty Association Staff Neurodev Network PROOF TRIUMF (M&P and Techs) TRIUMF Innovations UBC FPP Board of Trustees EMPLOYMENT INSURANCE All s 2019/01/ % of gross annual salary** Annual Maximum $ Maximum insurable earnings $53,100 CANADA PENSION PLAN All s 2019/01/ % of gross annual salary** up to $57,400 after first $3,500 Annual maximum of $2, % of gross annual salary** Annual Maximum $1, Maximum insurable earnings $53, % of gross annual salary** up to $57,400 after first $3,500 Annual maximum of $2, WORKERS' COMPENSATION All s 2019/01/ % of gross annual salary** Annual Maximum $ Maximum insurable earnings $84,800 * For part-time employees, union dues are based on percentages; however, minimums apply. Page 15

16 16 EXTRAORDINARY EXPENSE FUND Tri-Agency funded grant- and contract-funded staff & faculty, postdoctoral fellow employees and award recipients with fund codes: R0017 R0070 R7000 to R7999 R8000 to R8999 R9000 to R9998 Non Tri-Agency funded grant- and contract-funded staff & faculty, postdoctoral fellow employees and award recipients with fund codes: E0000 to E9999 (applies to PDFs only) G0000 to G9999 (applies to PDFs only) R0000 to R0016 R0018 to R0069 R0071 to R6999 R9999 S0000 to S /04/01 0.6% of gross salary 0.8% of gross salary * For part-time employees, union dues are based on percentages; however, minimums apply. Page 16

17 17 (EE) Notes ASSOCIATION OR UNION DUES* (Monthly) Faculty Association 2009/07/ % of gross earnings no minimum; no maximum no Initiation Fee AAPS 2013/07/ % of gross earnings no minimum; no maximum no Initiation Fee CUPE /11/ % of gross earnings no minimum; no maximum $1 Initiation Fee CUPE // % of gross earnings no minimum; no maximum $1.00 Initiation Fee IUOE 1994/04/ % of gross earnings minimum of $1 $ Initiation Fee CUPE /08/ % of gross earnings no minimum; no maximum $1.00 Initiation Fee BCGEU Child Care ** 2005/08/ % of gross earnings no minimum; no maximum; no Initiation Fee BCGEU Okanagan 2005/08/ % of gross earnings no minimum; no maximum; no Initiation Fee * For part-time employees, union dues are based on percentages; however, minimums apply. Page 17

18 18 BENEFIT TABLE DESCRIPTIONS 01H for hourly / 01M for monthly International Union of Operating Engineers Local 115 H / M H / M BCGEU Vancouver Childcare (Except for Auxiliary) Farm Workers and Non-Union Technicians & Research Assistants 04H / 04M CUPE H / 05M CUPE H / 06M 07H / 07M 08H / 08M 10H / 10M 11H / 11M 12H / 12M 13H / 13M 14H / 14M 15H / 15M 16H / 16M 17H / 17M 18H / 18M 19H / 19M Faculty (includes postdoctoral fellows employees and award recipients regardless of funding source effective 2010/04/01 for award recipients paid through UBC and effective 2011/09/01 for award recipients who are funded from a source external to UBC ) Executive Administrative Staff Senior Executive (Academic and Administrative) Management & Professional Staff and Excluded M&P Other Staff Service Unit Directors TRIUMF Board Appointment TRIUMF Management & Professional Staff TRIUMF Non-Union Technicians CUPE 2278 Non-Credit Instructors Paymasters BCGEU Okanagan Staff (excluding student employees) BCGEU Vancouver Childcare Auxiliary & Non-Union Childcare Staff 20M Staff High Earners in excess of 2018 SPP Maximum Earnings of $163,580 (introduced 2007/01/01) 21H / 21 M Exception Benefit Program (doesn t fall under any in the table use this table if employee has negotiated benefits outside the normal eligibility for his/her employment group) 001 No benefits group * For part-time employees, union dues are based on percentages; however, minimums apply. Page 18

Medical Plan with Basic Vision. Medical Plan with Basic Vision

Medical Plan with Basic Vision. Medical Plan with Basic Vision Full-time, $13.45 per hour or less Basic Only $89.00 $39.00 $91.58 $41.58 + Child $112.00 $62.00 $116.67 $66.67 + * + $133.00 $83.00 $137.67 $87.67 $150.00 $100.00 $154.67 $104.67 *Family $196.00 $146.00