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Medical plans available in most locations
| Premier PPO Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $38.30 | $76.60 | — |
| Associate + spouse/partner | $193.50 | $231.80 | $270.10 |
| Associate + child(ren) | $61.30 | $99.60 | — |
| Associate + family | $227.00 | $265.30 | $303.60 |
| Contribution HRA Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $108.20 | $216.40 | — |
| Associate + spouse/partner | $365.70 | $473.90 | $582.10 |
| Associate + child(ren) | $152.50 | $260.70 | — |
| Associate + family | $391.60 | $499.80 | $608.00 |
| Saver HSA Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $42.80 | $85.60 | — |
| Associate + spouse/partner | $202.60 | $245.40 | $288.20 |
| Associate + child(ren) | $67.00 | $109.80 | — |
| Associate + family | $233.90 | $276.70 | $319.50 |
| Saver HSA Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $42.80 | $85.60 | — |
| Associate + spouse/partner | $202.60 | $245.40 | $288.20 |
| Associate + child(ren) | $67.00 | $109.80 | — |
| Associate + family | $233.90 | $276.70 | $319.50 |
Medical plan available only in CA, KY, LA, MS, NJ, TN, WA, WV
| Personalized Wellbeing Copay Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $57.40 | $114.80 | — |
| Associate + spouse/partner | $290.20 | $347.60 | $405.00 |
| Associate + child(ren) | $91.90 | $149.30 | — |
| Associate + family | $340.40 | $397.80 | $455.20 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
HMO plans availble in select locations
| Health Net ExcelCare High Option: California | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $75.30 | $150.60 | — |
| Associate + spouse/partner | $300.00 | $375.30 | $450.60 |
| Associate + child(ren) | $146.10 | $221.40 | — |
| Associate + family | $347.10 | $422.40 | $497.70 |
| Health Net ExcelCare Low Option: California | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $52.00 | $104.00 | — |
| Associate + spouse/partner | $214.70 | $266.70 | $318.70 |
| Associate + child(ren) | $95.90 | $147.90 | — |
| Associate + family | $248.10 | $300.10 | $352.10 |
| Health Net Salud Y Mas: California | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $70.60 | $141.20 | — |
| Associate + spouse/partner | $275.90 | $346.50 | $417.10 |
| Associate + child(ren) | $96.40 | $167.00 | — |
| Associate + family | $319.20 | $389.80 | $460.40 |
| Kaiser California High Option: North and South | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $80.40 | $160.80 | — |
| Associate + spouse/partner | $322.50 | $402.90 | $483.30 |
| Associate + child(ren) | $125.40 | $205.80 | — |
| Associate + family | $377.60 | $458.00 | $538.40 |
| Kaiser California Low Option: North and South | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $52.00 | $104.00 | — |
| Associate + spouse/partner | $193.30 | $245.30 | $297.30 |
| Associate + child(ren) | $73.30 | $125.30 | — |
| Associate + family | $216.90 | $268.90 | $320.90 |
| Kaiser of Colorado Low Option | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $66.10 | $132.20 | — |
| Associate + spouse/partner | $243.50 | $309.60 | $375.70 |
| Associate + child(ren) | $93.10 | $159.20 | — |
| Associate + family | $276.90 | $343.00 | $409.10 |
| Kaiser of Georgia Low Option | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $50.80 | $101.60 | — |
| Associate + spouse/partner | $223.80 | $274.60 | $325.40 |
| Associate + child(ren) | $75.80 | $126.60 | — |
| Associate + family | $262.40 | $313.20 | $364.00 |
| Kaiser of the Mid-Atlantic Low Option: Maryland Kaiser of the Mid-Atlantic Low Option: Virginia |
Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $79.50 | $159.00 | — |
| Associate + spouse/partner | $252.00 | $331.50 | $411.00 |
| Associate + child(ren) | $104.90 | $184.40 | — |
| Associate + family | $295.80 | $375.30 | $454.80 |
| Kaiser Foundation Health Plan of Washington | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $40.00 | $80.00 | — |
| Associate + spouse/partner | $178.00 | $218.00 | $258.00 |
| Associate + child(ren) | $56.30 | $96.30 | — |
| Associate + family | $209.00 | $249.00 | $289.00 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
HMO Plan for U.S.-based Global Tech associates
Available in select locations.
