2021 Cost Sheet for Eligible Full-Time & Part-Time Service & Maintenance Unit Members (Biweekly)
(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 | Copay Biweekly |
|---|---|
| Employee Only | $411.51 |
| Employee Plus One | $905.31 |
| Family | $1,152.20 |
Quality Incentive Medical Coverage: Wellness Participants
Employee Share of Premium | Copay Full-Time | Copay Part-Time 75-99% | Copay Part-Time 50-74% |
|---|---|---|---|
| Employee Only | $49.61 | $164.60 | $205.75 |
| Employee Plus One | $116.21 | $362.12 | $452.65 |
| Family | $147.90 | $460.88 | $576.10 |
Quality Incentive Medical Coverage: Wellness Non-Participants
Employee Share of Premium | Copay Full-Time | Copay Part-Time 75-99% | Copay Part-Time 50-74% |
|---|---|---|---|
| Employee Only | $90.76 | $205.75 | $246.91 |
| Employee Plus One | $206.74 | $452.65 | $543.18 |
| Family | $263.12 | $576.10 | $691.32 |
Dental Coverage
| Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | |
|---|---|---|---|
| Enrollment Status | Biweekly Premium | Biweekly Premium | Biweekly Premium |
| Employee Only | $0.00 | $3.47 | $0.00 |
| Employee Plus One | $17.78 | $24.12 | $4.82 |
| Family | $45.51 | $56.34 | $23.38 |
# UMS pays 100% of the single coverage premium (traditional plan) for full-time regular employees.
Vision Coverage
| Enrollment Status | 24 Installment Premium |
|---|---|
| Employee Only | $4.61 |
| Employee Plus One | $8.84 |
| Family | $14.34 |
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 | Bi-Weekly Cost (per $1,000 of coverage) |
|---|---|
Employee Coverage: | Under age 35 $0.02 |
Spousal/Domestic Partner Coverage: | Under age 35 $0.04 |
Child(ren) Coverage: | $0.13 for $5,000 |
Supplemental (Optional) AD&D Insurance
| Benefit | Bi-Weekly Cost (per $1,000 of coverage) |
|---|---|
| Employee Only Coverage | $0.07 |
| Family Coverage | $0.12 |
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 | Bi-Weekly Contribution |
|---|---|
Health Care Account Minimum annual pledge of $200 | $7.69 Employee Minimum* |
Dependent Day Care Account Minimum annual pledge of $200 | $7.69 Employee Minimum* |
*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.
