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 2024 based on Oct. 1, 2023, 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:
2024 Medical Bi-Weekly Paycheck Deductions | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Plan | Tier of Coverage | $0-$39,999.99 Bi-Weekly Deductions |
$40,000-$49,999.99 Bi-Weekly Deductions |
$50,000-$64,999.99 Bi-Weekly Deductions |
$65,000-$94,999.99 Bi-Weekly Deductions |
$95,000-$124,999.99 Bi-Weekly Deductions |
$125,000+ Bi-Weekly Deductions |
||||
The PPO (Surest) Plan | EE Only | $20.77 | $35.08 | $50.77 | $64.15 | $77.54 | $90.46 | ||||
EE + Spouse | $52.62 | $87.69 | $125.54 | $161.08 | $193.38 | $224.77 | |||||
EE + Child(ren) | $43.85 | $73.38 | $105.23 | $135.23 | $162.46 | $189.23 | |||||
EE + Family | $69.23 | $115.85 | $165.69 | $212.31 | $255.23 | $296.77 |
The HSA (Partnership in Health) Plan | EE Only | $23.08 | $39.23 | $56.31 | $71.54 | $86.31 | $100.15 |
EE + Spouse | $58.15 | $97.38 | $139.38 | $179.08 | $214.62 | $250.15 | |
EE + Child(ren) | $48.92 | $81.69 | $116.77 | $150.00 | $180.46 | $210.46 | |
EE + Family | $76.62 | $128.77 | $184.15 | $235.85 | $283.85 | $329.54 |
2024 Dental Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
UHC Dental | EE Only | $4.62 |
EE + Spouse | $11.08 | |
EE + Child(ren) | $12.92 | |
EE + Family | $18.46 |
2024 Vision Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
VSP | EE Only | $0.92 |
EE + Spouse | $2.77 | |
EE + Child(ren) | $1.85 | |
EE + Family | $3.69 |
2024 Accident Plan Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
Securian | EE Only | $1.80 |
EE + Spouse | $2.99 | |
EE + Child(ren) | $4.49 | |
EE + Family | $6.32 |
2024 Hospital Indemnity Plan Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
Securian | EE Only | $6.19 |
EE + Spouse | $12.79 | |
EE + Child(ren) | $8.60 | |
EE + Family | $15.65 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Non-Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Non-Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Non-Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Tobacco Bi-Weekly Deductions 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 |
2024 Medical Bi-Weekly Paycheck Deductions | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Plan | Tier of Coverage | $0-$39,999.99 Bi-Weekly Deductions |
$40,000-$49,999.99 Bi-Weekly Deductions |
$50,000-$64,999.99 Bi-Weekly Deductions |
$65,000-$94,999.99 Bi-Weekly Deductions |
$95,000-$124,999.99 Bi-Weekly Deductions |
$125,000+ Bi-Weekly Deductions |
||||
The PPO (Surest) Plan | EE Only | $20.77 | $35.08 | $50.77 | $64.15 | $77.54 | $90.46 | ||||
EE + Spouse | $52.62 | $87.69 | $125.54 | $161.08 | $193.38 | $224.77 | |||||
EE + Child(ren) | $43.85 | $73.38 | $105.23 | $135.23 | $162.46 | $189.23 | |||||
EE + Family | $69.23 | $115.85 | $165.69 | $212.31 | $255.23 | $296.77 |
Kaiser California HMO | EE Only | $23.08 | $39.23 | $56.31 | $71.54 | $86.31 | $100.15 |
EE + Spouse | $58.15 | $97.38 | $139.38 | $179.08 | $214.62 | $250.15 | |
EE + Child(ren) | $48.92 | $81.69 | $116.77 | $150.00 | $180.46 | $210.46 | |
EE + Family | $76.62 | $128.77 | $184.15 | $235.85 | $283.85 | $329.54 |
The HSA (Partnership in Health) Plan | EE Only | $23.08 | $39.23 | $56.31 | $71.54 | $86.31 | $100.15 |
EE + Spouse | $58.15 | $97.38 | $139.38 | $179.08 | $214.62 | $250.15 | |
EE + Child(ren) | $48.92 | $81.69 | $116.77 | $150.00 | $180.46 | $210.46 | |
EE + Family | $76.62 | $128.77 | $184.15 | $235.85 | $283.85 | $329.54 |
2024 Dental Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
UHC Dental | EE Only | $4.62 |
EE + Spouse | $11.08 | |
EE + Child(ren) | $12.92 | |
EE + Family | $18.46 |
2024 Vision Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
VSP | EE Only | $0.92 |
EE + Spouse | $2.77 | |
EE + Child(ren) | $1.85 | |
EE + Family | $3.69 |
2024 Accident Plan Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
Securian | EE Only | $1.80 |
EE + Spouse | $2.99 | |
EE + Child(ren) | $4.49 | |
EE + Family | $6.32 |
2024 Hospital Indemnity Plan Bi-Weekly Paycheck Deductions | ||
---|---|---|
Plan | Tier of Coverage | Bi-Weekly Deductions |
Securian | EE Only | $6.19 |
EE + Spouse | $12.79 | |
EE + Child(ren) | $8.60 | |
EE + Family | $15.65 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Non-Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Non-Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
Tobacco Bi-Weekly Deductions 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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
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 |
2024 Critical Illness Plan Bi-Weekly Paycheck Deductions | ||||
---|---|---|---|---|
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 |