Premium Rates

Body

UT Benefits Rates for Employees & Retirees for plan year 2018-2019

There are no increases to any out-of-pocket premium rates for the 2018-2019 plan year. Age and salary-based premiums may change depending on your age and salary as of September 1, 2018.

PLAN EMPLOYEE/
RETIREE

EMPLOYEE/RETIREE 
& SPOUSE

EMPLOYEE/RETIREE 
& CHILD(REN)

EMPLOYEE/RETIREE 
& FAMILY

UT SELECT
Medical
Full-time & Retirees

$0

$257.53

$269.34

$507.15
UT CONNECT*
Medical
Full-time & Retirees
$0
DFW only
$231.78
DFW only
$242.41
DFW only
$456.44
DFW only
UT SELECT
Medical
Part-time Employees

$299.07

$713.37

$668.72

$1,064.24
UT CONNECT*
Medical
Part-time Employees
$299.07
DFW only
$713.37
DFW only
$668.72
DFW only
$1,064.24
DFW only
UT SELECT
Dental
$28.51 $54.13 $59.66 $84.83
UT SELECT
Dental Plus
$59.03 $112.11 $123.70 $176.24
UT SELECT
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

* 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, 2018.

EMPLOYEE/RETIREE RATE CHART

Age of Subscriber
on 9/01/18

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
Death & Dismemberment

Employees Only

Short-Term and 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