Medical Contributions
Medical rates are based on participation in the Wellness Program. If you do not complete an Annual Preventive Exam, you can anticipate that your rates will be $15-$30 higher than the below rates.
| Medical (Pre-Tax Contributions) | If you do not complete an Annual Preventive Exam, your rates will be $15 - $30 higher each pay period. |
Bi-Weekly Premiums | ||
|---|---|---|---|---|
| Core HSA | ||||
| Associate | $15.00 | $30.00 | ||
| Associate + Child(ren) | $26.18 | $52.36 | ||
| Associate + Spouse | $127.02 | $254.04 | ||
| Associate + Family | $133.52 | $267.05 | ||
| Standard HRA | ||||
| Associate | $43.09 | $86.19 | ||
| Associate + Child(ren) | $68.32 | $136.64 | ||
| Associate + Spouse | $200.40 | $400.80 | ||
| Associate + Family | $223.43 | $446.86 | ||
| Traditional | ||||
| Associate | $77.50 | $155.00 | ||
| Associate + Child(ren) | $120.58 | $241.16 | ||
| Associate + Spouse | $305.82 | $611.64 | ||
| Associate + Family | $348.66 | $697.32 | ||
Dental Contributions
| Dental (Pre-Tax Contributions) | ||||
|---|---|---|---|---|
| Weekly Premiums | Bi-Weekly Premiums | |||
| Associate | $5.19 | $10.39 | ||
| Associate + Spouse | $11.74 | $23.48 | ||
| Associate + Child(ren) | $10.39 | $20.77 | ||
| Associate + Family | $17.81 | $35.61 | ||
Vision Contributions
| Vision (Pre-Tax Contributions) | ||||
|---|---|---|---|---|
| Weekly Premiums | Bi-Weekly Premiums | |||
| Associate | $1.26 | $2.52 | ||
| Associate + Child(ren) | $2.82 | $5.63 | ||
| Associate + Spouse | $2.41 | $4.82 | ||
| Associate + Family | $3.99 | $7.98 | ||