Prior Year Rates for Active Employees

Prior Year Rates for Active Employees

Historical UIChoice Monthly Premiums

Rates are effective each plan year, from January 01 to December 31.

History of UIChoice rates 2018 - 2023
Type of ContractEmployee Onlyemployee + spouseemployee + childfamilydouble spouse family
2023
  • Total Premium = $814
  • UI Contrib. = $733
  • Employee Cost = $81
  • Total Premium = $1,943
  • UI Contrib. = $1,554
  • Employee Cost = $389
  • Total Premium = $1,585
  • UI Contrib. = $1,268
  • Employee Cost = $317
  • Total Premium = $2,081
  • UI Contrib. = $1,665
  • Employee Cost = $416
  • Total Premium = $2,081
  • UI Contrib. = $1,873
  • Employee Cost = $208
2022
  • Total Premium = $768
  • UI Contrib. = $691
  • Employee Cost = $77
  • Total Premium = $1,833
  • UI Contrib. = $1,466
  • Employee Cost = $367
  • Total Premium = $1,496
  • UI Contrib. = $1,197
  • Employee Cost = $299
  • Total Premium = $1,963
  • UI Contrib. = $1,570
  • Employee Cost = $393
  • Total Premium = $1,963
  • UI Contrib. = $1,767
  • Employee Cost = $196
2021
  • Total Premium = $717
  • UI Contrib. = $645
  • Employee Cost = $72
  • Total Premium = $1,712
  • UI Contrib. = $1,370
  • Employee Cost = $342
  • Total Premium = $1,397
  • UI Contrib. = $1,118
  • Employee Cost = $279
  • Total Premium = $1,834
  • UI Contrib. = $1,467
  • Employee Cost = $367
  • Total Premium = $1,834
  • UI Contrib. = $1,651
  • Employee Cost = $183
2020
  • Total Premium = $683
  • UI Contrib. = $649
  • Employee Cost = $34
  • Total Premium = $1,631
  • UI Contrib. = $1,305
  • Employee Cost = $326
  • Total Premium = $1,331
  • UI Contrib. = $1,065
  • Employee Cost = $266
  • Total Premium = $1,747
  • UI Contrib. = $1,396
  • Employee Cost = $349
  • Total Premium = $1,747
  • UI Contrib. = $1,660
  • Employee Cost = $87
2019
  • Total Premium = $620
  • UI Contrib. = $620
  • Employee Cost = $0
  • Total Premium = $1,479
  • UI Contrib. = $1,183
  • Employee Cost = $296
  • Total Premium = $1,206
  • UI Contrib. = $965
  • Employee Cost = $241
  • Total Premium = $1,586
  • UI Contrib. = $1,269
  • Employee Cost = $317
  • Total Premium = $1,586
  • UI Contrib. = $1,586
  • Employee Cost = $0
2018
  • Total Premium = $605
  • UI Contrib. = $605
  • Employee Cost = $0
  • Total Premium = $1,443
  • UI Contrib. = $1,154
  • Employee Cost = $289
  • Total Premium = $1,177
  • UI Contrib. = $942
  • Employee Cost = $235
  • Total Premium = $1,547
  • UI Contrib. = $1,238
  • Employee Cost = $309
  • Total Premium = $1,547
  • UI Contrib. = $1,547
  • Employee Cost = $0

 

Review the current Active Employee UIChoice Premium Rates

Historical UISelect Monthly Premiums

Rates are effective each plan year, from January 01 to December 31.

