LSU First -- The LSU System Health Plan

Prorated Benefits for 2011

Below are the prorated LSU First benefit amounts for the July 1 – December 31, 2011 Plan Year. All benefit amounts will be reset to their normal maximums effective January 1, 2012. For more information, please click here for the Summary Plan Description.

Plan Option

Level of Coverage

HRA

Remaining Deductible

In-Network
Co-Insurance Maximum

Out-of-Network
Co-Insurance Maximum

1

Employee Only

$500

$250

$500

$1,500

Employee Plus Spouse

$750

$375

$750

$2,250

Employee Plus Child(ren)

$750

$375

$750

$2,250

Family

$1,000

$500

$1,000

$3,000

2

Employee Only

$500

$750

$500

$2,000

Employee Plus Spouse

$750

$1,125

$750

$3,000

Employee Plus Child(ren)

$750

$1,125

$750

$3,000

Family

$1,000

$1,500

$1,000

$4,000