This tool provides you with your bi-weekly paycheck deductions for Medical, Dental, Vision, along with Supplemental Health plan options (Accident, Critical Illness, and Hospital Indemnity) coverage.
The amount you pay for medical coverage is based on salary bands, with employees in higher salary bands contributing more toward the cost of their medical premiums than employees in lower salary bands. The rate you pay for medical coverage is set using your annual base pay as of Oct. 1. Select the applicable salary band as of Oct. 1 to determine your rates (for example, rates for 2023 based on Oct. 1, 2022, annual base pay). The selection of tobacco use is only applicable to the Critical Illness option rates.
Please be sure to follow the steps in order below.
Step 1: Select the rate year:
Step 2: Select your salary range:
Step 3: Select your tobacco status:
Step 4: Select the state you live in:
2023 Medical Rates | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Plan | Tier of Coverage | $0-$39,999.99 | $40,000-$49,999.99 | $50,000-$64,999.99 | $65,000-$94,999.99 | $95,000-$124,999.99 | $125,000+ | ||||
UHC Partnership in Health (PIH) – HRA eligible | EE Only | $21.69 | $36.92 | $53.08 | $67.38 | $81.23 | $94.62 | ||||
EE + Spouse | $54.92 | $91.85 | $131.54 | $168.92 | $202.62 | $235.85 | |||||
EE + Child(ren) | $46.15 | $77.08 | $110.31 | $141.69 | $170.31 | $198.46 | |||||
EE + Family | $72.46 | $121.38 | $173.54 | $222.46 | $267.69 | $311.08 |
UHC Navigate | EE Only | $23.08 | $38.77 | $55.85 | $72.46 | $86.31 | $100.62 |
EE + Spouse | $58.62 | $97.38 | $140.31 | $180.46 | $216.46 | $250.62 | |
EE + Child(ren) | $48.92 | $82.15 | $117.23 | $151.38 | $181.38 | $210.92 | |
EE + Family | $77.54 | $128.77 | $184.62 | $237.69 | $285.23 | $331.85 |
UHC Partnership in Health (PIH) – HSA eligible | EE Only | $21.69 | $36.92 | $53.08 | $67.38 | $81.23 | $94.62 |
EE + Spouse | $54.92 | $91.85 | $131.54 | $168.92 | $202.62 | $235.85 | |
EE + Child(ren) | $46.15 | $77.08 | $110.31 | $141.69 | $170.31 | $198.46 | |
EE + Family | $72.46 | $121.38 | $173.54 | $222.46 | $267.69 | $311.08 |
2023 Dental Rates | ||
---|---|---|
Plan | Tier of Coverage | |
UHC Dental | EE Only | $4.62 |
EE + Spouse | $11.08 | |
EE + Child(ren) | $12.92 | |
EE + Family | $18.46 |
2023 Vision Rates | ||
---|---|---|
Plan | Tier of Coverage | |
VSP | EE Only | $0.92 |
EE + Spouse | $2.77 | |
EE + Child(ren) | $1.85 | |
EE + Family | $3.69 |
Accident Plan Biweekly Pricing | ||
---|---|---|
Plan | Tier of Coverage | |
Securian | EE Only | $1.80 |
EE + Spouse | $2.99 | |
EE + Child(ren) | $4.49 | |
EE + Family | $6.32 |
Hospital Indemnity Plan Biweekly Pricing | ||
---|---|---|
Plan | Tier of Coverage | |
Securian | EE Only | $6.19 |
EE + Spouse | $12.79 | |
EE + Child(ren) | $8.60 | |
EE + Family | $15.65 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Non-Tobacco Biweekly Premium for $10,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $1.63 | $2.72 | $2.26 | $3.39 |
