2023 UFLAC INCOME TAX INFORMATION

ACTIVE MEMBERS

UFLAC DUES                                                                          $1,603.20

 

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                                                                            11.60

Member and two or more                                                       1,666.64

 

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. These calculations only apply if you were enrolled in the UFLAC Benefit Plans for the 2023 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                                                                             $879.70

Two-Party                                                                                  1,270.68

Member and two or more                                                      1,893.80

          

METLIFE DPPO DENTAL

Member only                                                                                868.02

Two-Party                                                                                   1,397.11

Member and two or more                                                       2,101.62

 

METLIFE DHMO DENTAL

Member only                                                                                 517.80

Two or more (Family)                                                                   986.02

 

ANTHEM BLUE CROSS MEDICAL – Select (HMO) under age 65

Member only                                                                            13,731.31

Member and one                                                                     23,105.25

Member and two or more                                                      26,941.55

 

ANTHEM BLUE CROSS MEDICAL – HDHP (PPO) under age 65

Member only                                                                             13,814.56

Member and one                                                                      15,110.45

Member and two or more                                                       17,049.19

 

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.