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.

For COBRA medical and dental rates, visit the COBRA Continuation of Coverage page. For medical and dental rates for termination and severance agreements, see below.

University Medical 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

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Former Employee Only

Plan Employee Cost University 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 University 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 University 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

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Former Employee Only

Plan Employee Cost University 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 University 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 University 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

2023 Standard Rates Per Month

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Former Employee Only

Plan Employee Cost University Contribution Total Cost
Medica Elect/Essential (Twin Cities & Duluth Base Plan) $109.91 $735.63 $845.54
Medica Choice Regional (Greater Minnesota Base Plan) $109.91 $735.63 $845.54
Medica ACO Plan (Crookston area, Duluth area & parts of northeastern
Minnesota, Rochester area, Twin Cities metro area)
$66.28 $735.63 $801.91
Medica Choice National $303.33 $735.63 $1,038.96
Medica HSA $95.70 $735.63 $831.33

Former Employee and Children

Plan Employee Cost University Contribution Total Cost
Medica Elect/Essential (Twin Cities & Duluth Base Plan) $285.63 $1,179.17 $1,464.80
Medica Choice Regional (Greater Minnesota Base Plan) $285.63 $1,179.17 $1,464.80
Medica ACO Plan (Crookston area, Duluth area & parts of northeastern
Minnesota, Rochester area, Twin Cities metro area)
$207.04 $1,179.17 $1,386.21
Medica Choice National $618.82 $1,179.17 $1,797.99
Medica HSA $261.45 $1,179.17 $1,440.62

Former Employee and Spouse With or Without Children

Plan Employee Cost University Contribution Total Cost
Medica Elect/Essential (Twin Cities & Duluth Base Plan) $427.55 $1,764.97 $2,192.52
Medica Choice Regional (Greater Minnesota Base Plan) $427.55 $1,764.97 $2,192.52
Medica ACO Plan (Crookston area, Duluth area & parts of northeastern
Minnesota, Rochester area, Twin Cities metro area)
$314.14 $1,764.97 $2,079.11
Medica Choice National $927.29 $1,764.97 $2,692.26
Medica HSA $389.26 $1,764.97 $2,154.23

2023 Wellness Program Achievement Rates Per Month

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Former Employee Only

Plan Employee Cost University Contribution Total Cost
Medica Elect/Essential (Twin Cities & Duluth Base Plan) $68.24 $777.30 $845.54
Medica Choice Regional (Greater Minnesota Base Plan) $68.24 $777.30 $845.54
Medica ACO Plan (Crookston area, Duluth area & parts of northeastern
Minnesota, Rochester area, Twin Cities metro area)
$24.61 $777.30 $801.91
Medica Choice National $261.66 $777.30 $1,038.96
Medica HSA $54.03 $777.30 $831.33

Former Employee and Children

Plan Employee Cost University Contribution Total Cost
Medica Elect/Essential (Twin Cities & Duluth Base Plan) $243.96 $1,220.84 $1,464.80
Medica Choice Regional (Greater Minnesota Base Plan) $243.96 $1,220.84 $1,464.80
Medica ACO Plan (Crookston area, Duluth area & parts of northeastern
Minnesota, Rochester area, Twin Cities metro area)
$165.37 $1,220.84 $1,386.21
Medica Choice National $577.15 $1,220.84 $1,797.99
Medica HSA $219.78 $1,220.84 $1,440.62

Former Employee and Spouse With or Without Children

Plan Employee Cost University Contribution Total Cost
Medica Elect/Essential (Twin Cities & Duluth Base Plan) $365.05 $1,827.47 $2,192.52
Medica Choice Regional (Greater Minnesota Base Plan) $365.05 $1,827.47 $2,192.52
Medica ACO Plan (Crookston area, Duluth area & parts of northeastern
Minnesota, Rochester area, Twin Cities metro area)
$251.64 $1,827.47 $2,079.11
Medica Choice National $864.79 $1,827.47 $2,692.26
Medica HSA $326.76 $1,827.47 $2,154.23

University Dental Rates for 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.

2022 Dental Rates

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Former Employee Only

Plan  Employee Cost University 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 University 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 University 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

2023 Dental Rates

Expand all

Former Employee Only

Plan  Employee Cost University 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 University 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 University 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