History of UISelect rates 2020 - 2023
Type of ContractEmployee Onlyemployee + spouseemployee + childfamilydouble spouse family
2023
  • Total Premium = $651
  • UI Contrib. = $651
  • Employee Cost = $0
  • Total Premium = $1,554
  • UI Contrib. = $1,243
  • Employee Cost = $311
  • Total Premium = $1,268
  • UI Contrib. = $1,014
  • Employee Cost = $254
  • Total Premium = $1,665
  • UI Contrib. = $1,332
  • Employee Cost = $333
  • Total Premium = $1,665
  • UI Contrib. = $1,665
  • Employee Cost = $0
2022
  • Total Premium = $614
  • UI Contrib. = $614
  • Employee Cost = $0
  • Total Premium = $1,468
  • UI Contrib. = $1,174
  • Employee Cost = $294
  • Total Premium = $1,197
  • UI Contrib. = $958
  • Employee Cost = $239
  • Total Premium = $1,572
  • UI Contrib. = $1,258
  • Employee Cost = $314
  • Total Premium = $1,572
  • UI Contrib. = $1,572
  • Employee Cost = $0
2021
  • Total Premium = $597
  • UI Contrib. = $597
  • Employee Cost = $0
  • Total Premium = $1,427
  • UI Contrib. = $1,142
  • Employee Cost = $285
  • Total Premium = $1,164
  • UI Contrib. = $931
  • Employee Cost = $233
  • Total Premium = $1,528
  • UI Contrib. = $1,222
  • Employee Cost = $306
  • Total Premium = $1,528
  • UI Contrib. = $1,528
  • Employee Cost = $0
2020 - 
(Jan. 2020, the first-year plan was implemented)
  • Total Premium = $569
  • UI Contrib. = $569
  • Employee Cost = $0
  • Total Premium = $1,359
  • UI Contrib. = $1,087
  • Employee Cost = $272
  • Total Premium = $1,109
  • UI Contrib. = $887
  • Employee Cost = $222
  • Total Premium = $1,456
  • UI Contrib. = $1,165
  • Employee Cost = $291
  • Total Premium = $1,456
  • UI Contrib. = $1,456
  • Employee Cost = $0

 

Review the current Active Employee UISelect Premium Rates

Historical Dental II Monthly Premiums

Rates are effective each plan year, from January 01 to December 31.

History of DENtal II rates 2018 - 2023
Type of ContractEmployee Onlyemployee + spouseemployee + childfamilydouble spouse family
2023
  • Total Premium = $46.50
  • UI Contrib. = $46.50
  • Employee Cost = $0
  • Total Premium = $97.50
  • UI Contrib. = $78.00
  • Employee Cost = $19.50
  • Total Premium = $102.50
  • UI Contrib. = $82.00
  • Employee Cost = $20.50
  • Total Premium = $137.50
  • UI Contrib. = $110.00
  • Employee Cost = $27.50
  • Total Premium = $137.50
  • UI Contrib. = $137.50
  • Employee Cost = $0
2022
  • Total Premium = $45
  • UI Contrib. = $45
  • Employee Cost = $0
  • Total Premium = $93
  • UI Contrib. = $74
  • Employee Cost = $19
  • Total Premium = $100
  • UI Contrib. = $80
  • Employee Cost = $20
  • Total Premium = $133
  • UI Contrib. = $106
  • Employee Cost = $27
  • Total Premium = $133
  • UI Contrib. = $133
  • Employee Cost = $0
2021
  • Total Premium = $45
  • UI Contrib. = $45
  • Employee Cost = $0
  • Total Premium = $93
  • UI Contrib. = $74
  • Employee Cost = $19
  • Total Premium = $100
  • UI Contrib. = $80
  • Employee Cost = $20
  • Total Premium = $133
  • UI Contrib. = $106
  • Employee Cost = $27
  • Total Premium = $133
  • UI Contrib. = $133
  • Employee Cost = $0
2020
  • Total Premium = $45
  • UI Contrib. = $45
  • Employee Cost = $0
  • Total Premium = $93
  • UI Contrib. = $74
  • Employee Cost = $19
  • Total Premium = $100
  • UI Contrib. = $80
  • Employee Cost = $20
  • Total Premium = $133
  • UI Contrib. = $106
  • Employee Cost = $27
  • Total Premium = $133
  • UI Contrib. = $133
  • Employee Cost = $0
2019
  • Total Premium = $45
  • UI Contrib. = $45
  • Employee Cost = $0
  • Total Premium = $93
  • UI Contrib. = $74
  • Employee Cost = $19
  • Total Premium = $100
  • UI Contrib. = $80
  • Employee Cost = $20
  • Total Premium = $133
  • UI Contrib. = $106
  • Employee Cost = $27
  • Total Premium = $133
  • UI Contrib. = $133
  • Employee Cost = $0
2018
  • Total Premium = $45
  • UI Contrib. = $45
  • Employee Cost = $0
  • Total Premium = $93
  • UI Contrib. = $74
  • Employee Cost = $19
  • Total Premium = $100
  • UI Contrib. = $80
  • Employee Cost = $20
  • Total Premium = $133
  • UI Contrib. = $106
  • Employee Cost = $27
  • Total Premium = $133
  • UI Contrib. = $133
  • Employee Cost = $0

