Historical Benefit Plan Premiums
Health Insurance
2015
- Employee Contribution for the: 2015 Plan Year
- Classified and Unclassified Employees 2015 HDHP | 2015 HMO/PPO
- Employees Employed Less Than Half-Time (classified, unclassified) 2015 HDHP | 2015 HMO/PPO
- Employer Contribution for Less than Full-Time Appointments
- Craftsworkers 2015 HDHP | 2015 HMO/PPO
- Graduate Assistants 2015
- COBRA 2015 HDHP | 2015 HMO/PPO
- Retirees 2015
2014
- Combined Premiums Document
- Classified and Unclassified Employees
- Employees Employed Less Than Half-Time (Classified, Unclassified)
- Craftsworkers
- Graduate Assistants
- COBRA
- Retirees
2013
- Combined Premiums Document
- Classified and Unclassified Employees
- Employees Employed Less Than Half-Time (Classified, Unclassified)
- Craftsworkers
- Graduate Assistants
- COBRA
- Retirees
2012
- Combined Premiums Document
- Classified and Unclassified Employees
- Employees Employed Less Than Half-Time (Classified, Unclassified)
- Craftsworkers
- Graduate Assistants
- COBRA
- Retirees
2011 (8/26/2011 - 12/31/2011)
- Classified and Unclassified Employees
- Employees Employed Less Than Half-Time (Classified, Unclassified)
- Craftsworkers
- Graduate Assistants
- COBRA
- Retirees
2011 (1/1/2011 - 8/25/2011)
- Non-Represented Employees Covered by WRS (Classified, Unclassified)
- Represented Employees Covered by WRS
- Represented Faculty Covered by WRS (UW-Eau Claire and UW-Superior)
- Graduate Assistants (Including Short-Term Academic Staff - Non Represented)
- Graduate Assistants (Madison, Milwaukee and Extension Represented Graduate Assistants)
- Employees Employed Less Than Half-Time (Classified, Unclassified)
- Craftsworkers
- COBRA
2010
- Non-Represented Employees Covered by WRS (Classified, Unclassified)
- Represented Employees Covered by WRS
- Employees Employed Less Than Half-Time (Classified, Unclassified)
- Craftsworkers
- Graduate Assistants (Including Short-Term Academic Staff - Non Represented)
- Represented Graduate Assistants (Madison)
- Represented Graduate Assistants (Milwaukee)
- COBRA
- Retirees
Prior Years
Non-Represented and Represented with Settled Contracts | Represented without Settled Contracts | ||
---|---|---|---|
Full Time | Less than Half Time | Full Time | Less than Half Time |
2009 | 2009 | ||
2008 (1/1 - 7/31) | 2008 (1/1 - 7/31) | ||
2008 (8/1 - 12/31) | 2008 (8/1 - 12/31) | ||
2007 | 2007 | ||
2006 | 2006 | ||
2005 | 2005 | ||
2004 | 2004 | ||
2003 | 2003 | 2003 | 2003 |
Non-Represented and MGAA | TAA |
---|---|
2009 | 2009 |
2008 (1/1 - 7/31) | 2008 (1/1 - 7/31) |
2008 (8/1 - 12/31) | 2008 (8/1 - 12/31) |
2007 | 2007 |
2006 | 2006 |
2005 | |
2004 | |
2003 | 2003 |
EPIC Benefits+
Note: Beginning with the 2011 plan year, EPIC Dental and Excess Medical was renamed to EPIC Benefits+.1
EPIC Benefits+
Deduction Code | Coverage Type | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Family |
---|---|---|---|---|---|
404 | Active Employee Monthly Premium Without Vision Coverage | $19.77 | $39.54 | $39.54 | $59.31 |
Active Employee Monthly Premium With Vision Coverage | $24.02 | $47.04 | $47.04 | $70.34 |
Deduction Code | Coverage Type | Employee | Employee + Spouse/Domestic Partner |
Employee + Child(ren) | Family |
---|---|---|---|---|---|
N/A | Annuitant Monthly Premium Without Vision Coverage | $26.69 | $53.27 | $61.90 | $73.53 |
Annuitant Monthly Premium With Vision Coverage | $31.26 | $61.51 | $69.68 | $85.43 |
Deduction Code | Coverage Type | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Family |
---|---|---|---|---|---|
