View a summary of your rates below.
Medical Plans
| Bi-Weekly Benefit Plan Costs | ||
|---|---|---|
| Medical Plan Incentive | Employee Contribution | Company Contribution |
| Employee Only | $13.84 | $302.89 |
| Employee + Spouse | $38.77 | $753.08 |
| Employee + Spouse (Spouse non-wellness) | $61.85 | $730.01 |
| Employee + Child | $48.46 | $648.37 |
| Employee + Family | $120.93 | $892.65 |
| Employee + Family (Spouse non-wellness) | $144.00 | $869.65 |
| Bi-Weekly Benefit Plan Costs | ||
|---|---|---|
| Medical Plan No Incentive | Employee Contribution | Company Contribution |
| Employee Only | $36.92 | $279.82 |
| Employee + Spouse | $84.92 | $706.93 |
| Employee + Child | $71.54 | $625.29 |
| Employee + Family | $167.08 | $846.49 |
Vision Plan
| Bi-Weekly Benefit Plan Costs | |
|---|---|
| Vision Plan | Employee Contribution |
| Employee Only | $3.38 |
| Employee + Spouse | $5.41 |
| Employee + Child | $5.53 |
| Employee + Family | $8.92 |
Dental Plan
| Bi-Weekly Benefit Plan Costs | ||
|---|---|---|
| Dental Plan | Employee Contribution | Company Contribution |
| Employee Only | $0.82 | $15.92 |
| Employee + Spouse | $2.38 | $28.70 |
| Employee + Child | $3.48 | $36.10 |
| Employee + Family | $8.28 | $45.65 |
Supplemental Life and AD&D
| Supplemental Life and AD&D | |||
|---|---|---|---|
| Employee Age | Employee Life (non-smoker) Biweekly Cost/$10,000 of Coverage | Employee Life (smoker) Biweekly Cost/$10,000 of Coverage | Spouse Life Biweekly Cost/$5,000 of coverage |
| <25 | $0.33 | $0.42 | $0.28 |
| 25-29 | $0.37 | $0.46 | $0.25 |
| 30-34 | $0.45 | $0.54 | $0.26 |
| 35-39 | $0.51 | $0.74 | $0.34 |
| 40-44 | $0.66 | $1.05 | $0.45 |
| 45-49 | $0.96 | $1.58 | $0.67 |
| 50-54 | $1.40 | $2.57 | $1.00 |
| 55-59 | $2.20 | $3.57 | $1.50 |
| 60-64 | $3.43 | $5.27 | $2.52 |
| 65-69 | $5.92 | $8.71 | $4.26 |
| 70-74 | $10.57 | $15.20 | $4.26 |
| 75-99 | $21.25 | $27.35 | $4.26 |
| Dependent rate is $.63 for $10,000 (covers all eligible children in your family) | |||