UCR

Accounting



UCR Benefits Rates


2017 Benefits Rate Table

 
 

2017 UCR BENEFIT RATES (R 12/7/2016)
DESCRIPTION

NEW RATE EFF.
DATE
OLD RATE EFF.
DATE
A PERCENTAGE BASED BENEFITS        
A1 Social Security
Gross Limit
6.20% 
$127,200
01/91
01/17
6.20%
$118,500
01/91
01/15
A2 Medicare - Gross limit less than or equal to $200,000
Medicare - Gross limit in excess of $200,000
  1.45%
2.35%
    01/87
01/13
1.45%
NO LIMIT
01/87
 01/94 
A3 Workers Compensation  Insurance (plus $5,000 per qualified claim) 1.23% 07/16 0.87% 07/15
A4 Employee Support Program 0.28% 07/01 0.24% 07/94
A5 Unemployment Insurance        
  General Funds
Federal Funds
Other Funds
0.10%
0.60%
0.10%
07/15
07/16
07/16
0.15%
0.55%
0.15%
07/14
07/14
07/15
A6 UC Retirement Plan (UCRP) Employer Contribution 14.00% 07/14 12.00% 07/13
A7 UCRP Supplemental Assessment Rate 1.19%
07/16

0.60% 07/15
A8 Vacation Assessment  (Gross salary times rate below)
  Effective 10/2014 (old factors in parenthesis effective 07/2012)
LEAVE CODE NO UCRP UCRP WITHOUT FICA UCRP WITH FICA SAFETY MEMBERS
A & G (STAFF) .0551 (.0612) .0739 (.0954) .0779 (.0998) .0779 (.0998)
B & H (STAFF) .0661 (.0734) .0887 (.1144) .0935 (.1197) .0935 (.1197)
C & J (STAFF) .0772 (.0858) .1035 (.1336) .1091 (.1398) .1091 (.1398)
D & K (STAFF) .0882 (.0980)

.1183 (.1526) .1247 (.1597) .1247 (.1597)
D & E (ACADEMIC) .0588 (.0980) .0789 (.1526) .0831 (.1597) N/A
A9 Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP)
 
Description New Rate Eff Date Old Rate Eff. Date
Staff Appreciation & Recognition (STAR) - Non-represented (99) 0.89% 07/07  0.80% 04/07
Staff Appreciation and Recognition (STAR) - CX  0.89% 07/15 0.00% 07/06
Incentive Award Program (IAP) - FF, K5, RX, SX, 0.00% 07/06 0.50% 01/01
Incentive Award Program (IAP) - TX 0.00% 10/06 0.50% 10/00
Incentive Award Program (IAP) - HX 0.00% 04/07 0.50% 02/01
Incentive Award Program (IAP) - NX 0.00% 03/08 0.50% 02/01
Incentive Award Program (IAP) - EX 0.00% 07/11 0.50% 02/01
Incentive Award Program (IAP) - PA 0.00% 09/11 0.50% 02/01
A10 Other PostEmployment Benefit  (OPEB) 2.93% 07/16 2.98% 07/15
A11 Benefits Administration Rate related to OPEB 0.17% 07/10 0.16% 07/08
A12

General Liability - Loc. 5 (UCRFS charge)
General Liability - Loc. N (UCRFS charge)

0.5381%
0.5400%

07/16
07/16

0.5278%
0.4800%

07/15
07/15

A13

Employment Practices - Loc. 5 (UCRFS charge)
Employment Practices - Loc. N (UCRFS charge)

0.4452%
0.2300%

07/16
07/16

0.4223%
0.1900%

07/15
07/15

           
B FLAT RATED (DOLLAR) BENEFITS  NEW AMOUNT EFF DATE   OLD AMOUNT EFF DATE 
B1 HEALTH INSURANCE - EMPLOYER RATES (separate table)        
  HEALTH INSURANCE - EMPLOYEE RATES (separate table)        
B2 Life Insurance(Flat Rate) $4.34 01/07 $4.82 01/96
B3 Core Life Insurance (Flat Rate) $0.47 01/96 $0.52 01/94
B4 U.C. Paid (Basic) Disability (Flat Rate) $8.04 01/17 $6.71 01/09
B5 Graduate Student (GS) Remission Programs        
  GS Health Insurance Program (GSHIP) with Admin fee/QTR $1,137.30 10/16 $1,127.00

10/15

 

GS Fee Remission - Residents/QTR
GS Fee Remission - Non-Residents/QTR
GS Fee Remission - AGSM/QTR

$4097.00
$4097.00
$4097.00

10/16
10/16
10/16

$4080.00
$4080.00
$4080.00

10/15
10/15
10/15

  GS Non-resident Supplemental Tuition Remission/QTR $5034.00 10/11 $4898.00 10/04
B6

Comm. Infrastructure Fee (CIF) per FTE (UCRFS charge)
CIF for Assistant I (4922) and Assistant II (4921)

$0.00
$0.00

07/16
07/16

$64.14
$32.07

07/15
07/15

2017 Health Plan Cost (Employer)

 

2017 UC EMPLOYER RATES (revised 4/6/2017)

 

NON-MEDICARE EMPLOYER RATES - 2017
CORE Major Medical Plan - PPO (AC)

Self

Self +
Child(ren)

Self +
Adult

Family

All Pay Bands

185.00

333.00

388.50

536.50

NON-MEDICARE EMPLOYER RATES - 2017
UC Health Savings Plan - PPO (AP)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $53,000 or less

557.60

1003.69

1169.43

1615.52

Pay Band 2 - Employer premium - $53,001 - $104,000

521.55

938.80

1087.13

1504.38

Pay Band 3 - Employer premium - $104,001 - $156,000

484.55

872.20

1013.37

1401.02

Pay Band 4 - Employer premium - $156,001 or more

446.24

803.24

936.95

1293.95

NON-MEDICARE EMPLOYER RATES - 2017
Western Health Advantage (WH)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $53,000 or less

571.07

1027.93

1197.65

1654.53

Pay Band 2 - Employer premium - $53,001 - $104,000

535.02

963.04

1115.35

1543.39

Pay Band 3 - Employer premium - $104,001 - $156,000

498.02

896.44

1041.59

1440.03

Pay Band 4 - Employer premium - $156,001 or more

459.71

827.48

965.17

1332.96

NON-MEDICARE EMPLOYER RATES - 2017
Kaiser Permanente – CA (KN & KS)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $53,000 or less

585.75

1054.35

1228.47

1697.10

Pay Band 2 - Employer premium - $53,001 - $104,000

549.70

989.46

1146.17

1585.96

Pay Band 3 - Employer premium - $104,001 - $156,000

512.70

922.86

1072.41

1482.60

Pay Band 4 - Employer premium - $156,001 or more

474.39

853.90

995.99

1375.53

NON-MEDICARE EMPLOYER RATES - 2017
Health Net Blue & Gold (HB)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $53,000 or less

665.25

1197.46

1339.62

1871.82

Pay Band 2 - Employer premium - $53,001 - $104,000

629.20

1132.57

1257.32

1760.68

Pay Band 3 - Employer premium - $104,001 - $156,000

592.20

1065.97

1183.56

1657.32

Pay Band 4 - Employer premium - $156,001 or more

553.89

997.01

1107.14

1550.25

NON-MEDICARE EMPLOYER RATES - 2017
UC Care (AU)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $53,000 or less

665.18

1197.32

1339.44

1871.58

Pay Band 2 - Employer premium - $53,001 - $104,000

629.13

1132.43

1257.14

1760.44

Pay Band 3 - Employer premium - $104,001 - $156,000

592.13

1065.83

1183.38

1657.08

Pay Band 4 - Employer premium - $156,001 or more

553.82

996.87

1106.96

1550.01

 

    
 EMPLOYER RATES - 2017

Self

Self +
Child(ren)

Self +
Adult

Family

DELTA DENTAL PPO (D1) - r2/24/17

42.75

87.91

80.10

  143.56

DELTACARE USA (D3) - r2/24/17

20.03 34.92 34.37 49.27 

VISION SERVICE PLAN (V1)

12.75 12.75 12.75 12.75

LEGAL PLAN  (ARAG)

0.00

0.00

0.00

0.00

      
POST DOCTORAL SCHOLAR
BENEFIT PLANS (PSBP) - 2017

Self

Self +
Child(ren)

Self +
Adult

Family

PSBP MEDICAL HMO (P1-HN Group # 66700A) 490.90 859.16 1166.24 1,482.08
PSBP MEDICAL PPO (P2-HN Group #N2982A) 501.63 872.87 1211.90 1530.99
PSBP DENTAL DHMO (P3-HN Group #Z0074A) 8.25 15.66 14.84 23.08
PSBP DENTAL PPO (P4-Principal Group #H12843) 23.97 55.79 49.99 89.78
PSBP VISION PPO (P5-HN Group #Z0074A) 4.03 7.50 6.73 11.48
PSBP BROKER/ADMIN FEE 9.83  9.83  9.83  9.83 
PSBP LIFE/AD&D ($50,000) 3.05  3.05  3.05  3.05 
PSBP SHORT-TERM DISABILITY 9.80  9.80  9.80  9.80 
PSBP LONG-TERM DISABILITY 0.00  0.00  0.00  0.00 
PSBP WORKERS COMP INS (FELLOWS & PD)
PSBP WORKERS CPMP INS (EMPLOYEES) 
49.97
Sal. % 
49.97
Sal. % 
49.97
Sal. % 
49.97
Sal. % 

2017 Health Plan Cost (Employee)

 

 2017 UC EMPLOYEE RATES  (r 4/6/17)

 

CORE (PPO)

Self

Self +
Child(ren)

Self + Adult

Family

All Pay Bands

 0.00  0.00 0.00  0.00 

UC Health Savings Plan (PPO)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $53,000 or less

 16.93  30.47  37.08  50.60

Pay Band 2 - Employee premium - $53,001 - $104,000

 52.98  95.36  119.38  161.74

Pay Band 3 - Employee premium - $104,001 - $156,000

 89.98 161.96  193.14  265.10

Pay Band 4 - Employee premium - $156,001 or more

 128.29 230.92  269.56  372.17

Kaiser Permanente - CA (HMO) 
Western Health Advantage (HMO)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $53,000 or less

17.78

32.00

38.94

53.14

Pay Band 2 - Employee premium - $53,001 - $104,000

53.83

96.89

121.24

164.28

Pay Band 3 - Employee premium - $104,001 - $156,000

90.83

163.49

195.00

267.64

Pay Band 4 - Employee premium - $156,001 or more

129.14

232.45

271.42

374.71

Health Net Blue & Gold (HMO)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $53,000 or less