 


Review the current Active Employee Dental II Premium Rates

Prior Year Rates for Students

Prior Year Rates for Students

SHIP, UIGRADCare, and Student Dental

AY 2023 - 2024 (effective 01/01/24)

Effective jan. 1, 2024 - Aug. 31, 2024
Plan Coverage OptionSHIP
Monthly Rate
UIGRADCare
Monthly Rate
Student dental
Monthly Rate
Student Only$273$463$25
Student + Spouse$1,080$858$47
Student + Child(ren)$839N/A$67
Family$1,171$2,042$80

AY 2023 - 2024 (effective 09/01/23 - 08/31/24)

Effective jan. 1, 2024 - Aug. 31, 2024
Plan Coverage OptionSHIP
Monthly Rate
UIGRADCare
Monthly Rate
Student dental
Monthly Rate
Student Only$325$463$25
Student + Spouse$1,287$858$47
Student + Child(ren)$1,174N/A$67
Family$1,588$2,042$80

AY 2022 - 2023

Effective Sep. 1, 2022, - Dec. 31, 2023
Plan Coverage OptionSHIP
Monthly Rate
UIGRADCare
Monthly Rate
Student dental
Monthly Rate
Student Only$325$441$25
Student + Spouse$1,287$791$47
Student + Child(ren)$1,174N/A$67
Family$1,588$1,945$80

AY 2021 - 2022

Effective Sep. 1, 2021, - Aug. 31, 2022
Plan Coverage OptionSHIP
Monthly Rate
UIGRADCare
Monthly Rate
Student dental
Monthly Rate
Student Only$300$407$25
Student + Spouse$1,188$730$47
Student + Child(ren)$1,084N/A$67
Family$1,512$1,796$80

AY 2020 - 2021

Effective Sep. 1, 2020, - Aug. 31, 2021
Plan Coverage OptionSHIP
Monthly Rate
UIGRADCare
Monthly Rate
Student dental
Monthly Rate
Student Only$275$397$25
Student + Spouse$1,188$730$47
Student + Child(ren)$1,084N/A$67
Family$1,512$1,796$80

AY 2019 - 2020

Effective Sep. 1, 2019, - Aug. 31, 2020
Plan Coverage OptionSHIP
Monthly Rate
UIGRADCare
Monthly Rate
Student Dental
Monthly Rate
Student Only$250$361$25
Student + Spouse$1,188$730$47
Student + Child(ren)$1,084N/A$67
Family$1,512$1,688$80

AY 2018 - 2019

Effective Sep. 1, 2018, - Aug. 31, 2019
Plan Coverage OptionSHIP
Monthly Rate
UIGRADCare
Monthly rate
student dental
Monthly rate
Student Only$215$347$25
Student + Spouse$1,188$730$45
Student + Child(ren)$1,084N/A$67
Family$1,512$1,445$80

 

Prior Year Rates for Employed Grad Students w/Assistantships

Prior Year Rates for Employed Grad Students

Employed Grad - Student Health Insurance Plan Rates

Historical SHIP Monthly Premiums

Rates are effective each plan year, from September 01 to August 31.

