Benefits Plans - Dental Plan: Dental Plan rates
Rates are effective January 1, 2013
Click the following links for monthly Dental Plan rates.
- Faculty, Staff and Graduate Student Dental Plan Rates
- Medical School Students
- Retiree Dental Plan Rates
- Leave of Absence/RIF Dental Plan Rates
- COBRA Dental Plan Rates
Effective January 1, 2013
Dental Plan Option |
Your 2013 Monthly Deduction |
University 2013 Monthly Contribution |
Faculty and Staff members, GEO members, GSRAs, and Benefit-Eligible Fellowship Holders |
||
Option 1 |
||
You Only |
$ 0 |
$ 22.00 |
You + 1 Child |
$ 0 |
$ 44.00 |
You + 1 Adult |
$ 0 |
$ 44.00 |
You + 1 Adult + Children |
$ 0 |
$ 70.18 |
You + 2 or More Children |
$ 0 |
$ 70.18 |
Option 2 |
||
You Only |
$ 16.92 |
$ 22.00 |
You + 1 Child |
$ 33.84 |
$ 44.00 |
You + 1 Adult |
$ 33.84 |
$ 44.00 |
You + 1 Adult + Children |
$ 50.88 |
$ 70.18 |
You + 2 or More Children |
$ 50.88 |
$ 70.18 |
Option 3 |
||
You Only |
$ 26.52 |
$ 22.00 |
You + 1 Child |
$ 53.04 |
$ 44.00 |
You + 1 Adult |
$ 53.04 |
$ 44.00 |
You + 1 Adult + Children |
$ 80.72 |
$ 70.18 |
You + 2 or More Children |
$ 80.72 |
$ 70.18 |
Option 1 |
Your 2013 Monthly Deduction |
University 2013 Monthly Contribution |
You Only |
$ 22.00 |
$ 0 |
You + 1 Child |
$ 44.00 |
$ 0 |
You + 1 Adult |
$ 44.00 |
$ 0 |
You + 1 Adult + Children |
$ 70.18 |
$ 0 |
You + 2 or More Children |
$ 70.18 |
$ 0 |
Option 2 |
|
|
You Only |
$ 38.92 |
$ 0 |
You + 1 Child |
$ 77.84 |
$ 0 |
You + 1 Adult |
$ 77.84 |
$ 0 |
You + 1 Adult + Children |
$ 121.06 |
$ 0 |
You + 2 or More Children |
$ 121.06 |
$ 0 |
Option 3 |
|
|
You Only |
$ 48.52 |
$ 0 |
You + 1 Child |
$ 97.04 |
$ 0 |
You + 1 Adult |
$ 97.04 |
$ 0 |
You + 1 Adult + Children |
$ 150.90 |
$ 0 |
You + 2 or More Children |
$ 150.90 |
$ 0 |
cRetiree 2013 Monthly Dental Plan Rates
Click a link below to view retiree Dental Plan rates. Click here to view retiree Health Plan rates.
- Chart A (PDF)
Use this chart if you retired before January 1, 1987.
- Chart B (PDF)
Use this chart if you were hired on or after July 1, 1988 and are retired and under age 62.
- Chart C (PDF)
Use this chart if you retired on or after January 1, 1987, and
(a) Were hired before July 1, 1988, and are any age,
— OR —
(b) Were hired on or after July 1, 1988, and are age 62 or older.
