The premiums listed below under each benefit plan are monthly amounts. See the Payroll page for the deduction schedule.

State Group Health

State Group Health

Premium TierEmployees Covered by the WRS

-Health Plan Design-

Employees Covered by the WRS

– HDHP Plan Design-

Employees Covered by Grad Assistant/ Short-Term AS

-Health Plan Design Only-

SingleFamilySingleFamilySingleFamily
Tier 1With Dental$88.00$219.00$33.00$82.00$45.50$113.50
Without Dental$85.00$211.00$30.00$74.00$42.50$105.50
Tier 2 (Access Plan – required to work out of state)With Dental$138.00$347.00$83.00$210.00$70.50$177.50
Without Dental$135.00$339.00$80.00$202.00$67.50$169.50
Tier 3 (Access Plan)With Dental$266.00$664.00$211.00$527.00$134.50$336.00
Without Dental$263.00$656.00$208.00$519.00$131.50$328.00

*WRS covered employees who are working less than 50% and University Staff Temporary employees with one appointment pay 50% of the total premium.

Additional Premium Information

Dental & Vision

Dental Wisconsin

2017 Rates for Active EmployeesPPO PlanSelect Plan
Employee$24.60$20.52
Employee + Spouse/Domestic Partner$52.08$42.18
Employee + Child(ren)$58.22$48.68
Family$88.02$71.58

The UW System does not contribute toward the premium.

EPIC Benefits+

2017 Rates for Active EmployeesEPIC Benefits + (without vision)
EPIC Benefits + with vision
Employee$21.56$25.60
Employee + Spouse/Domestic Partner$43.12$50.24
Employee + Child(ren)$43.12$50.24
Family$64.68$75.16

The UW System does not contribute toward the premium.

VSP Vision

2017 Rates for Active Employees
Employee$6.54
Employee + Spouse/Domestic Partner$13.08
Employee + Child(ren)$14.73
Family$23.54

The UW System does not contribute toward the premium.

Income Continuation Insurance

Income Continuation Insurance

Use the premium calculator to calculate your premium.

Premiums for University Staff employees are based on the amount of sick leave hours that you have accumulated at end of the year and your annual salary. The more sick leave hours you retain, the lower your premium. Sick leave balances and your annual salary are evaluated at the end of every calendar year and premiums are adjusted the following February.

University Staff Temporary employees will always be in Premium Category 1 since you do not earn sick leave.

For coverage effective 2/1/2017

Premium Category 4, 5, and 6 are considered permanent plateau categories. Once you reach a plateau category you will never drop to a lower category even if your sick leave balance falls below the category’s threshold.

Permanent Premium Plateaus
(Hours of unused sick leave at the end of any calendar year)
HoursCategory
520 hoursPremium Category 4
728 hoursPremium Category 5
More than 1,040 hoursPremium Category 6

Premiums for Faculty, Academic Staff and Limited appointees are based on the waiting period that you choose and your annual salary. You may choose between a 30, 90, 125, or 180 day waiting period. The longer the waiting period, the lower the premium.

You may increase your waiting period at any time. You may only decrease your waiting period by applying using the Medical Evidence of Insurability (acceptance not guaranteed).

Your annual salary is evaluated at the end of every calendar year and premiums are adjusted the following February.

For coverage effective 2/1/2017

Life Insurance

 
Monthly Premiums and Coverage Levels
Age as of April 1Basic and Supplemental
Rate per $1,000
Additional
Rate per $1,000
Spouse/Domestic Partner
& Dependent Coverage
Under age 40$0.04$0.06One Unit of Coverage:
$2.50 for $10,000 Spouse/DP
and $5,000 for each child.
40-44$0.06$0.09
45-49$0.10$0.15
50-54$0.16$0.24Two Units of Coverage:
$5.00 for $20,000 Spouse/DP
and $10,000 for each child.
55-59$0.22$0.33
60-64$0.30$0.45
65-69$0.39$0.59
Over Age 70 Additional Coverage
Age as of April 1Rate per $1,000
70$1.00
71

1.15

721.25
731.45
741.60
751.80
761.95
77-892.06
90+Available upon request

Basic coverage – first unit of coverage
Supplemental coverage – second unit of coverage
Additional coverage – may choose one to three Additional units of coverage
Each unit of coverage is equal to your annual salary

Use the Premium Calculator or see the rate chart below to determine your monthly premium.