30 - 34 | $2.05 | $3.32 | $2.67 | $3.99 |
35 - 39 | $2.56 | $4.01 | $3.23 | $4.77 |
40 - 44 | $3.34 | $5.21 | $4.15 | $6.07 |
45 - 49 | $4.63 | $7.10 | $5.58 | $8.14 |
50 - 54 | $6.48 | $9.78 | $7.61 | $11.05 |
55 - 59 | $8.97 | $13.47 | $10.43 | $15.11 |
60 - 64 | $12.48 | $18.60 | $14.30 | $20.70 |
65 - 69 | $17.60 | $26.07 | $20.03 | $28.91 |
70+ | $27.11 | $40.06 | $30.64 | $44.19 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Tobacco Biweekly Premium for $10,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $2.74 | $4.29 | $3.41 | $4.91 |
30 - 34 | $3.48 | $5.40 | $4.24 | $6.11 |
35 - 39 | $4.50 | $6.87 | $5.35 | $7.59 |
40 - 44 | $6.07 | $9.18 | $7.06 | $10.03 |
45 - 49 | $8.65 | $12.92 | $9.87 | $13.96 |
50 - 54 | $12.34 | $18.23 | $13.89 | $19.54 |
55 - 59 | $17.33 | $25.52 | $19.33 | $27.16 |
60 - 64 | $24.30 | $35.67 | $26.95 | $37.77 |
65 - 69 | $34.54 | $50.53 | $38.12 | $53.37 |
70+ | $53.56 | $78.23 | $58.84 | $82.31 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Non-Tobacco Biweekly Premium for $20,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $2.70 | $4.29 | $3.46 | $5.14 |
30 - 34 | $3.53 | $5.49 | $4.29 | $6.34 |
35 - 39 | $4.54 | $6.87 | $5.40 | $7.91 |
40 - 44 | $6.11 | $9.27 | $7.24 | $10.50 |
45 - 49 | $8.70 | $13.06 | $10.10 | $14.65 |
50 - 54 | $12.39 | $18.41 | $14.17 | $20.47 |
55 - 59 | $17.37 | $25.80 | $19.80 | $28.59 |
60 - 64 | $24.39 | $36.04 | $27.55 | $39.76 |
65 - 69 | $34.63 | $51.00 | $39.00 | $56.19 |
70+ | $53.65 | $78.97 | $60.23 | $86.74 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Tobacco Biweekly Premium for $20,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $4.91 | $7.43 | $5.77 | $8.19 |
30 - 34 | $6.39 | $9.64 | $7.43 | $10.59 |
35 - 39 | $8.42 | $12.60 | $9.64 | $13.54 |
40 - 44 | $11.56 | $17.21 | $13.06 | $18.43 |
45 - 49 | $16.73 | $24.69 | $18.69 | $26.28 |
50 - 54 | $24.11 | $35.30 | $26.72 | $37.45 |
55 - 59 | $34.08 | $49.89 | $37.61 | $52.68 |
60 - 64 | $48.02 | $70.20 | $52.84 | $73.91 |
65 - 69 | $68.51 | $99.92 | $75.18 | $105.11 |
70+ | $106.54 | $155.30 | $116.63 | $162.99 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Non-Tobacco Biweekly Premium for $30,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $3.76 | $5.86 | $4.66 | $6.90 |
30 - 34 | $5.00 | $7.66 | $5.90 | $8.70 |
35 - 39 | $6.53 | $9.73 | $7.57 | $11.05 |
40 - 44 | $8.88 | $13.33 | $10.33 | $14.93 |
45 - 49 | $12.76 | $19.01 | $14.63 | $21.16 |
50 - 54 | $18.30 | $27.04 | $20.72 | $29.88 |
55 - 59 | $25.77 | $38.12 | $29.17 | $42.07 |
60 - 64 | $36.30 | $53.49 | $40.80 | $58.82 |
65 - 69 | $51.67 | $75.92 | $57.97 | $83.47 |
70+ | $80.19 | $117.87 | $89.81 | $129.30 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Tobacco Biweekly Premium for $30,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $7.08 | $10.57 | $8.12 | $11.47 |
30 - 34 | $9.30 | $13.89 | $10.61 | $15.07 |
35 - 39 | $12.34 | $18.32 | $13.93 | $19.50 |
40 - 44 | $17.05 | $25.24 | $19.06 | $26.83 |
45 - 49 | $24.80 | $36.46 | $27.50 | $38.60 |
