Understanding the cost of your benefits can help you plan and budget for your healthcare needs. Below are the bi-weekly rates for all benefits.
Associate contributions
Medical and prescription
Show bi-weekly rates for
Covered Persons
Basic CDHP
Enhanced CDHP
PPO Plan
Non-Tobacco User Bi-weekly
Tobacco User Bi-weekly
Non-Tobacco User Bi-weekly
Tobacco User Bi-weekly
Non-Tobacco User Bi-weekly
Tobacco User Bi-weekly
Associate only
$33.12
$52.32
$78.72
$97.92
$97.92
$117.12
Associate + spouse
$186.24
$205.44
$208.32
$227.52
$265.92
$285.12
Associate + child(ren)
$117.60
$136.80
$132.96
$152.16
$159.36
$178.56
Associate + family
$235.68
$254.88
$264.00
$283.20
$329.76
$348.96
Bi-weekly rates.
Dental
Covered Persons
Bi-weekly — Base DPPO
Bi-weekly — Buy-Up DPPO
Associate only
$5.28
$8.64
Associate + spouse
$10.56
$17.76
Associate + child(ren)
$15.84
$27.36
Associate + family
$17.28
$30.24
Domestic partners are not considered qualified dependents under the Internal Revenue Code, Section 152. Thus, the tax treatment for domestic partners must be handled differently than for qualified dependents.
Vision
Covered Persons
Bi-weekly
Associate only
$1.43
Associate + spouse
$2.85
Associate + child(ren)
$3.57
Associate + family
$3.92
Accident insurance
Covered Persons
Bi-weekly After-Tax Deduction
Associate only
$5.50
Associate + spouse
$8.48
Associate + child(ren)
$8.99
Associate + family*
$12.78
*Includes spouse and dependent children.
Critical illness insurance
Age Band
Associate + Child(ren)*
Spouse
Per $15,000 of Coverage
Per $30,000 of Coverage
Per $15,000 of Coverage
Per $30,000 of Coverage
<25
$2.93
$5.85
$2.93
$5.85
26-29
$3.68
$7.35
$3.68
$7.35
30-34
$4.25
$8.49
$4.25
$8.49
35-39
$5.25
$10.50
$5.25
$10.50
40-44
$7.64
$15.27
$7.64
$15.27
45-49
$9.51
$19.02
$9.51
$19.02
50-54
$11.81
$23.61
$11.81
$23.61
55-59
$14.25
$28.50
$14.25
$28.50
60-64
$17.43
$34.86
$17.43
$34.86
65-69
$22.25
$44.49
$22.25
$44.49
70-74
$30.96
$61.92
$30.96
$61.92
75-79
$30.96
$61.92
$30.96
$61.92
80-84
$30.96
$61.92
$30.96
$61.92
Bi-weekly Rates.
*Eligible dependent children are automatically included with associate coverage at 50% of the associate’s elected coverage amount at no extra cost. You must enroll your dependent children via Workday to receive this free coverage.
Hospital indemnity insurance
Covered persons
Bi-weekly After-Tax Deduction
Associate only
$6.23
Associate + spouse
$12.48
Associate + child(ren)
$12.39
Associate + family*
$18.54
*Includes spouse and dependent children.
Legal services
Covered Persons
Bi-weekly
Associate only
$7.56
Long-term disability
Option
Bi-weekly rate* per $100 of monthly covered payroll
50% option
$0.173
60% option
$0.432
You must provide Evidence of Insurability (EOI) before you can be approved for coverage if you have no LTD coverage and you elect the 50% or 60% benefit option. Associates currently enrolled in the 50% LTD plan may elect to increase to the 60% LTD plan without EOI.
Supplemental life insurance
Age
Non-tobacco user bi-weekly* (per $1,000)
Tobacco user bi-weekly* (per $1,000)
<25
$0.016
$0.029
25-29
$0.021
$0.033
30-34
$0.029
$0.041
35-39
$0.033
$0.049
40-44
$0.037
$0.053
45-49
$0.053
$0.082
50-54
$0.082
$0.122
55-59
$0.151
$0.228
60-64
$0.228
$0.351
65-69
$0.441
$0.673
70+
$0.714
$1.130
Bi-weekly rates are based on 25 pay periods (monthly rate × 12 / 25), with per-unit rates rounded to three decimals, consistent with Workday. If you are currently enrolled, Evidence of Insurability (EOI) is required for any amount that exceeds an increase of 1× your salary or is above the guaranteed issue amount of the lesser of 5× your salary or $1,000,000. For late entrant (enrolling after waiving during initial eligibility), all amounts require EOI. Elected amounts in excess of the guaranteed issue limit are subject to EOI. Elected coverage cannot exceed $2,000,000 combined between Basic and Supplemental Life.
Supplemental dependent life insurance — spouse
Coverage level**
Bi-weekly After-Tax Deduction*
$15,000
$1.83
$25,000
$3.05
$50,000
$6.10
$75,000
$9.15
$100,000
$12.20
*Bi-weekly rates are based on 25 pay periods (monthly rate × 12 / 25), with per-unit rates rounded to three decimals, consistent with Workday. **If you are currently enrolled, Evidence of Insurability (EOI) is required for any amount that exceeds an increase of one increment or is above the guaranteed issue amount of $50,000. For late entrant (enrolling after waiving during initial eligibility), EOI is required for all amounts elected. Elected amounts in excess of the plan guaranteed issue limit are subject to EOI. Please note that there is no EOI required for supplemental dependent child life coverage at any level.
Supplemental dependent life insurance — child(ren)
Coverage level**
Bi-weekly After-Tax Deduction*
$2,000
$0.02
$5,000
$0.06
$10,000
$0.11
$15,000
$0.17
$25,000
$0.28
*Bi-weekly rates are based on 25 pay periods (monthly rate × 12 / 25), with per-unit rates rounded to three decimals, consistent with Workday. **If you are currently enrolled, Evidence of Insurability (EOI) is required for any amount that exceeds an increase of one increment or is above the guaranteed issue amount of $50,000. For late entrant (enrolling after waiving during initial eligibility), EOI is required for all amounts elected. Elected amounts in excess of the plan guaranteed issue limit are subject to EOI. Please note that there is no EOI required for supplemental dependent child life coverage at any level.