| Kaiser California: North and South | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $54.70 | $109.40 | — |
| Associate + spouse/partner | $224.50 | $279.20 | $333.90 |
| Associate + child(ren) | $86.60 | $141.30 | — |
| Associate + family | $256.30 | $311.00 | $365.70 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
Hawaii plans
| HMSA Hawaii | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $68.40 | $136.80 | — |
| Associate + spouse/partner | $336.50 | $404.90 | $473.30 |
| Associate + child(ren) | $162.60 | $231.00 | — |
| Associate + family | $394.70 | $463.10 | $531.50 |
| Kaiser Hawaii | Maximum cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $60.10 | $120.20 | — |
| Associate + spouse/partner | $352.70 | $412.80 | $472.90 |
| Associate + child(ren) | $156.60 | $216.70 | — |
| Associate + family | $411.40 | $471.50 | $531.60 |
Vision
| Cost per biweekly pay period | |
| Coverage | Rate |
| Associate only | $2.76 |
| Associate + spouse/partner | $5.52 |
| Associate + child(ren) | $5.52 |
| Associate + family | $8.26 |
Dental
| Cost per biweekly pay period | |
| Coverage | Rate |
| Associate only | $8.70 |
| Associate + spouse/partner | $20.90 |
| Associate + child(ren) | $20.30 |
| Associate + family | $35.40 |
Optional associate life insurance
| Cost per biweekly pay period | |||||||||||
| Associate’s age | All eligible associates | Management/truck drivers only | |||||||||
| $25,000 | $50,000 | $75,000 | $100,000 | $150,000 | $200,000 | $300,000 | $500,000 | $750,000 | $1,000,000 | ||
| under 25 | $0.36 | $0.71 | $1.07 | $1.43 | $2.14 | $2.85 | $4.28 | $7.13 | $10.70 | $14.27 | |
| $0.39 | $0.78 | $1.17 | $1.56 | $2.35 | $3.13 | $4.69 | $7.82 | $11.74 | $15.65 | ||
| 25–29 | $0.39 | $0.78 | $1.17 | $1.56 | $2.35 | $3.13 | $4.69 | $7.82 | $11.74 | $15.65 | |
| $0.43 | $0.85 | $1.28 | $1.70 | $2.55 | $3.41 | $5.11 | $8.52 | $12.77 | $17.03 | ||
| 30–34 | $0.53 | $1.06 | $1.59 | $2.12 | $3.18 | $4.23 | $6.35 | $10.59 | $15.88 | $21.17 | |
| $0.60 | $1.20 | $1.80 | $2.39 | $3.59 | $4.79 | $7.18 | $11.97 | $17.95 | $23.93 | ||
| 35–39 | $0.64 | $1.29 | $1.93 | $2.58 | $3.87 | $5.16 | $7.73 | $12.89 | $19.33 | $25.78 | |
| $0.72 | $1.45 | $2.17 | $2.90 | $4.35 | $5.80 | $8.70 | $14.50 | $21.75 | $29.00 | ||
| 40–44 | $0.74 | $1.47 | $2.21 | $2.95 | $4.42 | $5.89 | $8.84 | $14.73 | $22.09 | $29.46 | |
| $0.84 | $1.68 | $2.52 | $3.36 | $5.04 | $6.72 | $10.08 | $16.80 | $25.20 | $33.60 | ||
| 45–49 | $1.14 | $2.28 | $3.42 | $4.56 | $6.84 | $9.11 | $13.67 | $22.78 | $34.18 | $45.57 | |
| $1.29 | $2.58 | $3.87 | $5.16 | $7.73 | $10.31 | $15.47 | $25.78 | $38.66 | $51.55 | ||
| 50–54 | $1.73 | $3.45 | $5.18 | $6.90 | $10.36 | $13.81 | $20.71 | $34.52 | $51.78 | $69.04 | |
| $1.98 | $3.96 | $5.94 | $7.92 | $11.88 | $15.83 | $23.75 | $39.58 | $59.38 | $79.17 | ||
| 55–59 | $3.21 | $6.42 | $9.63 | $12.84 | $19.26 | $25.68 | $38.52 | $64.21 | $96.31 | $128.42 | |