Monthly Premiums and Coverage Levels
Age as January 1EmployeeSpouse / Domestic Partner*
$5,000$10,000$15,000$20,000$5,000$10,000
27 or less$0.12$0.23$0.35$0.46$0.18$0.36
28-300.130.250.380.500.200.40
31-330.160.320.480.640.250.50
34-360.190.370.560.740.300.59
37-390.230.450.680.900.360.72
40-420.340.681.021.360.541.08
43-450.541.081.622.160.861.71
46-480.651.301.952.601.042.07
49-510.911.812.723.621.442.88
52-541.162.323.484.641.853.69
55-571.623.234.856.462.575.13
58-602.024.036.058.063.116.21
61-632.785.568.3411.123.877.74
64-664.007.9911.9915.985.4010.80
67-695.5911.1716.7622.347.5215.03
70-728.6217.2425.8634.4811.6623.31
73+12.3324.6636.9949.3216.6533.30
Child Coverage
Benefit AmountMonthly Premium
$2,500$0.18
$5,000$0.35
$7,500$0.53
$10,000$0.70
$12,500$0.88
$15,000$1.05
$17,500$1.23
$20,000$1.40
$22,500$1.58
$25,000$1.75

*Spouse/domestic partner coverage is determined by the employee’s age.

The UW System does not contribute towards the premium.

If you enroll in Family coverage, the benefit amount of your family member(s) coverage will be a percentage of the employee benefit amount.

Coverage Level

Single Coverage

Monthly Premium

Family Coverage

Monthly Premium

$25,000 $0.65$0.98
$50,000 $1.30$1.95
$100,000 $2.60$3.90
$150,000 $3.90$5.85
$200,000 $5.20$7.80
$250,000 $6.50$9.75
$300,000 $7.80$11.70
$350,000 $9.10$13.65
$400,000 $10.40$15.60
$450,000 $11.70$17.55
$500,000 $13.00$19.50
The UW System does not contribute towards the premium.

Rates may be different upon retirement for continuation. See the Retiree Fact Sheet for more information.

The level of Group Term Life insurance coverage you are eligible to elect, and your monthly cost, is determined by your age. Coverage level and premium are based on employee’s age as of January 1st of the current year.

Benefit Amounts effective 10/1/14.

Monthly Premiums
and Coverage Levels
Age as of
January 1
Benefit
Amount
Premium
Under 35$33,000$1.00
35 – 39$28,0001.25
40 – 44$25,0001.60
45 – 49$18,0002.00
50 – 54$15,0002.40
55 – 59$13,0003.80
60 – 64$12,0004.35
65 and over$7,0003.00

The UW System does not contribute to the premium.

Benefits are based on your age as of the start of the contract year – October 1st.

The annual premium of $24.00 is deducted from your October earnings. The University of Wisconsin does not contribute toward the premium. If employment starts after October 1st, you must wait until the following year for enrollment.

Eligible employees on a leave of absence will be billed for the annual premium of $24.00 by the UW Service Center. Premium must be remitted through direct payment or payroll deduction by December 1st or coverage will end as of 9/30 with no option of conversion.

Coverage Levels
Age as of
October 1
Benefit
Amount
Age as of
October 1
Benefit
Amount
Under 28$101,00049-51$22,600
28-3098,10052-5417,200
31-3390,90055-5713,100
34-3678,90058-6010,300
37-3965,00061-638,200
40-4250,90064-666,100
43-4539,10067-694,500
46-4830,00070 +3,400

The UW System does not contribute to the premium.