Health Insurance Rates

The following health insurances rates are Effective September 1, 2022 – August 31, 2023.

UT Select Medical Insurance

Full-time Employees & All Retirees

Level

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

Subscriber Only

$675.16 $675.16 0.00

Subscriber and Spouse

$1,319.76 $1,029.06 $290.70

Subscriber and Child(ren)

$1,205.64 $901.60 $304.04

Subscriber and Family

$1,830.08 $1,257.62 $572.46

Part-time Employees

Level

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

Subscriber Only

$675.16 $337.58 $337.58

Subscriber and Spouse

$1,319.76 $514.54 $805.22

Subscriber and Child(ren)

$1,205.64 $450.80 $754.84

Subscriber and Family

$1,830.08 $628.82 $1,201.26

Graduate Student Fellows & Research Affiliate Postdoctoral Fellows

UT Select

Total Monthly Premium

Subscriber Only

$675.16

Subscriber and Spouse

$1,319.76

Subscriber and Child)ren

$1,205.64

Subscriber and Family

$1,830.08

Delta Dental and Superior Vision Insurance

Employees, Retirees, and Fellows

Level

Delta Dental Delta Dental Plus DeltaCare USA Superior Vision Superior Vision Plus

Subscriber Only

$28.52 $61.40 $8.80 $5.02 $7.64

Subscriber and Spouse

$54.14 $116.60 $16.74 $7.90 $11.98

Subscriber and Child(ren)

$59.66 $128.66 $18.50 $8.10 $12.82

Subscriber and Family

$84.84 $183.30 $26.40 $12.84 $18.10

Insurance Premiums for Surviving Dependents

Coverage Type

UT Select Medical UT Connect (DFW Area Only) Delta Dental Delta Dental Plus DeltaCare USA Superior Vision Superior Vision Plus

Spouse Only

$644.60 $615.54 $25.62 $55.20 $7.94 $5.02 $7.64

Child Only

$530.48 $500.08 $31.14 $67.26 $9.70 $5.02 $7.64

Spouse & Children

$1,154.92 $1,097.68 $56.32 $121.90 $17.60 $8.10 $12.82

COBRA Premiums

Plan

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

UT Select PPO (BCBS)

$683.84 $1,341.33 $1,224.93 $1,861.86

UT CONNECT Medical

 (DFW area only)

$683.84 $1,311.69 $1,193.92 $1,803.47

Delta Dental

$29.09 $55.22 $60.85 $86.54

Delta Dental Plus

$62.63 $118.93 $131.23 $186.97

DeltaCare DHMO

$8.98 $17.07 $18.87 $26.93

Superior Vision

$5.12 $8.06 $8.26 $13.10

Superior Vision Plus

$7.79 $12.22 $13.08 $18.46