Important Information
National Benefits Services
8523 South Redwood Road
West Jordan, UT 84088
- Spousal Plan Information
- Spousal Plan Summary of Benefits and Coverage
- Spousal Plan FAQs
- Spousal Plan First Time Login NBS Web Portal
- Spousal Plan Dependent Entry Instructions
- Spousal Plan Video
Resources
The ARUP Spousal Plan (SPLAN) is a medical expense reimbursement program. ARUP will provide reimbursement for employees when they are enrolled in an alternate health plan through their spouse or another employer and opt-out of ARUP’s medical benefit plan.
Reimbursements include:
- Deductibles
- Copays
- Coinsurance
- Prescriptions
- The difference between the alternate plan’s monthly premium contribution and ARUP’s monthly medical insurance rates if the alternate plan’s premiums are higher.
SPLAN is equivalent to $110 for an individual, $195 for two people, or $270 for the whole family (based on full-time employment rates).
How it works:
- Present the provider with your spouse’s insurance ID card or your alternate employer's insurance ID card.
- You will receive an Explanation of Benefits (EOB) from the alternate insurance once the claim is processed.
- Submit the EOB to our claims administrator, National Benefit Services (NBS).
- Your portion of the eligible expenses will be paid by ARUP.
You do not qualify if:
- Your spouse is not employed
- Your spouse does not have access to an employer-provided health benefit plan
- You are receiving or contributing to a health savings account (HSA)
- The alternate plan is a Medicare, Retiree Tricare, or an individual plan
Premium Equivalent
2025 | Full Time (30+ Hours/Week) | Part Time (20–29 Hours/Week) | Reimbursement Cap |
---|---|---|---|
ARUP Group Medical Premium Equivalents | |||
Employee Only | $110 | $150 | $500 |
Spouse Only | $110 | $150 | $500 |
Employee + 1 Child | $195 | $280 | $750 |
Employee + Spouse | $195 | $280 | $750 |
Spouse + 1 Child | $195 | $280 | $750 |
Employee + Children | $270 | $400 | $750 |
Spouse + Children | $270 | $400 | $1,000 |
Employee + Family | $270 | $400 | $1,000 |
Premium difference calculation = (alternate qualified health plan premium [A] – ARUP group medical premium equivalent [B])
A _______________ - B __________________ = ___________________ (must be greater than zero to receive reimbursement)