July 2013 > Special ANNUAL ENROLLMENT Edition for UT System Retirees > 2013-2014 AE Benefits Overview

2013-2014 Annual Enrollment Benefits Overview

The 2013-2014 Annual Enrollment Benefits Overview table allows you to quickly view your insurance plan options and to easily see if there are changes to the premium rates and learn what is new within each of the plans. The last column highlights details such as the upcoming availability of the Summary of Benefits and Coverage (SBC), Evidence of Insurability (EOI) requirements, and a brief description of the Tobacco Premium Program.

Insurance Plan Premium Rates Plan Changes Additional Information
UT SELECT Medical (BCBSTX) and Prescription Drug Plan (Express Scripts) Slight premium increase. No changes to copayments, deductibles, coinsurance, or out-of-pocket maximums. No EOI required. Summary of Benefits and Coverage (SBC) available July 15.
Tobacco Premium Program (TPP) Monthly cost billed with UT SELECT Medical premium. Applies to tobacco user(s) (16 and over) enrolled in the UT SELECT Medical plan. Monthly cost based on three categories: Member $30, Spouse $30, and Child(ren) $30. Maximum of $90 per family per month for three or more tobacco users.
UT SELECT Dental
(Delta Dental)
No changes. No changes. Ideal for standard dental care needs.
UT SELECT Dental Plus
(Delta Dental)
No changes. No changes. Higher annual benefit maximum that coordinates with UT SELECT Dental.
DeltaCare USA
Dental HMO
(Delta Dental)
No changes. No changes. Ideal for controlling out-of-pocket costs through limited provider network.
Vision
(Superior Vision)
No changes. No changes. Ideal for standard vision care needs.
Vision Plus
(Superior Vision)
No changes. No changes. Higher allowances than standard vision plan for frames, contacts, and progressive lenses, plus expanded benefits for lens options
Long Term Care (CNA) New rates. New plan design. EOI required, must be submitted directly through CNA.
Voluntary Group Term Life (Dearborn National) No changes. No changes. EOI required.