History of Employed Graduate SHIP rates 2018 - 2023
Type of ContractStudent OnlyStudent + spouseStudent + childfamily
AY 23-24
  • Total Premium = $273.00
  • UI Contrib. = $245.70
  • Employed Student Cost = $27.30
  • Total Premium = $1,080.00
  • UI Contrib. = $756.00
  • Employed Student Cost = $324.00
  • Total Premium = $839.00
  • UI Contrib. = $587.30
  • Employee Cost = $251.70
  • Total Premium = $1,171.00
  • UI Contrib. = $819.70
  • Employee Cost = $351.30
AY 22-23
  • Total Premium = $325.00
  • UI Contrib. = $292.50
  • Employed Student Cost = $32.50
  • Total Premium = $1,287.00
  • UI Contrib. = $900.90
  • Employed Student Cost = $386.10
  • Total Premium = $1,174.00
  • UI Contrib. = $821.80
  • Employed Student Cost = $352.20
  • Total Premium = $1,588.00
  • UI Contrib. = $1,111.60
  • Employed Student Cost = $476.40
AY 21-22
  • Total Premium = $300.00
  • UI Contrib. = $270.00
  • Employed Student Cost = $30.00
  • Total Premium = $1,188.00
  • UI Contrib. = $831.60
  • Employed Student Cost = $356.40
  • Total Premium = $1,084.00
  • UI Contrib. = $758.80
  • Employed Student Cost = $325.20
  • Total Premium = $1,512.00
  • UI Contrib. = $1,058.40
  • Employed Student Cost = $453.60
AY 20-21
  • Total Premium = $275.00
  • UI Contrib. = $247.50
  • Employed Student Cost = $27.50
  • Total Premium = $1,188.00
  • UI Contrib. = $831.60
  • Employed Student Cost = $356.40
  • Total Premium = $1,084.00
  • UI Contrib. = $758.80
  • Employed Student Cost = $325.20
  • Total Premium = $1,512.00
  • UI Contrib. = $1,058.40
  • Employed Student Cost = $453.60
AY 19-20
  • Total Premium = $250.00
  • UI Contrib. = $225.00
  • Employed Student Cost = $25.00
  • Total Premium = $1,188.00
  • UI Contrib. = $831.60
  • Employed Student Cost = $356.40
  • Total Premium = $1,084.00
  • UI Contrib. = $758.80
  • Employed Student Cost = $325.20
  • Total Premium = $1,512.00
  • UI Contrib. = $1,058.40
  • Employed Student Cost = $453.60
AY 18-19
  • Total Premium = $215.00
  • UI Contrib. = $193.50
  • Employed Student Cost = $21.50
  • Total Premium = $1,188.00
  • UI Contrib. = $831.60
  • Employed Student Cost = $356.40
  • Total Premium = $1,084.00
  • UI Contrib. = $758.80
  • Employed Student Cost = $325.20
  • Total Premium = $1,512.00
  • UI Contrib. = $1,058.40
  • Employed Student Cost = $453.60

 

Employed Grad - Health Insurance Plan Rates

Historical UIGRADCare Monthly Premiums

Rates are effective each plan year, from September 01 to August 31.

History of Employed Graduate UIGRADCARE rates 2018 - 2023
Type of ContractStudent OnlyStudent + spousefamily
AY 23-24
  • Total Premium = $463.00
  • UI Contrib. = $416.70
  • Employed Student Cost = $46.30
  • Total Premium = $858.00
  • UI Contrib. = $600.60
  • Employed Student Cost = $257.40
  • Total Premium = $2,042.00
  • UI Contrib. = $1,429.40
  • Employee Cost = $612.60
AY 22-23
  • Total Premium = $441.00
  • UI Contrib. = $396.90
  • Employed Student Cost = $44.10
  • Total Premium = $791.00
  • UI Contrib. = $553.70
  • Employed Student Cost = $237.30
  • Total Premium = $1,945.00
  • UI Contrib. = $1,361.50
  • Employed Student Cost = $583.50
AY 21-22
  • Total Premium = $407.00
  • UI Contrib. = $366.30
  • Employed Student Cost = $40.70
  • Total Premium = $730.00
  • UI Contrib. = $511.00
  • Employed Student Cost = $219.00
  • Total Premium = $1,796.00
  • UI Contrib. = $1,257.20
  • Employed Student Cost = $538.80
AY 20-21
  • Total Premium = $397.00
  • UI Contrib. = $357.30
  • Employed Student Cost = $39.70
  • Total Premium = $730.00
  • UI Contrib. = $511.00
  • Employed Student Cost = $219.00
  • Total Premium = $1,796.00
  • UI Contrib. = $1,257.20
  • Employed Student Cost = $538.80
AY 19-20
  • Total Premium = $361.00
  • UI Contrib. = $324.90
  • Employed Student Cost = $36.10
  • Total Premium = $730.00
  • UI Contrib. = $511.00
  • Employed Student Cost = $219.00
  • Total Premium = $1,688.00
  • UI Contrib. = $1,181.60
  • Employed Student Cost = $506.40
AY 18-19
  • Total Premium = $347.00
  • UI Contrib. = $312.30
  • Employed Student Cost = $34.70
  • Total Premium = $730.00
  • UI Contrib. = $511.00
  • Employed Student Cost = $219.00
  • Total Premium = $1,445.00
  • UI Contrib. = $1,011.50
  • Employed Student Cost = $433.50

Employed Grad - Dental Insurance Plan Rates

Historical Student Dental Monthly Premiums

Rates are effective each plan year, from September 01 to August 31.

