UT Benefits Rates for Employees & Retirees for plan year 2019-2020
Effective September 1, 2019, the cost of UT SELECT and UT CONNECT Medical, and UT SELECT Dental Plus coverage will increase slightly. The cost of full-time benefits-eligible employee only coverage will not change. Age and salary-based premiums such as life and disability may change depending on your age and salary as of September 1, 2019.
| PLAN | EMPLOYEE/RETIREE |
EMPLOYEE/RETIREE SPOUSE |
EMPLOYEE/RETIREE CHILD(REN) |
EMPLOYEE/RETIREE FAMILY |
| UT SELECT Medical Full-time & Retirees |
$0 |
$270.41 |
$282.81 |
$532.51 |
| UT CONNECT* Medical Full-time & Retirees |
$0 DFW only |
$243.37 DFW only |
$254.53 DFW only |
$479.26 DFW only |
| UT SELECT Medical Part-time Employees |
$314.02 |
$749.04 |
$702.16 |
$1,117.45 |
| UT CONNECT* Medical Part-time Employees |
$314.02 DFW only |
$749.04 DFW only |
$702.16 DFW only |
$1,117.45 DFW only |
| UT SELECT Dental |
$28.51 | $54.13 | $59.66 | $84.83 |
| UT SELECT Dental Plus |
$61.39 | $116.59 | $128.65 | $183.29 |
| Delta Dental HMO |
$8.80 | $16.73 | $18.49 | $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, 2019.
| 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 - 74 | $0.932 |
| 80 and over | $1.634 |
Spouse rates available in My UT Benefits.
|
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 |
|