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href="https://www.syracuse.edu/about/visit/city-of-syracuse/#new_tab" aria-expanded="false" aria-label="About Syracuse">About Syracuse</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/careers/about-syracuse/relocation-resources/" >Relocation Resources</a></li></ul></li><li><a href="https://hr.syr.edu/careers/important-notice-to-applicants/" >Important Notice to Applicants</a></li></ul></li><li class="parent current_page_ancestor"><a href="https://hr.syr.edu/benefits/" aria-expanded="false" aria-label="Benefits">Benefits</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/benefits/benefits-contact-list/" >Benefit Administrators: Contact Information</a></li><li class="parent current_page_ancestor"><a href="https://hr.syr.edu/benefits/" aria-expanded="false" aria-label="Eligibility and Enrollment">Eligibility and Enrollment</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/benefits/your-life-events/" >Balancing Your Life Events</a></li><li><a href="https://hr.syr.edu/benefits/mid-year-benefit-changes/" >Mid-Year Benefit Changes</a></li></ul></li><li class="parent current_page_ancestor"><a href="https://hr.syr.edu/benefits/health-benefits/" aria-expanded="false" aria-label="Health Benefits">Health Benefits</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li class="parent current_page_ancestor current_page_parent"><a href="https://hr.syr.edu/benefits/health-benefits/medical/" aria-expanded="false" aria-label="Health Plan">Health Plan</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li class="current"><a href="https://hr.syr.edu/benefits/health-benefits/medical/reduced-medical-rates-schedule-b/" >Reduced Medical Rates: Schedule B</a></li><li><a href="https://hr.syr.edu/benefits/health-benefits/medical/summary-of-benefits-and-coverage-sbc/" >Summary of Benefits and Coverage (SBC)</a></li></ul></li><li><a href="https://hr.syr.edu/benefits/health-benefits/prescription-drug-coverage/" >Prescription Drug Coverage</a></li><li class="parent"><a href="https://hr.syr.edu/benefits/health-benefits/dental-and-vision/" aria-expanded="false" aria-label="Dental and Vision">Dental and Vision</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/benefits/health-benefits/dental-and-vision/sebf-dental-and-vision/" >SEBF Dental and Vision</a></li></ul></li><li><a href="https://hr.syr.edu/benefits/health-benefits/cobra-rates/" >COBRA Rates</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/benefits/flexible-spending-accounts/" aria-expanded="false" aria-label="Flexible Spending Accounts (FSAs)">Flexible Spending Accounts (FSAs)</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/benefits/flexible-spending-accounts/dependent-care-fsa/" >Dependent Care Flexible Spending Account (FSA)</a></li><li><a href="https://hr.syr.edu/benefits/flexible-spending-accounts/dependent-care-fsa/dependent-care-subsidy-program/" >Dependent Care Subsidy Program</a></li><li><a href="https://hr.syr.edu/benefits/flexible-spending-accounts/health-care-fsa/" >Health Care Flexible Spending Account (FSA)</a></li></ul></li><li><a href="https://hr.syr.edu/benefits/retirement-planning/" >Retirement Planning</a></li><li class="parent"><a href="https://hr.syr.edu/benefits/tuition-benefits/" aria-expanded="false" aria-label="Tuition Benefits">Tuition Benefits</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/benefits/tuition-benefits/dependent-tuition/" >Dependent Tuition</a></li><li><a href="https://hr.syr.edu/benefits/tuition-benefits/remitted-tuition/" >Remitted Tuition</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/benefits/life-and-disability/" aria-expanded="false" aria-label="Life and Disability">Life and Disability</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li class="parent"><a href="https://hr.syr.edu/benefits/life-and-disability/life-insurance/" aria-expanded="false" aria-label="Life Insurance">Life Insurance</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/benefits/life-and-disability/life-insurance/accidental-death-dismemberment-add-insurance/" >Accidental Death & Dismemberment (AD&D)</a></li><li><a href="https://hr.syr.edu/benefits/life-and-disability/life-insurance/statement-of-health/" >Statement of Health</a></li></ul></li><li><a href="https://hr.syr.edu/benefits/life-and-disability/life-insurance-for-dependents/" >Life Insurance for Dependents</a></li><li class="parent"><a href="https://hr.syr.edu/benefits/life-and-disability/disability-benefits/" aria-expanded="false" aria-label="Disability