History of Employed Graduate Dental rates 2018 - 2023
Type of ContractStudent OnlyStudent + spouseStudent + Childfamily
AY 23-24
  • Total Premium = $25.00
  • UI Contrib. = $21.25
  • Employed Student Cost = $3.75
  • Total Premium = $47.00
  • UI Contrib. = $32.90
  • Employed Student Cost = $14.10
  • Total Premium = $67.00
  • UI Contrib. = $46.90
  • Employed Student Cost = $20.10
  • Total Premium = $80.00
  • UI Contrib. = $56.00
  • Employee Cost = $24.00
AY 22-23
  • Total Premium = $25.00
  • UI Contrib. = $21.25
  • Employed Student Cost = $3.75
  • Total Premium = $47.00
  • UI Contrib. = $32.90
  • Employed Student Cost = $14.10
  • Total Premium = $67.00
  • UI Contrib. = $46.90
  • Employed Student Cost = $20.10
  • Total Premium = $80.00
  • UI Contrib. = $56.00
  • Employed Student Cost = $24.00
AY 21-22
  • Total Premium = $25.00
  • UI Contrib. = $21.25
  • Employed Student Cost = $3.75
  • Total Premium = $47.00
  • UI Contrib. = $32.90
  • Employed Student Cost = $14.10
  • Total Premium = $67.00
  • UI Contrib. = $46.90
  • Employed Student Cost = $20.10
  • Total Premium = $80.00
  • UI Contrib. = $56.00
  • Employed Student Cost = $24.00
AY 20-21
  • Total Premium = $25.00
  • UI Contrib. = $21.25
  • Employed Student Cost = $3.75
  • Total Premium = $47.00
  • UI Contrib. = $32.90
  • Employed Student Cost = $14.10
  • Total Premium = $67.00
  • UI Contrib. = $46.90
  • Employed Student Cost = $20.10
  • Total Premium = $80.00
  • UI Contrib. = $56.00
  • Employed Student Cost = $24.00
AY 19-20
  • Total Premium = $25.00
  • UI Contrib. = $21.25
  • Employed Student Cost = $3.75
  • Total Premium = $47.00
  • UI Contrib. = $32.90
  • Employed Student Cost = $14.10
  • Total Premium = $67.00
  • UI Contrib. = $46.90
  • Employed Student Cost = $20.10
  • Total Premium = $80.00
  • UI Contrib. = $56.00
  • Employed Student Cost = $24.00
AY 18-19
  • Total Premium = $25.00
  • UI Contrib. = $21.25
  • Employed Student Cost = $3.75
  • Total Premium = $45.00
  • UI Contrib. = $31.50
  • Employed Student Cost = $13.50
  • Total Premium = $67.00
  • UI Contrib. = $46.90
  • Employed Student Cost = $20.10
  • Total Premium = $80.00
  • UI Contrib. = $56.00
  • Employed Student Cost = $24.00

Prior Year Rates for UI Retirees

Prior Year Rates for UI Retirees

*Eligibility for the UI Contribution: Must have retired from the University at 62 or older with ten or more years of continuous benefit-eligible service.

Rates are effective from Jan. 1 to Dec. 31 each calendar year.


Retiree UIChoice Total Cost Premiums

UI Retiree/Spouse NOT Medicare-eligible or eligible for the $288 UI contribution. 

YearRetiree OnlyRetiree+SpouseRetiree+ChildFamily
2023$814$1,943$1,585$2,081
2022$768$1,833$1,496$1,963
2021$717$1,712$1,397$1,834
2020$683$1,631$1,331$1,747
2019$620$1,479$1,206$1,586
2018$605$1,443$1,177$1,547

 

Retiree UIChoice Premiums with $288 UI Contribution

UI Retiree/Spouse NOT Medicare-eligible but eligible for the $288 UI contribution, which is applied towards the total cost monthly. 

YearRetiree OnlyRetiree+SpouseRetiree+ChildFamily
2023$526$1,655$1,297$1,793
2022$480$1,545$1,208$1,675
2021$429$1,424$1,109$1,546
2020$393$1,343$1,043$1,459
2019$332$1,191$918$1,298
2018$317$1,155$889$1,259

 

*Eligibility for the UI Contribution: Must have retired from the University at 62 or older with ten or more years of continuous benefit-eligible service.

Rates are effective from Jan. 1 to Dec. 31 each calendar year.


