Effective January 1, 2023 Benefits Payroll Deduction Schedule (for biweekly employees) COBRA Continuation of Health, Dental, and Vision Coverage Duke Basic Premiums Individual Employee/ Child Employee/ Children Employee/ Spouse Family Total Premium $445 $653 $815 $1,026 $1,184 Duke Contribution $407 $529 $622 $739 $835 Full-Time Employee Premium $38 $124 $193 $287 $349 COBRA Premium $453.90 $666.06 $831.30 $1,046.52 $1,207.68 Duke Select Premiums Individual Employee/ Child Employee/ Children Employee/ Spouse Family Total Premium $524 $781 $976 $1,227 $1,435 Duke Contribution $430 $561 $657 $779 $883 Full-Time Employee Premium $94 $220 $319 $448 $552 COBRA Premium $534.48 $796.62 $995.52 $1,251.54 $1,463.70 Duke Options (PPO) Premiums Individual Employee/ Child Employee/ Children Employee/ Spouse Family Total Premium $1,066 $1,440 $1,693 $2,079 $2,432 Duke Contribution $875 $1,065 $1,192 $1,380 $1,557 Full-Time Employee Premium $191 $375 $501 $699 $875 COBRA Premium $1,087.32 $1,468.80 $1,726.86 $2,120.58 $2,480.64 Blue Care (HMO Model) Premiums Individual Employee/ Child Employee/ Children Employee/ Spouse Family Total Premium $1,122 $1,492 $1,696 $2,088 $2,499 Duke Contribution $924 $1,108 $1,211 $1,405 $1,610 Full-Time Employee Premium $198 $384 $485 $683 $889 COBRA Premium $1,144.44 $1,521.84 $1,729.92 $2,129.76 $2,548.98