What does it cost?

Your contributions for coverage are deducted on a per-paycheck basis and determined by tiers and salary bands. Please note that your contributions are just part of your cost of coverage. Visit the Medical, Dental, and Vision pages for more detail on what costs you may incur.

*As a reminder, statutory rules require differences for residents of Hawaii (covered through HMSA) and Puerto Rico (covered through Triple-S Salud). The CDHP is not available in these jurisdictions.

Contributions for those earning under $75,000

Monthly Bi-Weekly
 

Medical

Dental

Vision

SavingsPlus HSA

Traditional PPO

Employee only

$95.00

$119.00

$7.04

$3.45

Employee + Spouse/Domestic Partner

$224.00

$284.00

$17.59

$6.56

Employee + Child(ren)

$133.00

$172.00

$14.67

$6.90

Family

$281.00

$367.00

$25.35

$10.13

 

Medical

Dental

Vision

SavingsPlus HSA

Traditional PPO

Employee only

$43.85

$54.92

$3.25

$1.59

Employee + Spouse/Domestic Partner

$103.38

$131.08

$8.12

$3.03

Employee + Child(ren)

$61.38

$79.38

$6.77

$3.18

Family

$129.69

$169.38

$11.70

$4.68

Contributions for those earning $75,000 - $99,999

Monthly Bi-Weekly
 

Medical

Dental

Vision

SavingsPlus HSA

Traditional PPO

Employee only

$118.00

$149.00

$8.52

$3.65

Employee + Spouse/Domestic Partner

$279.00

$365.00

$21.30

$6.93

Employee + Child(ren)

$168.00

$226.00

$17.75

$7.30

Family

$361.00

$486.00

$30.66

$10.73

 

Medical

Dental

Vision

SavingsPlus HSA

Traditional PPO

Employee only

$54.46

$68.77

$3.93

$1.68

Employee + Spouse/Domestic Partner

$128.77

$168.46

$9.83

$3.20

Employee + Child(ren)

$77.54

$104.31

$8.19

$3.37

Family

$166.62

$224.31

$14.15

$4.95

Contributions for those earning $100,000+

Monthly Bi-Weekly
 

Medical

Dental

Vision

SavingsPlus HSA

Traditional PPO

Employee only

$146.00

$192.00

$10.55

$3.74

Employee + Spouse/Domestic Partner

$359.00

$483.00

$24.07

$7.13

Employee + Child(ren)

$222.00

$304.00

$20.06

$7.51

Family

$474.00

$653.00

$38.03

$11.03

 

Medical

Dental

Vision

SavingsPlus HSA

Traditional PPO

Employee only

$67.38

$88.62

$4.87

$1.73

Employee + Spouse/Domestic Partner

$165.69

$222.92

$11.11

$3.29

Employee + Child(ren)

$102.46

$140.31

$9.26

$3.47

Family

$218.77

$301.38

$17.55

$5.09