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 | $57.50 | $56.00 | $143.00 | $138.00 | $21.00 | $19.50 | $53.50 | $48.50 |
Tier 3 | $135.00 | $133.50 | $336.50 | $331.50 | $98.50 | $97.00 | $247.00 | $242.00 |
Single With Dental |
Single Without Dental |
Family With Dental |
Family Without Dental |
|
---|---|---|---|---|
Tier 1 | $29.50 | $28.00 | $74.00 | $69.00 |
Tier 3 | $68.25 | $66.75 | $170.75 | $165.75 |
Plan | Employee | Employee + Spouse | Employee + Child(ren) | Family |
---|---|---|---|---|
Supplemental Dental - PPO Select | $4.54 | $9.08 | $6.12 | $10.88 |
Supplemental Dental - PPO Plus Premier Select Plus | $10.80 | $21.61 | $20.06 | $33.10 |
Plan | Rate |
---|---|
Employee | $18.05 |
Family | $45.14 |
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 | $1.86 |
spouse | $2.66 |
child | $3.59 |
family | $5.24 |
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 | Two Units of Coverage: |
45-49 | 0.06 | 0.09 | |
50-54 | 0.10 | 0.15 | |
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 |