Regular HMO and PPO Plans | High Deductible Health Plans(HDHP) | |||||||
---|---|---|---|---|---|---|---|---|
Single With Dental |
Single Without Dental |
Family With Dental |
Family Without Dental |
Single With Dental |
Single Without Dental |
Family With Dental |
Family Without Dental |
|
Tier 1 | $52 | $50 | $128.5 | $124 | $19.5 | $17.5 | $48 | $43.5 |
Tier 3 | $122.5 | $120.5 | $304 | $299.5 | $90 | $88 | $223.5 | $219 |
Single With Dental |
Single Without Dental |
Family With Dental |
Family Without Dental |
|
---|---|---|---|---|
Tier 1 | $27 | $25 | $66.5 | $62 |
Tier 3 | $62.25 | $60.25 | $154.25 | $149.75 |
Biweekly contributions are subject to each employee group's compensation plan.
All Health Maintenance Organization (HMO) plans are offered at Tier 1 Rates. The Standard Plan is offered at Tier 3 rates. Out-of-state residents whose jobs require them to live out of state are offered the Standard Plan at Tier 2 rates.
2018 Premiums Information
Plan | Employee | Employee + Spouse | Employee + Child(ren) | Family |
---|---|---|---|---|
Supplemental Dental - PPO Select | $4.88 | $9.76 | $6.58 | $11.70 |
Supplemental Dental - PPO Plus Premier Select Plus | $10.49 | $20.98 | $19.48 | $32.14 |
Plan | Rate |
---|---|
Single | $17.36 |
Family | $43.40 |
Union Dental Plans
Note: For biweekly payrolls ending July 16, 2011 (check dated July 28, 2011) and monthly payrolls ending July 31, 2011 (check dated August 1, 2011), deductions for union-sponsored insurance plans will be discontinued due to recent legislation. You will need to pay these premiums separately. Please contact your union to coordinate payment for these insurance plans. You can find the last known union dental plan premiums below.
Premiums are deducted one month in advance of the month of coverage.
Employee | Employee + Spouse | Employee + Child(ren) | Employee + Family |
---|---|---|---|
$2.86 | $5.71 | $6.44 | $10.29 |
For Coverage Effective 2/1/2021
ICI Premium Calculator (Excel)
Accidental Death & Dismemberment · Accident Insurance · Individual and Family Group Life · State Group Life · University Insurance Association (UIA) · UW Employees, Inc. Life
Life Insurance Premium Comparison Chart
Accidental Death & Dismemberment
Premiums are paid one month in advance of the month of coverage.
Principal Sum Elected | Employee Only Premium | Family Plan Premium |
---|---|---|
$25,000 | $0.37 | $0.55 |
$50,000 | $0.73 | $1.10 |
$100,000 | $1.45 | $2.20 |
$150,000 | $2.18 | $3.30 |
$200,000 | $2.90 | $4.40 |
$250,000 | $3.63 | $5.50 |
$300,000 | $4.35 | $6.60 |
$350,000 | $5.08 | $7.70 |
$400,000 | $5.80 | $8.80 |
$450,000 | $6.53 | $9.90 |
$500,000 | $7.25 | $11.00 |
Accident Insurance
Coverage | Biweekly Premium |
---|---|
employee | $2.19 |
spouse | $3.13 |
child | $4.22 |
family | $6.16 |
Individual and Family Group Life Insurance
Premiums are based on the cost per $1000 of coverage. A premium calculator is available to help you determine your exact premium. Child coverage insures all children with the same coverage amount for one biweekly premium.