Chart A
Dental Plan Option |
Your 2013 Monthly Contribution |
University 2013 Monthly Contribution |
Option 1 |
||
You Only |
$ 0 |
$ 22.00 |
You + Child |
$ 0 |
$ 44.00 |
You + Adult |
$ 0 |
$ 44.00 |
You + Adult + Children |
$ 0 |
$ 70.18 |
You + Children |
$ 0 |
$ 70.18 |
Option 2 |
||
You Only |
$ 16.92 |
$ 22.00 |
You + Child |
$ 33.84 |
$ 44.00 |
You + Adult |
$ 33.84 |
$ 44.00 |
You + Adult + Children |
$ 50.88 |
$ 70.18 |
You + Children |
$ 50.88 |
$ 70.18 |
Option 3 |
||
You Only |
$ 26.52 |
$ 22.00 |
You + Child |
$ 53.04 |
$ 44.00 |
You + Adult |
$ 53.04 |
$ 44.00 |
You + Adult + Children |
$ 80.72 |
$ 70.18 |
You + Children |
$ 80.72 |
$ 70.18 |
Chart B
Dental Plan Option |
Your 2013 Monthly Contribution |
University 2013 Monthly Contribution |
Option 1 |
||
You Only |
$ 22.00 |
$ 0 |
You + Child |
$ 44.00 |
$ 0 |
You + Adult |
$ 44.00 |
$ 0 |
You + Adult + Children |
$ 70.18 |
$ 0 |
You + Children |
$ 70.18 |
$ 0 |
Option 2 |
||
You Only |
$ 38.92 |
$ 0 |
You + Child |
$ 77.84 |
$ 0 |
You + Adult |
$ 77.84 |
$ 0 |
You + Adult + Children |
$ 121.06 |
$ 0 |
You + Children |
$ 121.06 |
$ 0 |
Option 3 |
||
You Only |
$ 48.52 |
$ 0 |
You + Child |
$ 97.04 |
$ 0 |
You + Adult |
$ 97.04 |
$ 0 |
You + Adult + Children |
$ 150.90 |
$ 0 |
You + Children |
$ 150.90 |
$ 0 |
Chart C
Dental Plan Option |
Your 2013 Monthly Contribution |
University 2013 Monthly Contribution |
Option 1 |
||
You Only |
$ 0 |
$ 22.00 |
You + Child |
$ 0 |
$ 44.00 |
You + Adult |
$ 0 |
$ 44.00 |
You + Adult + Children |
$ 0 |
$ 70.18 |
You + Children |
$ 0 |
$ 70.18 |
Option 2 |
||
You Only |
$ 16.92 |
$ 22.00 |
You + Child |
$ 33.84 |
$ 44.00 |
You + Adult |
$ 33.84 |
$ 44.00 |
You + Adult + Children |
$ 50.88 |
$ 70.18 |
You + Children |
$ 50.88 |
$ 70.18 |
Option 3 |
||
You Only |
$ 26.52 |
$ 22.00 |
You + Child |
$ 53.04 |
$ 44.00 |
You + Adult |
$ 53.04 |
$ 44.00 |
You + Adult + Children |
$ 80.72 |
$ 70.18 |
You + Children |
$ 80.72 |
$ 70.18 |
Leave of Absence/RIF 2013 Dental Plan Rates
DENTAL PLAN |
2013 LOA / RIF Monthly Premium |
Option 1 |
|
You Only |
$ 22.00 |
You + Child |
$ 44.00 |
You + Adult |
$ 44.00 |
You + Adult + Children |
$ 70.18 |
You + 2 or More Children |
$ 70.18 |
Option 2 |
|
You Only |
$ 38.93 |
You + Child |
$ 77.84 |
You + Adult |
$ 77.84 |
You + Adult + Children |
$ 121.06 |
You + 2 or More Children |
$ 121.06 |
Option 3 |
|
You Only |
$ 48.52 |
You + Child |
$ 97.04 |
You + Adult |
$ 97.04 |
You + Adult + Children |
$ 150.90 |
You + 2 or More Children |
$ 150.90 |
COBRA 2013 Dental Plan Rates
Dental Plan Option |
2013 Total COBRA Premium |
Option 1 |
|
You Only |
$ 22.44 |
You + Adult |
$ 44.88 |
You + Adult + Children |
$ 71.58 |
You + Child |
$ 44.88 |
You + Children |
$ 71.58 |
Option 2 |
|
You Only |
$ 39.70 |
You + Adult |
$ 79.40 |
You + Adult + Children |
$ 123.48 |
You + Child |
$ 79.40 |
You + Children |
$ 123.48 |
Option 3 |
|
You Only |
$ 49.49 |
You + Adult |
$ 98.98 |
You + Adult + Children |
$ 153.92 |
You + Child |
$ 98.98 |
You + Children |
$ 153.92 |
The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend or terminate them.