37.08

66.74

135.29

164.95

Pay Band 2 - Employee premium - $53,001 - $104,000

73.13

131.63

217.59

276.09

Pay Band 3 - Employee premium - $104,001 - $156,000

110.13

198.23

291.35

379.45

Pay Band 4 - Employee premium - $156,001 or more

148.44

267.19

367.77

486.52

UC CARE (PPO)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $53,000 or less

88.75

159.75

243.81

314.82

Pay Band 2 - Employee premium - $53,001 - $104,000

124.80

224.64

326.11

425.96

Pay Band 3 - Employee premium - $104,001 - $156,000

161.80

291.24

399.87

529.32

Pay Band 4 - Employee premium - $156,001 or more

200.11

360.20

476.29

636.39

 

Self

Self +
Child(ren)

Self + Adult

Family

DELTA DENTAL PPO

Free

Free

Free

Free

DELTACARE USA  (formerly PMI DENTAL)

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

10.41

14.32 14.32

15.62

POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self + Adult

Family

PSBP MED HMO

10.02

17.53

36.07

45.84

PSBP MED PPO

20.00  40.00  40.00  60.00 

PSBP DENTAL HMO

Free

Free

Free

Free

PSBP DENTAL PPO

Free

Free

Free

Free

PSBP VISION

Free

Free

Free

Free

PSBP LONG-TERM DISABILITY

8.55 8.55 8.55 8.55

 

       

UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP)

Eff. Date 

 New Rate

 Eff. Date

Old Rate 

1976 Tier - Members with Social Security 
99, A5, BX, CX, IX, K5, LX, and PX
EX
SX
NX
HX, RX, TX
PA (Safety members)


7/14
7/14
7/14
7/14
7/14
7/14


8.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19


7/13
8/13
10/13
2/14
3/14
7/13


6.5% less $19
6.5% less $19
6.5% less $19
8.0% less $19
8.6% less $19
7.5% less $19

2013 Tier - Members with Social Security
99, A5, BX, CX, IX, K5, LX, and PX
EX, HX, NX, RX, SX, TX 


07/13
07/14


7.0% (no $19)
9.0% (no $19)  


7/13
7/13

7.0% (no $19)
 7.0% (no $19) 

2016 Tier - Members with Social Security
99, DX, IX, K5, LX 
CX, EX, HX, NX, PA, RX, SX, TX (not participating)


07/16
07/16


7.0% (no $19)
0.0% (no $19)  


7/16
7/16

7.0% (no $19)
 7.0% (no $19) 

2016 Benefits Rate Table

 
 

2016 UCR BENEFIT RATES (R 7/1/2016)
DESCRIPTION

NEW RATE EFF.
DATE
OLD RATE EFF.
DATE
A PERCENTAGE BASED BENEFITS        
A1 Social Security
Gross Limit
6.20%
$118,500
01/91
01/15
6.20%
$117,000
01/91
01/14
A2 Medicare - Gross limit less than or equal to $200,000
Medicare - Gross limit in excess of $200,000
  1.45%
2.35%
 01/87 
01/13
1.45%
NO LIMIT
01/87
 01/94 
A3 Workers Compensation  Insurance (plus $5,000 per qualified claim) 1.23% 07/16 0.87% 07/15
A4 Employee Support Program 0.28% 07/01 0.24% 07/94
A5 Unemployment Insurance        
  General Funds
Federal Funds
Other Funds
0.10%
0.60%
0.10%
07/15
07/16
07/16
0.15%
0.55%
0.15%
07/14
07/14
07/15
A6 UC Retirement Plan (UCRP) Employer Contribution 14.00% 07/14 12.00% 07/13
A7 UCRP Supplemental Assessment Rate 1.19%
07/16

0.60% 07/15
A8 Vacation Assessment  (Gross salary times rate below)
  Effective 10/2014 (old factors in parenthesis effective 07/2012)
LEAVE CODE NO UCRP UCRP WITHOUT FICA UCRP WITH FICA SAFETY MEMBERS
A & G (STAFF) .0551 (.0612) .0739 (.0954) .0779 (.0998) .0779 (.0998)
B & H (STAFF) .0661 (.0734) .0887 (.1144) .0935 (.1197) .0935 (.1197)
C & J (STAFF) .0772 (.0858) .1035 (.1336) .1091 (.1398) .1091 (.1398)
D & K (STAFF) .0882 (.0980)

.1183 (.1526) .1247 (.1597) .1247 (.1597)
D & E (ACADEMIC) .0588 (.0980) .0789 (.1526) .0831 (.1597) N/A
A9 Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP)
 
Description New Rate Eff Date Old Rate Eff. Date
Staff Appreciation & Recognition (STAR) - Non-represented (99) 0.89% 07/07  0.80% 04/07
Staff Appreciation and Recognition (STAR) - CX  0.89% 07/15 0.00% 07/06
Incentive Award Program (IAP) - FF, K5, RX, SX, 0.00% 07/06 0.50% 01/01
Incentive Award Program (IAP) - TX 0.00% 10/06 0.50% 10/00
Incentive Award Program (IAP) - HX 0.00% 04/07 0.50% 02/01
Incentive Award Program (IAP) - NX 0.00% 03/08 0.50% 02/01
Incentive Award Program (IAP) - EX 0.00% 07/11 0.50% 02/01
Incentive Award Program (IAP) - PA 0.00% 09/11 0.50% 02/01
A10 Other PostEmployment Benefit  (OPEB) 2.93% 07/16 2.98% 07/15
A11 Benefits Administration Rate related to OPEB 0.17% 07/10 0.16% 07/08
A12

General Liability - Loc. 5 (UCRFS charge)
General Liability - Loc. N (UCRFS charge)

0.5381%
0.5400%

07/16
07/16

0.5278%
0.4800%

07/15
07/15

A13

Employment Practices - Loc. 5 (UCRFS charge)
Employment Practices - Loc. N (UCRFS charge)

0.4452%
0.2300%

07/16
07/16

0.4223%
0.1900%

07/15
07/15

           
B FLAT RATED (DOLLAR) BENEFITS  NEW AMOUNT EFF DATE   OLD AMOUNT EFF DATE 
B1 HEALTH INSURANCE - EMPLOYER RATES (separate table)        
  HEALTH INSURANCE - EMPLOYEE RATES (separate table)        
B2 Life Insurance(Flat Rate) $4.34 01/07 $4.82 01/96
B3 Core Life Insurance (Flat Rate) $0.47 01/96 $0.52 01/94
B4 U.C. Paid Disability (Flat Rate) $6.71 01/09 $6.13 01/00
B5 Graduate Student (GS) Remission Programs        
  GS Health Insurance Program (GSHIP) with Admin fee/QTR $1,137.30 10/16 $1,127.00

10/15

 

GS Fee Remission - Residents/QTR
GS Fee Remission - Non-Residents/QTR
GS Fee Remission - AGSM/QTR

$4097.00
$4097.00
$4097.00

10/16
10/16
10/16

$4080.00
$4080.00
$4080.00

10/15
10/15
10/15

  GS Non-Resident Supplemental Tuition Remission/QTR $5034.00 10/11 $4898.00 10/04
B6

Comm. Infrastructure Fee (CIF) per FTE (UCRFS charge)
CIF for Assistant I (4922) and Assistant II (4921)

$0.00
$0.00

07/16
07/16

$64.14
$32.07

07/15
07/15

2016 Health Plan Cost (Employer)

 

2016 UC EMPLOYER RATES (posted 11/17/2015)

 

NON-MEDICARE EMPLOYER RATES - 2016
Kaiser Permanente – CA (KN & KS)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

571.08

1027.94

1197.85

1654.72

Pay Band 2 - Employer premium - $51,001 - $102,000

535.03

963.05

1115.55

1543.58

Pay Band 3 - Employer premium - $102,001 - $153,000

498.03

896.45

1041.79

1440.22

Pay Band 4 - Employer premium - $153,001 or more

459.72

827.49

965.37

1333.15

NON-MEDICARE EMPLOYER RATES - 2016
Health Net Blue & Gold (HB)
UC CARE (SU)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

636.75

1146.15

1282.19

1791.59

Pay Band 2 - Employer premium - $51,001 - $102,000

600.70

1081.26

1199.89

1680.45

Pay Band 3 - Employer premium - $102,001 - $153,000

563.70

1014.66

1126.13

1577.09

Pay Band 4 - Employer premium - $153,001 or more

525.39

945.70

1049.71

1470.02

NON-MEDICARE EMPLOYER RATES - 2016
Blue Shield Health Savings Plan (SP)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

609.00

1096.19

1277.46

1764.68

Pay Band 2 - Employer premium - $51,001 - $102,000

572.95

1031.30

1195.16

1653.54

Pay Band 3 - Employer premium - $102,001 - $153,000

535.95

964.70

1121.40

1550.18

Pay Band 4 - Employer premium - $153,001 or more

497.64

895.74

1044.98

1443.11

 

    
 EMPLOYER RATES - 2016

Self

Self +
Child(ren)

Self +
Adult

Family

CORE MEDICAL (CM) - NON-MEDICARE

235.87

424.57

495.33

684.02

DELTA DENTAL PPO (D1)

42.24

86.87

79.15

  141.86

DELTACARE USA (D3)

19.88 34.66 34.11 48.90 

VISION SERVICE PLAN (V1)

12.75 12.75 12.75 12.75

LEGAL PLAN  (ARAG)

0.00

0.00

0.00

0.00

      
POST DOCTORAL SCHOLAR
BENEFIT PLANS (PSBP) - 2016

Self

Self +
Child(ren)

Self +
Adult

Family

PSBP MEDICAL HMO (P1-HN Group # 66700A) 478.42 837.30 1,136.58 1,444.39
PSBP MEDICAL PPO (P2-HN Group #N2982A) 515.33 896.85 1244.79 1572.79
PSBP DENTAL DHMO (P3-HN Group #Z0074A) 9.16 17.40 16.48 25.64
PSBP DENTAL PPO (P4-Principal Group #H12843) 23.97 55.79 49.99 89.78
PSBP VISION PPO (P5-HN Group #Z0074A) 4.10 7.63  6.84 11.67
PSBP BROKER/ADMIN FEE 9.83  9.83  9.83  9.83 
PSBP LIFE/AD&D ($50,000) 3.05  3.05  3.05  3.05 
PSBP SHORT-TERM DISABILITY 9.80  9.80  9.80  9.80 
PSBP LONG-TERM DISABILITY 0.00  0.00  0.00  0.00 
PSBP WORKERS COMP INS (FELLOWS & PD)
PSBP WORKERS CPMP INS (EMPLOYEES) 
46.99
Sal. % 
46.99
Sal. % 
46.99
Sal. % 
46.99
Sal. % 

