2021 Cost Sheet for Eligible Full-Time Employees
NON-REPRESENTED (including Law 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 Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
---|---|---|---|---|
Employee Only | $324.31 | $413.67 | $702.68 | $896.28 |
Employee Plus One | $713.49 | $910.06 | $1,545.89 | $1,971.79 |
Family | $908.07 | $1,158.25 | $1,967.49 | $2,509.54 |
Quality Incentive Medical Coverage: Wellness Participants
Employee Share of Premium | Choice Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
---|---|---|---|---|
Employee Only | $33.86 | $44.10 | $73.37 | $95.54 |
Employee Plus One | $81.77 | $106.23 | $177.17 | $230.17 |
Family | $105.72 | $137.30 | $229.06 | $297.48 |
Quality Incentive Medical Coverage: Wellness Non-Participants
Employee Share of Premium | Choice Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
---|---|---|---|---|
Employee Only | $66.30 | $85.46 | $143.64 | $185.17 |
Employee Plus One | $153.12 | $197.24 | $331.75 | $427.35 |
Family | $196.53 | $253.13 | $425.81 | $548.44 |
Dental Coverage
Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | ||||
---|---|---|---|---|---|---|
Biweekly Premium | Monthly Premium | Biweekly Premium | Monthly Premium | Biweekly Premium | Monthly Premium | |
Employee Only | $0.00 | $0.00 | $3.47 | $6.94 | $0.00 | $0.00 |
Employee Plus One | $17.78 | $35.56 | $24.12 | $48.24 | $4.82 | $9.63 |
Family | $45.51 | $91.01 | $56.34 | $112.68 | $23.38 | $46.75 |
# UMS pays 100% of the single coverage premium (traditional plan) for full-time regular employees.
Vision Coverage
Enrollment Status | 24 Installment Premium | Monthly Premium |
---|---|---|
Employee Only | $4.62 | $9.23 |
Employee Plus One | $8.84 | $17.68 |
Family | $14.34 | $28.68 |
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 | Bi-Weekly Cost (per $1,000 of coverage) | Monthly Cost |
---|---|---|
Employee Coverage: | Under age 35 $0.02 | Under age 35 $0.04 |
Spousal/Domestic Partner Coverage: | Under age 35 $0.04 | Under age 35 $0.09 |
Child(ren) Coverage: | $0.13 for $5,000 | $0.28 for $5,000 |
Supplemental (Optional) AD&D Insurance
Benefit | Bi-Weekly Cost (per $1,000 of coverage) | Monthly Cost per $10,000 of Coverage |
---|---|---|
Employee Only Coverage | $0.07 | $0.15 |
Family Coverage | $0.12 | $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 | Bi-Weekly Contribution | Monthly Contribution |
---|---|---|
Health Care Account Minimum annual pledge of $200 | $7.69 Employee Minimum* | $16.67 Employee Minimum |
Dependent Day Care Account Minimum annual pledge of $200 | $7.69 Employee Minimum* | $16.67 Employee Minimum |
*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.
Health Savings Account**
Benefit | Bi-Weekly Contribution | Monthly Contribution |
---|---|---|
Individual Coverage in Choice Plan | $38.46 University* | $83.33 University* |
Family Coverage in Choice Plan | $76.92 University* | $166.66 University* |