Per Paycheck Contributions
Medical
Coverage | Associate Contribution | Employer Contribution |
---|---|---|
PPO | ||
Associate | $77.50 | $240.00 |
Associate + Spouse | $210.75 | $503.75 |
Associate + Child(ren) | $201.00 | $450.25 |
Family | $296.75 | $703.25 |
CDHP | ||
Associate | $46.25 | $226.00 |
Associate + Spouse | $128.50 | $484.00 |
Associate + Child(ren) | $117.00 | $441.25 |
Family | $179.25 | $678.25 |
Dental
Coverage | Associate Contribution | Employer Contribution |
---|---|---|
Associate | $11.25 | $4.63 |
Associate + Spouse | $21.75 | $9.31 |
Associate + Child(ren) | $26.00 | $11.22 |
Family | $36.50 | $15.41 |
Vision
Coverage | Associate Contribution | |
---|---|---|
Standard Plan | Enhanced Plan | |
Associate | $4.34 | $8.51 |
Associate + Spouse | $6.25 | $12.27 |
Associate + Child(ren) | $7.39 | $14.50 |
Family | $11.80 | $23.15 |
Voluntary Life/AD&D
Age Band | Voluntary Employee & Spouse Life/AD&D Per $1,000 of Coverage |
---|---|
00 – 24 | $0.0335 |
25 – 29 | $0.0385 |
30 – 34 | $0.0485 |
35 – 39 | $0.0560 |
40 – 44 | $0.0685 |
45 – 49 | $0.0985 |
50 – 54 | $0.1485 |
55 – 59 | $0.2685 |
60 – 64 | $0.4035 |
65 – 69 | $0.7685 |
70 + | $1.2435 |
Child Life/AD&D | $0.0435 |
Identity Theft Protection
Identity Theft Protection | |
---|---|
Associate | $4.98 |
Family | $8.98 |
Legal Plan
Legal Plan | |
---|---|
$8.25 |
Accident & Cancer
Accident | Cancer | |
---|---|---|
Associate Only | $8.20 | $10.75 |
Associate + Spouse | $14.18 | $16.60 |
Associate + Child(ren) | $15.71 | $15.28 |
Family | $20.82 | $21.12 |
Critical Illness
Per Check for Non-tobacco | ||
---|---|---|
Age Band | Employee Only & Employee + Child(ren) | Employee + Spouse & Family |
18 - 29 | $1.32 | $2.30 |
30 - 39 | $2.23 | $3.66 |
40 - 49 | $4.14 | $6.53 |
50 - 59 | $7.45 | $11.49 |
60 - 64 | $10.44 | $15.97 |
65+ | $17.43 | $26.45 |
PER CHECK FOR TOBACCO | ||
Age Band | Employee Only & Employee + Child(ren) | Employee + Spouse & Family |
18 - 29 | $1.68 | $2.83 |
30 - 39 | $3.37 | $5.36 |
40 - 49 | $6.80 | $10.52 |
50 - 59 | $11.84 | $18.07 |
60 - 64 | $16.61 | $25.23 |
65+ | $27.97 | $42.27 |
Questions?
- For questions about your benefits, contact Health Advocate at 866-799-2728.
- For questions on the enrollment process, contact HRLink.