50 - 54 | $35.88 | $52.38 | $39.55 | $55.36 |
55 - 59 | $50.83 | $74.26 | $55.89 | $78.20 |
60 - 64 | $71.74 | $104.72 | $78.73 | $110.05 |
65 - 69 | $102.48 | $149.30 | $112.24 | $156.85 |
70+ | $159.53 | $232.38 | $174.41 | $243.67 |
2023 Medical Rates | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Plan | Tier of Coverage | $0-$39,999.99 | $40,000-$49,999.99 | $50,000-$64,999.99 | $65,000-$94,999.99 | $95,000-$124,999.99 | $125,000+ | ||||
UHC Partnership in Health (PIH) – HRA eligible | EE Only | $21.69 | $36.92 | $53.08 | $67.38 | $81.23 | $94.62 | ||||
EE + Spouse | $54.92 | $91.85 | $131.54 | $168.92 | $202.62 | $235.85 | |||||
EE + Child(ren) | $46.15 | $77.08 | $110.31 | $141.69 | $170.31 | $198.46 | |||||
EE + Family | $72.46 | $121.38 | $173.54 | $222.46 | $267.69 | $311.08 |
UHC Navigate | EE Only | $23.08 | $38.77 | $55.85 | $72.46 | $86.31 | $100.62 |
EE + Spouse | $58.62 | $97.38 | $140.31 | $180.46 | $216.46 | $250.62 | |
EE + Child(ren) | $48.92 | $82.15 | $117.23 | $151.38 | $181.38 | $210.92 | |
EE + Family | $77.54 | $128.77 | $184.62 | $237.69 | $285.23 | $331.85 |
Kaiser California HMO | EE Only | $21.69 | $36.92 | $53.08 | $67.38 | $81.23 | $94.62 |
EE + Spouse | $54.92 | $91.85 | $131.54 | $168.92 | $202.62 | $235.85 | |
EE + Child(ren) | $46.15 | $77.08 | $110.31 | $141.69 | $170.31 | $198.46 | |
EE + Family | $72.46 | $121.38 | $173.54 | $222.46 | $267.69 | $311.08 |
UHC Partnership in Health (PIH) – HSA eligible | EE Only | $21.69 | $36.92 | $53.08 | $67.38 | $81.23 | $94.62 |
EE + Spouse | $54.92 | $91.85 | $131.54 | $168.92 | $202.62 | $235.85 | |
EE + Child(ren) | $46.15 | $77.08 | $110.31 | $141.69 | $170.31 | $198.46 | |
EE + Family | $72.46 | $121.38 | $173.54 | $222.46 | $267.69 | $311.08 |
2023 Dental Rates | ||
---|---|---|
Plan | Tier of Coverage | |
UHC Dental | EE Only | $4.62 |
EE + Spouse | $11.08 | |
EE + Child(ren) | $12.92 | |
EE + Family | $18.46 |
2023 Vision Rates | ||
---|---|---|
Plan | Tier of Coverage | |
VSP | EE Only | $0.92 |
EE + Spouse | $2.77 | |
EE + Child(ren) | $1.85 | |
EE + Family | $3.69 |
Accident Plan Biweekly Pricing | ||
---|---|---|
Plan | Tier of Coverage | |
Securian | EE Only | $1.80 |
EE + Spouse | $2.99 | |
EE + Child(ren) | $4.49 | |
EE + Family | $6.32 |
Hospital Indemnity Plan Biweekly Pricing | ||
---|---|---|
Plan | Tier of Coverage | |
Securian | EE Only | $6.19 |
EE + Spouse | $12.79 | |
EE + Child(ren) | $8.60 | |
EE + Family | $15.65 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Non-Tobacco Biweekly Premium for $10,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $1.63 | $2.72 | $2.26 | $3.39 |
30 - 34 | $2.05 | $3.32 | $2.67 | $3.99 |
35 - 39 | $2.56 | $4.01 | $3.23 | $4.77 |
40 - 44 | $3.34 | $5.21 | $4.15 | $6.07 |
45 - 49 | $4.63 | $7.10 | $5.58 | $8.14 |
50 - 54 | $6.48 | $9.78 | $7.61 | $11.05 |
55 - 59 | $8.97 | $13.47 | $10.43 | $15.11 |
60 - 64 | $12.48 | $18.60 | $14.30 | $20.70 |
65 - 69 | $17.60 | $26.07 | $20.03 | $28.91 |