Retiree UISelect Total Cost Premiums

UI Retiree/Spouse NOT Medicare-eligible or eligible for the $288 UI contribution. 

YearRetiree OnlyRetiree+SpouseRetiree+ChildFamily
2023$651$1,554$1,268$1,665
2022$614$1,468$1,197$1,572
2021$597$1,427$1,164$1,528
2020$569$1,359$1,109$1,456

 

Retiree UISelect Premiums with $288 UI Contribution

UI Retiree/Spouse NOT Medicare-eligible but eligible for the $288 UI contribution, which is applied towards the total cost monthly. 

YearRetiree OnlyRetiree+SpouseRetiree+ChildFamily
2023$363$1,266$980$1,377
2022$326$1,180$909$1,284
2021$309$1,139$876$1,240
2020$281$1,071$821$1,168

 

*Eligibility for the UI Contribution: Must have retired from the University at 62 or older with ten or more years of continuous benefit-eligible service.

Rates are effective from Jan. 1 to Dec. 31 each calendar year.


Medicare Eligible Retiree UIChoice Total Cost Premiums

UI Retiree/Spouse is Medicare-eligible but not eligible for the $288 UI contribution. 

YearRetiree OnlyRetiree+
Spouse
(1 Medicare)
Retiree+
Spouse
(both Medicare)
Retiree+
1 Child
Family
(Spouse not Medicare)
FAmily
(Retiree+
Spouse Medicare)
2023$1,008.00$1,822.00$2,016.00$1,822.00$2,593.00$2,757.00
2022$918.66$1,686.66$1,837.32$1,686.66$2,414.66$2,605.32
2021$862.00$1,579.00$1,724.00$1,579.00$2,259.00$2,441.00
2020$792.00$1,475.00$1,584.00$1,475.00$2,123.00$2,267.00
2019$716.00$1,336.00$1,432.00$1,336.00$1,922.00$2,052.00
2018$695.00$1,300.00$1,390.00$1,300.00$1,872.00$1,995.00

 

Retiree UIChoice Premiums with $288 UI Contribution

UI Retiree/Spouse Medicare-eligible but eligible for the $288 UI contribution, which is applied towards the total cost monthly. 

YearRetiree OnlyRetiree+
Spouse
(1 Medicare)
Retiree+
Spouse
(Both Medicare)
Retiree+
Child
Family
(Spouse Not Medicare)
family
(retiree+
Spouse Medicare)
2023$720.00$1,534.00$1,728.00$1,534.00$2,305.00$2,469.00
2022$630.66$1,398.66$1,549.32$1,398.66$2,126.66$2,317.32
2021$574.00$1,291.00$1,436.00$1,291.00$1,971.00$2,153.00
2020$504.00$1,187.00$1,296.00$1,187.00$1,835.00$1,979.00
2019$428.00$1,048.00$1,144.00$1,048.00$1,634.00$1,764.00
2018$407.00$1,012.00$1,102.00$1,012.00$1,584.00$1,707.00

*Eligibility for the UI Contribution: Must have retired from the University at 62 or older with ten or more years of continuous benefit-eligible service.

Rates are effective from Jan. 1 to Dec. 31 each calendar year.


Medicare Eligible Retiree UISelect Total Cost Premiums

UI Retiree/Spouse is Medicare-eligible but not eligible for the $288 UI contribution. 

YearRetiree OnlyRetiree+
Spouse
(1 Medicare)
Retiree+
Spouse
(both Medicare)
Retiree+
1 Child
Family
(Spouse not Medicare)
FAmily
(Retiree+
Spouse Medicare)
2023$907.00$1,558.00$1,814.00$1,558.00$2,175.00$2,205.00
2022$826.80$1,440.80$1,653.60$1,440.80$2,023.80$2,267.60
2021$776.00$1,579.00$1,724.00$1,579.00$1,940.00$2,321.00
2020$713.00$1,282.00$1,426.00$1,282.00$1,822.00$1,995.00

 

Medicare Eligible Retiree UISelect Premiums with $288 UI Contribution

UI Retiree/Spouse Medicare-eligible but eligible for the $288 UI contribution, which is applied towards the total cost monthly. 

