2012 Medical Premium Relief Program
The University established a one-year Medical Premium Relief grant program to provide assistance to lower paid employees during this year of high increases in the employee contributions for the UPlan Medical Program. Qualification for the grant program is based on your tier of UPlan medical coverage and total household income from the 2010 federal tax form.
The one-time grant will be prorated and payable over 25 pay periods as a medical premium credit. Grant amounts range from $200 to $450 as shown on the coverage tier chart.
If you are eligible to receive the grant, you must apply by December 15, 2011, to get the full premium credit amount. You will need to submit the application along with a copy of your 2010 tax form to Employee Benefits to document your household income. If you are approved for the grant, reimbursement will begin with the first full pay period in 2012.
However, if you apply after December 15, the payout will start as soon as administratively possible, but will not be retroactive to the first pay period in 2012.
To apply, please submit the following documents to Employee Benefits:
| Coverage Tier as of 1/1/2012 | Qualifies for $450 | Qualifies for $400 | Qualifies for $350 | Qualifies for $300 | Qualifies for $250 | Qualifies for $200 |
| Status | Gross Household Income |
| Employee Only | N/A | N/A | N/A | N/A | N/A | $35,000 |
| Employee + Spouse/SSDP | $42,500 | $45,000 | $47,500 | $50,000 | $52,500 | $55,000 |
| Employee + Child(ren) | $32,500 | $35,000 | $37,500 | $40,000 | $42,500 | $45,000 |
| Employee + Spouse/SSDP + Child(ren) | $52,500 | $55,000 | $57,500 | $60,000 | $62,500 | $65,000 |