2016 Health Plan Cost (Employee)

 

 2016 UC EMPLOYEE RATES  (posted 11/17/15)

 

Kaiser Permanente - CA 
Blue Shield Health Savings Plan

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

15.78

28.40

34.56

47.17

Pay Band 2 - Employee premium - $51,001 - $102,000

51.83

93.29

116.86

158.31

Pay Band 3 - Employee premium - $102,001 - $153,000

88.83

159.89

190.62

261.67

Pay Band 4 - Employee premium - $153,001 or more

127.14

228.85

267.04

368.74

Health Net Blue & Gold

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

33.84

60.91

126.05

153.11

Pay Band 2 - Employee premium - $51,001 - $102,000

69.89

125.80

208.35

264.25

Pay Band 3 - Employee premium - $102,001 - $153,000

106.89

192.40

282.11

367.61

Pay Band 4 - Employee premium - $153,001 or more

145.20

261.36

358.53

474.68

UC CARE

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

114.92

206.86

296.33

388.26

Pay Band 2 - Employee premium - $51,001 - $102,000

150.97

271.75

378.63

499.40

Pay Band 3 - Employee premium - $102,001 - $153,000

187.97

338.35

452.39

602.76

Pay Band 4 - Employee premium - $153,001 or more

226.28

407.31

528.81

709.83

 

Self

Self +
Child(ren)

Self + Adult

Family

CORE MEDICAL – CA

Free

Free

Free

Free

DELTA DENTAL PPO

Free

Free

Free

Free

DELTACARE USA  (formerly PMI DENTAL)

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

10.02

13.78 13.78

15.03

POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self + Adult

Family

PSBP MED HMO

9.76

17.09

35.15

44.67

PSBP MED PPO

20.00  40.00  40.00  60.00 

PSBP DENTAL HMO

Free

Free

Free

Free

PSBP DENTAL PPO

Free

Free

Free

Free

PSBP VISION

Free

Free

Free

Free

PSBP LONG-TERM DISABILITY

9.00 9.00 9.00 9.00

 

       

UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP)

Eff. Date 

 New Rate

 Eff. Date

Old Rate 

Members with Social Security (1976 Tier)
99, A5, BX, CX, IX, K5, LX, and PX
EX
SX
NX
HX, RX, TX


7/14
7/14
7/14
7/14
7/14


8.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19


7/13
8/13
10/13
2/14
3/14


6.5% less $19
6.5% less $19
6.5% less $19
8.0% less $19
8.6% less $19

Safety Members (PA) (1976 Tier)

7/14

9.0% less $19

7/13 7.5% less $19 

Members with Social Security (2013 Tier)
99, A5, BX, CX, IX, K5, LX, and PX
EX, HX, NX, RX, SX, TX 


07/13
07/14


7.0% (no $19)
9.0% (no $19)  


7/13
7/13

7.0% (no $19)
 7.0% (no $19) 

2015 Benefits Rate Table

 
 

2015 UCR BENEFIT RATES (R 7/16/2015)
DESCRIPTION

NEW RATE EFF.
DATE
OLD RATE EFF.
DATE
A PERCENTAGE BASED BENEFITS        
A1 Social Security
Gross Limit
6.20% 
$118,500
01/91
01/15
6.20% 
$117,000
01/91
01/14
A2 Medicare - Gross limit less than or equal to $200,000
Medicare - Gross limit in excess of $200,000
1.45% 
2.35%
01/87 
01/13
1.45%
NO LIMIT
01/87
 01/94 
A3 Workers Compensation  Insurance (plus $5,000 per qualified claim) 0.87% 07/15 0.83% 07/14
A4 Employee Support Program 0.28% 07/01 0.24% 07/94
A5 Unemployment Insurance        
  General Funds
Federal Funds
Other Funds
0.10%
0.55%
0.15%
07/15
07/14
07/15
0.15%
0.60%
0.20%
07/14
07/11
07/14
A6 UC Retirement Plan (UCRP) Employer Contribution 14.00% 07/14 12.00% 07/13
A7 UCRP Supplemental Assessment Rate 0.50%
0.60%
07/14
07/15
0.66%
0.72%
07/13
08/14
A8 Vacation Assessment  (Gross salary times rate below)
  Effective 10/2014 (old factors in parenthesis effective 07/2012)
LEAVE CODE NO UCRP UCRP WITHOUT FICA UCRP WITH FICA SAFETY MEMBERS
A & G (STAFF) .0551 (.0612) .0739 (.0954) .0779 (.0998) .0779 (.0998)
B & H (STAFF) .0661 (.0734) .0887 (.1144) .0935 (.1197) .0935 (.1197)
C & J (STAFF) .0772 (.0858) .1035 (.1336) .1091 (.1398) .1091 (.1398)
D & K (STAFF) .0882 (.0980)

.1183 (.1526) .1247 (.1597) .1247 (.1597)
D & E (ACADEMIC) .0588 (.0980) .0789 (.1526) .0831 (.1597) N/A
A9 Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP)
 
Description New Rate Eff Date Old Rate Eff. Date
Staff Appreciation & Recognition (STAR) - Non-represented (99) 0.89% 07/07  0.80% 04/07
Staff Appreciation and Recognition (STAR) - CX  0.89% 07/15 0.00% 07/06
Incentive Award Program (IAP) - FF, K5, RX, SX, 0.00% 07/06 0.50% 01/01
Incentive Award Program (IAP) - TX 0.00% 10/06 0.50% 10/00
Incentive Award Program (IAP) - HX 0.00% 04/07 0.50% 02/01
Incentive Award Program (IAP) - NX 0.00% 03/08 0.50% 02/01
Incentive Award Program (IAP) - EX 0.00% 07/11 0.50% 02/01
Incentive Award Program (IAP) - PA 0.00% 09/11 0.50% 02/01
A10 Other PostEmployment Benefit  (OPEB) 2.98% 07/15 2.65% 07/14
A11 Benefits Administration Rate related to OPEB 0.17% 07/10 0.16% 07/08
A12

General Liability - Loc. 5 (UCRFS charge)
General Liability - Loc. N (UCRFS charge)

0.5278%
0.4800%

07/15
07/15

0.6105%
0.3100%

07/14
07/14

A13

Employment Practices - Loc. 5 (UCRFS charge)
Employment Practices - Loc. N (UCRFS charge)

0.4223%
0.1900%

07/15
07/15

0.4412%
0.1100%

07/14
07/14

           
B FLAT RATED (DOLLAR) BENEFITS  NEW AMOUNT EFF DATE   OLD AMOUNT EFF DATE 
B1 HEALTH INSURANCE - EMPLOYER RATES (separate table)        
  HEALTH INSURANCE - EMPLOYEE RATES (separate table)        
B2 Life Insurance(Flat Rate) $4.34 01/07 $4.82 01/96
B3 Core Life Insurance (Flat Rate) $0.47 01/96 $0.52 01/94
B4 U.C. Paid Disability (Flat Rate) $6.71 01/09 $6.13 01/00
B5 Graduate Student (GS) Remission Programs        
  GS Health Insurance Program (GSHIP) with Admin fee/QTR $1,127.00 10/15 $987.00

10/14

 

GS Partial Fee Remission (PFR) -Residents/QTR
GS Partial Fee Remission (PFR) -NonResidents/QTR
AGSM Graduate Student Fee Remission per QTR

$4064.00
$4064.00
$4064.00

10/11
10/11
10/11

$3708.00
$3708.00
$3404.00

10/10
10/10
10/10

  GS Nonresident Suppl. Tuition Remission (NRST)/QTR $5034.00 10/11 $4898.00 10/04
B6

Comm. Infrastructure Fee (CIF) per FTE (UCRFS charge)
CIF for Assistant I (4922) and Assistant II (4921)

$64.14
$32.07

07/15
07/15

$61.09
$30.55

07/14
07/14

2015 Health Plan Cost (Employer)

 

2015 UC EMPLOYER RATES (posted 11/26/2014)

 

NON-MEDICARE EMPLOYER RATES - 2015
Kaiser Permanente – CA (KN & KS)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

546.91

984.45

1147.28

1584.82

Pay Band 2 - Employer premium - $51,001 - $101,000

510.86

919.56

1064.98

1473.68

Pay Band 3 - Employer premium - $101,001 - $152,000

473.86

852.96

991.22

1370.32

Pay Band 4 - Employer premium - $152,001 or more

435.55

784.00

914.80

1263.25

NON-MEDICARE EMPLOYER RATES - 2015
Health Net Blue & Gold (HB)
UC CARE (SU)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

626.90

1128.42

1262.36

1763.88

Pay Band 2 - Employer premium - $51,001 - $101,000

590.85

1063.53

1180.06

1652.74

Pay Band 3 - Employer premium - $101,001 - $152,000

553.85

996.93

1106.30

1549.38

Pay Band 4 - Employer premium - $152,001 or more

515.54

927.97

1029.88

1442.31

NON-MEDICARE EMPLOYER RATES - 2015
Blue Shield Health Savings Plan (SP)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

557.66

1003.79

1169.83

1615.96

Pay Band 2 - Employer premium - $51,001 - $101,000

521.61

938.90

1087.53

1504.82

Pay Band 3 - Employer premium - $101,001 - $152,000

484.61

872.30

1013.77

1401.46

Pay Band 4 - Employer premium - $152,001 or more

446.30

803.34

937.35

1294.39

 

    
 

Self

Self +
Child(ren)

Self +
Adult

Family

CORE MEDICAL (CM) - NON-MEDICARE

108.35

195.03

227.54

314.22

DELTA DENTAL PPO (D1)

43.50

87.91

80.24

  142.64

DELTACARE USA (D3)

21.58 37.63 37.04 53.09 

VISION SERVICE PLAN (V1)

12.75 12.75 12.75 12.75

LEGAL PLAN  (ARAG)

