Former Employees
Eligibility
You must be a former University of Minnesota faculty or staff member on either:
- Layoff or non-renewal program
- Terminal or phased retirement agreement
- COBRA continuation that extends beyond January 1, 2020.
You have the option to enroll in a different medical or dental plan or add eligible dependents to your coverage. You have the choice to cancel medical or dental coverage. You can choose any medical or dental plan that is available in the county where you live.
Go to:
UPlan Medical Rates
Rates for Termination/Severance Agreements
The University’s contribution to the cost of your medical coverage is based upon the tier of coverage that you had in effect, work location, and permanent residence as of the specific date defined in the voluntary retirement; layoff or non-renewal program; or terminal or phased retirement agreement that applies to you.
If you did not participate in or earn the required number of wellness points, your cost is shown in the Standard Rates chart. If you earned the required number of wellness points for a $500 or $750 reduction, your cost is shown in the Wellness Program Achievement Rates chart.
2022 Standard Rates Per Month
Former Employee Only
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $104.41 | $698.71 | $803.12 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $104.41 | $698.71 | $803.12 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$62.96 | $698.71 | $761.67 |
| Medica Choice National | $287.99 | $698.71 | $986.70 |
| Medica HSA | $90.89 | $698.71 | $789.58 |
Former Employee and Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $271.35 | $1,120.17 | $1,391.52 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $271.35 | $1,120.17 | $1,391.52 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$196.69 | $1,120.17 |
$1,316.86 |
| Medica Choice National | $587.94 | $1,120.17 | $1,708.11 |
| Medica HSA | $248.19 | $1,120.17 | $1,368.36 |
Former Employee and Spouse with or without Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $406.10 | $1,676.46 | $2,082.56 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $406.10 | $1,676.46 | $2,082.56 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$298.44 | $1,676.46 | $1,974.90 |
| Medica Choice National | $881.03 | $1,676.46 | $2,557.49 |
| Medica HSA | $369.50 | $1,676.46 | $2,045.96 |
2022 Wellness Program Achievement Rates Per Month
Former Employee Only
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $62.74 | $740.38 | $803.12 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $62.74 | $740.38 | $803.12 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$21.29 | $740.38 | $761.67 |
| Medica Choice National | $246.32 | $740.38 | $986.70 |
| Medica HSA | $49.20 | $740.38 | $789.58 |
Former Employee and Children
| Plan | Employee Cost | U contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $229.68 | $1,161.84 | $1,391.52 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $229.68 | $1,161.84 | $1,391.52 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$155.02 | $1,161.84 | $1,316.86 |
| Medica Choice National | $546.27 | $1,161.84 | $1,708.11 |
| Medica HSA | $206.52 | $1,161.84 | $1,368.36 |
Former Employee and Spouse with or without Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $343.60 | $1,738.96 | $2,082.56 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $343.60 | $1,738.96 | $2,082.56 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$235.94 | $1,738.96 | $1,974.90 |
| Medica Choice National | $818.53 | $1,738.96 | $2,557.49 |
| Medica HSA | $307.00 | $1,738.96 | $2,045.96 |
2021 Standard Rates Per Month
Former Employee Only
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $99.78 | $667.68 | $767.46 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $99.78 | $667.68 | $767.46 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$60.19 | $667.68 | $727.87 |
| Medica Choice National | $275.45 | $667.68 | $943.13 |
| Medica HSA | $86.84 | $667.68 | $754.52 |