70+ | $27.11 | $40.06 | $30.64 | $44.19 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Tobacco Biweekly Premium for $10,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $2.74 | $4.29 | $3.41 | $4.91 |
30 - 34 | $3.48 | $5.40 | $4.24 | $6.11 |
35 - 39 | $4.50 | $6.87 | $5.35 | $7.59 |
40 - 44 | $6.07 | $9.18 | $7.06 | $10.03 |
45 - 49 | $8.65 | $12.92 | $9.87 | $13.96 |
50 - 54 | $12.34 | $18.23 | $13.89 | $19.54 |
55 - 59 | $17.33 | $25.52 | $19.33 | $27.16 |
60 - 64 | $24.30 | $35.67 | $26.95 | $37.77 |
65 - 69 | $34.54 | $50.53 | $38.12 | $53.37 |
70+ | $53.56 | $78.23 | $58.84 | $82.31 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Non-Tobacco Biweekly Premium for $20,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $2.70 | $4.29 | $3.46 | $5.14 |
30 - 34 | $3.53 | $5.49 | $4.29 | $6.34 |
35 - 39 | $4.54 | $6.87 | $5.40 | $7.91 |
40 - 44 | $6.11 | $9.27 | $7.24 | $10.50 |
45 - 49 | $8.70 | $13.06 | $10.10 | $14.65 |
50 - 54 | $12.39 | $18.41 | $14.17 | $20.47 |
55 - 59 | $17.37 | $25.80 | $19.80 | $28.59 |
60 - 64 | $24.39 | $36.04 | $27.55 | $39.76 |
65 - 69 | $34.63 | $51.00 | $39.00 | $56.19 |
70+ | $53.65 | $78.97 | $60.23 | $86.74 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Tobacco Biweekly Premium for $20,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $4.91 | $7.43 | $5.77 | $8.19 |
30 - 34 | $6.39 | $9.64 | $7.43 | $10.59 |
35 - 39 | $8.42 | $12.60 | $9.64 | $13.54 |
40 - 44 | $11.56 | $17.21 | $13.06 | $18.43 |
45 - 49 | $16.73 | $24.69 | $18.69 | $26.28 |
50 - 54 | $24.11 | $35.30 | $26.72 | $37.45 |
55 - 59 | $34.08 | $49.89 | $37.61 | $52.68 |
60 - 64 | $48.02 | $70.20 | $52.84 | $73.91 |
65 - 69 | $68.51 | $99.92 | $75.18 | $105.11 |
70+ | $106.54 | $155.30 | $116.63 | $162.99 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Non-Tobacco Monthly Premium for $30,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $3.76 | $5.86 | $4.66 | $6.90 |
30 - 34 | $5.00 | $7.66 | $5.90 | $8.70 |
35 - 39 | $6.53 | $9.73 | $7.57 | $11.05 |
40 - 44 | $8.88 | $13.33 | $10.33 | $14.93 |
45 - 49 | $12.76 | $19.01 | $14.63 | $21.16 |
50 - 54 | $18.30 | $27.04 | $20.72 | $29.88 |
55 - 59 | $25.77 | $38.12 | $29.17 | $42.07 |
60 - 64 | $36.30 | $53.49 | $40.80 | $58.82 |
65 - 69 | $51.67 | $75.92 | $57.97 | $83.47 |
70+ | $80.19 | $117.87 | $89.81 | $129.30 |
Critical Illness Plan Pricing | ||||
---|---|---|---|---|
Tobacco Monthly Premium for $30,000 of Coverage | ||||
Attained Age | Employee Only | Employee + Spouse | Employee + Child(ren) | Employee + Spouse and Child(ren) |
< 30 | $7.08 | $10.57 | $8.12 | $11.47 |
30 - 34 | $9.30 | $13.89 | $10.61 | $15.07 |
35 - 39 | $12.34 | $18.32 | $13.93 | $19.50 |
40 - 44 | $17.05 | $25.24 | $19.06 | $26.83 |
45 - 49 | $24.80 | $36.46 | $27.50 | $38.60 |
50 - 54 | $35.88 | $52.38 | $39.55 | $55.36 |
55 - 59 | $50.83 | $74.26 | $55.89 | $78.20 |
60 - 64 | $71.74 | $104.72 | $78.73 | $110.05 |
65 - 69 | $102.48 | $149.30 | $112.24 | $156.85 |
70+ | $159.53 | $232.38 | $174.41 | $243.67 |