Faculty Health Benefits

UNI offers a comprehensive benefits package to eligible
Faculty and their qualified dependents. Employees have
the option to enroll in health, dental & vision insurance plans.
Use this site to review an overview of the University provided benefits
along with the corresponding premiums.
Health, Dental & Vision Benefits

List of Health, Dental & Vision Benefits

Complete List of Benefits




Frequently Asked Questions: Click Here



Forms and Resources

Rates and Comparisons

Enrollment and Claims

Manuals and Benefits Coverage

Wellmark Member Services

Overview of Benefits

Effective 01-JUL-2011

Employees whose employment effective date commences before 01-JUL-2011


New employees whose employment effective date commences after 30-JUN-2011




Quick Tips
Employees who work at least half-time or more and are appointed for nine (9) months or longer are eligible for health insurance.

Coverage is effective on the first day of the month following the date of employment, providing you enroll within 30 days of your date of employment.

There is no waiting period for pre-existing conditions for new employees who enroll within 30 days of their employment date.

You may add or drop a dependent within 30 days of a qualifying "life event."
 


Description of Faculty Health Plan

Term, Probationary and Tenured Faculty are eligible for health insurance if they work half-time or more for a period of at least nine (9) months. Coverage is effective on the first day of the month following the date of employment, providing you enroll within 30 days of your date of employment. For Faculty beginning in the fall semester, this is usually September 1.

Temporary Faculty teaching 50% time or more for one semester are eligible for health insurance the second consecutive semester that they teach 50% time or more. If temporary Faculty are appointed to teach 50% time or more for the whole academic year, they are eligible for health insurance the first of the month following the date of their appointment.

Coverage is available for yourself; your spouse, common law spouse or domestic partner; children to age 26; unmarried full-time students; and qualified children over age 26 who are totally and permanently disabled, provided the disability existed prior to age 26.

The University health insurance plans have no waiting period of exclusions for pre-existing conditions for new employees who enroll within 30 days of their qualifying appointment. Employees and their eligible dependents have full coverage as of the effective date.

Eligible employees may choose between two optional health insurance programs:

  • UNI Preferred Provider Organization (PPO) Plan
  • UNI Blue Advantage


UNI Preferred Provider Organization (PPO) Plan

The UNI PPO Health Plan is a preferred provider organization (PPO) plan administered by Wellmark BCBS. This health plan has contracts with a network of "preferred" providers in the Alliance Select network from which you can choose. You do not need to select a PCP and you do not need referrals to see other providers in the network.

If you receive your care from a doctor in the Alliance Select network you will be responsible for an annual deductible and any applicable coinsurance, or a copayment for your visit. If you get health services from a doctor or hospital that is not in the preferred network (known as going "out-of-network") you will pay a higher coinsurance amount, and you may need to pay the doctor directly and file a claim with the Wellmark BCBS to get reimbursed. For plan overviews, please refer to the Benefit overviews. For plan details, please refer to the Coverage Manuals.

UNI PPO Plan Employee Monthly Premium
Single $0.00
Family $255.80
Double Spouse $127.90



UNI Blue Advantage Plan

Blue Advantage is a Health Maintenance Organization (HMO) administered by Wellmark Blue Cross/ Blue Shield of Iowa. This plan requires members to designate a Primary Care Physician (PCP) and this person becomes the gate keeper for your health care. Referrals to specialists in the Blue Advantage network must be coordinated by your PCP. Females covered by the plan may also designate an OB/GYN physician as an additional PCP

A list of participating providers may be found on Wellmark's website. You may also ask providers whether they are part of the Blue Advantage network or contact Wellmark at (800) 600-4149 to inquire about the status of specific providers.

UNI Blue Advantage Plan Employee Monthly Premium
Single $0.00
Family $192.80
Double Spouse $64.90



UNI Health Plan

This plan is only available to Faculty whose effective date of employment commences before July, 1, 2011. Once an employee selects the UNI PPO plan or the UNI Blue Advantage plan, they cannot re-enroll into the UNI Health plan. Wellmark Blue Cross/ Blue Shield of Iowa is the plan administrator. UNI Health is an indemnity plan, which means that you may access any licensed physician or hospital. However, if you select providers (physicians, clinics and hospitals) which "participate" with Wellmark, those providers have agreed to:

  • File all claims for you. Benefit payments will be sent directly to the provider(s) and you will be responsible only for the deductibles and/or coinsurance, and
  • Accept what Wellmark considers usual, reasonable and customary as payment in full - you will not be responsible for any out of pocket costs other than the deductibles and coinsurance.


A list of participating providers may be found at http://www.wellmark.com. You may also ask providers whether they have a participating agreement with Wellmark or contact Wellmark at (800) 600-4149 to inquire about the status of specific providers.

SPECIAL NOTE: Once a current employee selects the UNI PPO plan or the UNI Blue Advantage plan they cannot re-enroll into the UNI Health plan.

UNI Health Plan Employee Monthly Premium
Single $78.00
Family $472.80
Double Spouse $344.90




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Date Updated: January 29, 2014