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 2023.
Monthly Broad Network Contributions
High Deductible HSA Plan
Tobacco-User |
Non-Tobacco User |
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If you make $50,000 or less |
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Associate Only |
$169.80 |
$97.76 |
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Associate + Spouse/Same-Gender Domestic Partner |
$337.54 |
$265.50 |
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Associate + Child(ren) |
$290.20 |
$218.16 |
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Associate + Family |
$456.91 |
$384.87 |
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If you make $50,000.01–$100,000 |
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Associate Only |
$176.75 |
$101.76 |
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Associate + Spouse/Same-Gender Domestic Partner |
$351.35 |
$276.37 |
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Associate + Child(ren) |
$302.08 |
$227.09 |
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Associate + Family |
$475.61 |
$400.63 |
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If you make greater than $100,000 |
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Associate Only |
$183.80 |
$105.82 |
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Associate + Spouse/Same-Gender Domestic Partner |
$365.37 |
$287.40 |
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Associate + Child(ren) |
$314.13 |
$236.16 |
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Associate + Family |
$494.59 |
$416.62 |
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Standard Care Plan
Tobacco-User |
Non-Tobacco User |
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If you make $50,000 or less |
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Associate Only |
$217.13 |
$145.10 |
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Associate + Spouse/Same-Gender Domestic Partner |
$464.11 |
$392.08 |
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Associate + Child(ren) |
$396.19 |
$324.16 |
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Associate + Family |
$644.20 |
$572.16 |
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If you make $50,000.01–$100,000 |
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Associate Only |
$226.02 |
$151.04 |
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Associate + Spouse/Same-Gender Domestic Partner |
$483.11 |
$408.13 |
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Associate + Child(ren) |
$412.41 |
$337.43 |
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Associate + Family |
$670.57 |
$595.59 |
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If you make greater than $100,000 |
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Associate Only |
$235.04 |
$157.07 |
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Associate + Spouse/Same-Gender Domestic Partner |
$502.39 |
$424.41 |
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Associate + Child(ren) |
$428.87 |
$350.89 |
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Associate + Family |
$697.33 |
$619.35 |
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Premium Care Plan
Tobacco-User |
Non-Tobacco User |
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If you make $50,000 or less |
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Associate Only |
$468.24 |
$393.41 |
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Associate + Spouse/Same-Gender Domestic Partner |
$1,026.28 |
$951.44 |
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Associate + Child(ren) |
$880.89 |
$806.05 |
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Associate + Family |
$1,433.58 |
$1,358.75 |
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If you make $50,000.01–$100,000 |
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Associate Only |
$482.72 |
$405.57 |
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Associate + Spouse/Same-Gender Domestic Partner |
$1,058.02 |
$980.87 |
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Associate + Child(ren) |
$908.13 |
$830.98 |
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Associate + Family |
$1,477.92 |
$1,400.77 |
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If you make greater than $100,000 |
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Associate Only |
$497.20 |
$417.74 |
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Associate + Spouse/Same-Gender Domestic Partner |
$1,089.76 |
$1,010.30 |
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Associate + Child(ren) |
$935.37 |
$855.91 |
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Associate + Family |
$1,522.25 |
$1,442.79 |
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Kaiser HMO Plan
Tobacco-User |
Non-Tobacco User |
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If you make $50,000 or less |
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Associate Only |
$205.81 |
$133.78 |
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Associate + Spouse/Same-Gender Domestic Partner |
$438.39 |
$366.35 |
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Associate + Child(ren) |
$372.52 |
$300.49 |
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Associate + Family |
$612.30 |
$540.26 |
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If you make $50,000.01–$100,000 |
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Associate Only |
$214.24 |
$139.26 |
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Associate + Spouse/Same-Gender Domestic Partner |
$456.33 |
$381.35 |
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Associate + Child(ren) |
$387.77 |
$312.79 |
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Associate + Family |
$637.36 |
$562.38 |
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If you make greater than $100,000 |
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Associate Only |
$222.79 |
$144.81 |
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Associate + Spouse/Same-Gender Domestic Partner |
$474.54 |
$396.56 |
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Associate + Child(ren) |
$403.25 |
$325.27 |
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Associate + Family |
$662.80 |
$584.82 |
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Monthly Local Plus Network (LPN) Contributions
High Deductible HSA LPN Plan
Tobacco-User |
Non-Tobacco User |
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If you make $50,000 or less |
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Associate Only |
$165.68 |
$93.65 |
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Associate + Spouse/Same-Gender Domestic Partner |
$325.19 |
$253.15 |
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Associate + Child(ren) |
$278.88 |
$206.84 |
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Associate + Family |
$439.41 |
$367.38 |
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If you make $50,000.01–$100,000 |
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Associate Only |
$172.46 |
$97.48 |
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Associate + Spouse/Same-Gender Domestic Partner |
$338.50 |
$263.52 |
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Associate + Child(ren) |
$290.30 |
$215.31 |
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Associate + Family |
$457.40 |
$382.42 |
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If you make greater than $100,000 |
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Associate Only |
$179.35 |
$101.37 |
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Associate + Spouse/Same-Gender Domestic Partner |
$352.01 |
$274.03 |
