2020 Cost Sheet for Eligible
Part-Time Faculty
(Effective 01/01/2021 – 12/31/2021)
Rates are subject to Collective Bargaining. Refer to the costs below before making your elections for 2021
Total Medical Premium
| Enrollment Status | Choice Monthly | Copay Monthly |
|---|---|---|
| Employee Only | $689.58 | $879.57 |
| Employee Plus One | $1,517.06 | $1,935.02 |
| Family | $1,930.80 | $2,462.75 |
Quality Incentive Medical Coverage: Wellness Participants
Employee Share of Premium | Choice PT Temp | Copay PT Temp | Choice PT Regular | Copay PT Regular | Choice AYA | Copay AYA | Choice 10 CH |
|---|---|---|---|---|---|---|---|
| Employee Only | $275.83 | $351.83 | $344.79 | $439.79 | $241.35 | $307.85 | $413.75 |
| Employee Plus One | $606.82 | $774.01 | $758.53 | $967.51 | $530.97 | $677.26 | $910.24 |
| Family | $772.32 | $985.10 | $965.40 | $1,231.38 | $675.78 | $861.96 | $1,158.48 |
Quality Incentive Medical Coverage: Wellness Non-Participants
Employee Share of Premium | Choice PT Temp | Copay PT Temp | Choice PT Regular | Copay PT Regular | Choice AYA | Copay AYA | Choice 10 CH |
|---|---|---|---|---|---|---|---|
| Employee Only | $344.79 | $439.79 | $413.75 | $527.74 | $310.31 | $395.81 | $413.75 |
| Employee Plus One | $758.53 | $967.51 | $910.24 | $1,161.01 | $682.68 | $870.76 | $910.24 |
| Family | $965.40 | $1,231.38 | $1,158.48 | $1,477.65 | $868.86 | $1,108.24 | $1,158.48 |
Dental Coverage - PT Regular
| Dental - PT Regular | Dental - PT Temp | |
|---|---|---|
| Enrollment Status | Monthly Premium | Monthly Premium |
| Employee Only | $21.41 | $17.13 |
| Employee Plus One | $56.97 | $52.69 |
| Family | $112.42 | $108.13 |
Vision Coverage
| Enrollment Status | Monthly Premium |
|---|---|
| Employee Only | $8.39 |
| Employee Plus One | $16.07 |
| Family | $26.07 |
Important Note
Domestic Partner Enrollment: In accordance with IRS regulations, premiums for Domestic Partner health coverage (medical, dental, and vision) will be withheld on an after-tax basis. Also, the value of benefits provided by the University (health) will be taxable. Contact the UMS Employee Benefits Center for more information.
Supplemental (Optional) Life Insurance
| Benefit | Monthly Cost |
|---|---|
Employee Coverage: | Under age 35 $0.04 |
Spousal/Domestic Partner Coverage: | Under age 35 $0.09 |
Child(ren) Coverage: | $0.28 for $5,000 |
Supplemental (Optional) AD&D Insurance
| Benefit | Monthly Cost per $10,000 of Coverage |
|---|---|
| Employee Only Coverage | $0.15 |
| Family Coverage | $0.26 |
Short Term Disability (STD)
| Benefit | $100 of Per-Pay Period Base Salary |
|---|---|
| All Eligible Groups Other Than Full-Time Faculty Coverage | $0.6462 |
Flexible Spending Account
| Benefit | Monthly Contribution |
|---|---|
Health Care Account Minimum annual pledge of $200 | $16.67 Employee Minimum |
Dependent Day Care Account Minimum annual pledge of $200 | $16.67 Employee Minimum |
*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.
Health Savings Account**
| Benefit | Monthly Contribution |
|---|---|
Individual Coverage in Choice Plan | $83.33 University* |
Family Coverage in Choice Plan | $166.66 University* |
*Maximum estimated amounts are based 12 (monthly) pay periods.
Additional $1,000 Catch-Up if over 55