Benefits">Disability Benefits</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/benefits/life-and-disability/disability-benefits/long-term-disability-ltd/" >Long Term Disability (LTD)</a></li></ul></li></ul></li><li><a href="https://hr.syr.edu/benefits/paid-time-off-and-leaves/" >Paid Time Off and Leave Policies</a></li><li class="parent"><a href="https://hr.syr.edu/benefits/additional-benefits/" aria-expanded="false" aria-label="Additional Benefits">Additional Benefits</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/adoption-assistance/" >Adoption Assistance</a></li><li><a href="https://hr.syr.edu/home-and-auto-insurance/" >Auto and Home Insurance</a></li><li><a target="_blank" href="http://wellness.syr.edu/carebridge/?_ga=2.85410201.1684509014.1528119567-881387315.1513615172#new_tab" >Carebridge, our Faculty and Staff Assistance Program</a></li><li><a href="https://hr.syr.edu/discounts-and-services/" >Discounts</a></li></ul></li></ul></li><li class="parent"><a href="https://hr.syr.edu/work-life-benefits-and-resources/" aria-expanded="false" aria-label="WorkLife Benefits and Resources">WorkLife Benefits and Resources</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/work-life-benefits-and-resources/care-for-business/" >Care. for Business</a></li><li><a target="_blank" href="http://wellness.syr.edu/carebridge/#new_tab" >Carebridge</a></li><li><a href="https://hr.syr.edu/work-life-benefits-and-resources/elder-care-and-caregiving/" >Elder Care and Caregiving</a></li><li><a href="https://hr.syr.edu/work-life-benefits-and-resources/financial-wellness/" >Financial Wellness</a></li><li><a href="https://hr.syr.edu/work-life-benefits-and-resources/flexible-work-arrangements/" >Flexible Work Arrangements</a></li><li><a href="https://hr.syr.edu/work-life-benefits-and-resources/raising-a-family/" >Raising a Family</a></li><li><a href="https://hr.syr.edu/work-life-benefits-and-resources/raising-a-family/early-childhood-education-programs-at-syracuse-university/" >Syracuse University Child Care Centers</a></li><li><a target="_blank" href="http://wellness.syr.edu#new_tab" >Wellness Initiative for Faculty and Staff</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/information-for/" aria-expanded="false" aria-label="Information For . . .">Information For . . .</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/new-employees/" >New Employees</a></li><li><a href="https://hr.syr.edu/information-for/faculty/" >Faculty</a></li><li><a href="https://hr.syr.edu/information-for/staff/" >Staff</a></li><li class="parent"><a href="https://hr.syr.edu/information-for/labor-relations/" aria-expanded="false" aria-label="Bargaining Unit Members">Bargaining Unit Members</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/labor-relations/department-of-public-safety-officers-union/" >Syracuse University Department of Public Safety Officers Union (SUDPSOU)</a></li><li class="parent"><a href="https://hr.syr.edu/information-for/labor-relations/service-employees-international-union-local-200united/" aria-expanded="false" aria-label="Service Employees' International Union Local 200United Contract and Contacts">Service Employees’ International Union Local 200United Contract and Contacts</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/labor-relations/service-employees-international-union-local-200united/workplace-partnership-council-wpc/" >Workplace Partnership Council (WPC)</a></li></ul></li><li><a href="https://hr.syr.edu/information-for/labor-relations/teamsters-local-317/" >Teamsters Local 317</a></li><li class="parent"><a href="https://hr.syr.edu/information-for/labor-relations/adjuncts-united-2/" aria-expanded="false" aria-label="Adjuncts United">Adjuncts United</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/labor-relations/adjuncts-united-2/benefits-for-part-time-faculty/" >Benefits for Part-Time Faculty</a></li></ul></li></ul></li><li class="parent"><a href="https://hr.syr.edu/information-for/managers-and-supervisors/" aria-expanded="false" aria-label="Managers and Supervisors">Managers and Supervisors</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/nys-pay-transparency/" >NYS Pay Transparency</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/recruiting-resources/" >Recruiting Resources</a></li><li class="parent"><a href="https://hr.syr.edu/information-for/managers-and-supervisors/hiring-and-onboarding/" aria-expanded="false" aria-label="Hiring and