Former Employee and Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $259.33 | $1,070.55 | $1,329.88 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $259.33 | $1,070.55 | $1,329.88 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$187.96 | $1,070.55 |
$1,258.51 |
| Medica Choice National | $562.34 | $1,070.55 | $1,632.89 |
| Medica HSA | $237.36 | $1,070.55 | $1,307.91 |
Former Employee and Spouse with or without Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $388.11 | $1,602.21 | $1,990.32 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $388.11 | $1,602.21 | $1,990.32 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$285.22 | $1,602.21 | $1,887.43 |
| Medica Choice National | $842.53 | $1,602.21 | $2,444.74 |
| Medica HSA | $353.40 | $1,602.21 | $1,955.61 |
2021 Wellness Program Achievement Rates Per Month
Former Employee Only
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $58.11 | $709.35 | $767.46 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $58.11 | $709.35 | $767.46 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$18.52 | $709.35 | $727.87 |
| Medica Choice National | $233.78 | $709.35 | $943.13 |
| Medica HSA | $45.17 | $709.35 | $754.52 |
Former Employee and Children
| Plan | Employee Cost | U contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $217.66 | $1,112.22 | $1,329.88 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $217.66 | $1,112.22 | $1,329.88 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$146.39 | $1,112.22 | $1,258.51 |
| Medica Choice National | $520.67 | $1,112.22 | $1,632.89 |
| Medica HSA | $195.69 | $1,112.22 | $1,307.91 |
Former Employee and Spouse with or without Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Medica Elect/Essential (Twin Cities & Duluth Base Plan) | $325.61 | $1,664.71 | $1,990.32 |
| Medica Choice Regional (Greater Minnesota Base Plan) | $325.61 | $1,664.71 | $1,990.32 |
| Medica ACO Plan (Crookston area, Duluth area & parts of northeastern Minnesota, Rochester area, Twin Cities metro area) |
$222.72 | $1,664.71 | $1,887.43 |
| Medica Choice National | $780.03 | $1,664.71 | $2,444.74 |
| Medica HSA | $290.90 | $1,664.71 | $1,955.61 |
Rates for COBRA
If you are continuing coverage under the COBRA continuation provisions, you must pay the full cost of your medical coverage plus a two-percent administrative fee.
2022 Monthly Medical Rates
If you earned the required number of wellness points for a $500 or $750 reduction, your cost is shown in the Wellness Rate column. If you did not participate in or earn the required number of wellness points, your cost is shown in the Standard Rate column.
Applicant only
| Plan | Wellness Rate | Standard Rate | |
|---|---|---|---|
| Medica Elect/Essential (Base plan for Twin Cities and Duluth) |
$777.51
|
$819.18
|
|
| Medica Choice Regional (Base plan for Greater Minnesota) |
$777.51
|
$819.18
|
|
| Medica ACO Plan (Crookston area, Duluth area & parts of NE Minnesota, Rochester area, Twin Cities metro area) |
$735.23
|
$776.90
|
|
| Medica Choice National |
$964.76
|
$1,006.43
|
|
| Medica HSA |
$699.95
|
$741.62
|
|
Applicant and Children
| Plan | Wellness Rate | Standard Rate | |
|---|---|---|---|
| Medica Elect/Essential (Base plan for Twin Cities and Duluth) |
$1,377.68
|
$1,419.35
|
|
| Medica Choice Regional (Base plan for Greater Minnesota) |
$1,377.68
|
$1,419.35
|
|
| Medica ACO Plan (Crookston area, Duluth area & parts of NE Minnesota, Rochester area, Twin Cities metro area) |
$1,301.53
|
$1,343.20
|
|
| Medica Choice National |
$1,700.60
|
$1,742.27
|
|
| Medica HSA |
$1,226.56
|
$1,268.23
|
|
Applicant and Spouse with or without Children
| Plan | Wellness Rate | Standard Rate | |
|---|---|---|---|
| Medica Elect/Essential (Base plan for Twin Cities and Duluth) |
$2,061.71
|
$2,124.21
|
|
| Medica Choice Regional (Base plan for Greater Minnesota) |
$2,061.71
|
$2,124.21
|
|
| Medica ACO Plan (Crookston area, Duluth area & parts of NE Minnesota, Rochester area, Twin Cities metro area) |
