2020 Premiums


Medical Plan Contributions

Non-Tobacco User Premiums
Coverage Tier Platinum PPO Silver CDHP Bronze CDHP
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$39.60
$119.80
$89.10
$169.35

$29.20
$88.55
$61.01
$125.00

$17.75
$56.25
$38.55
$86.75
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$85.81
$259.57
$193.05
$366.92

$63.26
$191.86
$132.18
$270.84

$38.46
$121.87
$83.53
$187.95

Tobacco User Premiums
Coverage Tier Platinum PPO Silver CDHP Bronze CDHP
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$54.60
$134.80
$104.10
$184.35

$44.20
$103.55
$76.01
$140.00

$32.75
$71.25
$53.55
$101.75
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$118.31
$292.07
$225.55
$399.42

$95.76
$224.76
$164.68
$303.34

$70.96
$154.37
$116.03
$220.45

Spousal Surcharge: If your spouse/domestic partner has access to coverage through his/her employer, and you choose to cover him/her on an HBC plan, you will incur a $25 surcharge on your weekly medical premium.


Dental Plan Contributions

Cigna Dental Premiums
Coverage Tier Core Buy-Up DHMO
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$7.01
$13.89
$18.01
$23.51

$12.54
$24.93
$25.55
$42.27

$4.57
$8.49
$10.08
$15.56
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$15.19
$30.09
$39.02
$50.94

$27.18
$54.02
$55.36
$91.60

$9.90
$18.39
$21.83
$33.72

Core and Buy-up use Total Cigna Dental DPPO network
DHMO uses Cigna Dental Care Network


Vision Plan Contributions

VSP Vision Premiums
Coverage Tier VSP Buy-Up
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$1.35
$2.70
$2.89
$4.62

$2.55
$5.11
$5.46
$8.73
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$2.93
$5.86
$6.26
$10.01

$5.53
$11.07
$11.84
$18.91

Supplemental Term Life Insurance Contributions (Monthly)

Associate Spouse
Age Band Tobacco User Premium Per $1,000 Non-Tobacco User Premium Per $1,000 Tobacco User Premium Per $1,000 Non-Tobacco User Premium Per $1,00
<25 $0.023 $0.017 $0.056 $0.050
25-29 $0.031 $0.023 $0.071 $0.060
30-34 $0.046 $0.036 $0.100 $0.080
35-39 $0.054 $0.042 $0.115 $0.095
40-44 $0.062 $0.048 $0.130 $0.107
45-49 $0.100 $0.080 $0.202 $0.167
50-54 $0.162 $0.131 $0.321 $0.265
55-59 $0.315 $0.258 $0.614 $0.507
60-64 $0.492 $0.404 $0.951 $0.786
65-69 $0.961 $0.791 $1.847 $1.526
70+ $1.568 $1.292 $1.847 $1.526

Supplemental Associate AD&D Contributions (Monthly)

$0.015 per $1,000 benefit amount (post-tax)

Supplemental Child Life Insurance Contributions (Monthly)

$5,000 benefit - $0.44 contribution
$10,000 benefit - $0.88 contribution

Permanent Life Insurance

Click here to view associate, spouse, and child Permanent Life Insurance premiums.


Long-Term Disability Contributions (Monthly)

Salaried Associates
Core provided at no cost; Buy-up benefit contribution is $0.166 per $100 of covered monthly earnings
Hourly Associates
Age Band Core Buy-Up
<25 $0.046 $0.110
25-29 $0.059 $0.142
30-34 $0.113 $0.271
35-39 $0.177 $0.425
40-44 $0.263 $0.634
45-49 $0.355 $0.855
50-54 $0.491 $1.179
55-59 $0.521 $1.253
60-64 $0.550 $1.320
65-69 $0.571 $1.378
70+ $0.585 $1.469

Critical Illness Insurance Contributions (Weekly)

Employee Non-Tobacco Weekly Premiums
Age $5,000 $10,000 $15,000 $20,000 $25,000 $30,000
18-30 $0.58 $1.16 $1.74 $2.32 $2.90 $3.48
31-40 $0.89 $1.78 $2.67 $3.55 $4.44 $5.33
41-50 $1.80 $3.60 $5.40 $7.20 $9.00 $10.80
51-60 $3.17 $6.34 $9.51 $12.68 $15.85 $19.02
61+ $5.52 $11.04 $16.56 $22.08 $27.60 $33.12
Spouse Non-Tobacco Weekly Premiums
Age $5,000 $7,500 $10,000 $12,500 $15,000
18-30 $0.58 $0.87 $1.16 $1.45 $1.74
31-40 $0.89 $1.33 $1.78 $2.22 $2.67
41-50 $1.80 $2.70 $3.60 $4.50 $5.40
51-60 $3.17 $4.75 $6.34 $7.92 $9.51
61+ $5.52 $8.28 $11.04 $13.80 $16.56
Employee Tobacco Weekly Premiums
Age $5,000 $10,000 $15,000 $20,000 $25,000 $30,000
18-30 $0.82 $1.64 $2.46 $3.28 $4.10 $4.92
31-40 $1.66 $3.32 $4.98 $6.64 $8.30 $9.96
41-50 $3.43 $6.86 $10.29 $13.72 $17.15 $20.58
51-60 $6.58 $13.16 $19.74 $26.32 $32.90 $39.48
61+ $11.83 $23.66 $35.49 $47.32 $59.15 $70.98
Spouse Tobacco Weekly Premiums
Age $5,000 $7,500 $10,000 $12,500 $15,000
18-30 $0.82 $1.23 $1.64 $2.05 $2.46
31-40 $1.66 $2.49 $3.32 $4.15 $4.98
41-50 $3.43 $5.14 $6.86 $8.57 $10.29
51-60 $6.58 $9.87 $13.16 $16.45 $19.74
61+ $11.83 $17.74 $23.66 $29.57 $35.49

Hospital Indemnity Insurance Contributions (Weekly)

Associate Only $4.80
Associate + Spouse $9.65
Associate + Children $7.63
Associate + Family $12.48

Accident Insurance Contributions (Weekly)

Associate Only $1.80
Associate + Spouse $3.64
Associate + Children $3.62
Associate + Family $4.50