2022 Cost Sheet for Eligible Part-Time Regular Employees
ACSUM & UMPSA Working 75-99% Time
(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 Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
|---|---|---|---|---|
| Employee Only | $343.45 | $438.07 | $744.14 | $949.16 |
| Employee Plus One | $755.58 | $963.75 | $1,637.09 | $2,088.12 |
| Family | $961.65 | $1,226.58 | $2,083.57 | $2,657.60 |
Quality Incentive Medical Coverage: Wellness Participants
Quality Incentive Medical Coverage: Wellness Participants
Employee Share of Premium | Choice Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
|---|---|---|---|---|
| Employee Only | $137.38 | $179.09 | $297.66 | $388.03 |
| Employee Plus One | $302.23 | $394.00 | $654.84 | $853.66 |
| Family | $384.66 | $501.45 | $833.43 | $1,086.47 |
Quality Incentive Medical Coverage: Wellness Non-Participants
Employee Share of Premium | Choice Biweekly | Copay Biweekly | Choice Monthly | Copay Monthly |
|---|---|---|---|---|
| Employee Only | $171.72 | $223.86 | $372.07 | $485.04 |
| Employee Plus One | $377.79 | $492.50 | $818.55 | $1,067.08 |
| Family | $480.82 | $626.81 | $1,041.79 | $1,358.09 |
Dental Coverage
| Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | ||||
|---|---|---|---|---|---|---|
Biweekly Premium | Monthly Premium | Biweekly Premium | Monthly Premium | Biweekly Premium | Monthly Premium | |
| Employee Only | $9.64 | $19.27 | $11.20 | $22.39 | $6.45 | $12.90 |
| Employee Plus One | $25.64 | $51.27 | $29.78 | $59.56 | $17.21 | $34.31 |
| Family | $50.59 | $101.18 | $58.78 | $117.56 | $33.86 | $67.71 |
# 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 | $4.90 | $9.79 |
| Employee Plus One | $9.37 | $18.74 |
| Family | $15.20 | $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 | Bi-Weekly Cost (per $1,000 of coverage) | Monthly Cost | ||
|---|---|---|---|---|
| Age | Rate | Age | Rate | |
Employee Coverage: | Under age 35 | $0.018 | Under age 35 | $0.030 |
| 35 to 39 | $0.032 | 35 to 39 | $0.053 | |
| 40 to 44 | $0.042 | 40 to 44 | $0.068 | |
| 45 to 49 | $0.069 | 45 to 49 | $0.113 | |
| 50 to 54 | $0.106 | 50 to 54 | $0.173 | |
| 55 to 59 | $0.198 | 55 to 59 | $0.323 | |
| 60 to 64 | $0.305 | 60 to 64 | $0.495 | |
| 65 to 69 | $0.586 | 65 to 69 | $0.953 | |
| 70+ | 70+ | $1.545 | ||
Spousal/Domestic Partner Coverage: | Under age 35 | $0.042 | Under age 35 | $0.072 |
| 35 to 39 | $0.051 | 35 to 39 | $0.088 | |
| 40 to 44 | $0.055 | 40 to 44 | $0.096 | |
| 45 to 49 | $0.083 | 45 to 49 | $0.144 | |
| 50 to 54 | $0.134 | 50 to 54 | $0.232 | |
| 55 to 59 | $0.258 | 55 to 59 | $0.448 | |
| 60 to 64 | $0.342 | 60 to 64 | $0.592 | |
| 65 to 69 | $0.646 | 65 to 69 | $1.120 | |
| 70+ | Not available | 70+ | Not available | |
Child(ren) Coverage: | 0 to 26 | $0.13 for $5,000 | 0 to 26 | $0.28 for $5,000 |
Supplemental (Optional) AD&D Insurance
Per $10,000 of coverage.
| Benefit | Bi-Weekly Cost | Monthly Cost |
|---|---|---|
| Employee Only Coverage | $0.069 | $0.10 |
| 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 | $0.2982 |
Flexible Spending Account
| Benefit | Annual Pledge Limits | Bi-Weekly Contribution | Monthly Contribution |
|---|---|---|---|
| Health Care Account | Minimum annual pledge of $200 | $7.69 Employee Minimum* | $16.67 Employee Minimum |
| Dependent Day Care Account | Minimum annual pledge of $200 | $7.69 Employee Minimum* | $16.67 Employee Minimum |
*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.
Health Savings Account**
| Benefit | Bi-Weekly Contribution | Monthly Contribution |
|---|---|---|
Individual Coverage in Choice Plan | $38.46 University* | $83.33 University* |
Family Coverage in Choice Plan | $76.92 University* | $166.66 University* |
*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.
Additional $1,000 Catch-Up if over 55
