2021 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 | $702.68 | $896.28 |
| Employee Plus One | $1,545.89 | $1,971.79 |
| Family | $1,967.49 | $2,509.54 |
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 | $281.07 | $358.51 | $351.34 | $448.14 | $245.94 | $313.70 | $421.61 |
| Employee Plus One | $618.36 | $788.72 | $772.95 | $985.90 | $541.06 | $690.13 | $927.53 |
| Family | $787.00 | $1,003.82 | $983.75 | $1,254.77 | $688.62 | $878.34 | $1,180.49 |
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 | $351.34 | $448.14 | $421.61 | $537.77 | $316.21 | $403.33 | $421.61 |
| Employee Plus One | $772.95 | $788.72 | $927.53 | $1,183.07 | $541.06 | $887.31 | $927.53 |
| Family | $983.75 | $1,254.77 | $1,180.49 | $1,505.72 | $885.37 | $1,129.29 | $1,180.49 |
Dental Coverage - PT Regular
| Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | |
|---|---|---|---|
Monthly Premium | Monthly Premium | Monthly Premium | |
| Employee Only | $21.41 | $24.88 | $14.33 |
| Employee Plus One | $56.97 | $66.19 | $38.12 |
| Family | $112.42 | $130.62 | $75.24 |
Dental Coverage - PT Temp
| Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | |
|---|---|---|---|
Monthly Premium | Monthly Premium | Monthly Premium | |
| Employee Only | $17.13 | $19.90 | $11.46 |
| Employee Plus One | $52.69 | $61.21 | $35.26 |
| Family | $108.13 | $125.64 | $72.37 |
Vision Coverage
| Enrollment Status | Monthly Premium |
|---|---|
| Employee Only | $9.23 |
| Employee Plus One | $17.68 |
| Family | $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 | 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
