Health Premiums – 2026 benefits

Choose Your Appropriate Wellness $$ Level

Level		Requirements Completed
Full Wellness Credit ($500 to $550/yr)		Biometric Screening, Health Assessment, Non-Tobacco User (completed affidavit)
Partial Wellness Credit ($250 to $275/yr)		Biometric Screening, Health Assessment, Tobacco Use (did not choose “reasonable alternative”)
No Wellness Credit		Did Not Take Biometric Screening/Health Assessment

Plan A ($750 Deductible, $2,500 Out of Pocket Max ; 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$934.11	$774.89	$159.22
Employee & Spouse	$1,950.21	$1,081.60	$868.61
Employee & Children	$1,668.18	$1,039.80	$628.38
Family	$2,539.30	$1,198.90	$1,340.40

Plan B ($1,500 Deductible , $5,000 Out of Pocket Max; 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$726.59	$768.25	($41.66)*
Employee & Spouse	$1,516.97	$1,081.60	$435.37
Employee & Children	$1,297.56	$1,039.80	$257.76
Family	$1,975.20	$1,198.90	$776.30

* Employee may use excess University Contributions for qualifying dental elections. If dental coverage
is also employee only, excess contributions will cover Plan B (high option).

Plan C (H.S.A.) ($3,000/$3,400 Deductible, $5,000 Out of Pocket Max: 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$657.89	$750.07	($92.18)*
Employee & Spouse	$1,373.53	$1,077.07	$296.46
Employee & Children	$1,174.89	$1,029.85	$145.04
Family	$1,788.44	$1,198.90	$589.54

* Employee may use excess University Contributions for qualifying dental elections. If dental coverage is also employee only, excess contributions will cover Plan B (high option).

H.S.A Participants – The University will contribute $83.33/month to an H.S.A. account for employee only. And $166.67/month to an H.S.A. for those enrolled in dependent tiers.

Plan A ($750 Deductible, $2,500 Out of Pocket Max ; 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$934.11	$750.74	$183.37
Employee & Spouse	$1,950.21	$1,057.45	$892.76
Employee & Children	$1,668.18	$1,015.65	$652.53
Family	$2,539.30	$1,174.75	$1,364.55

Plan B ($1,500 Deductible , $5,000 Out of Pocket Max; 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$726.59	$747.42	($20.83)*
Employee & Spouse	$1,516.97	$1,057.45	$459.52
Employee & Children	$1,297.56	$1,015.65	$281.91
Family	$1,975.20	$1,174.75	$800.45

* Employee may use excess University Contributions for qualifying dental elections. If dental coverage
is also employee only, excess contributions will cover Plan B (high option).

Plan C (H.S.A.) ($3,000/$3,400 Deductible, $5,000 Out of Pocket Max: 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$657.89	$729.24	($71.35)*
Employee & Spouse	$1,373.53	$1,054.20	$319.33
Employee & Children	$1,174.89	$1,006.98	$167.91
Family	$1,788.44	$1,174.75	$613.69

*Employee may use excess University Contributions for qualifying dental elections. If dental coverage
is also employee only, excess contributions will cover Plan B (high option).

H.S.A Participants – The University will contribute $83.33/month to an H.S.A. account for employee only. And $166.67/month to an H.S.A. for those enrolled in dependent tiers.

Plan A ($750 Deductible, $2,500 Out of Pocket Max ; 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$934.11	$726.59	$207.52
Employee & Spouse	$1,950.21	$1,033.29	$916.92
Employee & Children	$1,668.18	$991.50	$676.68
Family	$2,539.30	$1,150.60	$1,388.70

Plan B ($1,500 Deductible , $5,000 Out of Pocket Max; 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$726.59	$726.59	$0
Employee & Spouse	$1,516.97	$1,033.29	$483.68
Employee & Children	$1,297.56	$991.50	$306.06
Family	$1,975.20	$1,150.60	$824.60

Plan C (H.S.A.) ($3,000/$3,400 Deductible, $5,000 Out of Pocket Max: 2x Family)
Coverage	Total Premium	University Contribution	Employee Contribution
Employee Only	$657.89	$708.41	($50.52)*
Employee & Spouse	$1,373.53	$1,031.32	$342.21
Employee & Children	$1,174.89	$984.11	$190.78
Family	$1,788.44	$1,150.60	$637.84

*Employee may use excess University Contributions for qualifying dental elections. If dental coverage
is also employee only, excess contributions will cover Plan B (high option).

H.S.A Participants – The University will contribute $83.33/month to an H.S.A. account for employee only. And $166.67/month to an H.S.A. for those enrolled in dependent tiers.