2022 UFLAC INCOME TAX INFORMATION
ACTIVE MEMBERS
UFLAC DUES $1,533.84
UFLAC NETWORK DR DENTAL (2A)
Member only 12.00
Member and one 408.00
Member and two or more 1,020.00
METLIFE DPPO DENTAL (2B)
Member only 0.00
Member and one 432.24
Member and two or more 1,153.92
METLIFE DHMO DENTAL (2E)
Member only 0.00
Member and one 0.00
Member and two or more 0.00
ANTHEM BLUE CROSS MEDICAL – Select (HMO – 4C)
Member only 0.00
Member and one 0.00
Member and two or more 2,154.24
ANTHEM BLUE CROSS MEDICAL – HSA (PPO – 4H)
Member only 0.00
Member and one 0.00
Member and two or more 0.00
For UFLAC Active Members only: The above deductions do not include any retroactive subsidy monies that you may have received and is a calculation if you were enrolled in the UFLAC Benefit Plans for the 2022 Calendar year. Please refer to your last paycheck for true calculations.
IMPORTANT NOTE: For UFLAC Active Members only who are enrolled in LTD & Life Insurance: If you are totally disabled and out of work for more than 90-days for the “Premium Plan” or 180-days for the “Standard Plan”, you may be eligible to apply for a Waiver of Premium through UFLAC Long Term Disability (LTD) and 6-months for Life Insurance. Please call the UFLAC Benefits Office for more details (213) 977-9014, extension 2.
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RETIRED MEMBERS: Amounts listed below do not include Pension subsidy and the medical amounts are for non-Medicare age. Retired members do not pay UFLAC Dues.
NETWORK DR DENTAL
Member only $864.00
Two-Party 1,248.00
Member and two or more 1,860.00
METLIFE DPPO DENTAL
Member only 866.64
Two-Party 1,397.40
Member and two or more 2,101.32
METLIFE DHMO DENTAL
Member only 518.88
Two or more (Family) 987.24
ANTHEM BLUE CROSS MEDICAL – Select (HMO) under age 65
Member only 12,682.39
Member and one 22,001.59
Member and two or more 25,816.15
ANTHEM BLUE CROSS MEDICAL – HDHP (PPO) under age 65
Member only 12,712.03
Member and one 13,995.67
Member and two or more 15,916.03
If you are a retired member receiving a city health and dental subsidy, then you will need to adjust the above figures by the subsidy amount you have received. In this case, you may call the UFLAC Benefits office at (213)977-9014, extension 2.