2023 Cost Sheet for Eligible Full-Time Employees
ACSUM & UMPSA & Police
(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 | $462.06 | $767.96 | $1,001.13 |
| Employee Plus One | $779.76 | $1,016.51 | $1,689.48 | $2,202.44 |
| Family | $992.42 | $1,293.74 | $2,150.24 | $2,803.10 |
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 | $38.86 | $55.17 | $84.19 | $119.53 |
| Employee Plus One | $93.33 | $131.36 | $202.21 | $284.62 |
| Family | $120.56 | $169.46 | $261.22 | $367.16 |
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 | $74.30 | $101.38 | $160.98 | $219.65 |
| Employee Plus One | $171.30 | $233.01 | $371.16 | $504.86 |
| Family | $219.81 | $298.83 | $476.25 | $647.47 |
Dental Coverage
| Traditional Dental (Default Plan) | Enhanced Dental | Preventative Dental | ||||
|---|---|---|---|---|---|---|
Biweekly Premium | Monthly Premium | Biweekly Premium | Monthly Premium | Biweekly Premium | Monthly Premium | |
| Employee Only | $0.00 | $0.00 | $3.12 | $6.24 | $0.00 | $0.00 |
| Employee Plus One | $16.00 | $32.00 | $21.71 | $43.41 | $4.34 | $8.67 |
| Family | $40.96 | $81.91 | $50.71 | $101.41 | $21.04 | $42.08 |
# 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 | $5.09 | $10.18 |
| Employee Plus One | $9.75 | $19.49 |
| Family | $15.81 | $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
| Benefit | Bi-Weekly Cost (per $1,000 of coverage) | Monthly Cost | ||
|---|---|---|---|---|
| Age | Rate | Age | Rate | |
Employee Coverage: | Under age 35 | $0.013 | Under age 35 | $0.030 |
| 35 to 39 | $0.024 | 35 to 39 | $0.053 | |
| 40 to 44 | $0.031 | 40 to 44 | $0.068 | |
| 45 to 49 | $0.052 | 45 to 49 | $0.113 | |
| 50 to 54 | $0.079 | 50 to 54 | $0.173 | |
| 55 to 59 | $0.149 | 55 to 59 | $0.323 | |
| 60 to 64 | $0.228 | 60 to 64 | $0.495 | |
| 65 to 69 | $0.439 | 65 to 69 | $0.953 | |
| 70+ | $0.713 | 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 | $0.046 | $0.10 |
| Family Coverage | $0.12 | $0.26 |
Short Term Disability (STD)
$100 of Per-Pay Period Base Salary
| Benefit | Biweekly | Monthly |
|---|---|---|
| EE cost is: | EE cost is: | |
| Non-Faculty | $.175 | $.379 |
Flexible Spending Account
| Benefit | Maximum Pledge | Monthly Contribution |
|---|---|---|
| Health Care Account | Minimum annual pledge of $200 | $16.67 Employee Minimum |
| Dependent Day Care Account | Minimum annual pledge of $200 | $16.67 Employee Minimum |
*Maximum estimated amounts are based on 26 (biweekly) & 12 (monthly) pay periods.
Health Savings Account**
| Benefit | Monthly Contribution |
|---|---|
Individual Coverage in Choice Plan: Maximum Combined Max of $3,600* | $83.33 University* |
Family Coverage in Choice Plan: Maximum Combined Max of $7,200* | $166.66 University* |
Additional $1,000 Catch-Up if over 55
