About Us | Contact Us | Search HR
Human Resources

Health Insurance Rates > Insurance > Current Employees > HR Home

Health Insurance Rates Effective September 1, 2015 – August 31, 2016

Full-Time Employees, Retiree, and Academic Graduate Student Employees

UT Select Total Monthly Premium Monthly Premium Sharing Monthly Out-of Pocket Cost

Subscriber Only

$566.96

$566.96

0.00

Subscriber and Spouse

$1,108.27

$864.17

$244.10

Subscriber and Child(ren)

$1,012.42

$757.12

$255.30

Subscriber and Family

$1,536.81

$1,056.10

$480.71


Part-Time Employees

UT Select Total Monthly Premium Monthly Premium Sharing Monthly Out-of Pocket Cost

Subscriber Only

$566.96

$283.48

$283.48

Subscriber and Spouse

$1,108.27

$432.09

$676.18

Subscriber and Child(ren)

$1,012.42

$378.56

$633.86

Subscriber and Family

$1,536.81

$528.05

$1,008.76

COBRA Premiums

Plan Subscriber Only Subscriber & Spouse Subscriber & Child(ren) Subscriber & Family

UT Select PPO (BCBS)

$575.19

$1,127.32

$1,029.56

$1,564.44

UT Select Dental (Delta)

$33.05

$62.74

$69.16

$98.33

UT Select Dental Plus (Delta)

$56.97

$108.18

$119.37

$170.07

DeltaCare DHMO

$9.07

$17.24

$19.05

$27.20
Superior Vision $6.02 $9.49 $9.71 $15.40
Superior Vision Plus $9.18 $14.36 $15.38 $21.73

Graduate Student Fellows & Research Affiliate Postdoctoral Fellows

Coverage Type UT Select Medical (BCBS) UT Select Dental (Delta) UT Select Dental Plus (Delta) DeltaCare USA Superior Vision Superior Vision Plus

Subscriber Only

$566.96

$32.40

$55.85

$8.89 $5.90 $9.00

Subscriber and Spouse

$1,108.27

$61.51

$106.06

$16.90 $9.30 $14.08

Subscriber and Child(ren)

$1,012.42

$67.80

$117.03

$18.68 $9.52 $15.08

Subscriber and Family

$1,536.81

$96.40

$166.74

$26.67 $15.10 $21.30

Surviving Dependents

Medical Insurance Spouse Only Children Only Family Only

UT Select PPO (BCBS)

$541.31

$445.46

$969.85

Dental Insurance Spouse Only Children Only Family Only

UT Select Delta Dental

$29.11

$35.40

$64.00

UT Select Delta Dental Plus $50.21 $61.18 $110.89
DeltaCare USA $8.01 $9.79 $17.78
Vision Insurance Spouse Only Children Only Family Only

Superior Vision

$5.90

$5.90

$9.52

Superior Vision Plus $9.00 $9.00 $15.08