Onboarding">Hiring and Onboarding</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/wp-content/uploads/2017/02/Managers_Supervisors-1st-Day-Checklist.pdf" >New Employee Checklist</a></li><li><a href="https://hr.syr.edu/?page_id=514" >Managing and Supervising Student Employees</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/information-for/managers-and-supervisors/compensation_for_managers/" aria-expanded="false" aria-label="Compensation Overview for Managers">Compensation Overview for Managers</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/compensation_for_managers/position-evaluation-procedures/" >Position Evaluation Procedures</a></li><li class="parent"><a href="https://hr.syr.edu/information-for/managers-and-supervisors/compensation_for_managers/fair-labor-standards-act-overview/" aria-expanded="false" aria-label="Fair Labor Standards Act Overview">Fair Labor Standards Act Overview</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/?page_id=910" >FLSA FAQs</a></li></ul></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/compensation_for_managers/job-classification-model/" >Job Classification Model</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/compensation_for_managers/pay-for-staff-positions/" >Pay for Staff Positions</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/compensation_for_managers/special-pay-practices/" >Special Pay Practices</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/information-for/managers-and-supervisors/systems-and-employee-transactions/" aria-expanded="false" aria-label="Systems and Employee Transactions">Systems and Employee Transactions</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/?page_id=684" >Online RAP Training</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/systems-and-employee-transactions/faculty-job-code-guide/" >Faculty Job Code Guide</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/systems-and-employee-transactions/job-codes-for-temporary-employees/" >Job Codes for Temporary Employees</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/systems-and-employee-transactions/pfl-for-mgr-spvr/" >Paid Family Leave Information for Managers/Supervisors</a></li></ul></li><li><a href="http://performance.syr.edu" >Performance Partnership</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/carebridge-resources-for-supervisors/" >Carebridge Resources for Supervisors</a></li><li><a href="https://hr.syr.edu/information-for/managers-and-supervisors/separation-or-retirement/" >Separation or Retirement</a></li></ul></li><li><a href="https://ese.syr.edu/cuseworks/" >Student Employees</a></li><li><a href="https://graduateschool.syr.edu/living/wellness-and-family/" >Graduate Assistants</a></li><li class="parent"><a href="https://hr.syr.edu/information-for/international-employees/" aria-expanded="false" aria-label="International Employees">International Employees</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/international-employees/h-1b-temporary-workers/" >H-1B Temporary Workers</a></li><li><a href="https://hr.syr.edu/information-for/international-employees/o-1-person-of-extraordinary-ability/" >O-1 Person of Extraordinary Ability</a></li><li><a href="https://hr.syr.edu/information-for/international-employees/permanent-residency/" >Permanent Residency</a></li><li><a href="https://hr.syr.edu/information-for/international-employees/tn-workers/" >TN Workers</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/information-for/retirees/" aria-expanded="false" aria-label="Retirees">Retirees</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li class="parent"><a href="https://hr.syr.edu/information-for/retirees/health-benefits-for-retirees/" aria-expanded="false" aria-label="Health Benefits for Retirees">Health Benefits for Retirees</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/retirees/health-benefits-for-retirees/health-benefits-for-retirement-prior-to-january-1-2006/" >Health Benefits for Retirement Prior to Jan. 1, 2006</a></li><li class="parent"><a href="https://hr.syr.edu/information-for/retirees/health-benefits-for-retirees/health-benefits-for-retirement-on-or-after-january-1-2006/" aria-expanded="false" aria-label="Health Benefits for Retirement On or After Jan. 1, 2006">Health Benefits for Retirement On or After Jan. 1, 2006</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a href="https://hr.syr.edu/information-for/retirees/health-benefits-for-retirees/health-benefits-for-retirement-on-or-after-january-1-2006/retiree-opt-outopt-in/" >Retiree