Managing Monthly Medical Contributions

We share the cost of health care for you and your family. We also offer the Live Well Wellness Program to help you achieve your personal health goals, and to offer you the chance to earn rewards for engaging in healthy lifestyle behaviors. When you participate, you can earn financial incentives.

You can also receive a discount toward your medical contributions based on tobacco user status. To certify your non-tobacco user status, click the Enroll Now button when you’re actively enrolling in benefits during Open Enrollment and answer the question on the Tobacco Affidavit page.

Your costs for medical coverage will depend on your salary band, as well as the plan and coverage level you select.

Note: Rate determination will be based on the associate’s annualized salary as of April 2022.

Monthly Broad Network Contributions

High Deductible HSA Plan

 

Tobacco-User

Non-Tobacco User

If you make $50,000 or less

Associate Only

$164.85

$94.91

Associate + Spouse/Same-Gender Domestic Partner

$327.70

$257.77

Associate + Child(ren)

$281.75

$211.81

Associate + Family

$443.60

$373.66

If you make $50,000.01–$100,000

Associate Only

$169.95

$97.85

Associate + Spouse/Same-Gender Domestic Partner

$337.84

$265.74

Associate + Child(ren)

$290.46

$218.36

Associate + Family

$457.32

$385.22

If you make greater than $100,000

Associate Only

$175.05

$100.79

Associate + Spouse/Same-Gender Domestic Partner

$347.98

$273.71

Associate + Child(ren)

$299.17

$224.91

Associate + Family

$471.04

$396.78

Standard Care Plan

 

Tobacco-User

Non-Tobacco User

If you make $50,000 or less

Associate Only

$210.81

$140.87

Associate + Spouse/Same-Gender Domestic Partner

$450.59

$380.66

Associate + Child(ren)

$384.65

$314.72

Associate + Family

$625.44

$555.50

If you make $50,000.01–$100,000

Associate Only

$217.33

$145.23

Associate + Spouse/Same-Gender Domestic Partner

$464.53

$392.43

Associate + Child(ren)

$396.55

$324.45

Associate + Family

$644.78

$572.68

If you make greater than $100,000

Associate Only

$223.85

$149.59

Associate + Spouse/Same-Gender Domestic Partner

$478.47

$404.20

Associate + Child(ren)

$408.45

$334.18

Associate + Family

$664.12

$589.86

Premium Care Plan

 

Tobacco-User

Non-Tobacco User

If you make $50,000 or less

Associate Only

$437.61

$367.67

Associate + Spouse/Same-Gender Domestic Partner

$959.14

$889.20

Associate + Child(ren)

$823.26

$753.32

Associate + Family

$1,339.79

$1,269.86

If you make $50,000.01–$100,000

Associate Only

$451.14

$379.04

Associate + Spouse/Same-Gender Domestic Partner

$988.80

$916.70

Associate + Child(ren)

$848.72

$776.62

Associate + Family

$1,381.23

$1,309.13

If you make greater than $100,000

Associate Only

$464.67

$390.41

Associate + Spouse/Same-Gender Domestic Partner

$1,018.46

$944.20

Associate + Child(ren)

$874.18

$799.92

Associate + Family

$1,422.67

$1,348.40

 

HMO Contributions

Kaiser HMO Plan

 

Tobacco-User

Non-Tobacco User

If you make $50,000 or less

Associate Only

$199.82

$129.88

Associate + Spouse/Same-Gender Domestic Partner

$425.62

$355.68

Associate + Child(ren)

$361.67

$291.74

Associate + Family

$594.46

$524.53

If you make $50,000.01–$100,000

Associate Only

$206.00

$133.90

Associate + Spouse/Same-Gender Domestic Partner

$438.78

$366.68

Associate + Child(ren)

$372.86

$300.76

Associate + Family

$612.85

$540.75

If you make greater than $100,000

Associate Only

$212.18

$137.92

Associate + Spouse/Same-Gender Domestic Partner

$451.94

$377.68

Associate + Child(ren)

$384.05

$309.78

Associate + Family

$631.24

$556.97

 

Monthly Local Plus Network (LPN) Contributions

High Deductible HSA LPN Plan

 

Tobacco-User

Non-Tobacco User

If you make $50,000 or less

Associate Only

$160.86

$90.92

Associate + Spouse/Same-Gender Domestic Partner

$315.72

$245.78

Associate + Child(ren)

$270.76

$200.82

Associate + Family

$426.62

$356.68

If you make $50,000.01–$100,000

Associate Only

$165.83

$93.73

Associate + Spouse/Same-Gender Domestic Partner

$325.48

$253.38

Associate + Child(ren)