0.00

0.00

0.00

0.00

      
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self +
Adult

Family

PSBP MEDICAL HMO (P1-HN Group # 66700A) 497.94 871.46 1,182.95 1,503.32
PSBP MEDICAL PPO (P2-HN Group #N2982A) 472.21 821.39 1,141.31 1,441.28
PSBP DENTAL DHMO (P3-HN Group #Z0074A) 9.18 17.43 16.51 25.69
PSBP DENTAL PPO (P4-Principal Group #H12843) 23.97 55.79 49.99 89.78
PSBP VISION PPO (P5-HN Group #Z0074A) 4.38 8.15  7.30 12.46 
PSBP BROKER/ADMIN FEE 9.83  9.83  9.83  9.83 
PSBP LIFE/AD&D ($50,000) 3.15  3.15  3.15  3.15 
PSBP SHORT-TERM DISABILITY 9.80  9.80  9.80  9.80 
PSBP LONG-TERM DISABILITY 0.00  0.00  0.00  0.00 
PSBP WORKERS COMP INS (FELLOWS & PD)
PSBP WORKERS CPMP INS (EMPLOYEES) 
42.52
Sal. % 
42.52
Sal. % 
42.52
Sal. % 
42.52
Sal. % 

2015 Health Plan Cost (Employee)

 

 2015 UC EMPLOYEE RATES  (R 11/26/14)

 

Kaiser Permanente - CA 
Blue Shield Health Savings Plan

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

13.78

24.80

30.18

41.19

Pay Band 2 - Employee premium - $51,001 - $101,000

49.83

89.69

112.48

152.33

Pay Band 3 - Employee premium - $101,001 - $152,000

86.83

156.29

186.24

255.69

Pay Band 4 - Employee premium - $152,001 or more

125.14

225.25

262.66

362.76

Health Net Blue & Gold

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

35.19

63.34

128.02

156.18

Pay Band 2 - Employee premium - $51,001 - $101,000

71.24

128.23

210.32

267.32

Pay Band 3 - Employee premium - $101,001 - $152,000

108.24

194.83

284.08

370.68

Pay Band 4 - Employee premium - $152,001 or more

146.55

263.79

360.50

477.75

UC CARE

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

96.91

174.44

257.64

335.17

Pay Band 2 - Employee premium - $51,001 - $101,000

132.96

239.33

339.94

446.31

Pay Band 3 - Employee premium - $101,001 - $152,000

169.96

305.93

413.70

549.67

Pay Band 4 - Employee premium - $152,001 or more

208.27

374.89

490.12

656.74

 

Self

Self +
Child(ren)

Self + Adult

Family

CORE MEDICAL – CA

Free

Free

Free

Free

DELTA DENTAL PPO

Free

Free

Free

Free

DELTACARE USA  (formerly PMI DENTAL)

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

10.02

13.78 13.78

15.03

POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self + Adult

Family

PSBP MED HMO

10.16

17.79

36.59

46.49

PSBP MED PPO

20.00  40.00  40.00  60.00 

PSBP DENTAL HMO

Free

Free

Free

Free

PSBP DENTAL PPO

Free

Free

Free

Free

PSBP VISION

Free

Free

Free

Free

PSBP LONG-TERM DISABILITY

9.00 9.00 9.00 9.00

 

       

UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP)

Eff. Date 

 New Rate

 Eff. Date

Old Rate 

Members with Social Security (1976 Tier)
99, A5, BX, CX, IX, K5, LX, and PX
EX
SX
NX
HX, RX, TX


7/14
7/14
7/14
7/14
7/14


8.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19


7/13
8/13
10/13
2/14
3/14


6.5% less $19
6.5% less $19
6.5% less $19
8.0% less $19
8.6% less $19

Safety Members (PA) (1976 Tier)

7/14

9.0% less $19

7/13 7.5% less $19 

Members with Social Security (2013 Tier)
99, A5, BX, CX, IX, K5, LX, and PX
EX, HX, NX, RX, SX, TX 


07/13
07/14


7.0% (no $19)
9.0% (no $19)  


7/13
7/13

7.0% (no $19)
 7.0% (no $19) 

2014 Benefits Rate Table

 
 

DESCRIPTION
(revised November 10, 2014)

NEW RATE EFF.
DATE
OLD RATE EFF.
DATE
A PERCENTAGE BASED BENEFITS        
A1 Social Security
Gross Limit
6.20% 
$117,000
01/91
01/14
6.20% 
$113,700
01/91
01/13
A2 Medicare - Gross limit less than or equal to $200,000
Medicare - Gross limit in excess of $200,000
1.45% 
2.35%
01/87 
01/13
1.45%
NO LIMIT
01/87
 01/94 
A3 Workers Compensation  Insurance (plus $5,000 per qualified claim) 0.83% 07/14 0.65% 07/13
A4 Employee Support Program 0.28% 07/01 0.24% 07/94
A5 Unemployment Insurance        
  General Funds
Federal Funds
Other Funds
0.15%
0.55%
0.20%
07/14
07/14
07/14
0.30%
0.60%
0.40%
07/13
07/11
07/13
A6 UC Retirement Plan (UCRP) Employer Contribution 14.00% 07/14 12.00% 07/13
A7 UCRP Supplemental Assessment Rate 0.50%
0.72%
07/14
08/14
0.66%
0.50%
07/13
07/14
A8 Vacation Assessment  (Gross salary times rate below)
  Effective 10/2014 (old factors in parenthesis effective 07/2012)
LEAVE CODE NO UCRP UCRP WITHOUT FICA UCRP WITH FICA SAFETY MEMBERS
A & G (STAFF) .0551 (.0612) .0739 (.0954) .0779 (.0998) .0779 (.0998)
B & H (STAFF) .0661 (.0734) .0887 (.1144) .0935 (.1197) .0935 (.1197)
C & J (STAFF) .0772 (.0858) .1035 (.1336) .1091 (.1398) .1091 (.1398)
D & K (STAFF)

.0882 (.0980) .1183 (.1526) .1247 (.1597) .1247 (.1597)
D & E (ACADEMIC) .0588 (.0980) .0789 (.1526) .0831 (.1597) N/A
A9 Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP)
 
Description New Rate Eff Date Old Rate Eff. Date
SRDP - Non-represented (99) 0.89% 07/07  0.80% 04/07
Incentive Award Program (IAP) - CX, FF, K5, RX, SX 0.00% 07/06 0.50% 01/01
Incentive Award Program (IAP) - TX 0.00% 10/06 0.50% 10/00
Incentive Award Program (IAP) - HX 0.00% 04/07 0.50% 02/01
Incentive Award Program (IAP) - NX 0.00% 03/08 0.50% 02/01
 Incentive Award Program (IAP) - EX 0.00% 07/11 0.50% 02/01
 Incentive Award Program (IAP) - PA 0.00% 09/11 0.50% 02/01
A10 Other PostEmployment Benefit  (OPEB) 2.65% 07/14 3.24% 07/13
A11 Benefits Administration Rate related to OPEB 0.17% 07/10 0.16% 07/08
A12

General Liability - Loc. 5 (UCRFS charge)
General Liability - Loc. N (UCRFS charge)

0.6105%
0.3100%

07/14
07/14

0.7893%
0.3200%

07/13
07/13

A13

Employment Practices - Loc. 5 (UCRFS charge)
Employment Practices - Loc. N (UCRFS charge)

0.4412%
0.1100%

07/14
07/14

0.2805%
0.0700%

07/13
07/12

           
B FLAT RATED (DOLLAR) BENEFITS  NEW AMOUNT EFF DATE   OLD AMOUNT EFF DATE 
B1 HEALTH INSURANCE - EMPLOYER RATES (separate table)        
  HEALTH INSURANCE - EMPLOYEE RATES (separate table)        
B2 Life Insurance(Flat Rate) $4.34 01/07 $4.82 01/96
B3 Core Life Insurance (Flat Rate) $0.47 01/96 $0.52 01/94
B4 U.C. Paid Disability (Flat Rate) $6.71 01/09 $6.13 01/00
B5 Graduate Student (GS) Remission Programs        
  GS Health Insurance Program (GSHIP) with Admin fee/QTR $869.00 10/13 $619.00

10/12

 

GS Partial Fee Remission (PFR) -Residents/QTR
GS Partial Fee Remission (PFR) -NonResidents/QTR
AGSM Graduate Student Fee Remission per QTR

$4064.00
$4064.00
$4064.00

10/11
10/11
10/11

$3708.00
$3708.00
$3404.00

10/10
10/10
10/10

  GS Nonresident Suppl. Tuition Remission (NRST)/QTR $5034.00 10/11 $4898.00 10/04
B6

Comm. Infrastructure Fee (CIF) per FTE (UCRFS charge)
CIF for Assistant I (4922) and Assistant II (4921)

$61.09
$30.55

07/14
07/14

$58.18
$29.09

07/13
07/13

2014 Health Plan Cost (Employer)

 

Revised 1/14/2014

 

(NON-MEDICARE) - 2014
Kaiser Permanente – CA (KN & KS)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

533.24

957.71

1115.81

1540.29

Pay Band 2 - Employer premium - $51,001 - $101,000

497.19

892.82

1033.51

1429.51

Pay Band 3 - Employer premium - $101,001 - $151,000

460.19

826.22

959.75

1325.79

Pay Band 4 - Employer premium - $151,001 or more

421.88

757.26

883.33

1218.72

(NON-MEDICARE) - 2014
Health Net Blue & Gold (HB)
UC CARE (SU)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

581.51

1046.72

1170.97

1636.18

Pay Band 2 - Employer premium - $51,001 - $101,000

545.46

981.83

1088.67

1525.04

Pay Band 3 - Employer premium - $101,001 - $151,000

508.46

915.23

1014.91

1421.68

Pay Band 4 - Employer premium - $151,001 or more

470.15

846.27

938.49

1314.61

(NON-MEDICARE) - 2014
Blue Shield Health Savings Plan (SP)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $51,000 or less

505.90

908.27

1058.28

1460.66

Pay Band 2 - Employer premium - $51,001 - $101,000

469.85

843.38

975.98

1349.52

Pay Band 3 - Employer premium - $101,001 - $151,000

432.85

776.78

902.22

1246.16

Pay Band 4 - Employer premium - $151,001 or more

394.54

707.82

825.80

1139.09

 

    
 

Self

Self +
Child(ren)

Self +
Adult

Family

CORE MEDICAL (CM) - NON-MEDICARE

113.19

203.74

237.70

328.25

DELTA DENTAL PPO (D1)

43.87 

89.28 

81.44 

145.24 

DELTACARE USA (D3)

22.27  38.83  38.22  54.79 

VISION SERVICE PLAN (V1)

12.53  12.53  12.53  12.53 

LEGAL PLAN  (ARAG)