404 | Active Employee Monthly Premium Without Vision Coverage | $19.77 | $39.54 | $39.54 | $59.31 |
Active Employee Monthly Premium With Vision Coverage | $24.02 | $47.04 | $47.04 | $70.34 |
Deduction Code | Coverage Type | Employee | Employee + Spouse/Domestic Partner |
Employee + Child(ren) | Family |
---|---|---|---|---|---|
N/A | Annuitant Monthly Premium Without Vision Coverage | $26.69 | $53.27 | $61.90 | $73.53 |
Annuitant Monthly Premium With Vision Coverage | $31.26 | $61.51 | $69.68 | $85.43 |
Deduction Code | Coverage Type | Employee | Employee + Spouse/Domestic Partner | Employee + Child | Family |
---|---|---|---|---|---|
404 | Active Employee Monthly Premium Without Vision Coverage | $19.77 | $39.54 | $39.54 | $59.31 |
Active Employee Monthly Premium With Vision Coverage | $24.02 | $47.04 | $47.04 | $70.34 |
Deduction Code | Coverage Type | Employee | Employee + Spouse/Domestic Partner |
Employee + Child | Family |
---|---|---|---|---|---|
N/A | Annuitant Monthly Premium Without Vision Coverage | $26.69 | $53.27 | $61.90 | $73.53 |
Annuitant Monthly Premium With Vision Coverage | $31.26 | $61.51 | $69.68 | $85.43 |
Deduction Code | Coverage Type | Employee | Employee + Spouse / Domestic Partner | Employee + Child | Family |
---|---|---|---|---|---|
404 | Active Employee Monthly Premium Without Vision Coverage | $18.99 | $37.98 | $37.98 | $56.97 |
Active Employee Monthly Premium With Vision Coverage | $22.99 | $45.05 | $45.05 | $67.36 |
Deduction Code | Coverage Type | Annuitant | Annuitant + Spouse / Domestic Partner | Annuitant + Child | Family |
---|---|---|---|---|---|
N/A | Annuitant Monthly Premium Without Vision Coverage | $24.32 | $48.53 | $56.18 | $66.90 |
Annuitant Monthly Premium With Vision Coverage | $28.63 | $56.30 | $63.52 | $78.12 |
Deduction Code | Coverage Type | Employee | Employee + Spouse or Domestic Partner | Employee + Child | Employee + 2 or more |
---|---|---|---|---|---|
404 | Active Employee Monthly Premium Without Vision Coverage | $16.70 | $33.40 | $33.40 | $50.10 |
Active Employee Monthly Premium With Vision Coverage | $20.70 | $40.47 | $40.47 | $60.49 | |
N/A | Retiree Monthly Premium Without Vision Coverage | $20.87 | $41.64 | $48.25 | $57.43 |
Retiree Monthly Premium With Vision Coverage | $24.87 | $48.71 | $55.32 | $67.82 |
Employee Type | Premium | |||
---|---|---|---|---|
Employee | Employee + Child | Employee + Spouse | Family | |
Active Employee | $16.70 | $33.40 | $33.40 | $50.10 |
Retiree | $20.87 | $48.25 | $41.64 | $57.43 |
Employee Type | Premium | |||
---|---|---|---|---|
Employee | Employee + Child | Employee + Spouse | Family | |
Active Employee | $12.90 | $25.80 | $25.80 | $38.70 |
Retiree | $16.85 | $33.65 | $33.65 | $46.40 |
Employee Type | Premium | |||
---|---|---|---|---|
Employee | Employee + Child | Employee + Spouse | Family | |
Active Employee | $12.90 | $25.80 | $25.80 | $38.70 |
Retiree | $16.85 | $33.65 | $33.65 | $46.40 |
Employee Type | Premium | |||
---|---|---|---|---|
Employee | Employee + Child | Employee + Spouse | Family | |
Active Employee | $11.30 | $22.60 | $22.60 | $33.90 |
Retiree | $13.15 | $26.30 | $30.45 | $36.25 |
Anthem DentalBlue Insurance | Dental Wisconsin | Union Dental Plans
Anthem DentalBlue Insurance
Note: Effective January 1, 2011, only Classified Represented employees will be eligible to carry Anthem DentalBlue coverage. All other employees wishing to have dental coverage should enroll in the Dental Wisconsin plan. Premiums are deducted one month in advance of the month of coverage.
