Employee Rates

UIChoice, UISelect, Dental II

Student Rates

SHIP, UIGRADCare, Student Dental

Retiree Rates

UIChoice, UISelect, UiHA, Dental

COBRA Rates

Employees and Students

Prior Year Rates for Active Employees

Prior Year Rates for Active Employees

2021 UIChoice Monthly Premiums

Effective Jan. 1, 2021, to Dec. 31, 2021
Type of Contract Total Cost UI Contribution Employee Cost

Employee Only

$717

$645

$72
Employee + Spouse $1,712 $1,370 $342
Employee + Child(ren) $1,397 $1,118 $279
Family $1,834 $1,467 $367

Double Spouse: Family

$1,834

$1,651

$183

2020 UIChoice Monthly Premiums

Effective Jan. 1, 2020, to Dec. 31, 2020
Type of Contract Total Cost UI Contribution Employee Cost

Employee Only

$683

$649

$34
Employee + Spouse $1,631 $1,305 $326
Employee + Child(ren) $1,331 $1,065 $266
Family $1,747 $1,398 $349

Double Spouse: Family

$1,747

$1,660

$87

2019 UIChoice Monthly Premiums

Effective Jan. 1, 2019, to Dec. 31, 2019
Type of Contract Total Cost UI Contribution Employee Cost

Employee Only

$620

$620

$0
Employee + Spouse $1,479 $1,183 $296
Employee + Child(ren) $1,206 $965 $241
Family $1,586 $1,269 $317

Double Spouse: Family

$1,586

$1,586

$0

2018 UIChoice Monthly Premiums

Effective Jan. 1, 2018, to Dec. 31, 2018
Type of Contract Total Cost UI Contribution Employee Cost

Employee Only

$605

$605

$0
Employee + Spouse $1,443 $1,154 $289
Employee + Child(ren) $1,177 $942 $235
Family $1,547 $1,238 $309

Double Spouse: Family

$1,547

$1,547

$0

 

Review 2022 Active Employee UIChoice Premium Rates

2021 UISelect Monthly Premiums

effective Jan. 1, 2021, to Dec. 31, 2021
TYPE OF CONTRACT TOTAL COST UI CONTRIB. EMPLOYEE COST
Employee Only $597 $597 $0
Employee + Spouse $1,427 $1,142 $285
Employee + Child(ren) $1,164 $931 $233
Family $1,528 $1,222 $306
Double Spouse: Family $1,528 $1,528 $0

2020 UISelect Monthly Premiums

(Jan. 2020, the first-year plan was implemented)

Rates effective Jan. 1, 2020, to Dec. 31, 2020
TYPE OF CONTRACT TOTAL COST UI CONTRIB. EMPLOYEE COST
Employee Only $569 $569 $0
Employee + Spouse $1,359 $1,087 $272
Employee + Child(ren) $1,109 $887 $222
Family $1,456 $1,165 $291
Double Spouse: Family $1,456 $1,456 $0

 

Review 2022 Active Employee UISelect Premium Rates

2021 Dental II Monthly Premiums

Effective Jan. 1, 2021, - Dec. 31, 2021
TYPE OF CONTRACT TOTAL COST UI CONTRIBUTION EMPLOYEE COST
Employee Only $45 $45 $0
Employee + Spouse $93 $74 $19
Employee + Child(ren) $100 $80 $20
Family $133 $106 $27
Double Spouse Family $133 $133 $0

2020 Dental II Monthly Premiums

Effective Jan. 1, 2020, - Dec. 31, 2020
TYPE OF CONTRACT TOTAL COST UI CONTRIBUTION EMPLOYEE COST
Employee Only $45 $45 $0
Employee + Spouse $93 $74 $19
Employee + Child(ren) $100 $80 $20
Family $133 $106 $27
Double Spouse Family $133 $133 $0

2019 Dental II Monthly Premiums

Effective Jan. 1, 2020, - Dec. 31, 2020
TYPE OF CONTRACT TOTAL COST UI CONTRIBUTION EMPLOYEE COST
Employee Only $45 $45 $0
Employee + Spouse $93 $74 $19
Employee + Child(ren) $100 $80 $20
Family $133 $106 $27
Double Spouse Family $133 $133 $0

2018 Dental II Monthly Premiums

Effective Jan. 1, 2018, - Dec. 31, 2018
TYPE OF CONTRACT TOTAL COST UI CONTRIBUTION EMPLOYEE COST
Employee Only $45 $45 $0
Employee + Spouse $93 $74 $19
Employee + Child(ren) $100 $80 $20
Family $133 $106 $27
Double Spouse Family $133 $133 $0

 

Review 2022 Active Employee Dental II Premium Rates

Prior Year Rates for Students

Prior Year Rates for Students

SHIP, UIGRADCare, and Student Dental

AY 2021 - 2022

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

AY 2020 - 2021

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

AY 2019 - 2020

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

AY 2018 - 2019

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

AY 2021 - 2022

Effective Sep. 1, 2021 - Aug. 31, 2022
Plan Rate/Month UI Contribution/Month

Employed Student Cost/Month
Student Only $300.00 $270.00 $30.00
Student + Spouse $1,188.00 $831.60 $356.40
Student + Child(ren) $1,084.00 $758.80 $325.20
Family $1,512.00 $1,058.40 $453.60

AY 2020 - 2021 

Effective Sep. 1, 2020, - Aug. 31, 2021
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $275 $247.50 $27.50
Student + Spouse $1,188 $831.60 $356.40
Student + Child(ren) $1,084 $758.80 $325.20
Family $1,512 $1,058.40 $453.60

