2015-2016 Benefits Rates

University of Denver Health and Welfare Rates
Active Employees
Effective 7/1/15
Medical Plan
Coverage Type
Employee
Employee
Kaiser HMO
Employee
Family
Employee
Employee
Kaiser POS
Employee
Family
Employee
Kaiser HDHP- Employee
HSA
Employee
Family
Employee
Employee
Kaiser PPO
Employee
Family
Employee
Kaiser PPO Employee
HDHP-HSA Employee
Family
Only
+ Sp
+ Ch(ren)
Employee
Employee
Kaiser HMO
Employee
Family
Employee
Employee
Kaiser POS
Employee
Family
Employee
Kaiser HDHP- Employee
HSA
Employee
Family
Employee
Employee
Kaiser PPO
Employee
Family
Employee
Kaiser PPO
Employee
HDHP-HSA
Employee
Family
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Only
+ Sp
+ Ch(ren)
Total
Monthly
Cost
DU HSA
Contribution
/Month*
Completion of THA
$572.30
n/a
$1,144.60
n/a
$1,030.14
n/a
$1,602.46
n/a
$773.90
n/a
$1,547.92
n/a
$1,393.04
n/a
$2,166.94
n/a
$443.92
$42.54
$887.84
$42.54
$799.08
$42.54
$1,242.98
$42.54
$838.82
n/a
$1,677.66
n/a
$1,509.90
n/a
$2,348.74
n/a
$642.74
n/a
$1,285.50
n/a
$1,156.92
n/a
$1,799.66
n/a
Non-Completion of THA
$597.30
n/a
$1,194.62
n/a
$1,055.14
n/a
$1,652.46
n/a
$798.92
n/a
$1,597.94
n/a
$1,418.04
n/a
$2,216.96
n/a
$511.46
$42.54
$980.40
$42.54
$866.62
$42.54
$1,335.54
$42.54
$863.84
n/a
$1,727.68
n/a
$1,534.92
n/a
$2,398.74
n/a
$667.74
n/a
$1,335.50
n/a
$1,181.94
n/a
$1,849.68
n/a
University's
Employee's
EE Share as
Monthly Share Monthly Share
%
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$85.84
$358.86
$322.96
$560.86
$287.44
$762.18
$685.86
$1,125.34
$0.00
$144.64
$134.44
$243.92
$352.36
$891.92
$802.72
$1,307.14
$156.28
$499.76
$449.74
$758.06
15%
31%
31%
35%
37%
49%
49%
52%
0%
16%
17%
20%
42%
53%
53%
56%
24%
39%
39%
42%
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$486.46
$785.74
$707.18
$1,041.60
$110.84
$408.88
$347.96
$610.86
$312.46
$812.20
$710.86
$1,175.36
$25.00
$194.66
$159.44
$293.94
$377.38
$941.94
$827.74
$1,357.14
$181.28
$549.76
$474.76
$808.08
19%
34%
33%
37%
39%
51%
50%
53%
5%
20%
18%
22%
44%
55%
54%
57%
27%
41%
40%
44%
University of Denver Health and Welfare Rates
Active Employees
Effective 7/1/15
Dental Plan
Delta Dental
Patient Direct
Discount HMO
Plan
Delta Dental
Base PPO Plan
Delta Dental
Enhanced PPO
Plan
Vision Plan
EyeMed Base
Plan
EyeMed
Enhanced
Plan
Coverage Type
Total
Monthly
Cost
University’s
Monthly Share
Employee’s
Monthly Share
Employee
Employee +
Spouse/Partner
Employee
+ Child(ren)
Employee + Family
Employee
Employee +
Spouse/Partner
Employee
+ Child(ren)
Employee + Family
$10.22
$20.24
$24.92
$29.86
$30.02
$59.18
$71.20
$111.13
Employee
Employee +
Spouse/Partner
Employee
+ Child(ren)
Employee + Family
$45.77
$90.22
$108.51
$169.41
Employee-paid
benefit
$45.77
$90.22
$108.51
$169.41
Total
Monthly
Cost
University’s
Monthly Share
Employee’s
Monthly Share
Coverage Type
Employee
Employee +
Spouse/Partner
Employee
+ Child(ren)
Employee + Family
Employee
Employee +
Spouse/Partner
Employee
+ Child(ren)
Employee + Family
$5.98
$11.38
$11.98
$17.62
$7.24
$13.74
$14.48
$21.28
Employee-paid
benefit
Employee-paid
benefit
Employee-paid
benefit
Employee-paid
benefit
$10.22
$20.24
$24.92
$29.86
$30.02
$59.18
$71.20
$111.13
$5.98
$11.38
$11.98
$17.62
$7.24
$13.74
$14.48
$21.28
Hartford
Rate
Employee’s Monthly Share
Voluntary
Term Life
Employee-paid benefit
Rates below are for $10,000 of monthly
coverage for employee or spouse/partner
Voluntary
AD&D
Employee-paid
Age
Tobacco
Non-Tobacco
< 25
$0.60
$0.50
25-29
$0.70
$0.60
30-34
$0.80
$0.80
35-39
$1.10
$0.90
40-44
$1.70
$1.00
45-49
$2.80
$1.50
50-54
$4.70
$2.30
55-59
$7.70
$4.30
60-64
$9.60
$6.60
65-69
$16.60
$12.70
70-74
$27.00
$20.60
75-79
$41.60
$20.60
Children
$2,500 – $0.50
$7,500 – $1.50
$5,000 – $1.00
$10,000 – $2.00
Employee Only: $0.22/$10,000/month
Family: $0.33/$10,000/month