UW Deduction Codes | Plan | Employee | Employee + 1 | Employee + 2 or more |
---|---|---|---|---|
467 Group Nos. 00166271 and 00166260 |
Anthem BCBS Dentacare HMO — Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington & Waukesha Counties |
$23.27 | $46.55 | $74.47 |
Anthem BCBS Dentacare HMO — Region 2 (All other Wisconsin Counties) |
$28.78 | $57.56 | $92.10 | |
478 Group Nos. 00166270 and 00166212 |
Anthem BCBS Preferred PPO (Region 1 and Region 2) |
$23.51 | $47.01 | $77.56 |
479 Group Nos. 00166272 and 00166261 |
Anthem BCBS Supplemental (Region 1 and Region 2) |
$18.08 | $36.17 | $54.28 |
UW Deduction Codes | Plan | Employee | Employee + 1 | Employee + 2 or more |
---|---|---|---|---|
467 Group Nos. 00166271 and 00166260 |
Anthem BCBS Dentacare HMO — Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington & Waukesha Counties |
$23.27 | $46.55 | $74.47 |
Anthem BCBS Dentacare HMO — Region 2 (All other Wisconsin Counties) |
$28.78 | $57.56 | $92.10 | |
478 Group Nos. 00166270 and 00166212 |
Anthem BCBS PPO (Region 1 and Region 2) |
$23.51 | $47.01 | $77.56 |
479 Group Nos. 00166272 and 00166261 |
Anthem BCBS Supplemental (Region 1 and Region 2) |
$16.59 | $33.19 | $49.80 |
UW Deduction Codes | Plan | Employee | Employee + 1 | Employee +2 |
---|---|---|---|---|
467 Group Nos. 00166271 and 00166260 |
Anthem BCBS HMO — Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington & Waukesha Counties |
$23.27 | $46.55 | $74.47 |
Anthem BCBS HMO — Region 2 (All other Wisconsin Counties) |
$28.78 | $57.56 | $92.10 | |
478 Group Nos. 00166270 and 00166212 |
Anthem BCBS PPO (Region 1 and Region 2) |
$23.51 | $47.01 | $77.56 |
479 Group Nos. 00166272 and 00166261 |
Anthem BCBS Supplemental (Region 1 and Region 2) |
$16.59 | $33.19 | $49.80 |
UW Deduction Codes | Plan | Employee | Employee + 1 | Employee +2 |
---|---|---|---|---|
467 Group Nos. 00166271 and 00166260 |
Anthem BCBS HMO — Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington & Waukesha Counties |
$23.27 | $46.55 | $74.47 |
Anthem BCBS HMO — Region 2 (All other Wisconsin Counties) |
$28.78 | $57.56 | $92.10 | |
478 Group Nos. 00166270 and 00166212 |
Anthem BCBS PPO (Region 1 and Region 2) |
$21.70 | $43.38 | $71.58 |
479 Group Nos. 00166272 and 00166261 |
Anthem BCBS Supplemental (Region 1 and Region 2) |
$14.28 | $28.56 | $42.86 |
OSER Deduction Code | UW Deduction Code | Plan | Employee | Employee + 1 | Employee + 2 |
---|---|---|---|---|---|
484 | 467 |
Dentacare HMO—Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington & Waukesha Counties |
$19.12 | $38.25 | $61.19 |
Dentacare HMO—Region 2 (All other Wisconsin Counties) |
$23.65 | $47.30 | $75.68 | ||
485 | 478 | Preferred PPO | $19.38 | $38.75 | $63.94 |
486 | 479 | Supplemental Plan | $11.48 | $22.96 | $34.45 |
UW Deduction Codes | Plan | Employee | Employee + 1 | Employee + 2 |
