University of Denver Health and Welfare Rates
Effective 7/1/16
2016 -2017 Plan Year
Plan
Coverage Type
Total
Monthly
Cost
DU HSA
Contribution
/Month*
University's
Employee's EE Share as
Monthly Share Monthly Share
%
Completion of THA
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)
$590.28
$1,180.49
$1,062.44
$1,652.72
$841.83
$1,683.74
$1,515.29
$2,357.12
$475.32
$950.59
$855.58
$1,330.87
$939.78
$1,879.56
$1,691.60
$2,631.38
$711.71
$1,423.41
$1,281.06
$1,992.84
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
$26.42
$26.42
$26.42
$26.42
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Non-Completion of THA
$590.28
Employee Only
n/a
$1,180.49
Employee + Sp
n/a
Kaiser HMO
$1,062.44
Employee + Ch(ren)
n/a
Family
n/a
$1,652.72
$841.83
Employee Only
n/a
$1,683.74
Employee + Sp
n/a
Kaiser POS
$1,515.29
Employee + Ch(ren)
n/a
$2,357.12
Family
n/a
$475.32
$26.42
Employee Only
Kaiser HDHP- Employee + Sp
$950.59
$26.42
HSA
$855.58
$26.42
Employee + Ch(ren)
Family
$1,330.87
$26.42
$939.78
Employee Only
n/a
$1,879.56
Employee + Sp
n/a
Kaiser PPO
$1,691.60
Employee + Ch(ren)
n/a
$2,631.38
Family
n/a
Employee Only
$711.71
n/a
Kaiser PPO
Employee + Sp
$1,423.41
n/a
HDHP-HSA
Employee + Ch(ren)
$1,281.06
n/a
Family
$1,992.84
n/a
* HSA Contributions are also included in the University's monthly share
Wellness incentive of $325 single/$650 spouse/family.
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$88.54
$365.96
$329.36
$578.46
$340.08
$869.22
$782.22
$1,282.86
$0.00
$162.46
$148.92
$283.00
$438.02
$1,065.02
$958.52
$1,557.12
$209.96
$608.88
$547.96
$918.58
15%
31%
31%
35%
40%
52%
52%
54%
0%
17%
17%
21%
47%
57%
57%
59%
30%
473%
43%
46%
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$501.74
$814.54
$733.08
$1,074.28
$115.62
$420.12
$356.44
$632.62
$367.16
$923.38
$809.30
$1,337.02
$27.08
$216.64
$176.00
$337.18
$465.12
$1,119.18
$985.60
$1,611.28
$237.04
$663.04
$575.06
$972.76
20%
36%
34%
38%
44%
55%
53%
57%
5%
23%
20%
25%
49%
60%
58%
61%
33%
47%
45%
49%
University of Denver Health and Welfare Rates
Effective 7/1/16
Dental Plan
Delta Dental
Patient
Direct
Discount
HMO Plan
Delta Dental
Base PPO
Plan
Delta Dental
Enhanced
PPO Plan
Vision Plan
Coverage Type
Employee
Employee +
Spouse/Partner
Employee + Child(ren)
Employee + Family
Employee
Employee +
Spouse/Partner
Employee + Child(ren)
Employee + Family
Employee
Employee +
Spouse/Partner
Employee + Child(ren)
Employee + Family
Coverage Type
Total
Monthly
$10.22
$20.24
$24.92
$29.86
$30.02
$59.18
$71.20
$111.13
$45.77
$90.22
$108.51
$169.41
Total
Monthly
Cost
EyeMed
Base Plan
Employee
Employee +
Spouse/Partner
Employee
+ Child(ren)
Employee + Family
$6.22
$11.83
$12.46
$18.32
EyeMed
Enhanced
Plan
Employee
Employee +
Spouse/Partner
Employee
+ Child(ren)
Employee + Family
$8.68
$16.48
$17.37
$25.52
University’s
Employee’s
Monthly Share Monthly Share
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
$45.77
$90.22
$108.51
$169.41
University’s
Employee’s
Monthly Share Monthly Share
Employee-paid
benefit
Employee-paid
benefit
$6.22
$11.83
$12.46
$18.32
$8.68
$16.48
$17.37
$25.52
University of Denver Health and Welfare Rates
Effective 7/1/16
Hartford
Rate - DU Paid
Employee’s Monthly Share
Basic Life
and AD&D
Life Rate: $0.136/$1,000
AD&D Rate: $0.19/$1000
No cost to employee
Voluntary
Term Life
Employee-paid benefit
Rates below are for employee or
spouse/partner
Age
< 25
25-29
Rate per $10,000
$0.60
$0.70
30-34
35-39
$0.80
$1.10
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
Children
$2,500 – $0.50
$5,000 – $1.00
Voluntary
AD&D
Hartford
STD
LTD
Employee-paid
Rate - DU Paid
$0.21/$10 of benefit
$0.234/$100 of covered salary
$1.70
$2.80
$4.70
$7.70
$9.60
$16.60
$27.00
$41.60
$7,500 – $1.50
$10,000 – $2.00
Employee Only: $0.22/$10,000/month
Family: $0.33/$10,000/month