UT Benefits Rates for Employees & Retirees for plan year 2020-2021
There are no changes to premiums for the 2020-2021 plan year. This is the third year since September 1, 2016 with no rate increase for UT SELECT Medical. The cost of full-time, benefits-eligible employee only medical coverage (for UT SELECT and UT CONNECT) continues to be $0. Age and salary-based premiums may change depending on your age and salary as of September 1, 2020.
| PLAN | EMPLOYEE/RETIREE |
EMPLOYEE/RETIREE SPOUSE |
EMPLOYEE/RETIREE CHILD(REN) |
EMPLOYEE/RETIREE FAMILY |
| UT SELECT Medical Full-time & Retirees |
$0 |
$270.42 |
$282.82 |
$532.52 |
| UT CONNECT* Medical Full-time & Retirees |
$0 DFW only |
$243.38 DFW only |
$254.54 DFW only |
$479.26 DFW only |
| UT SELECT Medical Part-time Employees |
$314.02 |
$749.04 |
$702.16 |
$1,117.46 |
| UT CONNECT* Medical Part-time Employees |
$314.02 DFW only |
$749.04 DFW only |
$702.16 DFW only |
$1,117.46 DFW only |
| UT SELECT Dental |
$28.52 | $54.14 | $59.66 | $84.84 |
| UT SELECT Dental Plus |
$61.40 | $116.60 | $128.66 | $183.30 |
| Delta Dental HMO |
$8.80 | $16.74 | $18.50 | $26.40 |
| Superior Vision |
$5.90 | $9.30 | $9.52 | $15.10 |
| Superior Vision Plus |
$9.00 | $14.08 | $15.08 | $21.30 |
| Tobacco Premium Program |
$0 to $90 per month based upon tobacco user status |
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* UT CONNECT is an Accountable Care Organization medical plan available for certain Employees and Retirees living in the Dallas/Fort Worth area only.
Basic Coverage package for Employees includes medical, prescription, $40K Basic Life, and $40K Basic AD&D.
Basic Coverage package for Retirees includes medical, prescription, and $6K Basic Life.
Voluntary Group Term Life Rates
Please be sure to review the rate associated with your age as of September 1, 2020.
| EMPLOYEE/RETIREE RATE CHART | |
|
Age of Subscriber |
Rate per $1,000 Coverage |
| 15 - 34 | $0.037 |
| 35 - 39 | $0.047 |
| 40 - 44 | $0.063 |
| 45 - 49 | $0.097 |
| 50 - 54 | $0.150 |
| 55 - 59 | $0.233 |
| 60 - 64 | $0.364 |
| 65 - 69 | $0.650 |
| 70 - 74 | $0.752 |
| 75 - 79 | $0.932 |
| 80 and over | $1.634 |
Enrollment in any amount of Spouse or Dependent Voluntary Group Term Life coverage (VGTL) requires that the Employee or Retiree be enrolled in VGTL.
Enrollment in Employee Spouse VGTL at the levels shown in the table below requires enrollment in $10,000 Spouse & Dependent VGTL coverage, which is available at a monthly premium cost of $2.87 (regardless of the age of the spouse or the number of dependent children being covered).
Retiree Spouse VGTL coverage is available in the amount of $3,000 at a monthly premium cost of $1.83.
| EMPLOYEE SPOUSE RATE CHART | |
|
Age of Subscriber |
Rate per $1,000 Coverage |
| 15 - 24 | $0.053 |
| 25 - 29 | $0.054 |
| 30 - 34 | $0.057 |
| 35 - 39 | $0.072 |
| 40 - 44 | $0.101 |
| 45 - 49 | $0.154 |
| 50 - 54 | $0.241 |
| 55 - 59 | $0.376 |
| 60 - 64 | $0.574 |
| 65 - 69 | $0.857 |
| 70 - 74 | $1.167 |
| 75 - 79 | $1.446 |
| 80 and over | $2.536 |
Other Premium Rates
|
VOLUNTARY ACCIDENTAL Employees Only |
SHORT-TERM & LONG-TERM Employees Only |
|
| Monthly Premium Rate | Monthly Premium Rates | |
| $0.14 per $10,000 coverage | Short Term Disability | $0.27 per $100 of monthly income |
| Long Term Disability | $0.38 per $100 of monthly income |
|