YearRetiree OnlyRetiree+
Spouse
(1 Medicare)
Retiree+
Spouse
(Both Medicare)
Retiree+
Child
Family
(Spouse Not Medicare)
family
(retiree+
Spouse Medicare)
2023$619.00$1,270.00$1,526.00$1,270.00$1,887.00$1,917.00
2022$538.80$1,152.80$1,365.60$1,152.80$1,735.80$1,979.60
2021$488.00$1,291.00$1,436.00$1,291.00$1,652.00$2,033.00
2020$425.00$994.00$1,138.00$994.00$1,534.00$1,707.00

Rates are effective from Jan. 1 to Dec. 31 each calendar year.

UI Retiree Dental II Premiums 

YearRetiree OnlyRetiree+SpouseRetiree+ChildFamily
2023$46.50$97.50$102.50$137.50
2022$45$93$100$133
2021$45$93$100$133
2020$45$93$100$133
2019$45$93$100$133
2018$45$93$100$133

Rates are effective from Jan. 1 to Dec. 31 each calendar year.

 

YearHMO PLus RX Planppo rx plan
2023$60$320
2022$60$320
2021$60$320
2020$60$320
2019$56$300
2018$53$286

Prior Year Rates for COBRA participants

(former UI employees and employed grad students)

Prior Year Rates for COBRA (employee and student plans)

Employees and Employed Graduates COBRA Rates

2022 COBRA 

PLAN UIChoice UISElect Dental II SHIP GRADCare Student
Dental
  Rates effective Jan. 1 - Dec. 31, 2022 Rates effective Sep. 1, 2021 - Aug. 31, 2022
Employee/Student Only $731.34 $608.94 $45.90 $306.00 $415.14 $25.50
Employee/Student + Spouse $1,746.24 $1,455.54 $94.86 $1,211.76 $744.60 $47.94
Employee/Student + Child(ren) $1,424.94 $1,187.28 $102.00 $1,105.68 N/A $68.34
Family $1,870.68 $1,558.56 $135.66 $1,542.24 $1,831.92 $81.60

2021 COBRA 

PLAN UIChoice UISElect Dental II SHIP GRADCare Student
Dental
  Rates effective Jan. 1, 2021 - Dec. 31, 2021 Rates effective Sep. 1, 2020 - Aug. 31, 2021
Employee/Student Only $731.34 $608.94 $45.90 $306.00 $415.14 $25.50
Employee/Student + Spouse $1,746.24 $1,455.54 $94.86 $1,211.76 $744.60 $47.94
Employee/Student + Child(ren) $1,424.94 $1,187.28 $102.00 $1,105.68 N/A $68.34
Family $1,870.68 $1,558.56 $135.66 $1,542.24 $4,831.92 $81.60

2020 COBRA 

PLAN UIChoice UISElect Dental II SHIP GRADCare Student
Dental
  Rates effective Jan. 1, 2020 - Dec. 31, 2020 Rates effective Sep. 1, 2019 - Aug. 31, 2020
Employee/Student Only $696.66 $580.38 $45.90 $280.50 $404.94 $25.50
Employee/Student + Spouse $1,663.62 $1,386.18 $94.86 $1,211.76 $744.60 $47.94
Employee/Student + Child(ren) $1,357.62 $1,131.18 $102.00 $1,105.68 N/A $68.34
Family $1,781.94 $1,485.12 $135.66 $1,542.24 $1,831.92 $81.60

2019 COBRA 

PLAN UIChoice Dental II SHIP UIGRADCare Student
Dental
  Rates effective Jan. 1, 2019 - Dec. 31, 2019 Rates effective Sep. 1, 2018 - Aug. 31, 2019
Employee/Student Only $632.40 $45.90 $255.00 $368.22 $25.50
Employee/Student + Spouse $1,508.58 $94.86 $1,211.76 $744.60 $47.94
Employee/Student + Child(ren) $1,230.12 $102.00 $1,105.68 N/A $68.34
Family $1,617.72 $135.66 $1,542.24 $1,721.76 $81.60

2018 COBRA 

PLAN UIChoice Dental II SHIP UIGRADCare Student
Dental
  Rates effective Jan. 1, 2018 - Dec. 31, 2018 Rates effective Sep. 1, 2017 - Aug. 31, 2018
Employee/Student Only $617.10 $45.90 $193.80 $300.90 $25.50
Employee/Student + Spouse $1,471.86 $94.86 $969.00 $744.60 $45.90
Employee/Student + Child(ren) $1,200.54 $102.00 $899.64 N/A $68.34
Family $1,577.94 $135.66 $1,542.24 $1,473.90 $81.60

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