Page title

Premium Rates

Main page content

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

* 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
on 9/01/20

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
on 9/01/20

Rate per $1,000 Coverage
(available coverage amounts are $15,000 and $40,000)

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
DEATH & DISMEMBERMENT

Employees Only

SHORT-TERM & LONG-TERM
DISABILITY

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