Participants and/or their employers wishing to change coverage (among Medical Plan A, B, and C options) for the upcoming Plan Year must do so in writing by November 15 of the current Plan year. Notification should be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it. or sent via fax to Member Services at 212-729-2701.
Rates shown are approximate and are provided for budgetary purposes only. Your actual rate may vary slightly due to age and location. If you elect to have coverage, your bill will reflect the exact amount.
MONTHLY RATES
Non-Medicare Rates:
Plan A
Plan B
Plan C
Single
Two Adults
Single w/Child(ren)
Two Adults w/Child(ren)
UCC Dental Plan:
Single
$
Two Adults
$
Single w/Child(ren)
$
Two Adults w/Child(ren)
$
Annual Vision Rates:
Single
$
Two Adults
$
Single w/Child(ren)
$
Two Adults w/Child(ren)
$
Standalone UCC Dental Plan:
For members not enrolled in the UCC Medical Benefits Plan, the Standalone UCC Dental Plan monthly rates will apply:
Single
Tier 1
$50.50
Two Adults
Tier 2
$97.75
Single w/Child(ren)
Tier 3
$99.00
Two Adults w/Child(ren)
Tier 4
$111.25
ALL RATES ARE MONTHLY, EXCEPT VISION
* The correct age rate is based on the employee's age as of January 1 of the current Plan Year.
* If an employee will age into a different age band during the current Plan Year, their rate will not change until January 1 of the following Plan Year.
