2020 Cost Sheet for Eligible Part-Time Regular Employees
ACSUM & UMPSA Working 75-99% Time
(Effective 01/01/2021 – 12/31/2021)
Rates are subject to Collective Bargaining. Refer to the costs below before making your elections for 2020
Total Medical Premium
Enrollment Status | Choice Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
---|---|---|---|---|
Employee Only | $318.27 | $414.09 | $689.58 | $897.20 |
Employee Plus One | $700.18 | $910.98 | $1,517.06 | $1,973.80 |
Family | $891.14 | $1,159.43 | $1,930.80 | $2,512.10 |
Quality Incentive Medical Coverage: Wellness Participants
Employee Share of Premium | Choice Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
---|---|---|---|---|
Employee Only | $127.31 | $165.64 | $275.83 | $358.88 |
Employee Plus One | $280.07 | $364.39 | $606.82 | $789.52 |
Family | $356.46 | $463.77 | $772.32 | $1,004.84 |
Quality Incentive Medical Coverage: Wellness Non-Participants
Employee Share of Premium | Choice Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
---|---|---|---|---|
Employee Only | $159.13 | $207.05 | $344.79 | $448.60 |
Employee Plus One | $350.09 | $455.49 | $758.53 | $986.90 |
Family | $445.57 | $579.72 | $965.40 | $1,256.05 |
Dental Coverage
Enrollment Status | Biweekly Premium | Monthly Premium |
---|---|---|
Employee Only | $10.71 | $21.41 |
Employee Plus One | $28.49 | $56.97 |
Family | $56.21 | $112.42 |
# UMS pays 100% of the single coverage premium (traditional plan) for full-time regular employees.
Vision Coverage
Enrollment Status | 24 Installment Premium | Monthly Premium |
---|---|---|
Employee Only | $4.19 | $8.39 |
Employee Plus One | $8.03 | $16.07 |
Family | $13.03 | $26.07 |
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) | Monthly Cost |
---|---|---|
Employee Coverage: | Under age 35 $0.02 | Under age 35 $0.04 |
Spousal/Domestic Partner Coverage: | Under age 35 $0.04 | Under age 35 $0.09 |
Child(ren) Coverage: | $0.13 for $5,000 | $0.28 for $5,000 |
Supplemental (Optional) AD&D Insurance
Benefit | Bi-Weekly Cost (per $1,000 of coverage) | Monthly Cost per $10,000 of Coverage |
---|---|---|
Employee Only Coverage | $0.07 | $0.15 |
Family Coverage | $0.12 | $0.26 |
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 | Monthly Contribution |
---|---|---|
Health Care Account Minimum annual pledge of $200 | $7.41 Employee Minimum* | $16.67 Employee Minimum |
Dependent Day Care Account Minimum annual pledge of $200 | $7.41 Employee Minimum* | $16.67 Employee Minimum |
*Maximum estimated amounts are based on 27 (biweekly) & 12 (monthly) pay periods.
Health Savings Account**
Benefit | Bi-Weekly Contribution | Monthly Contribution |
---|---|---|
Individual Coverage in Choice Plan | $37.04 University* | $83.33 University* |
Family Coverage in Choice Plan | $74.07 University* | $166.66 University* |
*Maximum estimated amounts are based on 27 (biweekly) & 12 (monthly) pay periods.
Additional $1,000 Catch-Up if over 55