| $3.67 | $7.34 | $11.01 | $14.68 | $22.02 | $29.37 | $44.05 | $73.41 | $110.12 | $146.83 | ||
| 60–64 | $4.78 | $9.55 | $14.33 | $19.10 | $28.65 | $38.20 | $57.30 | $95.51 | $143.26 | $191.01 | |
| $5.45 | $10.91 | $16.36 | $21.82 | $32.73 | $43.63 | $65.45 | $109.08 | $163.63 | $218.17 | ||
| 65–69 | $8.94 | $17.88 | $26.82 | $35.76 | $53.64 | $71.53 | $107.29 | $178.82 | $268.22 | $357.63 | |
| $11.93 | $23.87 | $35.80 | $47.73 | $71.60 | $95.46 | $143.19 | $238.65 | $357.98 | $477.30 | ||
| 70+ | $13.90 | $27.80 | $41.70 | $55.60 | $83.40 | $111.20 | $166.80 | $278.01 | $417.01 | $556.01 | |
| $18.54 | $37.08 | $55.61 | $74.15 | $111.23 | $148.30 | $222.45 | $370.75 | $556.13 | $741.50 | ||
|
Tobacco-free user Tobacco user Tobacco-free user Tobacco user |
|||||||||||
Optional spouse/partner life insurance¹
| Cost per biweekly pay period | |||||||||||
| Associate’s age | $5,000 | $15,000 | $25,000 | $50,000 | $75,000 | $100,000 | $150,000 | $200,000 | |||
| under 25 | $0.18 | $0.54 | $0.90 | $1.80 | $2.69 | $3.59 | $5.39 | $7.18 | |||
| $0.21 | $0.62 | $1.04 | $2.07 | $3.11 | $4.14 | $6.21 | $8.28 | ||||
| 25–29 | $0.21 | $0.64 | $1.07 | $2.14 | $3.21 | $4.28 | $6.42 | $8.56 | |||
| $0.24 | $0.71 | $1.19 | $2.37 | $3.56 | $4.74 | $7.11 | $9.48 | ||||
| 30–34 | $0.29 | $0.86 | $1.43 | $2.85 | $4.28 | $5.71 | $8.56 | $11.41 | |||
| $0.32 | $0.95 | $1.59 | $3.18 | $4.76 | $6.35 | $9.53 | $12.70 | ||||
| 35–39 | $0.32 | $0.96 | $1.60 | $3.20 | $4.80 | $6.40 | $9.60 | $12.80 | |||
| $0.35 | $1.06 | $1.77 | $3.54 | $5.32 | $7.09 | $10.63 | $14.18 | ||||
| 40–44 | $0.35 | $1.06 | $1.77 | $3.54 | $5.32 | $7.09 | $10.63 | $14.18 | |||
| $0.40 | $1.19 | $1.98 | $3.96 | $5.94 | $7.92 | $11.88 | $15.83 | ||||
| 45–49 | $0.53 | $1.59 | $2.66 | $5.32 | $7.97 | $10.63 | $15.95 | $21.26 | |||
| $0.62 | $1.85 | $3.08 | $6.17 | $9.25 | $12.34 | $18.50 | $24.67 | ||||
| 50–54 | $0.82 | $2.45 | $4.08 | $8.17 | $12.25 | $16.34 | $24.51 | $32.68 | |||
| $0.95 | $2.84 | $4.74 | $9.48 | $14.22 | $18.96 | $28.44 | $37.93 | ||||
| 55–59 | $1.53 | $4.58 | $7.63 | $15.26 | $22.89 | $30.52 | $45.77 | $61.03 | |||
| $1.85 | $5.55 | $9.25 | $18.50 | $27.75 | $37.01 | $55.51 | $74.01 | ||||
| 60–64 | $2.34 | $7.03 | $11.71 | $23.43 | $35.14 | $46.86 | $70.28 | $93.71 | |||
| $2.96 | $8.87 | $14.79 | $29.57 | $44.36 | $59.15 | $88.72 | $118.29 | ||||
| 65–69 | $4.51 | $13.53 | $22.54 | $45.08 | $67.63 | $90.17 | $135.25 | $180.34 | |||
| $5.92 | $17.76 | $29.60 | $59.19 | $88.79 | $118.38 | $177.57 | $236.76 | ||||
| 70+ | $7.31 | $21.94 | $36.57 | $73.14 | $109.71 | $146.28 | $219.41 | $292.55 | |||
| $9.60 | $28.81 | $48.02 | $96.04 | $144.05 | $192.07 | $288.11 | $384.14 | ||||
Tobacco-free user Tobacco user |
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1Spouse/partner life insurance is based on associate’s age.