AY 2019 - 2020

Effective Sep. 1, 2019, - Aug. 31, 2020
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $250 $225.00 $25.00
Student + Spouse $1,188 $831.60 $356.40
Student + Child(ren) $1,084 $758.80 $325.20
Family $1,512 $1,058.40 $453.60

AY 2018 - 2019

Effective Sep. 1, 2018, - Aug. 31, 2019
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $215 $193.50 $21.50
Student + Spouse $1,188 $831.60 $356.40
Student + Child(ren) $1,084 $758.80 $325.20
Family $1,512 $1,058.40 $453.60

 

Employed Grad UIGRADCare Rates

AY 2021-2022

Effective Sep. 1, 2021 - Aug. 31, 2022
Plan Rate/Month UI Contribution/Month

Employed Student Cost/Month
Student Only $407.00 $366.30 $40.70
Student + Spouse $730.00 $511.00 $219.00
Family $1,796.00 $1,257.20 $538.80

AY 2020-2021

Effective Sep. 1, 2020, - Aug. 31, 2021
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $397 $357.30 $39.70
Student + Spouse $730 $511.00 $219.00
Student + Child(ren) N/A N/A N/A
Family $1,796 $1,257.20 $538.80

AY 2019 - 2020

Effective Sep. 1, 2019, - Aug. 31, 2020
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $361 $324.90 $36.10
Student + Spouse $730 $511.00 $219.00
Student + Child(ren) N/A N/A N/A
Family $1,688 $1,181.60 $506.40

AY 2018 - 2019

Effective Sep. 1, 2018, - Aug. 31, 2019
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $347 $312.30 $34.70
Student + Spouse $730 $511.00 $219.00
Student + Child(ren) N/A N/A N/A
Family $1,445 $1,011.50 $433.50

Review AY 21-22 Employed Grad UIGRADCare Premium Rates

Employed Grad Student Dental Rates

AY 2021 - 2022

Effective Sep. 1, 2021, - Aug. 31, 2022
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $25 $21.25 $3.75
Student + Spouse $47 $32.90 $14.10
Student + Child(ren) $67 $46.90 $20.10
Family $80 $56.00 $24.10

AY 2020 - 2021 

Effective Sep. 1, 2020, - Aug. 31, 2021
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $25 $21.25 $3.75
Student + Spouse $47 $32.90 $14.10
Student + Child(ren) $67 $46.90 $20.10
Family $80 $56.00 $24.10

AY 2019 - 2020

Effective Sep. 1, 2019, - Aug. 31, 2020
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $25 $21.25 $3.75
Student + Spouse $47 $32.90 $14.10
Student + Child(ren) $67 $46.90 $20.10
Family $80 $56.00 $24.00

AY 2018 - 2019

Effective Sep. 1, 2018, - Aug. 31, 2019
Plan Coverage Option Total Cost UI Contribution Employed Student Cost
Student Only $25 $21.25 $3.75
Student + Spouse $45 $31.50 $13.50
Student + Child(ren) $67 $46.90 $20.10
Family $80 $56.00 $24.00

Review AY 21-22 Employed Grad UIGRADCare Premium Rates

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. 

Year Retiree Only Retiree+Spouse Retiree+Child Family
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. 

Year Retiree Only Retiree+Spouse Retiree+Child Family
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. 

Year Retiree Only Retiree+Spouse Retiree+Child Family
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. 

Year Retiree Only Retiree+Spouse Retiree+Child Family
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. 

Year Retiree Only Retiree+
Spouse
(1 Medicare)		 Retiree+
Spouse
(both Medicare)		 Retiree+
1 Child		 Family
(Spouse not Medicare)		 FAmily
(Retiree+
Spouse Medicare)
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. 

Year Retiree Only Retiree+
Spouse
(1 Medicare)		 Retiree+
Spouse
(Both Medicare)		 Retiree+
Child		 Family
(Spouse Not Medicare)		 family
(retiree+
Spouse Medicare)
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. 

Year Retiree Only Retiree+
Spouse
(1 Medicare)		 Retiree+
Spouse
(both Medicare)		 Retiree+
1 Child		 Family
(Spouse not Medicare)		 FAmily
(Retiree+
Spouse Medicare)
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. 

Year Retiree Only Retiree+
Spouse
(1 Medicare)		 Retiree+
Spouse
(Both Medicare)		 Retiree+
Child		 Family
(Spouse Not Medicare)		 family
(retiree+
Spouse Medicare)
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 

Year Retiree Only Retiree+Spouse Retiree+Child Family
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.

 

Year HMO PLus RX Plan ppo rx plan
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

Current Year Premium Rates

Active Employees
2022 UIChoice Premium Rates
2022 UISelect Premium Rates
2022 Dental II Premium Rates

Students
AY 2021-2022 SHIP/UIGRADCare Premium Rates
AY 2021-2022 Student Dental Premium Rates

Employed Grad Students with assistantships
AY 2021-2022 SHIP/UIGRADCare Premium Rates
AY 2021-2022 Student Dental Premium Rates

Retirees
2022 UIChoice/UISelect/UI Health Alliance Premium Rates
2022 Dental II Retiree Premium Rates

COBRA 
(rates effective Jan. 1 to Dec. 31)

Former Employees
2022 UIChoice, UISelect, and Dental COBRA Premium Rates

Employed Graduate Student COBRA rates
2022 SHIP/GRADCare/Student Dental COBRA Premium Rates

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