---|---|---|---|---|
467 |
Dentacare HMO—Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington & Waukesha Counties |
$19.12 | $38.25 | $61.19 |
Dentacare HMO—Region 2 (All other Wisconsin Counties) |
$23.65 | $47.30 | $75.68 | |
478 | Preferred PPO | $19.38 | $38.75 | $63.94 |
479 | Supplemental Plan | $11.48 | $22.96 | $34.45 |
UW Deduction Codes | Plan | Employee | Employee + 1 | Employee + 2 |
---|---|---|---|---|
467 |
Dentacare HMO—Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington & Waukesha Counties |
$17.40 | $34.80 | $55.68 |
Dentacare HMO—Region 2 (All other Wisconsin Counties) |
$21.52 | $43.04 | $68.86 | |
478 | Preferred PPO | $17.94 | $35.88 | $59.20 |
479 | Supplemental Plan | $9.95 | $19.90 | $29.85 |
Dental Wisconsin
UW Deduction Codes | Plan | Employee | Employee + Spouse/Domestic Partner |
Employee + Child(ren) | Family |
---|---|---|---|---|---|
487 | Preferred Provider Plan (PPO) | $25.49 | $53.96 | $60.34 | $91.21 |
488 | Select Plan | $20.52 | $42.19 | $48.68 | $71.59 |
UW Deduction Codes | Plan | Employee | Employee + Spouse/Domestic Partner |
Employee + Child(ren) | Family |
---|---|---|---|---|---|
487 | Preferred Provider Plan (PPO) | $25.49 | $53.96 | $60.34 | $91.21 |
488 | Select Plan | $20.52 | $42.19 | $48.68 | $71.59 |
UW Deduction Codes | Plan | Employee | Employee + Spouse/Domestic Partner |
Employee + Child(ren) | Family |
---|---|---|---|---|---|
487 | Preferred Provider Plan (PPO) | $28.32 | $59.96 | $67.04 | $101.34 |
488 | Select Plan | $20.52 | $42.19 | $48.68 | $71.59 |
UW Deduction Codes | Plan | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Family |
---|---|---|---|---|---|
487 | Preferred Provider Plan (PPO) | $26.82 | $56.78 | $63.49 | $95.97 |
488 | Select Plan | $17.84 | $36.68 | $42.32 | $62.24 |
UW Deduction Codes | Plan | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Family |
---|---|---|---|---|---|
487 | Preferred Provider Plan (PPO) | $25.54 | $54.08 | $60.47 | $91.41 |
488 | Select Plan | $16.99 | $34.93 | $40.30 | $59.28 |
Union Dental Plans
Deduction Code | Plan Name | Bargaining Unit | Rate Effective Date | Premium | ||
---|---|---|---|---|---|---|
Single | 2 Person | Family | ||||
462 | Care Plus Prepaid | WSEU 2,3,5,6,12 | 01/01/2011 | $32.99 | N/A | $81.07 |
463 | DentalBlue | WSP 15 | 09/01/2005 | $36.90 | N/A | $99.62 |
464 | DentaCare Smile Plus | UPQHC 11 | 07/01/2010 | $42.05 | N/A | $113.55 |
465 | Freedom Advance | WEAC 13 | 09/01/2008 | $56.21 | $105.25 | $176.50 |
466 | Delta Exclusive Provider | WSEU 2,3,5,6,12 | 01/01/2010 | $27.28 | $53.87 | $102.98 |
466 | Delta Premier | WSEU 2,3,5,6,12 | 01/01/2010 | $29.85 | $58.83 | $111.09 |
504 | Freedom Basic | WPEC 7 PERSA 8 WSP 15 |
01/01/2011 | $25.53 | $52.87 | $94.83 |
505 | Freedom Advance | WPEC 7 PERSA 8 WSP 15 |
01/01/2011 | $40.70 | $81.23 | $133.43 |