0.00

0.00

0.00

0.00

      
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self +
Adult

Family

PSBP MEDICAL HMO (P1-HN Group # 66700A) 463.20  810.67  1,100.43  1,398.43 
PSBP MEDICAL PPO (P2-HN Group #N2982A) 444.79  773.40  1,075.50  1,357.64 
PSBP DENTAL DHMO (P3-HN Group #Z0074A) 9.46  17.97  17.02  26.48 
PSBP DENTAL PPO (P4-Principal Group #H12843) 24.36  56.70  50.81  91.24 
PSBP VISION PPO (P5-HN Group #Z0074A) 4.27  7.95  7.12  12.16 
PSBP BROKER/ADMIN FEE 9.83  9.83  9.83  9.83 
PSBP LIFE/AD&D ($50,000) 3.15  3.15  3.15  3.15 
PSBP SHORT-TERM DISABILITY 9.80  9.80  9.80  9.80 
PSBP WORKERS COMP INS (FELLOWS & PD)
PSBP WORKERS CPMP INS (EMPLOYEES) 
24.20
Sal. % 
24.20
Sal. % 
24.20
Sal. % 
24.20
Sal. % 

2014 Health Plan Cost (Employee)

 

 2014 HEALTH PLAN COST - EMPLOYEE  (R 5/9/14)

 

Kaiser Permanente - CA 

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

11.78

21.20

25.80

35.21

Pay Band 2 - Employee premium - $51,001 - $101,000

47.83

86.09

108.10

146.35

Pay Band 3 - Employee premium - $101,001 - $151,000

84.83

152.69

181.86

249.71

Pay Band 4 - Employee premium - $151,001 or more

123.14

221.65

258.28

356.78

Health Net Blue & Gold

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

29.49

51.17

109.50

131.18

Pay Band 2 - Employee premium - $51,001 - $101,000

65.54

116.06

191.80

242.32

Pay Band 3 - Employee premium - $101,001 - $151,000

102.54

182.66

265.56

345.68

Pay Band 4 - Employee premium - $151,001 or more

140.85

251.62

341.98

452.75

UC CARE

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

71.96

127.83

198.99

254.87

Pay Band 2 - Employee premium - $51,001 - $101,000

108.01

192.72

281.29

366.01

Pay Band 3 - Employee premium - $101,001 - $151,000

145.01

259.32

355.05

469.37

Pay Band 4 - Employee premium - $151,001 or more

183.32

328.28

431.47

576.44

Blue Shield Health Savings Plan

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $51,000 or less

9.67

17.41

21.19

28.92

Pay Band 2 - Employee premium - $51,001 - $101,000

45.72

82.30

103.49

140.06

Pay Band 3 - Employee premium - $101,001 - $151,000

82.72

148.90

177.25

243.42

Pay Band 4 - Employee premium - $151,001 or more

121.03

217.86

253.67

350.49

 

Self

Self +
Child(ren)

Self + Adult

Family

CORE MEDICAL – CA

Free

Free

Free

Free

DELTA DENTAL PPO

Free

Free

Free

Free

DELTACARE USA  (formerly PMI DENTAL)

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

 

   

 

POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self + Adult

Family

PSBP MED HMO

9.45 

16.54 

34.03 

43.25 

PSBP MED PPO

20.00  40.00  40.00  60.00 

PSBP DENTAL HMO

Free

Free

Free

Free

PSBP DENTAL PPO

Free

Free

Free

Free

PSBP VISION

Free

Free

Free

Free

PSBP LONG-TERM DISABILITY

7.95  7.95  7.95  7.95 

 

       

UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP)

Eff. Date 

 New Rate

 Eff. Date

Old Rate 

Members with Social Security (1976 Tier)
99, A5, BX, CX, IX, K5, LX, and PX
EX
SX
NX
HX, RX, TX


7/14
7/14
7/14
7/14
7/14


8.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19
9.0% less $19


7/13
8/13
10/13
2/14
3/14


6.5% less $19
6.5% less $19
6.5% less $19
8.0% less $19
8.6% less $19

Safety Members (PA) (1976 Tier)

7/14

9.0% less $19

7/13 7.5% less $19 

Members with Social Security (2013 Tier)
99, A5, BX, CX, IX, K5, LX, and PX
EX, HX, NX, RX, SX, TX 


7/13
07/14


7.0% (no $19)
9.0% (no $19)  


7/13
7/13

7.0% (no $19)
 7.0% (no $19) 

2013 Benefits Rate Table

 

DESCRIPTION
(revised November 22, 2013)

NEW RATE EFF.
DATE
OLD RATE EFF.
DATE
A PERCENTAGE BASED BENEFITS        
A1 Social Security
Gross Limit
6.20% 
$113,700
01/91
01/13
6.20% 
$110,100
01/91
01/12
A2 Medicare - Gross limit less than or equal to $200,000
Medicare - Gross limit in excess of $200,000
1.45% 
2.35%
01/87 
01/13
1.45%
NO LIMIT
01/87
 01/94 
A3 Workers Compensation  Insurance (plus $5,000 per qualified claim) 0.65% 07/13 0.58% 07/12
A4 Employee Support Program 0.28% 07/01 0.24% 07/94
A5 Unemployment Insurance        
  General Funds
Federal Funds
Other Funds
0.30%
0.60%
0.40%
07/13
07/11
07/13
0.45%
0.54%
0.45%
07/12
07/10
07/11
A6 UC Retirement Plan (UCRP) Employer Contribution 12.00% 07/13 10.00% 07/12
A7 UCRP Supplemental Assessment Rate 0.66% 07/13 0.63% 08/12
A8 Vacation Assessment  (Gross salary times rate below)
  Effective 07/2012 (old factors in parenthesis effective 12/2011)
LEAVE CODE CASUAL/
STUDENTS
RETIREMENT WITHOUT FICA RETIREMENT WITH FICA SAFETY MEMBERS
A and G .0612 (.0612) .0954 (.0793)  .0998 (.0837) .0998 (.0837)
B and H .0734 (.0734) .1144 (.0950) .1197 (.1003) .1197 (.1003)
C and J .0858 (.0858) .1336 (.1110) .1398 (.1172) .1398 (.1172)
D and K .0980 (.0980) .1526 (.1268) .1597 (.1338) .1597 (.1338)
E .0980 (.0980) .1526 (.1268) .1597 (.1338) .1597 (.1338)
F .0000 .0000 .0000 .0000
A9 Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP)
 
Description New Rate Eff Date Old Rate Eff. Date
SRDP - Non-represented (99) 0.89% 07/07  0.80% 04/07
Incentive Award Program (IAP) - CX, FF, K5, RX, SX 0.00% 07/06 0.50% 01/01
Incentive Award Program (IAP) - TX 0.00% 10/06 0.50% 10/00
Incentive Award Program (IAP) - HX 0.00% 04/07 0.50% 02/01
Incentive Award Program (IAP) - NX 0.00% 03/08 0.50% 02/01
 Incentive Award Program (IAP) - EX 0.00% 07/11 0.50% 02/01
 Incentive Award Program (IAP) - PA 0.00% 09/11 0.50% 02/01
A10 Other PostEmployment Benefit  (OPEB) 3.24% 07/13 1.80% 12/12
A11 Benefits Administration Rate related to OPEB 0.17% 07/10 0.16% 07/08
A12

General Liability - Loc. 5 (UCRFS charge)
General Liability - Loc. N (UCRFS charge)

0.7893%0.3200%

07/13
07/13

0.8263%0.2100%

07/12
07/12

A13

Employment Practices - Loc. 5 (UCRFS charge)
Employment Practices - Loc. N (UCRFS charge)

0.2805%0.0700%

07/13
07/12

0.1966%0.0800%

07/12
09/11

           
B FLAT RATED (DOLLAR) BENEFITS  NEW AMOUNT EFF DATE   OLD AMOUNT EFF DATE 
B1 HEALTH INSURANCE - EMPLOYER RATES (separate table)        
  HEALTH INSURANCE - EMPLOYEE RATES (separate table)        
B2 Life Insurance(Flat Rate) $4.34 01/07 $4.82 01/96
B3 Core Life Insurance (Flat Rate) $0.47 01/96 $0.52 01/94
B4 U.C. Paid Disability (Flat Rate) $6.71 01/09 $6.13 01/00
B5 Graduate Student (GS) Remission Programs        
  GS Health Insurance Program (GSHIP) with Admin fee/QTR $869.00 10/13 $619.00

10/12

 

GS Partial Fee Remission (PFR) -Residents/QTR
GS Partial Fee Remission (PFR) -NonResidents/QTR
AGSM Graduate Student Fee Remission per QTR

$4064.00$4064.00
$4064.00

10/11
10/11
10/11

$3708.00$3708.00
$3404.00

10/10
10/10
10/10

  GS Nonresident Suppl. Tuition Remission (NRST)/QTR $5034.00 10/11 $4898.00 10/04
B6

Comm. Infrastructure Fee (CIF) per FTE (UCRFS charge)
CIF for Assistant I (4922) and Assistant II (4921)

$58.18
$29.09

07/13
07/13

$55.41
$27.71

07/12
07/12

2013 Health Plan Cost (Employer)

(NON-MEDICARE) - 2013
Health Net Blue & Gold HMO (HB)

Health Net HMO (HN)
Anthem Blue Cross PLUS (BC)
Anthem Blue Cross PPO (BP)
Kaiser Umbrella (KU) 

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $50,000 or less

558.21

1004.78

1124.04

1570.61

Pay Band 2 - Employer premium - $50,001 - $98,000

522.16

939.89

1041.74

1459.47

Pay Band 3 - Employer premium - $98,001 - $147,000

485.16

873.29

967.98

1356.11

Pay Band 4 - Employer premium - $147,001 or more

446.85

804.33

891.56

1249.04

(NON-MEDICARE) - 2013
Kaiser Permanente – CA (KN & KS)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $50,000 or less

503.23

905.81

1056.79

1459.38

Pay Band 2 - Employer premium - $50,001 - $98,000

467.18

840.92

974.49

1348.24

Pay Band 3 - Employer premium - $98,001 - $147,000

430.18

774.32

900.73

1244.88

Pay Band 4 - Employer premium - $147,001 or more

391.87

705.36

824.31

1137.81

(NON-MEDICARE) - 2013
Anthem Lumenos PPO with HRA (BL)

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $50,000 or less

478.51

861.31

1004.87

1387.68

Pay Band 2 - Employer premium - $50,001 - $98,000

442.46

796.42

922.57

1276.54

Pay Band 3 - Employer premium - $98,001 - $147,000

405.46

729.82

848.81

1173.18

Pay Band 4 - Employer premium - $147,001 or more

367.15

660.86

772.39

1066.11

(NON-MEDICARE) - 2013
WESTERN HEALTH ADVANTAGE (WH)
 

