2023 Cost Sheet for Eligible Full-Time Regular Employees
AFUM ONLY
(Effective 01/01/2023 – 12/31/2023)

Rates are subject to Collective Bargaining. Refer to the costs below before making your elections for 2023

Total Medical Premium

This is the combination of what the University pays and what the employee pays.

Enrollment Status

Choice Monthly

Copay Monthly

Employee Only$767.96$1,016.32
Employee Plus One$1,689.48$2,235.86
Family$2,150.24$2,845.63

Medical Coverage: Wellness Participants

This is the premium responsibility for wellness compliant employees.

Employee Share of Premium

Choice Monthly

Copay Monthly

Employee Only$84.19$126.96
Employee Plus One$202.21$300.94
Family$261.22$387.94

Medical Coverage: Wellness Non-Participants

This is the premium responsibility for wellness non-compliant employees.

Employee Share of Premium

Choice Monthly

Copay Monthly

Employee Only$160.98$228.59
Employee Plus One$371.16$524.53
Family$476.25$672.50

 Dental Coverage


Traditional Dental (Default Plan)Enhanced DentalPreventative 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 StatusMonthly Premium
Employee Only$10.18
Employee Plus One$19.49
Family$31.61

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

BenefitMonthly Cost
AgeRate

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:
$5,000 or $10,000 benefit per child

0 to 26

$0.28 for $5,000
$0.55 for $10,000

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$100 of Per-Pay Period Base Salary
Full-Time Faculty$.690

Flexible Spending Account

BenefitMaximum PledgeMonthly Contribution
Health Care Account

Minimum annual pledge of $200
Maximum annual pledge of $3,050

$16.67 Employee Minimum
$254.17 Employee Maximum*

Dependent Day Care Account

Minimum annual pledge of $200
Maximum annual pledge of $5,000

$16.67 Employee Minimum
$416.67 Employee Maximum*

*Maximum estimated amounts are based on 12 (monthly) pay periods.

Health Savings Account**

BenefitMonthly Contribution

Individual Coverage in Choice Plan: Maximum Combined Max of $3,600*

$83.33 University*
$0.00 - $237.50 Employee*

Family Coverage in Choice Plan: Maximum Combined Max of $7,200*

$166.66 University*
$0.00 - $479.17 Employee*

*Additional $1,000 Catch-Up if over 55

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