$1,951.90
|
$2,014.40
|
|
| Medica Choice National |
$2,546.14
|
$2,608.64
|
|
| Medica HSA |
$1,896.88
|
$1,959.38
|
|
2021 Monthly Medical Rates
Applicant only (2021)
| Plan | Wellness Rate | Standard Rate | |
|---|---|---|---|
| Medica Elect/Essential (Base plan for Twin Cities and Duluth) | $741.14 | $782.81 | |
| Medica Choice Regional (Base plan for Greater Minnesota) | $741.14 | $782.81 | |
| Medica ACO Plan (Crookston area, Duluth area & parts of NE Minnesota, Rochester area, Twin Cities metro area) | $700.76 | $742.43 | |
| Medica Choice National | $920.32 | $961.99 | |
| Medica HSA | $664.19 | $705.86 | |
Applicant and Children (2021)
| Plan | Wellness Rate | Standard Rate | |
|---|---|---|---|
| Medica Elect/Essential (Base plan for Twin Cities and Duluth) | $1,314.81 | $1,356.48 | |
| Medica Choice Regional (Base plan for Greater Minnesota) | $1,314.81 | $1,356.48 | |
| Medica ACO Plan (Crookston area, Duluth area & parts of NE Minnesota, Rochester area, Twin Cities metro area) | $1,242.01 | $1,283.68 | |
| Medica Choice National | $1,623.88 | $1,665.55 | |
| Medica HSA | $1,164.90 | $1,206.57 | |
Applicant and Spouse with or without Children (2021)
| Plan | Wellness Rate | Standard Rate | |
|---|---|---|---|
| Medica Elect/Essential (Base plan for Twin Cities and Duluth) | $1,967.63 | $2,030.13 | |
| Medica Choice Regional (Base plan for Greater Minnesota) | $1,967.63 | $2,030.13 | |
| Medica ACO Plan (Crookston area, Duluth area & parts of NE Minnesota, Rochester area, Twin Cities metro area) | $1,862.68 | $1,925.18 | |
| Medica Choice National | $2,431.13 | $2,493.63 | |
| Medica HSA | $1,804.72 | $1,867.22 | |
UPlan Dental Rates
Rates under the Termination/Severance Agreements
The University’s contribution to the cost of your dental coverage is based upon the tier of coverage that you had in effect, work location, and permanent residence as of the specific date defined in the voluntary retirement; layoff or non-renewal program; or terminal or phased retirement agreement that applies to you.
2021 & 2022 UPlan Monthly Rates:
Former Employee Only
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Delta Dental PPO (Twin Cites & Duluth Base Plan) | $4.50 | $33.11 | $37.61 |
| Delta Dental Premier (Greater Minnesota Base Plan) | $4.50 | $41.61 | $46.11 |
| Delta Dental Premier: Twin Cities & Duluth | $13.00 | $33.11 | $46.11 |
Former Employee and Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Delta Dental PPO (Twin Cites & Duluth Base Plan) | $43.21 | $46.82 | $90.03 |
| Delta Dental Premier (Greater Minnesota Base Plan) | $43.21 | $66.68 | $109.89 |
| Delta Dental Premier: Twin Cities & Duluth | $63.07 | $46.82 | $109.89 |
Former Employee and Spouse with or without Children
| Plan | Employee Cost | U Contribution | Total Cost |
|---|---|---|---|
| Delta Dental PPO (Twin Cites & Duluth Base Plan) | $50.13 | $54.30 | $104.43 |
| Delta Dental Premier (Greater Minnesota Base Plan) | $50.13 | $77.94 | $128.07 |
| Delta Dental Premier: Twin Cities & Duluth | $73.77 | $54.30 | $128.07 |
Rates under COBRA
If you are continuing coverage under the COBRA continuation provisions, you must pay the full cost of your dental coverage plus a two-percent administrative fee.
2021 & 2022 Monthly Dental Rates
Applicant only (2021-22)
| Plan | Rate |
|---|---|
| Delta Dental PPO (Base plan for Twin Cites and Duluth) | $38.36 |
| Delta Dental Premier (Base plan for Greater Minnesota) | $47.03 |
| Delta Dental Premier | $47.03 |
Applicant and Children (2021-22)
| Plan | Rate |
|---|---|
| Delta Dental PPO (Base plan for Twin Cites and Duluth) | $91.83 |
| Delta Dental Premier (Base plan for Greater Minnesota) | $112.09 |
| Delta Dental Premier | $112.09 |
Applicant and Spouse with or without Children (2021-22)
| Plan | Rate |
|---|---|
| Delta Dental PPO (Base plan for Twin Cites and Duluth) | $106.52 |
| Delta Dental Premier (Base plan for Greater Minnesota) | $130.63 |
| Delta Dental Premier | $130.63 |