Deduction Code | Plan Name | Bargaining Unit | Rate Effective Date | Premium | ||
---|---|---|---|---|---|---|
Single | 2 Person | Family | ||||
462 | Care Plus Prepaid | WSEU 2,3,5,6,12 | 01/01/09 | $30.50 | N/A | $74.96 |
463 | DentalBlue | WSP 15 | 09/01/05 | $36.90 | N/A | $99.62 |
464 | DentaCare Smile Plus | UPQHC 11 | 07/01/09 | $38.23 | N/A | $103.23 |
465 | Freedom Advance | WEAC 13 | 09/01/08 | $56.21 | $105.25 | $176.50 |
466 | Delta Exclusive Provider | WSEU 2,3,5,6,12 | 01/01/08 | $27.28 | $53.87 | $102.98 |
466 | Delta Premier | WSEU 2,3,5,6,12 | 01/01/08 | $29.85 | $58.83 | $111.09 |
504 | Freedom Basic | WPEC 7 PERSA 8 WSP 15 |
08/01/06 | $24.32 | $50.36 | $90.32 |
505 | Freedom Advance | WPEC 7 PERSA 8 WSP 15 |
08/01/06 | $38.77 | $77.37 | $127.19 |
N/A | Madison Teachers Assistants Association | TAA | N/A | NONE | NONE | NONE |
Deduction Code | Plan Name | Bargaining Unit | Rate Effective Date | Premium | ||
---|---|---|---|---|---|---|
Single | 2 Person | Family | ||||
462 | Care Plus Prepaid | WSEU 2,3,5,6,12 | 01/01/06 | $26.65 | N/A | $65.50 |
462 | Care Plus Prepaid | WSEU 2,3,5,6,12 | 01/01/08 | $29.05 | N/A | $71.39 |
463 | DentalBlue | WSP 15 | 09/01/05 | $36.90 | N/A | $99.62 |
464 | DentaCare Smile Plus | UPQHC 11 | 07/01/08 | $36.07 | N/A | $97.39 |
07/01/07 | $34.03 | N/A | $91.88 | |||
07/01/06 | $32.10 | N/A | $86.68 | |||
465 | Freedom Advance | WEAC 13 | 08/01/07 | $54.31 | $101.70 | $170.54 |
466 | Delta Exclusive Provider | WSEU 2,3,5,6,12 | 01/01/07 | $23.73 | $46.85 | $89.55 |
466 | Delta Premier | WSEU 2,3,5,6,12 | 01/01/07 | $26.67 | $52.53 | $99.03 |
504 | Freedom Basic | WPEC 7 PERSA 8 WSP 15 |
08/01/06 | $24.32 | $50.36 | $90.32 |
505 | Freedom Advance | WPEC 7 PERSA 8 WSP 15 |
08/01/06 | $38.77 | $77.37 | $127.19 |
N/A | Madison Teachers Assistants Association | TAA | N/A | NONE | NONE | NONE |
Deduction Code | Plan Name | Bargaining Unit | Rate Effective Date | Premium | ||
---|---|---|---|---|---|---|
Single | 2 Person | Family | ||||
462 | Care Plus Prepaid | WSEU 2,3,5,6,12 | 01/01/05 | $26.65 | N/A | $65.50 |
463 | DentalBlue | WSP 15 | 09/01/03 | $25.11 | N/A | $67.80 |
464 | DentaCare Smile Plus | UPQHC 11 | 07/01/04 | $28.57 | N/A | $77.14 |
465 | Freedom Advance | WEAC 13 | 08/01/04 | $36.25 | $67.88 | $113.83 |
466 | Delta Care | WSEU 2,3,5,6,12 | 02/01/04 | $16.87 | $33.07 | $57.76 |
466 | Delta Preferred | WSEU 2,3,5,6,12 | 02/01/04 | $17.22 | $33.91 | $58.74 |
466 | Delta Premier | WSEU 2,3,5,6,12 | 02/01/04 | $26.70 | $51.80 | $81.56 |
468 |
DentalBlue DentaCare HMO — Region 1 (Kenosha, Milwaukee, Ozaukee, Racine, Washington and Waukesha counties) |
WSEU 2,3,5,6,12 | 01/01/05 | $18.14 | $35.47 | $58.22 |
DentalBlue DentaCare HMO — Region 2 (All other Wisconsin counties) |
$22.49 | $44.98 | $71.95 | |||
469 | DentalBlue Preferred PPO | WSEU 2,3,5,6,12 | 02/01/04 | $16.97 | $32.89 | $57.98 |
