The tables below show your benefit costs per pay period.
2024 OTHER BENEFIT COSTS (PER PAY PERIOD)
Dental
Coverage Level |
Aetna Managed (DMO) |
Aetna PDN (Low Option) |
Aetna PDN (High Option) |
Employee Only |
$7.29 |
$11.40 |
$25.31 |
Employee + Spouse |
$14.57 |
$22.80 |
$50.58 |
Employee + Child(ren) |
$19.49 |
$30.50 |
$67.68 |
Employee + Family |
$24.73 |
$38.70 |
$85.91 |
|
Vision (Paid Before-Tax)
Coverage Level |
Superior Vision |
Employee Only |
$3.50
|
Employee + Spouse |
$7.53
|
Employee + Child(ren) |
$5.67
|
Employee + Family |
$10.33
|
|
CALCULATING YOUR PREMIUMS
Your premiums for medical, life, AD&D and disability benefits are based on your current salary. If your salary changes, your rates will change.
|
|
Additional Life1 (Paid After-Tax)
Your Age* |
Cost per pay period per $1,000 of coverage |
Under 30 |
$0.016
|
30 – 34 |
$0.020
|
35 – 39 |
$0.028
|
40 – 44 |
$0.036
|
45 – 49 |
$0.056
|
50 – 54 |
$0.087
|
55 – 59 |
$0.131
|
60 – 64 |
$0.171
|
65 – 69 |
$0.254
|
70 – 74 |
$0.345
|
75 – 79 |
$0.496
|
|
Spouse Life1 (Paid After-Tax)
Your Age* |
Cost per pay period per $1,000 of coverage |
Under 30 |
$0.026
|
30 – 34 |
$0.035
|
35 – 39 |
$0.040
|
40 – 44 |
$0.044
|
45 – 49 |
$0.066
|
50 – 54 |
$0.102
|
55 – 59 |
$0.190
|
60 – 64 |
$0.291
|
65 – 69 |
$0.560
|
70 – 74 |
$0.908
|
75 – 79 |
$0.908
|
|
|
Child Life (Paid After-Tax)
Coverage |
Cost per pay period |
All your children |
$0.270 for $10,000 of coverage |
|
Additional AD&D (Paid Before-Tax)
Coverage |
Cost per pay period per $1,000 of coverage |
Employee Only |
$0.0055
|
Employee + Family |
$0.0102
|
|
COST OF DISABILITY COVERAGE
To calculate your premiums for disability, multiply your hourly base rate by the cost of coverage listed in the tables below. For example, if you earn $11 per hour and you are electing STD with a 14-day waiting period, multiply $11 x $0.7643 = $8.41 per paycheck. If you are a part-time employee, multiply $11 x $0.7643 x (hours you are regularly scheduled to work ÷ 80).
|
STD (Paid After-Tax)
Waiting Period |
Rate Multiplier |
14 days |
$0.7643
|
30 days |
$0.5317
|
|
Additional LTD (Paid After-Tax)
Waiting Period |
Rate Multiplier |
Additional LTD (“Buy-Up” Plan) |
$0.2565 |
|
Hospital Indemnity (Paid After-Tax)
Coverage |
Low Option |
High Option |
Employee Only |
$5.83
|
$10.54
|
Employee + Spouse |
$11.46
|
$20.74
|
Employee + Child(ren) |
$8.30
|
$15.02
|
Employee + Family |
$13.92
|
$25.22
|
|
Accident Insurance (Paid After-Tax)
Coverage |
Low Option |
High Option |
Employee Only |
$3.15
|
$4.74
|
Employee + Spouse |
$5.01
|
$7.54
|
Employee + Child(ren) |
$6.29
|
$9.46
|
Employee + Family |
$8.15
|
$12.25
|
|
Critical Illness Insurance – $15,000 of Coverage (Paid After-Tax)2
|
Your Age |
Employee Only |
Employee + Spouse |
Employee + Children |
Employee + Family |
29 and Under |
$2.35 |
$4.78 |
$2.42 |
$4.85 |
30 – 34 |
$3.18 |
$6.44 |
$3.25 |
$6.51 |
35 – 39 |
$3.60 |
$7.27 |
$3.67 |
$7.34 |
40 – 44 |
$4.36 |
$8.79 |
$4.43 |
$8.86 |
45 – 49 |
$6.23 |
$12.53 |
$6.30 |
$12.60 |
50 – 54 |
$8.72 |
$17.52 |
$8.79 |
$17.58 |
55 – 59 |
$12.88 |
$25.82 |
$12.95 |
$25.89 |
60 – 64 |
$21.67 |
$43.41 |
$21.74 |
$43.48 |
65 and Over |
$47.70 |
$95.47 |
$47.77 |
$95.54 |
|
Critical Illness Insurance – $30,000 of Coverage (Paid After-Tax)2
Your Age |
Employee Only |
Employee + Spouse |
Employee + Children |
Employee + Family |
29 and Under |
$3.88 |
$7.89 |
$4.02 |
$8.03 |
30 – 34 |
$5.54 |
$11.22 |
$5.68 |
$11.35 |
35 – 39 |
$6.37 |
$12.88 |
$6.51 |
$13.02 |
40 – 44 |
$7.89 |
$15.92 |
$8.03 |
$16.06 |
45 – 49 |
$11.63 |
$23.40 |
$11.77 |
$23.54 |
50 – 54 |
$16.62 |
$33.37 |
$16.75 |
$33.51 |
55 – 59 |
$24.92 |
$49.98 |
$25.06 |
$50.12 |
60 – 64 |
$42.51 |
$85.15 |
$42.65 |
$85.29 |
65 and Over |
$94.71 |
$189.55 |
$94.85 |
$189.69 |
|
Legal Insurance (Paid After-Tax)
Coverage |
Cost per pay period |
Employee + Parents |
$9.04 |
Pet Insurance
(paid directly to MetLife through ACH or debit/credit card)
Coverage |
Cost per pay period |
Selected during enrollment |
Based on coverage you elect |
Universal Life Insurance with Long Term Care
Coverage |
Cost per pay period |
Selected during enrollment |
Based on coverage you elect |
|