2021 UMPSA & ACSUM (COLT): Part-Time 50-74% FTE Rates

Employee Coverage:
Increments of salary (1x to 5x) to a maximum of $1,000,000 (combined with Basic Life)

Under age 35      $0.02
35 to 39              $0.03
40 to 44              $0.04
45 to 49              $0.07
50 to 54              $0.11
55 to 59              $0.20
60 to 64              $0.31
65 to 69              $0.59
70+                    Not Available

Under age 35      $0.04
35 to 39              $0.07
40 to 44              $0.09
45 to 49              $0.15
50 to 54              $0.23
55 to 59              $0.43
60 to 64              $0.66
65 to 69              $1.27
70+                    Not Available

Spousal/Domestic Partner Coverage:
Increments of $10,000 to a maximum of $50,000

Under age 35      $0.09
35 to 39              $0.11
40 to 44              $0.12
45 to 49              $0.18
50 to 54              $0.29
55 to 59              $0.56
60 to 64              $0.74
65 to 69              $1.40
70+                    Not Available

Child(ren) Coverage:
$5,000 or $10,000 benefit per child

$0.13 for $5,000
$0.25 for $10,000

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

Health Care Account

Minimum annual pledge of $200
Maximum annual pledge of $2,700

$7.69 Employee Minimum*
$103.84 Employee Maximum*

$16.67 Employee Minimum
$229.17 Employee Maximum*

Dependent Day Care Account

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

$7.69 Employee Minimum*
$192.30 Employee Maximum*

$16.67 Employee Minimum
$416.67 Employee Maximum*

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

$38.46 University*
$0.00 - $100.00 Employee*

$83.33 University*
$0.00 - $216.66 Employee*

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

$76.92 University*
$0.00 - $200.00 Employee**

$166.66 University*
$0.00 - $433.33 Employee*