2023 Cost Sheet for Eligible Full-Time Employees
NON-REPRESENTED (including Law Faculty) 
Working 50-74% Time

(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 Biweekly

Copay Biweekly

Choice Monthly

Copay Monthly

Employee Only$354.44$452.10$767.96$979.54
Employee Plus One$779.76$994.59$1,689.48$2,154.94
Family$992.42$1,265.84$2,150.24$2,742.65

Medical Coverage: Wellness Participants

This is the premium responsibility for wellness compliant employees.

Employee Share of Premium

Choice Biweekly

Copay Biweekly

Choice Monthly

Copay Monthly

Employee Only$177.22$226.05$383.98$489.77
Employee Plus One$389.88$497.29$844.74$1,077.47
Family$496.21$632.92$1,075.12$1,371.33

Medical Coverage: Wellness Non-Participants

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

Employee Share of Premium

Choice Biweekly

Copay Biweekly

Choice Monthly

Copay Monthly

Employee Only$212.67$271.26$460.78$587.72
Employee Plus One$467.86$596.75$1,013.69$1,292.96
Family$595.45$759.50$1,290.14$1,645.59

Dental Coverage


Traditional Dental (Default Plan)Enhanced DentalPreventative 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

Vision Coverage

Enrollment Status24 Installment PremiumMonthly Premium
Employee Only$5.09$10.18
Employee Plus One$9.745$19.49
Family$15.805$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

BenefitBi-Weekly Cost (per $1,000 of coverage)Monthly Cost
AgeRateAgeRate

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

Under age 35    

$0.018

Under age 35  

$0.030
35 to 39$0.03235 to 39$0.053
40 to 44$0.04240 to 44$0.068
45 to 49$0.06945 to 49$0.113
50 to 54$0.10650 to 54$0.173
55 to 59   $0.19855 to 59$0.323
60 to 64$0.30560 to 64$0.495
65 to 69$0.58665 to 69$0.953
70+
70+$1.545

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

Under age 35

$0.042

Under age 35     

$0.072
35 to 39$0.05135 to 39$0.088
40 to 44$0.05540 to 44$0.096
45 to 49$0.08345 to 49$0.144
50 to 54 $0.13450 to 54 $0.232
55 to 59$0.25855 to 59$0.448
60 to 64$0.34260 to 64$0.592
65 to 69$0.64665 to 69$1.120
70+Not available70+Not available

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

0 to 26

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

0 to 26

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

Supplemental (Optional) AD&D Insurance

Cost per $10,000 of coverage

BenefitBi-Weekly Cost

Monthly Cost

Employee Only Coverage$0.069$0.10
Family Coverage$0.12$0.26

Short Term Disability (STD)

Per $100 of monthly base salary

BenefitWeeklyMonthly
All Eligible Groups Other Than Full-Time Faculty Coverage$.175$.379

Flexible Spending Account

BenefitMaximum Annual PledgeBi-Weekly ContributionMonthly Contribution
Health Care Account

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

$7.69 Employee Minimum*
$117.31 Employee Maximum*

$16.67 Employee Minimum
$254.17 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*

*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.

Health Savings Account**

BenefitBi-Weekly ContributionMonthly Contribution

Individual Coverage in Choice Plan
Maximum Combined Max of $3,850*

$38.46 University*
$0.00 - $109.62 Employee*

$83.33 University*
$0.00 - $237.50 Employee*

Family Coverage in Choice Plan
Maximum Combined Max of $7,750*

$76.92 University*
$0.00 - $221.15 Employee**

$166.66 University*
$0.00 - $479.17 Employee*

*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.
Additional $1,000 Catch-Up if over 55

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