Self

Self +
Child(ren)

Self +
Adult

Family

Pay Band 1 - Employer premium - $50,000 or less

523.36

942.05

1099.06

1517.74

Pay Band 2 - Employer premium - $50,001 - $98,000

487.31

877.16

1016.76

1406.60

Pay Band 3 - Employer premium - $98,001 - $147,000

450.31

810.56

943.00

1303.24

Pay Band 4 - Employer premium - $147,001 or more

412.00

741.60

866.58

1196.17

 

       
 2013 RATES

Self

Self +
Child(ren)

Self +
Adult

Family

CORE MEDICAL (NON-MEDICARE)

112.21

201.98

235.64

325.41

DELTA DENTAL PPO

43.66

90.00

82.00

147.11

DELTACARE USA

22.16

38.64

38.03

54.52

VISION SERVICE PLAN

12.11

12.11

12.11

12.11

LEGAL PLAN  (ARAG)

0.00

0.00

0.00

0.00

         
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self +
Adult

Family

PSBP MEDICAL HMO (Health Net, Group # 66700A)

424.82

743.49

1019.65

1295.78

PSBP MEDICAL PPO (Health Net, Group #N2982A)

409.29

716.27

982.30

1248.36

PSBP DENTAL DHMO (Health Net, Group #Z0074A)
9.18
17.45
16.52
25.71
PSBP DENTAL PPO (Principal, Group #H12843)
24.36
56.70
50.81
91.24
PSBP VISION PPO (Health Net, Group #Z0074A)
4.29
7.99
7.16
12.23
PSBP BROKER/ADMIN FEE
9.83
9.83
9.83
9.83
PSBP LIFE/AD&D ($50,000)
3.15
3.15
3.15
3.15
PSBP SHORT-TERM DISABILITY
8.82
8.82
8.82
8.82
PSBP WORKERS COMP INSURANCE
32.65
32.65
32.65
32.65

2013 Health Plan Cost (Employee)

 2013 HEALTH PLAN COST - EMPLOYEE  (R 10/18/13)

 

 

 

 

Kaiser Permanente - CA (KN & KS)
Anthem Lumenos PPO with HRA (BL)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $50,000 or less

9.67

17.41

20.31

28.04

Pay Band 2 - Employee premium - $50,001 - $98,000

45.72

82.30

102.61

139.18

Pay Band 3 - Employee premium - $98,001 - $147,000

82.72

148.90

176.37

242.54

Pay Band 4 - Employee premium - $147,001 or more

121.03

217.86

252.79

349.61

Health Net Blue & Gold HMO (HB)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $50,000 or less

25.26

45.47

101.25

121.45

Pay Band 2 - Employee premium - $50,001 - $98,000

61.31

110.36

183.55

232.59

Pay Band 3 - Employee premium - $98,001 - $147,000

98.31

176.96

257.31

335.95

Pay Band 4 - Employee premium - $147,001 or more

136.62

245.92

333.73

443.02

Health Net HMO (HN)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $50,000 or less

108.28

194.91

275.59

362.21

Pay Band 2 - Employee premium - $50,001 - $98,000

144.33

259.80

357.89

473.35

Pay Band 3 - Employee premium - $98,001 - $147,000

181.33

326.40

431.65

576.71

Pay Band 4 - Employee premium - $147,001 or more

219.64

395.36

508.07

683.78

Anthem Blue Cross PLUS (BC)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $50,000 or less

75.43

135.77

206.61

266.94

Pay Band 2 - Employee premium - $50,001 - $98,000

111.48

200.66

288.91

378.08

Pay Band 3 - Employee premium - $98,001 - $147,000

148.48

267.26

362.67

481.44

Pay Band 4 - Employee premium - $147,001 or more

186.79

336.22

439.09

588.51

Anthem Blue Cross PPO (BP)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $50,000 or less

106.76

192.17

272.40

357.80

Pay Band 2 - Employee premium - $50,001 - $98,000

142.81

257.06

354.70

468.94

Pay Band 3 - Employee premium - $98,001 - $147,000

179.81

323.66

424.46

572.30

Pay Band 4 - Employee premium - $147,001 or more

218.12

392.62

504.88

679.37

Kaiser Umbrella (KU)

Self

Self +
Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $50,000 or less

137.54

247.57

337.04

447.07

Pay Band 2 - Employee premium - $50,001 - $98,000

173.59

312.46

419.34

558.21

Pay Band 3 - Employee premium - $98,001 - $147,000

210.59

379.06

493.10

661.57

Pay Band 4 - Employee premium - $147,001 or more

248.90

448.02

569.52

768.64

 

Self

Self +
Child(ren)

Self + Adult

Family

CORE MEDICAL – CA

Free

Free

Free

Free

DELTA DENTAL PPO

Free

Free

Free

Free

DELTACARE USA  (formerly PMI DENTAL)

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

10.02

13.78

13.78

15.03

POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self +
Child(ren)

Self + Adult

Family

PSBP MED HMO

8.50

14.87

30.59

38.87

PSBP MED PPO

20.00

40.00

40.00

60.00

PSBP DENTAL HMO

Free

Free

Free

Free

PSBP DENTAL PPO

Free

Free

Free

Free

PSBP VISION

Free

Free

Free

Free

PSBP LONG-TERM DISABILITY

7.95

7.95

7.95

7.95

 

       

UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP)

Eff. Date 

 New Rate

 Eff. Date

Old Rate 

Members with Social Security (1976 Tier)
99, CX, IX, LX, BX, and PX
EX
SX


7/13
8/13
10/13


6.5% less $19
6.5% less $19
6.5% less $19


7/12
7/12
7/12

5.0% less $19
5.0% less $19
5.0% less $19

Members with Social Security  (1976 Tier)
NX, RX, TX


7/12


5.0% less ($19)


7/11

3.5% less $19

Members with Social Security (1976 Tier)
HX


7/11


3.5% less ($19)


7/11

3.5% less $19

Safety Members (PA) (1976 Tier)

7/13

7.5% less ($19)

7/12 6.0% less $19 

Members with Social Security (2013 Tier)

7/13

7.0%
(
no $19 offset) 

   

2012 Benefits Rate Table

 

DESCRIPTION
(revised August 3, 2012)

NEW RATE EFF.
DATE
OLD RATE EFF.
DATE
A PERCENTAGE BASED BENEFITS        
A1 Social Security
Gross Limit
6.20% 
$110,100
01/91
01/12
6.20% 
$106,800
01/91
01/09
A2 Medicare
Gross Limit
1.45% 
NO LIMIT
01/87 
01/94
1.45% 
NO LIMIT
01/87 
01/94
A3 Workers Compensation  Insurance (plus $5,000 per qualified claim) 0.58% 07/12 0.56% 07/11
A4 Employee Support Program 0.28% 07/01 0.24% 07/94
A5 Unemployment Insurance        
  General Funds
Federal Funds
Other Funds
0.45%
0.60%
0.45%
07/12
07/11
07/11
0.60%
0.54%
0.54%
07/11
07/10
07/10
A6 UC Retirement Plan (UCRP) Employer Contribution 10.00% 07/12 7.00% 07/11
A7 UCRP Supplemental Assessment Rate 0.63% 08/12 0.68% 08/11
A8 Vacation Assessment  (Gross salary times rate below)
  Effective 07/2012 (old factors in parenthesis effective 12/2011)
LEAVE CODE CASUAL/
STUDENTS
RETIREMENT WITHOUT FICA RETIREMENT WITH FICA SAFETY MEMBERS
A and G .0612 (.0612) .0954 (.0793)  .0998 (.0837) .0998 (.0837)
B and H .0734 (.0734) .1144 (.0950) .1197 (.1003) .1197 (.1003)
C and J .0858 (.0858) .1336 (.1110) .1398 (.1172) .1398 (.1172)
D and K .0980 (.0980) .1526 (.1268) .1597 (.1338) .1597 (.1338)
E .0980 (.0980) .1526 (.1268) .1597 (.1338) .1597 (.1338)
F .0000 .0000 .0000 .0000
A9 Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP)
 
Description New Rate Eff Date Old Rate Eff. Date
SRDP - Non-represented (99) 0.89% 07/07  0.80% 04/07
Incentive Award Program (IAP) - CX, FF, K5, RX, SX 0.00% 07/06 0.50% 01/01
Incentive Award Program (IAP) - TX 0.00% 10/06 0.50% 10/00
Incentive Award Program (IAP) - HX 0.00% 04/07 0.50% 02/01
Incentive Award Program (IAP) - NX 0.00% 03/08 0.50% 02/01
 Incentive Award Program (IAP) - EX 0.00% 07/11 0.50% 02/01
 Incentive Award Program (IAP) - PA 0.00% 09/11 0.50% 02/01
A10 Other PostEmployment Benefit  (OPEB) 3.72% 07/12 3.51% 07/11
A11 Benefits Administration Rate related to OPEB 0.17% 07/10 0.16% 07/08
A12

General Liability - Loc. 5 (UCRFS charge)
General Liability - Loc. N (UCRFS charge)

0.8263%0.2100%

07/12
07/12

0.7900%0.0900%

07/11
09/11

A13

Employment Practices - Loc. 5 (UCRFS charge)
Employment Practices - Loc. N (UCRFS charge)

0.1966%0.0700%

07/12
07/12

0.1250%0.0800%

07/11
09/11

           
B FLAT RATED (DOLLAR) BENEFITS  NEW AMOUNT EFF DATE   OLD AMOUNT EFF DATE 
B1 HEALTH INSURANCE - EMPLOYER RATES (separate table)        
  HEALTH INSURANCE - EMPLOYEE RATES (separate table)        
B2 Life Insurance(Flat Rate) $4.34 01/07 $4.82 01/96
B3 Core Life Insurance (Flat Rate) $0.47 01/96 $0.52 01/94
B4 U.C. Paid Disability (Flat Rate) $6.71 01/09 $6.13 01/00
B5 Graduate Student (GS) Remission Programs        
  GS Health Insurance Program (GSHIP) with Admin fee/QTR $619.00 10/12 $588.00

10/11

 

GS Partial Fee Remission (PFR) -Residents/QTR
GS Partial Fee Remission (PFR) -NonResidents/QTR
AGSM Graduate Student Fee Remission per QTR