Medical Benefits Plan</a></li><li><a href="https://hr.syr.edu/information-for/retirees/health-benefits-for-retirees/health-benefits-for-retirement-on-or-after-january-1-2006/medigap-medicare-advantage-plans/" >Medigap & Medicare Advantage Plans</a></li><li><a href="https://hr.syr.edu/information-for/retirees/health-benefits-for-retirees/health-benefits-for-retirement-on-or-after-january-1-2006/retiree-prescription-drug-benefit-medicare-part-d/" >Retiree Prescription Drug Benefit – Medicare Part D</a></li><li><a href="https://hr.syr.edu/information-for/retirees/health-benefits-for-retirees/health-benefits-for-retirement-on-or-after-january-1-2006/retirement-disability-coverage/" >Retirement Disability Coverage</a></li></ul></li></ul></li><li><a href="https://hr.syr.edu/information-for/retirees/retiree-financial-education-and-planning/" >Financial Education and Planning for Retirees</a></li><li><a href="https://hr.syr.edu/information-for/retirees/life-insurance-for-retirees/" >Life Insurance for Retirees</a></li><li><a href="https://hr.syr.edu/information-for/retirees/tuition-benefits-for-retirees/" >Tuition Benefits for Retirees</a></li><li><a href="https://hr.syr.edu/information-for/retirees/additional-benefits-for-retirees/" >Additional Benefits for Retirees</a></li><li><a href="https://hr.syr.edu/information-for/retirees/contact-list-for-retiree-benefits/" >Contact List for Retiree Benefits</a></li><li><a href="https://hr.syr.edu/information-for/retirees/summary-annual-reports-retiree/" >Summary Annual Reports</a></li></ul></li><li><a href="https://hr.syr.edu/information-for/people-with-disabilities/" >People with Disabilities</a></li><li><a href="https://hr.syr.edu/information-for/lgbtqa-community/" >Lesbian, Gay, Bisexual, Transgender, Queer, and Asexual (LGBTQA+) Communities</a></li><li><a href="https://hr.syr.edu/information-for/veterans-and-military-families/" >Veterans and Military Families</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/learning-and-development/" aria-expanded="false" aria-label="Learning and Development">Learning and Development</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a target="_blank" href="http://performance.syr.edu/#new_tab" >Performance Partnership</a></li></ul></li><li class="parent"><a href="https://hr.syr.edu/our-workplace/" aria-expanded="false" aria-label="Our Workplace">Our Workplace</a><button aria-expanded="false"><span class="sr-only"><span>Expand </span> <span>Collapse </span>section</span><span class="ci ci-chevron-down" aria-hidden="true"></span></button><ul class="children collapse"><li><a target="_blank" href="https://policies.syr.edu/policies/employment-workplace-rules-benefits-and-governmental-notices/#new_tab" >Policies</a></li><li><a href="https://hr.syr.edu/our-workplace/resolution/" >Staff Complaint Resolution</a></li><li><a href="https://hr.syr.edu/our-workplace/respectful-workplace/" >Respectful Workplace</a></li><li><a target="_blank" href="https://policies.syr.edu/policies/university-governance-ethics-integrity-and-legal-compliance/sexual-harassment-abuse-and-assault-prevention/staff-procedures/#new_tab" >Title IX Procedures for Staff</a></li><li><a target="_blank" href="https://policies.syr.edu/policies/university-governance-ethics-integrity-and-legal-compliance/non-discrimination-and-anti-harassment-in-employment/procedures-for-responding-to-reports-of-discrimination-and-harassment-non-sexual-by-non-faculty-staff-members/#new_tab" >Discrimination/Harassment (non-sexual) Reporting Procedures for Staff</a></li></ul></li><li><a href="https://hr.syr.edu/forms/" >Forms</a></li><li><a href="https://hr.syr.edu/contact-hr/" >Contact HR</a></li></ul> <section class="search-wrap search-wrap--narrow" role="search"> <div class="vcenter-wrap"> <form class="search-syr" action="/" method="get"> <label class="wrap-q"><span class="sr-only">Search</span> <input type="search" name="q" autocomplete="off" placeholder="Search the University..." /> </label> <button type="submit" class="search-button js-header-search" value="Search"> Search </button> </form> </div> </section> </nav> </div> </div> </div> </div> </div> </div> </div> </div> </header> <section role="main" class="content-primary" id="content-primary"> <div class="container"> <div class="row breadcrumb-nav visible-md visible-lg"> <div class="container"> <nav aria-label="Breadcrumbs"> <ul> <li > <a href="https://hr.syr.edu/">Home</a> </li> <li > <a