Domestic Partner Premium Costs and Enrollment

UIChoice 2020 Domestic Partner Premiums

  Before Tax Premium After Tax Premium
(Employee Contribution)
Taxable Amount
(Employer Contribution)
Total Domestic
Partner Cost
EE + DP $34 $292 $656 $948
EE + DP + EE's Child $266 $83 $333 $416
EE + DP + DP's Child $34 $315 $749 $1,064

 

UISelect 2020 Domestic Partner Premiums 

  Before Tax Premium After Tax Premium
(Employee Contribution)
Taxable Amount
(Employer Contribution)
Total Domestic
Partner Cost
EE + DP $0 $272 $518 $790
EE + DP + EE's Child $222 $69 $278 $347
EE + DP + DP's Child $0 $291 $596 $887

 

Dental II 2020 Domestic Partner Premiums

  Before Tax Premium After Tax Premium
(Employee Contribution)
Taxable Amount
(Employer Contribution)
Total Domestic
Partner Cost
EE + DP $0 $19 $29 $48
EE + DP + EE's Child $20 $7 $26 $33
EE + DP + DP's Child $0 $27 $61 $88

Table Legend:
EE = Employee
DP = Domestic Partner
Before Tax Premium = The premium amount that is deducted from pay on a before-tax basis.
After Tax Premium = The premium amount that is deducted from pay on an after-tax basis.
Taxable Amount = The amount that is added to your earnings to offset the After Tax Premium amount. You are taxed on this amount.
Total Domestic Partner Cost = The total amount that will be deducted from pay on an after-tax basis (this is offset by the taxable amount)

Instructions for electing coverage for your Domestic Partner

Log in to Employee Self Service, in the left navigation pane >> Benefits & Wellness >> Benefits >> Benefits Enrollment. Choose your OPEN event to begin the process of enrollment.

  1. Select the option code from the drop down that corresponds to your coverage choice. The option code is the number in the parentheses located to the right of the monthly cost.
  2. Choose the recalculate function/button to refresh your current list of eligible dependents and beneficiaries if needed.
  3. Once you have completed your elections, please submit to University Benefits. 
  4. You will be sent two emails from the Benefits Office after enrollment was completed.
    1. Benefits Confirmation Statement - Please review this statement carefully in Employee Self Service. If a correction is needed, follow the steps from your Benefits Confirmation page.
    2. Dependent Eligibility Verification - Information about the verification process and document requirements will be sent after your event has processed. Documentation you supply in Employee Self Service to verify your domestic partner must correspond with the eligibility conditions that you selected on the Domestic Partner Affidavit.
Contact Information

University Benefits

Fax
319-335-2776
Campus Address
120 USB
Mailing Address

120 University Services Building
Iowa City, IA 52242-1911
United States

Hours
Monday-Friday, 8 a.m.-5 p.m.