Employee Attained Age | Employee | Spouse |
---|---|---|
27 or less | 0.010 | 0.020 |
28 - 30 | 0.010 | 0.020 |
31 - 33 | 0.020 | 0.030 |
34 - 36 | 0.020 | 0.030 |
37 - 39 | 0.020 | 0.040 |
40 - 42 | 0.030 | 0.050 |
43 - 45 | 0.050 | 0.080 |
46 - 48 | 0.070 | 0.100 |
49 - 51 | 0.090 | 0.140 |
52 - 54 | 0.120 | 0.180 |
55 - 57 | 0.160 | 0.260 |
58 - 60 | 0.200 | 0.310 |
67 - 69 | 0.560 | 0.750 |
70 - 72 | 0.860 | 1.170 |
72 - 74 | 1.230 | 1.670 |
Employee Attained Age | Employee | Spouse | ||||
---|---|---|---|---|---|---|
$5000 | $10,000 | $15,000 | $20,000 | $5000 | $10,000 | |
27 or younger | $0.23 | $0.18 | $0.12 | $0.06 | $0.09 | $0.18 |
28 - 30 | $0.25 | $0.19 | $0.13 | $0.07 | $0.10 | $0.20 |
31 - 33 | $0.32 | $0.24 | $0.16 | $0.08 | $0.13 | $0.25 |
34 - 36 | $0.37 | $0.28 | $0.19 | $0.10 | $0.15 | $0.30 |
37 - 39 | $0.45 | $0.34 | $0.23 | $0.12 | $0.18 | $0.36 |
40 - 42 | $0.68 | $0.51 | $0.34 | $0.17 | $0.27 | $0.54 |
43 - 45 | $1.08 | $0.81 | $0.54 | $0.27 | $0.43 | $0.86 |
46 - 48 | $1.30 | $0.98 | $0.65 | $0.33 | $0.52 | $1.04 |
49 - 51 | $1.81 | $1.36 | $0.91 | $0.46 | $0.72 | $1.44 |
52 - 54 | $2.32 | $1.74 | $1.16 | $0.58 | $0.93 | $1.85 |
55 - 57 | $3.23 | $2.43 | $1.62 | $0.81 | $1.29 | $2.57 |
58 - 60 | $4.03 | $3.03 | $2.02 | $1.01 | $1.56 | $3.11 |
61 - 63 | $5.56 | $4.17 | $2.78 | $1.39 | $1.94 | $3.87 |
64 - 66 | $7.99 | $6.00 | $4.00 | $2.00 | $2.70 | $5.40 |
67 - 69 | $11.17 | $8.38 | $5.59 | $2.80 | $3.76 | $7.52 |
70 - 72 | $17.24 | $12.93 | $8.62 | $4.31 | $5.83 | $11.66 |
72 - 74 | $6.17 | $12.33 | $18.50 | $24.66 | $8.33 | $16.65 |
Amount of Insurance | Biweekly Premium |
---|---|
$2,500 | $0.09 |
$5,000 | $0.18 |
$7,500 | $0.27 |
$10,000 | $0.35 |
State Group Life Insurance Biweekly
Premiums are deducted one month in advance of the month of coverage. Employee premium rates are based on the employee's age as of April 1 for initial enrollment. The employee's age on April 1 is also used for the annual update. When an active employee reaches age 70, Basic coverage continues at a reduced level without premium, Supplemental coverage ceases and the Additional coverage continues.
Age As of April 1 | Basic and Supplemental Rate per $1000 |
Additional Rate per $1000 |
Spouse and Dependent Coverage |
---|---|---|---|
Under age 30 | 0.03 | 0.04 | One Unit of Coverage: |
30-34 | 0.03 | 0.04 | |
35-39 | 0.03 | 0.04 | |
40-44 | 0.04 | 0.06 | |
45-49 | 0.06 | 0.09 | |
50-54 | 0.10 | 0.15 | Two Units of Coverage: |
55-59 | 0.14 | 0.20 | |
60-64 | 0.18 | 0.28 | |
65-69 | 0.24 | 0.35 | |
70+ | 0 | See Table Below |
Age as of April 1 | Rate per $1000 |
---|---|
70 | 0.5 |
71 | 0.58 |
72 | 0.63 |
73 | 0.73 |
74 | 0.80 |
75 | 0.90 |
76 | 0.98 |
89 | 1.03 |
90+ | Available upon request |
University Insurance Association (UIA) Life Insurance
The annual premium is deducted from your January earnings.
Age as of Jan 1 | Premium | Benefit Amount |
---|---|---|
Under 28 | $38.40 | $101,000 |
28 - 29 - 30 | $98,100 | |
31 - 32 - 33 | $90,900 | |
34 - 35 - 36 | $78,900 | |
37 - 38 - 39 | $65,000 | |
40 - 41 - 42 | $50,900 | |
43 - 44 - 45 | $39,100 | |
46 - 47 - 48 | $30,000 | |
49 - 50 - 51 | $22,600 | |
52 - 53 - 54 | $17,200 | |
55 - 56 - 57 | $13,100 | |
58 - 59 - 60 | $10,300 | |
61 - 62 - 63 | $8,200 | |
64 - 65 - 66 | $6,100 | |
67 - 68 - 69 | $4,500 | |
69 - 70 - 71 | $3,400 |
UW Employees, Inc. Life Insurance
Rates for employees are based on the employee's age as of January 1 of the current calendar year. Premium changes based on the employee's calendar year age will take effect on December payrolls for January coverage.
Employee Age | Coverage Amount | Biweekly Premium |
---|---|---|
under 35 | $33,000 | 0.37 |
35 - 39 | $28,000 | 0.48 |
40 - 44 | $25,000 | 0.60 |
45 - 49 | $18,000 | 0.75 |
50 - 54 | $15,000 | 0.90 |
55 - 59 | $13,000 | 1.43 |
60 - 64 | $12,000 | 1.63 |
65 and over | $7,000 | 1.13 |