Optional dependent life insurance — child(ren)
| Cost per biweekly pay period | |
| Coverage | Rate |
| $5,000 per dependent | $0.33 |
| $10,000 per dependent | $0.66 |
| $20,000 per dependent | $1.32 |
| Kaiser Hawaii | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $759.68 | $1,117.17 |
| Associate + spouse/partner | $1,823.22 | $2,681.21 |
| Associate + child(ren) | $1,443.38 | $2,122.62 |
| Associate + family | $2,506.93 | $3,686.66 |
Critical illness
| Cost per biweekly pay period1 | |||||
| Associate only | |||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |
| under 25 | $0.40 | $0.80 | $1.18 | $1.58 | |
| $0.58 | $1.16 | $1.74 | $2.32 | ||
| 25–29 | $0.40 | $0.80 | $1.18 | $1.58 | |
| $0.58 | $1.16 | $1.74 | $2.32 | ||
| 30–34 | $0.40 | $0.80 | $1.18 | $1.58 | |
| $0.58 | $1.16 | $1.74 | $2.32 | ||
| 35–39 | $0.52 | $1.02 | $1.54 | $2.04 | |
| $0.68 | $1.34 | $2.02 | $2.68 | ||
| 40–44 | $0.80 | $1.58 | $2.36 | $3.14 | |
| $1.06 | $2.14 | $3.20 | $4.26 | ||
| 45–49 | $1.26 | $2.50 | $3.74 | $5.00 | |
| $1.72 | $3.42 | $5.14 | $6.84 | ||
| 50–54 | $2.08 | $4.16 | $6.24 | $8.32 | |
| $2.82 | $5.64 | $8.46 | $11.26 | ||
| 55–59 | $2.76 | $5.50 | $8.24 | $11.00 | |
| $3.72 | $7.44 | $11.16 | $14.86 | ||
| 60–64 | $3.52 | $7.02 | $10.54 | $14.04 | |
| $4.80 | $9.60 | $14.40 | $19.20 | ||
| 65–69 | $4.18 | $8.36 | $12.54 | $16.72 | |
| $5.74 | $11.46 | $17.18 | $22.90 | ||
| 70+ | $5.56 | $11.14 | $16.70 | $22.26 | |
| $7.60 | $15.20 | $22.78 | $30.38 | ||
Tobacco-free user Tobacco user |
|||||
1If you are enrolled in the Saver HSA Plan, your payroll deductions will be slightly lower because you are not eligible for the major organ transplant rider.