$4064.00$4064.00
$4064.00

10/11
10/11
10/11

$3708.00$3708.00
$3404.00

10/10
10/10
10/10

  GS Nonresident Suppl. Tuition Remission (NRST)/QTR $5034.00 10/11 $4898.00 10/04
B6

Comm. Worker Fee (CWF) per FTE (UCRFS charge)
CWF for Assistant I (4922) and Assistant II (4921)

$55.41
$27.71

07/12
07/12

$53.02
$26.51

08/11
08/11

2012 Health Plan Cost (Employer)

Health Net Blue & Gold HMO (HB & HE)
Health Net HMO (HN & HC)
Anthem PLUS (BC)
Anthem PPO (BP)
Kaiser Umbrella (KU) 

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium - $48,000 or less

539.99

971.98

1087.35

1519.34

Pay Band 2 - Employer premium - $48,001 - $96,000

503.94

907.09

1005.05

1408.20

Pay Band 3 - Employer premium - $96,001 - $144,000

466.94

840.49

931.29

1304.84

Pay Band 4 - Employer premium - $144,001 or more

428.63

771.53

854.87

1197.77

Kaiser Permanente – CA (KN & KS)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium - $48,000 or less

496.32

893.37

1042.27

1439.33

Pay Band 2 - Employer premium - $48,001 - $96,000

460.27

828.48

959.97

1328.19

Pay Band 3 - Employer premium - $96,001 - $144,000

423.27

761.88

886.21

1224.83

Pay Band 4 - Employer premium - $144,001 or more

384.96

692.92

809.79

1117.76

Anthem Lumenos PPO with HRA (BL)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium - $48,000 or less

513.02

923.43

1077.34

1487.76

Pay Band 2 - Employer premium - $48,001 - $96,000

476.97

858.54

995.04

1376.62

Pay Band 3 - Employer premium - $96,001 - $144,000

439.97

791.94

921.28

1273.26

Pay Band 4 - Employer premium - $144,001 or more

401.66

722.98

844.86

1166.19

WESTERN HEALTH ADVANTAGE (WH) 

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium - $48,000 or less

505.32

909.57

1061.17

1465.43

Pay Band 2 - Employer premium - $48,001 - $96,000

469.27

844.68

978.87

1354.29

Pay Band 3 - Employer premium - $96,001 - $144,000

432.27

778.08

905.11

1250.93

Pay Band 4 - Employer premium - $144,001 or more

393.96

709.12

828.69

1143.86

 

       
 

Self

Self + Child(ren)

Self + Adult

Family

CORE MEDICAL

98.05

176.49

205.91

284.35

DELTA DENTAL PPO

43.96

90.65

82.59

148.19

DELTACARE USA

22.38

39.03

38.41

55.07

VISION SERVICE PLAN

11.76

11.76

11.76

11.76

LEGAL PLAN  (ARAG)

0.00

0.00

0.00

0.00

         
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self + Child(ren)

Self + Adult

Family

PSBP MEDICAL HMO (Health Net, Group # 66700A)

385.71

675.02

916.30

1164.45

PSBP MEDICAL PPO (Health Net, Group #N2982A)

368.14

636.76

895.54

1124.36

PSBP DENTAL DHMO (Health Net, Group #Z0074A)
9.18
17.45
16.52
25.71
PSBP DENTAL PPO (Principal, Group #H12843)
26.41
60.76
54.50
97.44
PSBP VISION PPO (Health Net, Group #Z0074A)
4.09
7.61
6.82
11.65
PSBP BROKER/ADMIN FEE
8.08
8.08
8.08
8.08
PSBP LIFE/AD&D ($50,000)
3.15
3.15
3.15
3.15
PSBP SHORT-TERM DISABILITY
8.82
8.82
8.82
8.82
PSBP WORKERS COMP INSURANCE
23.83
23.83
23.83
23.83

 

2012 Health Plan Cost (Employee)

 2012 HEALTH PLAN COST - EMPLOYEE (revised July 2012)

 

 

 

 

Kaiser Permanente - CA (KN & KS)
Anthem Lumenos PPO with HRA (BL)
Western Health Advantage (WH)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $48,000 or less

8.07

14.53

16.95

23.40

Pay Band 2 - Employee premium - $48,001 - $96,000

44.12

79.42

99.25

134.54

Pay Band 3 - Employee premium - $96,001 - $144,000

81.12

146.02

173.01

237.90

Pay Band 4 - Employee premium - $144,001 or more

119.43

214.98

249.43

344.97

Health Net Blue & Gold HMO (HB & HE)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $48,000 or less

23.08

41.55

95.10

113.56

Pay Band 2 - Employee premium - $48,001 - $96,000

59.13

106.44

177.40

224.70

Pay Band 3 - Employee premium - $96,001 - $144,000

96.13

173.04

251.16

328.06

Pay Band 4 - Employee premium - $144,001 or more

134.44

242.00

327.58

435.13

Health Net HMO (HN & HC)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $48,000 or less

79.27

142.69

213.10

276.52

Pay Band 2 - Employee premium - $48,001 - $96,000

115.32

207.58

295.40

387.66

Pay Band 3 - Employee premium - $96,001 - $144,000

152.32

274.18

369.16

491.02

Pay Band 4 - Employee premium - $144,001 or more

190.63

343.14

445.58

598.09

Anthem PLUS (BC)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $48,000 or less

75.24

135.43

204.63

264.83

Pay Band 2 - Employee premium - $48,001 - $96,000

111.29

200.32

286.93

375.97

Pay Band 3 - Employee premium - $96,001 - $144,000

148.29

266.92

360.69

479.33

Pay Band 4 - Employee premium - $144,001 or more

186.60

335.88

437.11

586.40

Anthem PPO (BP)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium - $48,000 or less

52.57

94.63

157.02

199.09

Pay Band 2 - Employee premium - $48,001 - $96,000

88.62

159.52

239.32

310.23

Pay Band 3 - Employee premium - $96,001 - $144,000

125.62

226.12

313.08

413.59

Pay Band 4 - Employee premium - $144,001 or more

163.93

295.08

389.50

520.66

 

Self

Self + Child(ren)

Self + Adult

Family

CORE MEDICAL – CA

Free

Free

Free

Free

DELTA DENTAL PPO

Free

Free

Free

Free

DELTACARE USA  (formerly PMI DENTAL)

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

10.02

13.78

13.78

15.03

POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self + Child(ren)

Self + Adult

Family

PSBP MED HMO

7.87

13.78

28.34

36.01

PSBP MED PPO

30.00

60.00

60.00

90.00

PSBP DENTAL HMO

Free

Free

Free

Free

PSBP DENTAL PPO

Free

Free

Free

Free

PSBP VISION

Free

Free

Free

Free

PSBP LONG-TERM DISABILITY

7.95

7.95

7.95

7.95

 

       

UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP)

Eff. Date 

 New Rate

 Eff. Date

Old Rate 

Members with Social Security (below FICA max)
EX and SX deductions effective 12/1/2011 check date
CX deduction effective 3/1/2012 check date

7/12

5.0% less ($19)

7/11 3.5% less $19

Members with Social Security (above FICA max)

7/12

5.0% less ($19)

7/11 3.5% less $19 

Members Uncoordinated with Social Security

7/12

5.0% less ($19)

7/11 3.5% less $19 

Safety Members

7/12

6.0% less ($19)

7/11 4.5% less $19 

2011 Benefits Rate Table

 

DESCRIPTION
(revised 09/2011)

NEW RATE EFF.
DATE
OLD RATE EFF.
DATE
A PERCENTAGE BASED BENEFITS        
A1 Social Security
Gross Limit
6.20% 
$106,800
01/91
01/09
6.20% 
$102,000
01/91
01/08
A2 Medicare
Gross Limit
1.45% 
NO LIMIT
01/87 
01/94
1.45% 
NO LIMIT
01/87 
01/94
A3 Workers Compensation  Insurance (plus $5,000 per qualified claim) 0.56% 07/11 0.73% 07/10
A4 Employee Support Program 0.28% 07/01 0.24% 07/94
A5 Unemployment Insurance        
  General Funds
Federal Funds
Other Funds
0.60%
0.60%
0.45%
07/11
07/11
07/11
0.45%
0.54%
0.54%
07/10
07/10
07/10
A6 UC Retirement Plan (UCRP) Employer Contribution 7.00% 07/11 4.00% 05/10
A7 UCRP Supplemental Assessment Rate 0.68% 08/11 0.00% 07/11
A8 Vacation Assessment  (Gross salary times rate below)
  Effective 10/2010  (old factors in parenthesis effective 07/2010)
LEAVE CODE CASUAL/
STUDENTS
RETIREMENT WITHOUT FICA RETIREMENT WITH FICA SAFETY MEMBERS
A and G .0612(.0459) .0704 (.0528)  .0740 (.0554) .0749 (.0561)
B and H .0734 (.0551) .0845 (.0633) .0887 (.0666) .0898 (.0674)
C and J .0858 (.0644) .0986 (.0740) .1036 (.0777) .1049 (.0786)
D and K .0980 (.0735)  .1127 (.0846) .1183 (.0888) .1198 (.0900)
E .0980 (.0735) .1127 (.0846) .1183 (.0888) .1198 (.0900)
F .0000 .0000 .0000 .0000
A9 Staff Recognition & Development Award Program (SRDP) - formerly Incentive Award Program (IAP)
 
Description New Rate Eff Date Old Rate Eff. Date
SRDP - Non-represented (99) 0.89% 07/07  0.80% 04/07
Incentive Award Program (IAP) - CX, FF, K5, RX, SX 0.00% 07/06 0.50% 01/01
Incentive Award Program (IAP) - TX 0.00% 10/06 0.50% 10/00
Incentive Award Program (IAP) - HX 0.00% 04/07 0.50% 02/01
Incentive Award Program (IAP) - NX 0.00% 03/08 0.50% 02/01
 Incentive Award Program (IAP) - EX 0.00% 07/11 0.50% 02/01
 Incentive Award Program (IAP) - PA 0.00% 09/11 0.50% 02/01
A10 Other PostEmployment Benefit  (OPEB) 3.51% 07/11 3.31% 07/10
A11 Benefits Administration Rate related to OPEB 0.17% 07/10 0.16% 07/08
A12

General Liability - Loc. 5 (UCRFS charge)
General Liability - Loc. N (UCRFS charge)

0.7900%0.0700%

07/11
07/10

1.1099%0.0800%

07/10
09/09

A13

Employment Practices - Loc. 5 (UCRFS charge)
Employment Practices - Loc. N (UCRFS charge)