$279.13

$207.03

Associate + Family

$439.81

$367.71

If you make greater than $100,000

Associate Only

$170.80

$96.54

Associate + Spouse/Same-Gender Domestic Partner

$335.24

$260.98

Associate + Child(ren)

$287.50

$213.24

Associate + Family

$453.00

$378.74

Standard Care LPN Plan

 

Tobacco-User

Non-Tobacco User

If you make $50,000 or less

Associate Only

$203.82

$133.88

Associate + Spouse/Same-Gender Domestic Partner

$432.61

$362.67

Associate + Child(ren)

$370.67

$300.73

Associate + Family

$598.46

$528.52

If you make $50,000.01–$100,000

Associate Only

$210.12

$138.02

Associate + Spouse/Same-Gender Domestic Partner

$445.99

$373.89

Associate + Child(ren)

$382.13

$310.03

Associate + Family

$616.97

$544.87

If you make greater than $100,000

Associate Only

$216.42

$142.16

Associate + Spouse/Same-Gender Domestic Partner

$459.37

$385.11

Associate + Child(ren)

$393.59

$319.33

Associate + Family

$635.48

$561.22

Premium Care LPN Plan

 

Tobacco-User

Non-Tobacco User

If you make $50,000 or less

Associate Only

$421.62

$351.68

Associate + Spouse/Same-Gender Domestic Partner

$917.17

$847.24

Associate + Child(ren)

$787.29

$717.35

Associate + Family

$1,278.85

$1,208.91

If you make $50,000.01–$100,000

Associate Only

$434.66

$362.56

Associate + Spouse/Same-Gender Domestic Partner

$945.54

$873.44

Associate + Child(ren)

$811.64

$739.54

Associate + Family

$1,318.40

$1,246.30

If you make greater than $100,000

Associate Only

$447.70

$373.44

Associate + Spouse/Same-Gender Domestic Partner

$973.91

$899.64

Associate + Child(ren)

$835.99

$761.73

Associate + Family

$1,357.95

$1,283.69

 

Dental and Vision

Dental

 

Standard

Premium

Associate Only

$9.27

$22.66

Associate + Spouse/Same-Gender Domestic Partner

$29.87

$58.71

Associate + Child(ren)

$24.72

$48.41

Associate + Family

$38.11

$82.40

Vision

 

Standard

Premium

Associate Only

$4.12

$6.18

Associate + Spouse/Same-Gender Domestic Partner

$8.24

$12.36

Associate + Child(ren)

$8.24

$12.36

Associate + Family

$12.36

$18.54

 

Critical Illness, Supplemental Accident and Hospital Indemnity Insurance Contributions

Critical Illness

Rate per $1,000 (Non-Tobacco User Rates)

Age

EE

EE+SP

EE+CH

FAM

Less Than 25

$0.15

$0.30

$0.35

$0.49

25-29

$0.16

$0.33

$0.35

$0.52

30-34

$0.22

$0.46

$0.42

$0.65

35-39

$0.33

$0.69

$0.52

$0.89

40-44

$0.52

$1.08

$0.72

$1.27

45-49

$0.77

$1.59

$0.95

$1.79

50-54

$1.13

$2.38

$1.32

$2.56

55-59

$1.56

$3.31

$1.75

$3.50

60-64

$2.20

$4.74

$2.40

$4.94

65-69

$3.28

$7.09

$3.47

$7.28

70+

$4.94

$10.60

$5.14

$10.80

Rate per $1,000 (Tobacco User Rates)

Age

EE

EE+SP

EE+CH

FAM

Less Than 25

$0.19

$0.39

$0.39

$0.59

25-29

$0.22

$0.44

$0.41

$0.62

30-34

$0.32

$0.66

$0.52

$0.85

35-39

$0.50

$1.02

$0.69

$1.22

40-44

$0.79

$1.65

$0.99

$1.84

45-49

$1.22

$2.53

$1.41

$2.73

50-54

$1.82

$3.80

$2.02

$4.00

55-59

$2.54

$5.40

$2.73

$5.58

60-64

$3.65

$7.85

$3.85

$8.04

65-69

$5.53

$11.91

$5.71

$12.10

70+

$8.43

$17.99

$8.62

$18.20

Supplemental Accident Insurance

 

LOW PLAN

HIGH PLAN

Associate Only

$5.90

$9.99

Associate + Spouse/Same-Gender Domestic Partner

$11.51

$19.31

Associate + Child(ren)

$12.27

$20.44

Associate + Family

$15.37

$25.63

Hospital Indemnity Insurance

 

LOW PLAN

HIGH PLAN

Associate Only

$7.30

$14.45

Associate + Spouse/Same-Gender Domestic Partner

$15.43

$30.55

Associate + Child(ren)

$11.86

$23.48

Associate + Family

$20.84

$41.24