Out-of-Pocket Premiums for 2023-2024

Please review the premium rate changes carefully. Age and salary-based premiums may change depending on your age and salary as of September 1, 2023.

VOLUNTARY

RATE CHART AGE OF SUBSCRIBER ON 9/01/23 RATE PER $1,000 COVERAGE 15 - 19 $0.035 20 - 24 $0.035 25 - 29 $0.035 30 - 34 $0.035 35 - 39 $0.045 40 - 44 $0.059 45 - 49 $0.092 50 - 54 $0.142 55 - 59 $0.221 60 - 64 $0.345 65 - 69 $0.616 70 - 74 $0.713 75 - 79 $0.884 80 - 84 $1.549 85 - 90 $1.549 90 and over $1.549 Employee spouse rates available in My UT Benefits.

VOLUNTARY