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UT Benefits Rates for Employees & Retirees for plan year 2022-2023

For plan year 2022-2023, there are several plan design changes to the UT SELECTTM Medical plan, including the introduction of an exciting benefit for those members interested in a family building benefit. Aside from the addition of new benefits tools and enhancements, these types of plan design and rate changes have not been made since the 2015-2016 plan year. To learn more about the plan design and rate changes, please refer to the 2022-23 Annual Enrollment & Resource Guide and the UT SELECT page.

The cost of full-time, benefits-eligible employee only medical coverage (for UT SELECTTM and UT CONNECTTM) continues to be $0.

Premium rates for Voluntary Group Term Life coverage and Voluntary Accidental Death & Dismemberment (AD&D) have decreased with no reduction in benefits. Age and salary-based premiums may change depending on your age and salary as of September 1, 2022.

PLAN EMPLOYEE/RETIREE

EMPLOYEE/RETIREE SPOUSE

EMPLOYEE/RETIREE CHILD(REN)

EMPLOYEE/RETIREE FAMILY

UT SELECT
Medical
Full-time & Retirees

$0

$290.70

$304.04

$572.46
UT CONNECT*
Medical
Full-time & Retirees
$0
DFW only
$261.64
DFW only
$273.64
DFW only
$515.22
DFW only
UT SELECT
Medical
Part-time Employees

$337.58

$805.22

$754.84

$1,201.26
UT CONNECT*
Medical
Part-time Employees
$337.58
DFW only
$805.22
DFW only
$754.84
DFW only
$1,201.26
DFW only
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

* UT CONNECTTM 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, $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
on 9/01/22

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
on 9/01/22

Rate per $1,000 Coverage
(available coverage amounts are $15,000 and $40,000)

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
DEATH & DISMEMBERMENT

Employees Only

SHORT-TERM & LONG-TERM
DISABILITY

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