Your contributions toward medical, dental, vision, flexible spending accounts, health savings account, and 401(k) are deducted from your paycheck on a pre-tax basis. This works in your favor because you will pay less in taxes.
Your contributions for other benefits, such as supplemental life, accident insurance, and dependent life insurance, are made on an after-tax basis.
Cost for Medical Coverage
| Employee Contribution | ||||
| Monthly Cost | ||||
| PPO 80 | PPO 70 | HDHP | HPN | |
| Team Member | $295.26 | $148.55 | $152.55 | $136.30 |
| Team Member + Spouse | $749.26 | $410.98 | $422.04 | $377.07 |
| Team Member + Child(ren) | $708.66 | $386.23 | $396.61 | $354.36 |
| Family | $1,129.40 | $606.36 | $621.06 | $550.86 |
| Semi-Monthly Cost | ||||
| Team Member | $147.63 | $74.27 | $76.27 | $68.15 |
| Team Member + Spouse | $374.63 | $205.49 | $211.02 | $188.54 |
| Team Member + Child(ren) | $354.33 | $193.11 | $198.31 | $177.18 |
| Family | $564.70 | $303.18 | $310.53 | $275.43 |
| Bi-Weekly Cost | ||||
| Team Member | $136.27 | $68.56 | $70.41 | $62.91 |
| Team Member + Spouse | $345.81 | $189.68 | $194.79 | $174.03 |
| Team Member + Child(ren) | $327.07 | $178.26 | $183.05 | $163.55 |
| Family | $441.75 | $279.86 | $286.64 | $254.24 |
| Weekly Cost | ||||
| Team Member | $68.14 | $34.28 | $35.20 | $31.45 |
| Team Member + Spouse | $172.91 | $94.84 | $97.39 | $87.02 |
| Team Member + Child(ren) | $163.54 | $89.13 | $91.53 | $81.77 |
| Family | $260.63 | $139.93 | $143.32 | $127.12 |
| Employee Contribution | ||
| Monthly Cost | ||
| Premium | Value | |
| Team Member | $23.54 | $5.04 |
| Team Member + Spouse | $49.43 | $10.48 |
| Team Member + Child(ren) | $51.79 | $11.09 |
| Family | $76.37 | $16.35 |
| Semi-Monthly Cost | ||
| Team Member | $11.82 | $2.52 |
| Team Member + Spouse | $24.97 | $5.24 |
| Team Member + Child(ren) | $25.90 | $5.55 |
| Family | $38.19 | $8.18 |
| Bi-Weekly Cost | ||
| Team Member | $10.91 | $2.33 |
| Team Member + Spouse | $23.04 | $4.84 |
| Team Member + Child(ren) | $23.90 | $5.12 |
| Family | $35.25 | $7.55 |
| Weekly Cost | ||
| Team Member | $5.46 | $1.16 |
| Team Member + Spouse | $11.52 | $2.42 |
| Team Member + Child(ren) | $11.95 | $2.56 |
| Family | $17.62 | $3.77 |
| Employee Contribution | |
| Monthly Cost | |
| Employee | $8.32 |
| Employee +1 | $16.62 |
| Family | $26.76 |
Cost for Supplemental Life and AD&D
| Supplemental Life Monthly Rates | ||
| Age | Without AD&D | With AD&D |
| < age 30 | $0.046 | $0.074 |
| 30 – 34 | $0.058 | $0.086 |
| 35 – 39 | $0.069 | $0.097 |
| 40 – 44 | $0.092 | $0.120 |
| 45 – 49 | $0.138 | $0.166 |
| 50 – 54 | $0.230 | $0.258 |
| 55 – 59 | $0.414 | $0.442 |
| 60 – 64 | $0.660 | $0.688 |
| 65 – 69 | $1.270 | $1.298 |
| age 70+ | $1.863 | $1.891 |
| Supp. AD&D Rate | N/A | $0.028 |
| Child Life Rate | $0.060 | N/A |
| Note: Rates per $1,000 coverage | ||
| LegalEASE | ||
| Monthly Cost | ||
| Employee | $18.35 | |
| Note: 100% employee paid | ||
| COBRA Medical | ||||||
| Monthly Cost | ||||||
| PPO 80 | PPO 70 | HDHP | HPN | |||
| Total Cost | Total Cost | Total Cost | Total Cost | |||
| Team Member | $1,271.15 | $957.92 | $983.66 | $878.89 | ||
| Team Member + Spouse | $2,580.44 | $1,987.69 | $2,041.10 | $1,823.69 | ||
| Team Member + Child(ren) | $2,440.61 | $1,867.95 | $1,918.14 | $1,713.83 | ||
| Family | $3,889.72 | $2,932.59 | $3,003.69 | $2,664.13 | ||
| COBRA Dental | |||
| Monthly Cost | |||
| Premium Plan | Value Plan | ||
| Total Cost | Total Cost | ||
| Team Member | $44.58 | $25.71 | |
| Team Member + Spouse | $93.63 | $54.00 | |
| Team Member + Child(ren) | $98.08 | $56.57 | |
| Family | $150.69 | $87.62 | |
| COBRA Vision | ||
| Monthly Cost | ||
| Team Member | $8.49 | |
| Team Member + Spouse | $16.95 | |
| Team Member + Child(ren) | $16.95 | |
| Family | $27.30 | |
Don’t Forget
One of the best ways to get the most out of your benefits is to take charge of your health! Here are some ways you can do that:
- Choose healthy eating habits
- Exercise regularly
- Seek preventive health care
- Use in-network providers and telehealth
- Ask for generic prescription drugs
- Enroll in the FSA