href="https://hr.syr.edu/benefits/">Benefits</a> </li> <li > <a href="https://hr.syr.edu/benefits/health-benefits/">Health Benefits</a> </li> <li > <a href="https://hr.syr.edu/benefits/health-benefits/medical/">Health Plan</a> </li> <li class="active"> Reduced Medical Rates: Schedule B </li> </ul> </nav> </div> </div> </div> <div class="container"> <div class="row"> <div class="col-xs-12 content-section content"> <article class="post-272 page type-page status-publish hentry"> <header class="entry-header"> <h1 class="title">Reduced Medical Rates: Schedule B</h1> </header> <div class="entry-content"> <p>Benefits-eligible employees enrolled in the Syracuse University health plan automatically pay the <strong><a href="https://hr.syr.edu/benefits/health-benefits/medical/#rates" rel="noopener">Schedule A rates</a>.</strong> 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.</p> <h2>On this page:</h2> <ul> <li><strong><a href="#eligibility">Eligibility</a></strong></li> <li><strong><a href="#application">Application Process</a></strong></li> </ul> <p><a name="eligibility"></a></p> <h3>Eligibility</h3> <p>Eligibility for this program is based on household income and household size.</p> <p><strong>For 2024, the criteria is as follows:</strong></p> <table id="tablepress-106" class="tablepress tablepress-id-106"> <thead> <tr class="row-1"> <th class="column-1">Household Size</th><th class="column-2">Household Income</th> </tr> </thead> <tbody> <tr class="row-2"> <td class="column-1">1</td><td class="column-2">Less than $53,250</td> </tr> <tr class="row-3"> <td class="column-1">2</td><td class="column-2">Less than $74,550</td> </tr> <tr class="row-4"> <td class="column-1">3</td><td class="column-2">Less than $95,850</td> </tr> <tr class="row-5"> <td class="column-1">4</td><td class="column-2">Less than $117,150</td> </tr> <tr class="row-6"> <td class="column-1">5</td><td class="column-2">Less than $138,450</td> </tr> <tr class="row-7"> <td class="column-1">6 and up</td><td class="column-2">Less than $159,750</td> </tr> </tbody> </table>  <p><strong>For 2025, the criteria is as follows:</strong></p> <table id="tablepress-105" class="tablepress tablepress-id-105"> <thead> <tr class="row-1"> <th class="column-1">Household Size</th><th class="column-2">Household Income</th> </tr> </thead> <tbody> <tr class="row-2"> <td class="column-1">1</td><td class="column-2">Less than $55,061</td> </tr> <tr class="row-3"> <td class="column-1">2</td><td class="column-2">Less than $77,085</td> </tr> <tr class="row-4"> <td class="column-1">3</td><td class="column-2">Less than $99,109</td> </tr> <tr class="row-5"> <td class="column-1">4</td><td class="column-2">Less than $121,133</td> </tr> <tr class="row-6"> <td class="column-1">5</td><td class="column-2">Less than $143,157</td> </tr> <tr class="row-7"> <td class="column-1">6 and up</td><td class="column-2">Less than $165,182</td> </tr> </tbody> </table>  <p><strong>Household size</strong> 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.</p> <p><strong>Household income</strong> 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).<br /> <a name="application"></a></p> <h3>Application Process</h3> <table border="2" width="100%" cellspacing="4" cellpadding="12" align="center"> <tbody> <tr> <td> 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.</p> <p>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.</p> <p>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.</p> <p>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:</p> <ul> <li>Log into your MySlice portal.</li> <li>Under “Employee Home” select the “Employee Resources” tile.</li> <li>Within the “Employee Resources” tile select the “eForms” tile.</li> <li>Expand the “Human Resources” section by clicking on the grey triangle on the left side of the page.</li> <li>Select the appropriate Schedule B application from the list to be taken to the application: <ol> <li>If you are a current employee applying for Schedule B during Open Enrollment, select “Open Enrollment Schedule B App” from the list.</li> <li>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.</li> </ol> </li> <li>Complete the application by answering all the questions and securely uploading any required documentation.</li> <li>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.</li> <li>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.</li> </ul> </tr> </tbody> </table> <p><strong>You must re-apply each year for Schedule B Medical Rates.