480 | DentalBlue Choice | WSEU 2,3,5,6,12 | 02/01/04 | $42.50 | $85.01 | $123.55 |
481 | DentalBlue Supplemental | WSEU 2,3,5,6,12 | 01/01/05 | $12.07 | $24.14 | $37.34 |
504 | Freedom Basic | WPEC 7 PERSA 8 WSP 15 |
08/01/02 | $18.55 | $38.41 | $68.93 |
505 | Freedom Advance | WPEC 7 PERSA 8 WSP 15 |
08/01/02 | $29.57 | $59.01 | $97.01 |
N/A | Madison Teachers Assistants Association | TAA | N/A | NONE | NONE | NONE |
Vision Insurance
UW Deduction Code | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Employee + Family |
---|---|---|---|---|
411 | $6.54 | $13.08 | $14.73 | $23.54 |
UW Deduction Code | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Employee + Family |
---|---|---|---|---|
411 | $6.54 | $13.08 | $14.73 | $23.54 |
UW Deduction Code | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Employee + Family |
---|---|---|---|---|
411 | $6.35 | $12.70 | $14.30 | $22.85 |
UW Deduction Code | Employee | Employee + Spouse/Domestic Partner | Employee + Child(ren) | Employee + Family |
---|---|---|---|---|
411 | $5.24 | $10.49 | $11.23 | $17.93 |
UW Deduction Code | Employee | Employee + Spouse/Domestic Partner | Employee + Children | Employee + Family |
---|---|---|---|---|
410 | $5.83 | $11.34 | $11.88 | $17.82 |
UW Deduction Code | Employee | Employee + Spouse/Domestic Partner | Employee + Children | Employee + Family |
---|---|---|---|---|
410 | $5.83 | $11.34 | $11.88 | $17.82 |
UW Deduction Code | Employee | Employee + Spouse/Domestic Partner | Employee + Children | Employee + Family |
---|---|---|---|---|
410 | $5.40 | $10.50 | $11.00 | $16.50 |
Income Continuation Insurance (ICI)
For Coverage Effective 2/1/2017
- University Staff Standard Plan
- University Staff Supplemental Plan
- Faculty/Academic Staff/Limited Appointees Standard Plan
- Faculty/Academic Staff/Limited Appointees Supplemental Plan
For Coverage Before 2/1/2017
- Effective Dates 2/1/2016 - 1/31/2017: Excel | PDF
- Effective Dates 2/1/2015 - 1/31/2016: Excel | PDF
- Effective Dates 2/1/2014 - 1/31/2015: Excel | PDF
- Effective Dates 2/1/2013 - 1/31/2014: Excel | PDF
- Effective Dates 2/1/2012 - 1/31/2013: Excel | PDF
- Effective Dates 2/1/2010 - 1/31/2012: Excel | PDF
- Effective Dates 2/1/2007 - 1/31/2010: Excel | PDF
Accidental Death & Dismemberment | Individual and Family Group Life Insurance | State Group Life | University Insurance Association (UIA) Life Insurance | UW Employees, Inc. Life
Accidental Death & Dismemberment
Principal Sum Elected | Employee Only Premium | Family Plan Premium |
---|---|---|
$25,000 | $0.73 | $1.10 |
$50,000 | $1.45 | $2.20 |
$100,000 | $2.90 | $4.40 |
$150,000 | $4.35 | $6.60 |
$200,000 | $5.80 | $8.80 |
$250,000 | $7.25 | $11.00 |
$300,000 | $8.70 | $13.20 |
$350,000 | $10.15 | $15.40 |
$400,000 | $11.60 | $17.60 |
$450,000 | $13.05 | $19.80 |
$500,000 | $22.00 | $14.50 |
Life Insurance