0.1250%0.0400%

07/11
07/10

0.0570%0.0500%

07/10
09/09

           
B FLAT RATED (DOLLAR) BENEFITS  NEW AMOUNT EFF DATE   OLD AMOUNT EFF DATE 
B1 HEALTH INSURANCE - EMPLOYER RATES (separate table)        
  HEALTH INSURANCE - EMPLOYEE RATES (separate table)        
B2 Life Insurance(Flat Rate) $4.34 01/07 $4.82 01/96
B3 Core Life Insurance (Flat Rate) $0.47 01/96 $0.52 01/94
B4 U.C. Paid Disability (Flat Rate) $6.71 01/09 $6.13 01/00
B5 Graduate Student (GS) Remission Programs        
  GS Health Insurance Program (GSHIP) with Admin fee/QTR $588.00 10/11 $641.00

10/10

 

GS Partial Fee Remission (PFR) -Residents/QTR
GS Partial Fee Remission (PFR) -NonResidents/QTR
AGSM Graduate Student Fee Remission per QTR

$3708.00$3708.00
$3404.00

10/11
10/11
10/10

$3434.00$3570.00
$2864.00

10/10
10/10
01/10

  GS Nonresident Suppl. Tuition Remission (NRST)/QTR $5034.00 10/11 $4898.00 10/04
B6

Comm. Worker Fee (CWF) per FTE (UCRFS charge)
CWF for Assistant I (4922) and Assistant II (4921)

$53.02
$26.51

08/11
08/11

$47.59
$23.80

07/10
07/10

2011 Health Plan Cost (Employer)

Kaiser Permanente – CA (KN & KS)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium for salaries of $47,000 or less

457.99

824.38

961.78

1328.17

Pay Band 2 - Employer premium for salaries of $47,001 - $93,000

424.84

764.71

886.10

1225.97

Pay Band 3 - Employer premium for salaries of $93,001 - $140,000

390.82

703.47

818.28

1130.93

Pay Band 4 - Employer premium for salaries $140,001 or more

355.60

640.07

748.02

1032.50

Anthem Lumenos PPO with HRA (BL)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium for salaries of $47,000 or less

476.74

858.14

999.78

1382.54

Pay Band 2 - Employer premium for salaries of $47,001 - $93,000

443.59

798.47

924.10

1280.34

Pay Band 3 - Employer premium for salaries of $93,001 - $140,000

409.57

737.23

856.28

1185.30

Pay Band 4 - Employer premium for salaries $140,001 or more

374.35

673.83

786.02

1086.87

Health Net Blue & Gold HMO (HB & HE)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium for salaries of $47,000 or less

496.50

893.70

999.78

1396.98

Pay Band 2 - Employer premium for salaries of $47,001 - $93,000

463.35

834.03

924.10

1294.78

Pay Band 3 - Employer premium for salaries of $93,001 - $140,000

429.33

772.79

856.28

1199.74

Pay Band 4 - Employer premium for salaries $140,001 or more

394.11

709.39

786.02

1101.31

Health Net HMO (HN & HC)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium for salaries of $47,000 or less

496.50

893.70

999.78

1396.98

Pay Band 2 - Employer premium for salaries of $47,001 - $93,000

463.35

834.03

924.10

1294.78

Pay Band 3 - Employer premium for salaries of $93,001 - $140,000

429.33

772.79

856.28

1199.74

Pay Band 4 - Employer premium for salaries $140,001 or more

394.11

709.39

786.02

1101.31

Anthem PLUS (BC)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium for salaries of $47,000 or less

496.50

893.70

999.78

1396.98

Pay Band 2 - Employer premium for salaries of $47,001 - $93,000

463.35

834.03

924.10

1294.78

Pay Band 3 - Employer premium for salaries of $93,001 - $140,000

429.33

772.79

856.28

1199.74

Pay Band 4 - Employer premium for salaries $140,001 or more

394.11

709.39

786.02

1101.31

Anthem PPO (BP)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employer premium for salaries of $47,000 or less

496.50

893.70

999.78

1396.98

Pay Band 2 - Employer premium for salaries of $47,001 - $93,000

463.35

834.03

924.10

1294.78

Pay Band 3 - Employer premium for salaries of $93,001 - $140,000

429.33

772.79

856.28

1199.74

Pay Band 4 - Employer premium for salaries $140,001 or more

394.11

709.39

786.02

1101.31

 

       
 

Self

Self + Child(ren)

Self + Adult

Family

CORE MEDICAL

70.70

127.26

148.47

205.03

DELTA DENTAL PPO

43.96

90.65

82.59

148.19

DELTACARE USA

22.38

39.03

38.41

55.07

VISION SERVICE PLAN

13.58

13.58

13.58

13.58

LEGAL PLAN  (ARAG)

0.00

0.00

0.00

0.00

         
POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self + Child(ren)

Self + Adult

Family

PSBP MEDICAL HMO (Health Net, Group # 66700A)

360.85

631.52

866.09

1100.63

PSBP MEDICAL PPO (Health Net, Group #N2982A)

398.14

696.76

955.54

1214.36

PSBP DENTAL DHMO (Health Net, Group #Z0074A)
8.86
16.83
15.94
24.80
PSBP DENTAL PPO (Principal, Group #H12843)
26.41
60.76
54.50
97.44
PSBP VISION PPO (Health Net, Group #Z0074A)
3.98
7.40
6.63
11.33
PSBP BROKER/ADMIN FEE
8.08
8.08
8.08
8.08
PSBP LIFE/AD&D ($50,000)
3.15
3.15
3.15
3.15
PSBP SHORT-TERM DISABILITY
8.82
8.82
8.82
8.82
PSBP WORKERS COMP INSURANCE
24.00
24.00
24.00
24.00

 

2011 Health Plan Cost (Employee)

Kaiser Permanente - CA (KN & KS)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium for salaries of $47,000 or less

7.45

13.41

15.65

21.61

Pay Band 2 - Employee premium for salaries of $47,001 - $93,000

40.60

73.08

91.33

123.81

Pay Band 3 - Employee premium for salaries of $93,001 - $140,000

74.62

134.32

159.15

218.85

Pay Band 4 - Employee premium for salaries of $140,001 or more

109.84

197.72

229.41

317.28

Anthem Lumenos PPO with HRA (BL)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium for salaries of $47,000 or less

7.45

13.41

15.65

21.61

Pay Band 2 - Employee premium for salaries of $47,001 - $93,000

40.60

73.08

91.33

123.81

Pay Band 3 - Employee premium for salaries of $93,001 - $140,000

74.62

134.32

159.15

218.85

Pay Band 4 - Employee premium for salaries of $140,001 or more

109.84

197.72

229.41

317.28

Health Net Blue & Gold HMO (HB & HE)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium for salaries of $47,000 or less

21.21

38.18

87.41

104.38

Pay Band 2 - Employee premium for salaries of $47,001 - $93,000

54.36

97.85

163.09

206.58

Pay Band 3 - Employee premium for salaries of $93,001 - $140,000

88.38

159.09

230.91

301.62

Pay Band 4 - Employee premium for salaries of $140,001 or more

123.60

222.49

301.17

400.05

Health Net HMO (HN & HC)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium for salaries of $47,000 or less

74.40

133.92

199.11

258.63

Pay Band 2 - Employee premium for salaries of $47,001 - $93,000

107.55

193.59

274.79

360.83

Pay Band 3 - Employee premium for salaries of $93,001 - $140,000

141.57

254.83

342.61

455.87

Pay Band 4 - Employee premium for salaries of $140,001 or more

176.79

318.23

412.87

554.30

Anthem PLUS (BC)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium for salaries of $47,000 or less

77.49

139.48

205.60

267.59

Pay Band 2 - Employee premium for salaries of $47,001 - $93,000

110.64

199.15

281.28

369.79

Pay Band 3 - Employee premium for salaries of $93,001 - $140,000

144.66

260.39

349.10

464.83

Pay Band 4 - Employee premium for salaries of $140,001 or more

179.88

323.79

419.36

563.26

Anthem PPO (BP)

Self

Self + Child(ren)

Self + Adult

Family

Pay Band 1 - Employee premium for salaries of $47,000 or less

93.32

167.98

238.85

313.49

Pay Band 2 - Employee premium for salaries of $47,001 - $93,000

126.47

227.65

314.53

415.69

Pay Band 3 - Employee premium for salaries of $93,001 - $140,000

160.49

288.89

382.35

510.73

Pay Band 4 - Employee premium for salaries of $140,001 or more

195.71

352.29

452.61

609.16

 

Self

Self + Child(ren)

Self + Adult

Family

CORE MEDICAL – CA

Free

Free

Free

Free

DELTA DENTAL PPO

Free

Free

Free

Free

DELTACARE USA  (formerly PMI DENTAL)

Free

Free

Free

Free

VISION SERVICE PLAN

Free

Free

Free

Free

LEGAL PLAN (ARAG)

10.02

13.78

13.78

15.03

POST DOCTORAL SCHOLAR BENEFIT PLANS (PSBP)

Self

Self + Child(ren)

Self + Adult

Family

PSBP MED HMO

Free

Free

Free

Free

PSBP MED PPO

30.00

60.00

60.00

90.00

PSBP DENTAL HMO

Free

Free

Free

Free

PSBP DENTAL PPO

Free

Free

Free

Free

PSBP VISION

Free

Free

Free

Free

PSBP LONG-TERM DISABILITY

6.36

6.36

6.36

6.36

 

       

UNIVERSITY OF CALIFORNIA RETIREMENT PLAN (UCRP)

EX and SX pay UCRP old rate as of 5/10

CX pay DCP-Regular old rate as of 5/10

Eff. Date 

 New Rate

 Eff. Date

Old Rate 

Members with Social Security (below FICA max)

7/11

3.5% less ($19)

5/10 2% less $19

Members with Social Security (above FICA max)

7/11

3.5% less ($19)

5/10  4% less $19 

Members Uncoordinated with Social Security

7/11

3.5% less ($19)

5/10 3% less $19 

Safety Members

7/11

4.5% less ($19)

5/10  3% less $19 

More Information

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

Career OpportunitiesUCR Libraries
Campus StatusDirections to UCR

Accounting Office

Physical Address:
14350 Meridian Parkway, Riverside, CA 92518
Visitors to the IntelliCenter must be registered in advance

Mailing Address:
UC Riverside, Accounting Office-002
Riverside, CA 92521

Office Hours:
Mon-Fri (8:00 am - 5:00 pm)
Sat-Sun (Closed)

Tel: (951) 827-3303
Fax: (951) 827-3314
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