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Associate + Child(ren) |
$301.88 |
$223.90 |
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Associate + Family |
$475.65 |
$397.68 |
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Standard Care LPN Plan
Tobacco-User |
Non-Tobacco User |
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If you make $50,000 or less |
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Associate Only |
$209.93 |
$137.90 |
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Associate + Spouse/Same-Gender Domestic Partner |
$445.59 |
$373.55 |
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Associate + Child(ren) |
$381.79 |
$309.75 |
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Associate + Family |
$616.41 |
$544.38 |
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If you make $50,000.01–$100,000 |
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Associate Only |
$218.52 |
$143.54 |
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Associate + Spouse/Same-Gender Domestic Partner |
$463.83 |
$388.85 |
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Associate + Child(ren) |
$397.42 |
$322.43 |
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Associate + Family |
$641.65 |
$566.66 |
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If you make greater than $100,000 |
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Associate Only |
$227.24 |
$149.27 |
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Associate + Spouse/Same-Gender Domestic Partner |
$482.34 |
$404.36 |
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Associate + Child(ren) |
$413.27 |
$335.30 |
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Associate + Family |
$667.25 |
$589.28 |
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Premium Care LPN Plan
Tobacco-User |
Non-Tobacco User |
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If you make $50,000 or less |
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Associate Only |
$451.13 |
$376.30 |
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Associate + Spouse/Same-Gender Domestic Partner |
$981.38 |
$906.54 |
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Associate + Child(ren) |
$842.40 |
$767.57 |
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Associate + Family |
$1,368.37 |
$1,293.53 |
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If you make $50,000.01–$100,000 |
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Associate Only |
$465.09 |
$387.94 |
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Associate + Spouse/Same-Gender Domestic Partner |
$1,011.73 |
$934.58 |
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Associate + Child(ren) |
$868.45 |
$791.31 |
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Associate + Family |
$1,410.69 |
$1,333.54 |
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If you make greater than $100,000 |
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Associate Only |
$479.04 |
$399.58 |
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Associate + Spouse/Same-Gender Domestic Partner |
$1,042.08 |
$962.62 |
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Associate + Child(ren) |
$894.51 |
$815.05 |
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Associate + Family |
$1,453.01 |
$1,373.55 |
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Dental and Vision
Dental
|
Standard |
Premium |
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Associate Only |
$9.55 |
$23.34 |
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Associate + Spouse/Same-Gender Domestic Partner |
$30.77 |
$60.47 |
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Associate + Child(ren) |
$25.46 |
$49.86 |
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Associate + Family |
$39.25 |
$84.87 |
Vision
|
Standard |
Premium |
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Associate Only |
$4.24 |
$6.37 |
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Associate + Spouse/Same-Gender Domestic Partner |
$8.49 |
$12.73 |
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Associate + Child(ren) |
$8.49 |
$12.73 |
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Associate + Family |
$12.73 |
$19.10 |
Critical Illness, Supplemental Accident and Hospital Indemnity Insurance Contributions
Critical Illness
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Rate per $1,000 (Non-Tobacco User Rates) |
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Age |
EE |
EE+SP |
EE+CH |
FAM |
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Less Than 25 |
$0.15 |
$0.30 |
$0.35 |
$0.49 |
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25-29 |
$0.16 |
$0.33 |
$0.35 |
$0.52 |
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30-34 |
$0.22 |
$0.46 |
$0.42 |
$0.65 |
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35-39 |
$0.33 |
$0.69 |
$0.52 |
$0.89 |
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40-44 |
$0.52 |
$1.08 |
$0.72 |
$1.27 |
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45-49 |
$0.77 |
$1.59 |
$0.95 |
$1.79 |
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50-54 |
$1.13 |
$2.38 |
$1.32 |
$2.56 |
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55-59 |
$1.56 |
$3.31 |
$1.75 |
$3.50 |
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60-64 |
$2.20 |
$4.74 |
$2.40 |
$4.94 |
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65-69 |
$3.28 |
$7.09 |
$3.47 |
$7.28 |
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70+ |
$4.94 |
$10.60 |
$5.14 |
$10.80 |
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Rate per $1,000 (Tobacco User Rates) |
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Age |
EE |
EE+SP |
EE+CH |
FAM |
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Less Than 25 |
$0.19 |
$0.39 |
$0.39 |
$0.59 |
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25-29 |
$0.22 |
$0.44 |
$0.41 |
$0.62 |
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30-34 |
$0.32 |
$0.66 |
$0.52 |
$0.85 |
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35-39 |
$0.50 |
$1.02 |
$0.69 |
$1.22 |
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40-44 |
$0.79 |
$1.65 |
$0.99 |
$1.84 |
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45-49 |
$1.22 |
$2.53 |
$1.41 |
$2.73 |
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50-54 |
$1.82 |
$3.80 |
$2.02 |
$4.00 |
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55-59 |
$2.54 |
$5.40 |
$2.73 |
$5.58 |
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60-64 |
$3.65 |
$7.85 |
$3.85 |
$8.04 |
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65-69 |
$5.53 |
$11.91 |
$5.71 |
$12.10 |
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70+ |
$8.43 |
$17.99 |
$8.62 |
$18.20 |
Supplemental Accident Insurance
LOW PLAN |
HIGH PLAN |
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Associate Only |
$5.90 |
$9.99 |
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Associate + Spouse/Same-Gender Domestic Partner |
$11.51 |
$19.31 |
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Associate + Child(ren) |
$12.27 |
$20.44 |
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Associate + Family |
$15.37 |
$25.63 |
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Hospital Indemnity Insurance
LOW PLAN |
HIGH PLAN |
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Associate Only |
$7.30 |
$14.45 |
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Associate + Spouse/Same-Gender Domestic Partner |
$15.43 |
$30.55 |
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Associate + Child(ren) |
$11.86 |
$23.48 |
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Associate + Family |
$20.84 |
$41.24 |
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