Individual and Family Group Life Insurance
Employee Attained Age | Employee | Spouse/Domestic Partner |
---|---|---|
27 or less | $0.023 | $0.036 |
28-30 | 0.025 | 0.04 |
31-33 | 0.032 | 0.05 |
34-36 | 0.037 | 0.059 |
37-39 | 0.045 | 0.072 |
40-42 | 0.068 | 0.108 |
43-45 | 0.108 | 0.171 |
46-48 | 0.13 | 0.207 |
49-51 | 0.181 | 0.288 |
52-54 | 0.232 | 0.369 |
55-57 | 0.323 | 0.513 |
58-60 | 0.403 | 0.621 |
61-63 | 0.556 | 0.774 |
64-66 | 0.799 | 1.08 |
67-69 | 1.117 | 1.503 |
70-72 | 1.724 | 2.331 |
73+ | 2.466 | 3.33 |
Employee Attained Age | Employee | Spouse/Domestic Partner | ||||
---|---|---|---|---|---|---|
$5000 | $10,000 | $15,000 | $20,000 | $5000 | $10,000 | |
27 or less | $0.12 | $0.23 | $0.35 | $0.46 | $0.18 | $0.36 |
28-30 | 0.13 | 0.25 | 0.38 | 0.50 | 0.20 | 0.40 |
31-33 | 0.16 | 0.32 | 0.48 | 0.64 | 0.25 | 0.50 |
34-36 | 0.19 | 0.37 | 0.56 | 0.74 | 0.30 | 0.59 |
37-39 | 0.23 | 0.45 | 0.68 | 0.90 | 0.36 | 0.72 |
40-42 | 0.34 | 0.68 | 1.02 | 1.36 | 0.54 | 1.08 |
43-45 | 0.54 | 1.08 | 1.62 | 2.16 | 0.86 | 1.71 |
46-48 | 0.65 | 1.30 | 1.95 | 2.60 | 1.04 | 2.07 |
49-51 | 0.91 | 1.81 | 2.72 | 3.62 | 1.44 | 2.88 |
52-54 | 1.16 | 2.32 | 3.48 | 4.64 | 1.85 | 3.69 |
55-57 | 1.62 | 3.23 | 4.85 | 6.46 | 2.57 | 5.13 |
58-60 | 2.02 | 4.03 | 6.05 | 8.06 | 3.11 | 6.21 |
61-63 | 2.78 | 5.56 | 8.34 | 11.12 | 3.87 | 7.74 |
64-66 | 4.00 | 7.99 | 11.99 | 15.98 | 5.40 | 10.80 |
67-69 | 5.59 | 11.17 | 16.76 | 22.34 | 7.52 | 15.03 |
70-72 | 8.62 | 17.24 | 25.86 | 34.48 | 11.66 | 23.31 |
73+ | 12.33 | 24.66 | 36.99 | 49.32 | 16.65 | 33.30 |
Amount of Insurance | Monthly Premium |
---|---|
$2500 (Code Y) | $0.18 |
$5000 (Code A) | 0.35 |
$7500 (Code B) | 0.53 |
$10,000 (Code C) | 0.70 |
State Group Life Insurance
Age As of April 1 | Basic and Supplemental | Additional | Spouse & Dependent |
---|---|---|---|
2013/2014/2015 Rate per $1000 |
2013/2014/2015 Rate per $1000 |
||
Under age 30 | $.04 | $.06 |
One Unit of Coverage: $2.50 per $10,000 Spouse and $5000 for each dependent Two Units of Coverage: $5.00 per $20,000 Spouse and $10,000 for each dependent |
30-34 | .04 | .06 | |
35-39 | .04 | .06 | |
40-44 | .06 | .09 | |
45-49 | .10 | .15 | |
50-54 | .16 | .24 | |
55-59 | .22 | .33 | |
60-64 | .30 | .45 | |
65-69 | .39 | .59 |
Age as of April 1 | Rate per $1000 | |
---|---|---|
70 | $1.00 | |
71 | 1.15 | |
72 | 1.25 | |
73 | 1.45 | |
74 | 1.60 | |
75 | 1.80 | |
76 | 1.95 | |
77–89 | 2.06 | |
90+ | Available upon request |
Age As of April 1 | Basic & Supplemental Per $1,000 | Additional Per $1,000 | Spouse & Dependent |
---|---|---|---|
Under age 30 | $.04 | $.06 |
One Unit of Coverage: $2.50 per $10,000 Spouse and $5,000 for each dependent Two Units of Coverage: $5.00 per $20,000 Spouse and $10,000 for each dependent |
30-34 | .04 | .06 | |
35-39 | .05 | .06 | |
40-44 | .06 | .09 | |
45-49 | .10 | .15 | |
50-54 | .16 | .24 | |
55-59 | .22 | .33 | |
