Reduced Medical Rates: Schedule B

Benefits-eligible employees enrolled in the Syracuse University health plan automatically pay the Schedule A rates.  Depending on your household income and size (see the chart below), you may be eligible for lower health plan contributions under Schedule B, with the exact same benefits and coverage as provided under Schedule A rates. You must apply and qualify for reduced rates. Certain employees represented by the SEIU collective bargaining agreement are automatically enrolled in the Schedule B rates.

On this page:

Eligibility

Eligibility for this program is based on household income and household size.

For 2024, the criteria is as follows:

Household SizeHousehold Income
1Less than $53,250
2Less than $74,550
3Less than $95,850
4Less than $117,150
5Less than $138,450
6 and upLess than $159,750

For 2025, the criteria is as follows:

Household SizeHousehold Income
1Less than $55,061
2Less than $77,085
3Less than $99,109
4Less than $121,133
5Less than $143,157
6 and upLess than $165,182

Household size is the number of individuals declared on your Federal Income Tax Return, and if applicable, your spouse or domestic partner. Also included in household size are your children who are not declared on your tax return, but who are either under age 19 and living with you, or age 19 or older and enrolled as your dependent in the medical plan.

Household income is the combined adjusted gross income disclosed on your Federal Income Tax Return, including for your spouse or domestic partner, as well as your children age 19 or older if they are enrolled on your medical plan. The adjusted gross income is on the Federal Income Tax Return (line 11 of Form 1040).

Application Process

The Schedule B application process will be open through Dec. 6, 2024.  If approved, you will receive a new Open Enrollment confirmation statement for the calendar year 2025 with your reduced rates.

If you are a new employee, applications must be submitted within 31 days of your hire date. If you have recently entered the United States and have not filed a current U.S. Federal Income Tax Return, please contact HR Shared Services for information on how to submit your Schedule B Application.

Please note that the Schedule B application period is closed for existing employees and will reopen at the start of the annual Open Enrollment period. This application period will close after the first Friday in December.

The Schedule B Reduced Medical Contribution Application is available as an eForm. Our eForms are secure, fast, and accessible. To access the application in your MySlice portal, please follow these simple steps:

  • Log into your MySlice portal.
  • Under “Employee Home” select the “Employee Resources” tile.
  • Within the “Employee Resources” tile select the “eForms” tile.
  • Expand the “Human Resources” section by clicking on the grey triangle on the left side of the page.
  • Select the appropriate Schedule B application from the list to be taken to the application:
    1. If you are a current employee applying for Schedule B during Open Enrollment, select “Open Enrollment Schedule B App” from the list.
    2. If you are a new employee applying for Schedule B within 31 days of your hire date, select “New Hire Schedule B App” from the list.
  • Complete the application by answering all the questions and securely uploading any required documentation.
  • Ensure that you click the “Submit” button at the bottom of the application to send your completed application to HR Shared Services for review. Upon submission, a confirmation email will be sent to your Syracuse University email.
  • If you are submitting the application during your new hire period, communication will be sent to your Syracuse University email regarding your application status once reviewed.

You must re-apply each year for Schedule B Medical Rates.

Should you have any questions, please reach out to our HR Shared Services team at 315.443.4042.

Every effort has been made to ensure that the information contained within this website is accurate. However, benefits are governed by legal documents (which, in certain circumstances, may include insurance contracts). If there is any difference between the information in this website and the official documents, the official documents will control. As is the case with all of Syracuse University’s employee benefit plans, the University reserves the right to modify or terminate these benefits at any time.