2022 Cost Sheet for Eligible
Part-Time Faculty
(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 | $949.16 |
| Employee Plus One | $1,637.09 | $2,088.12 |
| Family | $2,083.57 | $2,657.60 |
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 | $297.66 | $379.66 | $372.07 | $474.58 | $260.45 | $332.21 | $446.48 |
| Employee Plus One | $654.84 | $835.25 | $818.55 | $1,044.06 | $572.98 | $730.84 | $982.25 |
| Family | $833.43 | $1,063.04 | $1,041.79 | $1,328.80 | $729.25 | $930.16 | $1,250.14 |
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 | $372.07 | $474.58 | $446.48 | $569.50 | $334.86 | $427.12 | $446.48 |
| Employee Plus One | $818.55 | $1,044.06 | $982.25 | $1,252.87 | $736.69 | $939.65 | $982.25 |
| Family | $1,041.79 | $1,328.80 | $1,250.14 | $1,594.56 | $937.61 | $1,195.92 | $1,250.14 |
Dental Coverage
| Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | ||||
|---|---|---|---|---|---|---|
Monthly Temp Premium | Monthly Regular Premium | Monthly Temp Premium | Monthly Regular Premium | Monthly Temp Premium | Monthly Regular Premium | |
| Employee Only | $15.42 | $19.27 | $17.91 | $22.39 | $10.32 | $12.90 |
| Employee Plus One | $47.42 | $51.27 | $55.08 | $59.56 | $31.74 | $34.31 |
| Family | $97.33 | $101.18 | $113.08 | $117.56 | $65.14 | $67.71 |
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: | 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: | 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 $0.55 for $10,000 |
Supplemental (Optional) AD&D Insurance
Per $10,000 of coverage.
| Benefit | Monthly Cost |
|---|---|
| Employee Only Coverage | $0.10 |
| 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 | $0.2982 |
Flexible Spending Account
| Benefit | Annual Pledge Limits | 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
