Your payroll contributions for medical, dental and vision benefits are shown here. The premiums you pay are based on the plan you select, your salary band and coverage level. Your salary band is based on your current annual base earnings. Even if your annual base earnings increases after you enroll, your salary band will not change until next year’s Open Enrollment.
| 2026 HSA Plan Rates | ||||||
|---|---|---|---|---|---|---|
| Salary <$50,000 | Salary $50,000 - $100,000 | Salary >$100,000 | ||||
| Weekly | Bi-Weekly | Weekly | Bi-Weekly | Weekly | Bi-Weekly | |
| Employee Only | $19.34 | $38.68 | $21.04 | $42.09 | $21.04 | $42.09 |
| Employee + Spouse | $65.24 | $130.49 | $104.96 | $209.91 | $111.98 | $223.95 |
| Employee + Child(ren) | $53.38 | $106.76 | $85.87 | $171.74 | $91.62 | $183.23 |
| Employee + Family | $91.93 | $183.86 | $147.89 | $295.78 | $157.79 | $315.57 |
| 2026 HRA Plan Rates | ||||||
|---|---|---|---|---|---|---|
| Salary <$50,000 | Salary $50,000 - $100,000 | Salary >$100,000 | ||||
| Weekly | Bi-Weekly | Weekly | Bi-Weekly | Weekly | Bi-Weekly | |
| Employee Only | $41.69 | $83.39 | $42.81 | $85.62 | $42.81 | $85.62 |
| Employee + Spouse | $114.44 | $228.87 | $154.15 | $308.30 | $159.88 | $319.75 |
| Employee + Child(ren) | $93.63 | $187.26 | $126.12 | $252.24 | $130.81 | $261.62 |
| Employee + Family | $161.25 | $322.49 | $217.20 | $434.41 | $225.28 | $450.56 |
| 2026 PPO Plan Rates | ||||||
|---|---|---|---|---|---|---|
| Salary <$50,000 | Salary $50,000 - $100,000 | Salary >$100,000 | ||||
| Weekly | Bi-Weekly | Weekly | Bi-Weekly | Weekly | Bi-Weekly | |
| Employee Only | $66.38 | $132.76 | $66.84 | $133.68 | $66.84 | $133.68 |
| Employee + Spouse | $168.71 | $337.43 | $208.43 | $416.85 | $212.73 | $425.45 |
| Employee + Child(ren) | $138.04 | $276.07 | $170.53 | $341.06 | $174.04 | $348.09 |
| Employee + Family | $237.73 | $475.46 | $293.69 | $587.38 | $299.75 | $599.50 |
| 2026 Dental Plan Rates | ||||||
|---|---|---|---|---|---|---|
| High Plan | Low Plan | DHMO | ||||
| Weekly | Bi-Weekly | Weekly | Bi-Weekly | Weekly | Bi-Weekly | |
| Employee Only | $9.07 | $18.14 | $7.85 | $15.70 | $3.37 | $6.74 |
| Employee + 1 | $21.66 | $43.32 | $16.02 | $32.04 | $6.88 | $13.76 |
| Employee + 2 | $31.44 | $62.87 | $24.67 | $49.35 | $10.59 | $21.17 |
| 2026 Vision Plan Rates | ||||||
|---|---|---|---|---|---|---|
| Weekly | Bi-Weekly | |||||
| Employee Only | $1.72 | $3.45 | ||||
| Employee + 1 | $3.18 | $6.36 | ||||
| Employee + 2 | $4.51 | $9.02 | ||||
| 2026 Voluntary Life & AD&D Rates | ||
|---|---|---|
| Age Range |
Employee & Spouse Per $1,000 of Coverage | |
| Under35 | $0.0496 | |
| 35-39 | $0.0692 | |
| 40-44 | $0.118 | |
| 45-49 | $0.167 | |
| 50-54 | $0.343 | |
| 55-59 | $0.529 | |
| 60-64 | $0.548 | |
| 65-69 | $0.979 | |
| 70-74 | $2.593 | |
| 75+ | $5.430 | |
| Child(ren) - For $1,000 of Benefit | ||
| $0.179 | ||
| 2026 Disability Rates | ||
|---|---|---|
| Short-Term Disability | Long-Term Disability | |
| Age Range |
Per $10 of Weekly Gross Benefit |
Per $100 of Covered Payroll |
| Under 25 | $0.342 | $0.071 |
| 25-29 | $0.351 | $0.135 |
| 30-34 | $0.361 | $0.271 |
| 35-39 | $0.352 | $0.427 |
| 40-44 | $0.380 | $0.648 |
| 45-49 | $0.418 | $0.869 |
| 50-54 | $0.504 | $1.061 |
| 55-59 | $0.617 | $1.196 |
| 60-64 | $0.741 | $1.253 |
| 65-69 | $0.826 | $1.317 |
| 70-74 | $1.074 | $1.381 |
| 75+ | $1.400 | $1.452 |
| Accident Rates | ||
|---|---|---|
| Bi-Weekly | Weekly | |
| Employee | $4.46 | $2.23 |
| Employee + Spouse | $7.14 | $3.57 |
| Employee + Children | $9.72 | $4.86 |
| Family | $14.48 | $7.24 |
| Hospital Indemnity Rates | ||
|---|---|---|
|
Low Plan Monthly |
High Plan Monthly |
|
| Employee | $20.03 | $33.71 |
| Employee + Spouse | $45.11 | $75.70 |
| Employee + Children | $37.46 | $63.13 |
| Family | $66.78 | $112.26 |
| Critical Illness Rates | |||||
|---|---|---|---|---|---|
| Monthly | |||||
| Age Range | EE | EE+SP | EE+CH | Family | |
| Under 25 | $5.39 | $10.64 | $7.84 | $13.69 | |
| 25-29 | $6.40 | $12.87 | $8.85 | $15.92 | |
| 30-34 | $8.17 | $16.31 | $10.62 | $19.36 | |
| 35-39 | $10.85 | $21.73 | $13.30 | $24.78 | |
| 40-44 | $15.69 | $31.46 | $18.14 | $34.51 | |
| 45-49 | $24.02 | $48.65 | $26.47 | $51.70 | |
| 50-54 | $35.50 | $73.32 | $37.95 | $76.37 | |
| 55-59 | $50.58 | $103.70 | $53.03 | $106.75 | |
| 60-64 | $67.42 | $144.66 | $69.87 | $147.71 | |
| 65-69 | $91.37 | $193.29 | $93.82 | $196.34 | |
| 70-74 | $119.62 | $259.70 | $122.07 | $262.75 | |
| 75-79 | $157.37 | $334.10 | $159.82 | $337.15 | |
| 80-84 | $186.74 | $373.47 | $189.19 | $376.52 | |
| 85-89 | $203.83 | $407.65 | $206.28 | $410.70 | |
| 90+ | $217.46 | $434.92 | $219.91 | $437.97 | |
| MetLife Legal Plan | ||
|---|---|---|
| Bi-Weekly | Weekly | |
| Family | $8.66 | $4.33 |
| Nationwide Pet Insurance | ||
|---|---|---|
| Go to www.petsnationwide.com or call 877-738-7874 for a quote | ||
| ID Watchdog | ||
|---|---|---|
| Bi-Weekly | Weekly | |
| Employee | $3.46 | $1.73 |
| Family | $5.96 | $2.98 |
