UT Benefits Rates for Employees & Retirees for plan year 2023-2024
For plan year 2023-2024, there are no plan design changes to the UT SELECTTM Medical plan. There are no changes to the plan design or rates for other plans. The pilot program for the UT CONNECTTM medical plan has ended and this plan is no longer offered.
The cost of full-time, benefits-eligible employee only and retiree only medical coverage (for UT SELECTTM & UT CARETM) continues to be $0.
Age and salary-based premiums may change depending on your age and salary as of September 1, 2023.
| PLAN | EMPLOYEE/RETIREE |
EMPLOYEE/RETIREE SPOUSE |
EMPLOYEE/RETIREE CHILD(REN) |
EMPLOYEE/RETIREE FAMILY |
| UT SELECT Medical Full-time & Retirees |
$0 |
$312.50 |
$326.84 |
$615.40 |
| UT SELECT Medical Part-time Employees |
$362.90 |
$865.62 |
$811.44 |
$1,291.36 |
| UT CARE** Medicare PPO Retirees & Surviving Spouses |
Review rates on the UT CARE Medicare PPO page. |
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| UT SELECT Dental |
$28.52 | $54.14 | $59.66 | $84.84 |
| UT SELECT Dental Plus |
$61.40 | $116.60 | $128.66 | $183.30 |
| Delta Dental HMO |
$8.80 | $16.74 | $18.50 | $26.40 |
| Superior Vision |
$5.02 | $7.90 | $8.10 | $12.84 |
| Superior Vision Plus |
$7.64 | $11.98 | $12.82 | $18.10 |
| Tobacco Premium Program |
$0 to $90 per month based upon tobacco user status |
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Basic Coverage package for Employees includes medical, prescription, $50K Basic Life, and $50K Basic AD&D.
Basic Coverage package for Retirees includes medical, prescription, and $10K Basic Life.
Voluntary Group Term Life Rates
Please be sure to review the rate associated with your age as of September 1, 2022.
| EMPLOYEE/RETIREE RATE CHART | |
|
Age of Subscriber |
Rate per $1,000 Coverage |
| 15 - 34 | $0.035 |
| 35 - 39 | $0.045 |
| 40 - 44 | $0.059 |
| 45 - 49 | $0.092 |
| 50 - 54 | $0.142 |
| 55 - 59 | $0.221 |
| 60 - 64 | $0.345 |
| 65 - 69 | $0.616 |
| 70 - 74 | $0.713 |
| 75 - 79 | $0.884 |
| 80 and over | $1.549 |
Enrollment in any amount of Spouse or Dependent Voluntary Group Term Life coverage (VGTL) requires that the Employee or Retiree be enrolled in VGTL.
Enrollment in Employee Spouse VGTL at the levels shown in the table below requires enrollment in $10,000 Spouse & Dependent VGTL coverage, which is available at a monthly premium cost of $2.87 (regardless of the age of the spouse or the number of dependent children being covered).
Retiree Spouse VGTL coverage is available in the amount of $3,000 at a monthly premium cost of $1.83.
| EMPLOYEE SPOUSE RATE CHART | |
|
Age of Spouse |
Rate per $1,000 Coverage |
| 15 - 24 | $0.053 |
| 25 - 29 | $0.054 |
| 30 - 34 | $0.057 |
| 35 - 39 | $0.072 |
| 40 - 44 | $0.101 |
| 45 - 49 | $0.154 |
| 50 - 54 | $0.241 |
| 55 - 59 | $0.376 |
| 60 - 64 | $0.574 |
| 65 - 69 | $0.857 |
| 70 - 74 | $1.167 |
| 75 - 79 | $1.446 |
| 80 and over | $2.536 |
Other Premium Rates
|
VOLUNTARY ACCIDENTAL Employees Only |
SHORT-TERM & LONG-TERM Employees Only |
|
| Monthly Premium Rate | Monthly Premium Rates | |
| $0.12 per $10,000 coverage | Short Term Disability | $0.30 per $100 of monthly income |
| Long Term Disability | $0.34 per $100 of monthly income |
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