60-64 | .30 | .45 | |
65-69 | .39 | .59 |
Age as of April 1 | Rate per $1,000 |
---|---|
70 | $1.00 |
71 | 1.15 |
72 | 1.25 |
73 | 1.45 |
74 | 1.60 |
75 | 1.80 |
76 | 1.95 |
77+ | 2.06 |
Age As of April 1 | Basic & Supplemental Per $1,000 | Additional Per $1,000 | Spouse & Dependent |
---|---|---|---|
Under age 30 | $.04 | $.06 |
One Unit of Coverage: $2.50 per $10,000 Spouse and $5,000 for each dependent Two Units of Coverage: $5.00 per $20,000 Spouse and $10,000 for each dependent |
30-34 | .04 | .07 | |
35-39 | .05 | .07 | |
40-44 | .06 | .09 | |
45-49 | .10 | .15 | |
50-54 | .16 | .24 | |
55-59 | .25 | .37 | |
60-64 | .33 | .50 | |
65-69 | .44 | .66 |
Age as of April 1 | Rate per $1,000 |
---|---|
70 | $1.00 |
71 | 1.15 |
72 | 1.25 |
73 | 1.45 |
74 | 1.60 |
75 | 1.80 |
76 | 1.95 |
77+ | 2.06 |
Age As of April 1 | Basic & Supplemental Per $1,000 | Additional Per $1,000 | Spouse & Dependent |
---|---|---|---|
Under age 30 | $.05 | $.07 |
One Unit of Coverage: $2.50 per $10,000 Spouse and $5,000 for each dependent Two Units of Coverage: $5.00 per $20,000 Spouse and $10,000 for each dependent |
30-34 | .05 | .08 | |
35-39 | .05 | .08 | |
40-44 | .07 | .10 | |
45-49 | .11 | .17 | |
50-54 | .18 | .27 | |
55-59 | .28 | .42 | |
60-64 | .38 | .57 | |
65-69 | .50 | .75 |
Age as of April 1 | Rate per $1,000 |
---|---|
70 | $1.00 |
71 | 1.15 |
72 | 1.25 |
73 | 1.45 |
74 | 1.60 |
75 | 1.80 |
76 | 1.95 |
77 | 2.15 |
78 | 2.45 |
79 | 2.75 |
80 | 3.10 |
81 | 3.40 |
82 | 3.70 |
83 | 4.10 |
84 | 4.50 |
85 | 4.90 |
86 | 5.30 |
87 | 5.70 |
88 | 6.35 |
89 | 7.00 |
90+ | Available upon request |
University Insurance Association (UIA) Life Insurance
Age as of Oct 1 | Premium | Benefit Amount |
---|---|---|
Under 28 | $2.00 | $101000 |
28-30 | 98100 | |
31-33 | 90900 | |
34-36 | 78900 | |
37-39 | 65000 | |
40-42 | 50900 | |
43-45 | 39100 | |
46-48 | 30000 | |
49-51 | 22600 | |
52-54 | 17200 | |
55-57 | 13100 | |
58-60 | 10300 | |
61-63 | 8200 | |
64-66 | 6100 | |
67-69 | 4500 | |
70+ | 3400 |
University of Wisconsin Employees, Inc. Life Insurance
Employee Age | Coverage Amount | Premium |
---|---|---|
under 35 | $33,000 | $1.00 |
35 - 39 | 28,000 | 1.25 |
40 - 44 | 25,000 | 1.60 |
45 - 49 | 18,000 | 2.00 |
50 - 54 | 15,000 | 2.40 |
55 - 59 | 13,000 | 3.80 |
60 - 64 | 12,000 | 4.35 |
65 and over | 7,000 | 3.00 |
Employee Age | Coverage Amount | Premium |
---|---|---|
under 35 | $30,000 | $1.00 |
35 - 39 | 25,000 | 1.25 |
40 - 44 | 22,000 | 1.60 |
45 - 49 | 15,000 | 2.00 |
50 - 54 | 12,000 | 2.40 |
55 - 59 | 10,000 | 3.80 |
60 - 64 | 9000 | 4.35 |
65 and over | 4000 | 3.00 |
Employee Age | Coverage Amount | Premium |
---|---|---|
under 35 | $25,000 | $1.00 |
35 - 39 | 21,000 | 1.25 |
40 - 44 | 18,000 | 1.60 |
45 - 49 | 12,000 | 2.00 |
50 - 54 | 9,000 | 2.40 |
55 - 59 | 7,500 | 3.80 |
60 - 64 | 7,000 | 4.35 |
over 64 | 3,000 | 3.00 |