</strong></p> <p>Should you have any questions, please reach out to our <strong><a href="mailto:hrservice@syr.edu">HR Shared Services</a></strong> team at <strong>315.443.4042</strong>.</p> <hr /> <p><em>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.</em></p> </div> </article> </div> </div> </div> </section> <footer class="footer-primary"> <div class="container-fluid"><div class="row footer-content" role="contentinfo"> <div class="container"> <div class="row contact"></div> <div class="row social" role="navigation" aria-label="Social media"> <ul></ul></div> <div class="row accessibility"></div> <div class="row copyright"> <small> © <a class="footer-inline-link" href="https://www.syracuse.edu/" aria-label="Copyright Syracuse University">Syracuse University</a>. <em>Knowledge crowns those who seek her.</em> <span class="sep"> | </span> <div role="navigation" aria-label="Utility" style="display: inline-block;"> <ul> <li><a href="https://www.syracuse.edu/life/accessibility-diversity/accessible-syracuse/">Accessibility</a></li> <li><a href="http://middlestates.syr.edu/">Accreditation</a></li> <li><a href="https://www.syracuse.edu/about/contact/emergencies/">Emergencies</a></li> <li><a href="https://www.syracuse.edu/about/site/privacy-policy/">Privacy</a></li> </ul> </div> </small> </div> </div> </div></div> </footer> <script type='text/javascript' src='https://hr.syr.edu/wp-includes/js/dist/vendor/lodash.min.js?ver=4.17.19' id='lodash-js'></script> <script id="lodash-js-after" type="text/javascript"> window.lodash = _.noConflict(); </script> <script type='text/javascript' src='//ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js?ver=3.5.1' id='jquery-js'></script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/plugins/contact-form-7/includes/swv/js/index.js?ver=5.8' id='swv-js'></script> <script type='text/javascript' id='contact-form-7-js-extra'> /* <![CDATA[ */ var wpcf7 = {"api":{"root":"https:\/\/hr.syr.edu\/wp-json\/","namespace":"contact-form-7\/v1"}}; /* ]]> */ </script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/plugins/contact-form-7/includes/js/index.js?ver=5.8' id='contact-form-7-js'></script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/plugins/dropdown-content//js/dropdowncontent.js?ver=1.0.2' id='dropdown-content-js'></script> <script type='text/javascript' id='qppr_frontend_scripts-js-extra'> /* <![CDATA[ */ var qpprFrontData = {"linkData":{"https:\/\/hr.syr.edu\/worklife":[1,1,""],"https:\/\/hr.syr.edu\/wp-content\/uploads\/2018\/02\/173_PER_Form_01.17.2018-4-4-A.docx":[1,1,""],"https:\/\/hr.syr.edu\/wp-content\/uploads\/2020\/03\/173_PER_Template_3.31.2020.pdf":[1,1,""],"https:\/\/hr.syr.edu\/wp-content\/uploads\/2020\/04\/173_PER_Template_3.31.2020.pdf":[1,1,""],"https:\/\/hr.syr.edu\/worklife?_gl=1*1uild8z*_ga*MjU0MTY4NjI1LjE2NDI1MzY3NTQ.*_ga_QT13NN6N9S*MTY2MzA4MDA2OC40NjUuMS4xNjYzMDgwMzA4LjU1LjAuMA..":[1,1,""],"https:\/\/hr.syr.edu\/?page_id=9172":[1,0,""],"https:\/\/hr.syr.edu\/fall-2020-open-public-health-guidance\/":[0,0,""],"https:\/\/hr.syr.edu\/return-to-campus-faculty-staff\/fall-2020-open-updates-and-community-messages\/":[1,0,""],"https:\/\/hr.syr.edu\/?p=11357":[1,0,""],"https:\/\/hr.syr.edu\/blog\/2021\/10\/15\/get-a-flu-shot-not-the-flu\/":[0,0,""]},"siteURL":"https:\/\/hr.syr.edu","siteURLq":"https:\/\/hr.syr.edu"}; /* ]]> */ </script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/plugins/quick-pagepost-redirect-plugin/js/qppr_frontend_script.min.js?ver=5.2.4' id='qppr_frontend_scripts-js'></script> <script type='text/javascript' id='cobalt-js-extra'> /* <![CDATA[ */ var _COBALT = {"dppx":[1,2],"template_url":"https:\/\/hr.syr.edu\/wp-content\/themes\/cobalt-main","eventParams":{"auth":"5baeba78a11c7fa3b461e8734f94118f","group":"2399","org":"","categories":"","excludeCats":"","excludeTypes":"","removeEvents":"","homeSettings":"show_upcoming","featEvents":""},"refinement":""}; /* ]]> */ </script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/themes/cobalt-main/js/cobalt.js?ver=6.4.4' id='cobalt-js'></script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/plugins/page-links-to/dist/new-tab.js?ver=3.3.6' id='page-links-to-js'></script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/plugins/wp-gallery-custom-links/wp-gallery-custom-links.js?ver=1.1' id='wp-gallery-custom-links-js-js'></script> <script type='text/javascript' src='https://hr.syr.edu/wp-content/plugins/buttons-x/assets/js/public/btnsx.min.js?ver=0.8.6' id='btnsx-js'></script> </body> </html>