2022 Cost Sheet for Eligible Full-Time Regular Employees
AFUM ONLY
(Effective 01/01/2022 – 12/31/2022)
Rates are subject to Collective Bargaining. Refer to the costs below before making your elections for 2022
Total Medical Premium
| Enrollment Status | Choice Monthly | Copay Monthly |
|---|---|---|
| Employee Only | $744.14 | $984.80 |
| Employee Plus One | $1,637.09 | $2,166.53 |
| Family | $2,083.57 | $2,757.39 |
Quality Incentive Medical Coverage: Wellness Participants
Employee Share of Premium | Choice Monthly | Copay Monthly |
|---|---|---|
| Employee Only | $82.62 | $124.59 |
| Employee Plus One | $198.44 | $295.33 |
| Family | $256.35 | $380.71 |
Quality Incentive Medical Coverage: Wellness Non-Participants
Employee Share of Premium | Choice Monthly | Copay Monthly |
|---|---|---|
| Employee Only | $157.03 | $223.07 |
| Employee Plus One | $362.15 | $511.99 |
| Family | $464.71 | $656.44 |
Dental Coverage
| Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | |
|---|---|---|---|
| Enrollment Status | Monthly Premium | Monthly Premium | Monthly Premium |
| Employee Only | $0.00 | $6.24 | $0.00 |
| Employee Plus One | $32.00 | $43.41 | $8.67 |
| Family | $81.91 | $101.41 | $42.08 |
# UMS pays 100% of the single coverage premium (traditional plan) for full-time regular employees.
Vision Coverage
| Enrollment Status | Monthly Premium |
|---|---|
| Employee Only | $9.79 |
| Employee Plus One | $18.74 |
| Family | $30.40 |
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 | |
|---|---|---|
| Age | Rate | |
Employee Coverage: Increments of salary (1x to 5x) to a maximum of $1,000,000 (combined with Basic Life) | Under age 35 | $0.030 |
| 35 to 39 | $0.053 | |
| 40 to 44 | $0.068 | |
| 45 to 49 | $0.113 | |
| 50 to 54 | $0.173 | |
| 55 to 59 | $0.323 | |
| 60 to 64 | $0.495 | |
| 65 to 69 | $0.953 | |
| 70+ | $1.545 | |
Spousal/Domestic Partner Coverage: Increments of $10,000 to a maximum of $50,000 | Under age 35 | $0.072 |
| 35 to 39 | $0.088 | |
| 40 to 44 | $0.096 | |
| 45 to 49 | $0.144 | |
| 50 to 54 | $0.232 | |
| 55 to 59 | $0.448 | |
| 60 to 64 | $0.592 | |
| 65+ | $1.120 | |
Child(ren) Coverage: | 0 to 26 | $0.28 for $5,000 |
Supplemental (Optional) AD&D Insurance
| Benefit | Monthly Cost (Per $1,000 of coverage) |
|---|---|
| Employee Only Coverage | $0.10 |
| Family Coverage | $0.26 |
Short Term Disability (STD)
| Benefit | $100 of Per-Pay Period Base Salary |
|---|---|
| Full-Time Faculty | $0.2982 |
Flexible Spending Account
| Benefit | Maximum Pledge | 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 12 (monthly) pay periods.
Health Savings Account**
| Benefit | Monthly Contribution |
|---|---|
Individual Coverage in Choice Plan: Maximum Combined Max of $3,600* | $83.33 University* |
Family Coverage in Choice Plan: Maximum Combined Max of $7,200* | $166.66 University* |
*Additional $1,000 Catch-Up if over 55
