North Carolina Technical & Community College Student Health Plan
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Cigna Healthcare:
       1-877-646-0792
College Group ID: 2970

Premium for 2009-2010 School Year
Student
2009-2010 School Year Coverage Date Health
Level 1		 Health
Level 2		 Health
Dental/Vision
Level 1		 Health
Dental/Vision
Level 2		 Number Installment
Fall 8/16/2009-12/29/2009
9/1/2009-1/14/2010
9/16/2009-1/29/2010		 $187.01 $340.47 $269.89 $423.35 1
Spring 12/30/2009-5/15/2010
1/15/2010-5/31/2010
1/30/2010-6/15/2010		 $187.01 $340.47 $269.89 $423.35 1
Summer 5/16/2010-8/15/2010
6/1/2010-8/31/2010
6/16/2010-9/15/2010		 $124.67 $226.98 $179.92 $282.23 1
Fall-Spring 8/16/2009-5/15/2010
9/1/2009-5/31/2010
9/16/2009-6/15/2010		 $374.02 $680.94 $539.78 $846.70 2
Spring-Summer 12/30/2009-8/15/2010
1/15/2010-8/31/2010
1/30/2010-9/15/2010		 $311.68 $567.45 $449.81 $705.58 2
Annual 8/16/2009-8/15/2010
9/1/2009-8/31/2010
9/16/2009-9/15/2010		 $498.69 $907.92 $719.70 $1,128.93 3
Student + 1
2009-2010 School Year Coverage Date Health
Level 1		 Health
Level 2		 Health
Dental/Vision
Level 1		 Health
Dental/Vision
Level 2		 Number Installment
Fall 8/16/2009-12/29/2009
9/1/2009-1/14/2010
9/16/2009-1/29/2010		 $456.50 $841.82 $616.40 $1,001.72 1
Spring 12/30/2009-5/15/2010
1/15/2010-5/31/2010
1/30/2010-6/15/2010		 $456.50 $841.82 $616.40 $1,001.72 1
Summer 5/16/2010-8/15/2010
6/1/2010-8/31/2010
6/16/2010-9/15/2010		 $304.33 $561.21 $410.93 $667.81 1
Fall-Spring 8/16/2009-5/15/2010
9/1/2009-5/31/2010
9/16/2009-6/15/2010		 $913.00 $1,683.64 $1,232.80 $2,003.44 2
Spring-Summer 12/30/2009-8/15/2010
1/15/2010-8/31/2010
1/30/2010-9/15/2010		 $760.83 $1,403.03 $1,027.33 $1,669.53 2
Annual 8/16/2009-8/15/2010
9/1/2009-8/31/2010
9/16/2009-9/15/2010		 $1,217.33 $2,244.85 $1,643.73 $2,671.25 3
Student + Family
2009-2010 School Year Coverage Date Health
Level 1		 Health
Level 2		 Health
Dental/Vision
Level 1		 Health
Dental/Vision
Level 2		 Number Installment
Fall 8/16/2009-12/29/2009
9/1/2009-1/14/2010
9/16/2009-1/29/2010		 $690.30 $1,276.28 $927.23 $1,513.21 1
Spring 12/30/2009-5/15/2010
1/15/2010-5/31/2010
1/30/2010-6/15/2010		 $690.30 $1,276.28 $927.23 $1,513.21 1
Summer 5/16/2010-8/15/2010
6/1/2010-8/31/2010
6/16/2010-9/15/2010		 $460.20 $850.85 $618.15 $1,008.80 1
Fall-Spring 8/16/2009-5/15/2010
9/1/2009-5/31/2010
9/16/2009-6/15/2010		 $1,380.60 $2,552.56 $1,854.46 $3,026.42 2
Spring-Summer 12/30/2009-8/15/2010
1/15/2010-8/31/2010
1/30/2010-9/15/2010		 $1,150.50 $2,127.13 $1,545.38 $2,522.01 2
Annual 8/16/2009-8/15/2010
9/1/2009-8/31/2010
9/16/2009-9/15/2010		 $1,840.80 $3,403.41 $2,472.61 $4,035.22 3
*(1) Based on student requirement, N4CHealth introduced the installment option for multiple semester coverage.  Students can select  installment for each semester when you enroll the plan.
  (2) The premium list here is not monthly premium and is total the premium for the duration listed above. 
  (3)Students are only required to take 4 credit hours or more in the Fall/Spring semester to enroll in multiple semester coverage.
   
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