| Cost per biweekly pay period1 | |||||
| Associate + spouse/partner | |||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |
| under 25 | $0.86 | $1.72 | $2.56 | $3.42 | |
| $1.04 | $2.08 | $3.12 | $4.16 | ||
| $1.06 | $2.14 | $3.20 | $4.26 | ||
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| 25–29 | $0.86 | $1.72 | $2.56 | $3.42 | |
| $1.04 | $2.08 | $3.12 | $4.16 | ||
| $1.06 | $2.14 | $3.20 | $4.26 | ||
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| 30–34 | $0.86 | $1.72 | $2.56 | $3.42 | |
| $1.04 | $2.08 | $3.12 | $4.16 | ||
| $1.06 | $2.14 | $3.20 | $4.26 | ||
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| 35–39 | $1.12 | $2.22 | $3.34 | $4.44 | |
| $1.28 | $2.54 | $3.82 | $5.08 | ||
| $1.32 | $2.64 | $3.96 | $5.26 | ||
| $1.48 | $2.96 | $4.44 | $5.92 | ||
| 40–44 | $1.74 | $3.46 | $5.20 | $6.94 | |
| $2.02 | $4.02 | $6.04 | $8.04 | ||
| $2.06 | $4.12 | $6.16 | $8.22 | ||
| $2.34 | $4.66 | $7.00 | $9.34 | ||
| 45–49 | $2.76 | $5.50 | $8.24 | $11.00 | |
| $3.22 | $6.42 | $9.64 | $12.84 | ||
| $3.34 | $6.66 | $9.98 | $13.30 | ||
| $3.80 | $7.58 | $11.36 | $15.14 | ||
| 50–54 | $4.64 | $9.28 | $13.92 | $18.56 | |
| $5.38 | $10.76 | $16.14 | $21.52 | ||
| $5.56 | $11.14 | $16.70 | $22.26 | ||
| $6.30 | $12.60 | $18.90 | $25.20 | ||
| 55–59 | $6.22 | $12.42 | $18.64 | $24.84 | |
| $7.18 | $14.36 | $21.54 | $28.72 | ||
| $7.44 | $14.86 | $22.30 | $29.74 | ||
| $8.40 | $16.80 | $25.20 | $33.60 | ||
| 60–64 | $7.94 | $15.88 | $23.82 | $31.76 | |
| $9.24 | $18.46 | $27.70 | $36.94 | ||
| $9.58 | $19.16 | $28.74 | $38.32 | ||
| $10.88 | $21.74 | $32.62 | $43.48 | ||
| 65–69 | $9.44 | $18.88 | $28.32 | $37.76 | |
| $11.00 | $21.98 | $32.96 | $43.94 | ||
| $11.40 | $22.80 | $34.20 | $45.60 | ||
| $12.96 | $25.90 | $38.84 | $51.80 | ||
| 70+ | $12.58 | $25.16 | $37.74 | $50.32 | |
| $14.62 | $29.22 | $43.84 | $58.44 | ||
| $15.16 | $30.34 | $45.50 | $60.66 | ||
| $17.20 | $34.40 | $51.58 | $68.78 | ||
Tobacco-free user One tobacco user (associate) One tobacco user (spouse/partner) Two tobacco users |
|||||
1If you are enrolled in the Saver HSA Plan, your payroll deductions will be slightly lower because you are not eligible for the major organ transplant rider.
| Cost per biweekly pay period1 | |||||
| Associate + dependent child(ren) | |||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |
| under 25 | $0.58 | $1.16 | $1.74 | $2.32 | |
| $0.76 | $1.54 | $2.30 | $3.06 | ||
| 25–29 | $0.58 | $1.16 | $1.74 | $2.32 | |
| $0.76 | $1.54 | $2.30 | $3.06 | ||
| 30–34 | $0.58 | $1.16 | $1.74 | $2.32 | |
| $0.76 | $1.54 | $2.30 | $3.06 | ||
| 35–39 | $0.70 | $1.40 | $2.08 | $2.78 | |
| $0.86 | $1.72 | $2.56 | $3.42 | ||
| 40–44 | $0.98 | $1.94 | $2.92 | $3.88 | |
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| 45–49 | $1.44 | $2.86 | $4.30 | $5.74 | |
| $1.90 | $3.80 | $5.68 | $7.58 | ||
| 50–54 | $2.26 | $4.54 | $6.80 | $9.06 | |
| $3.00 | $6.00 | $9.00 | $12.00 | ||
| 55–59 | $2.94 | $5.86 | $8.80 | $11.74 | |
| $3.90 | $7.80 | $11.70 | $15.60 | ||
| 60–64 | $3.70 | $7.40 | $11.08 | $14.78 | |
| $5.00 | $9.98 | $14.96 | $19.94 | ||
| 65–69 | $4.36 | $8.74 | $13.10 | $17.46 | |
| $5.92 | $11.82 | $17.74 | $23.64 | ||
| 70+ | $5.76 | $11.50 | $17.24 | $23.00 | |
| $7.78 | $15.56 | $23.34 | $31.12 | ||
Tobacco-free user Tobacco user |
|||||
1If you are enrolled in the Saver HSA Plan, your payroll deductions will be slightly lower because you are not eligible for the major organ transplant rider.
| Cost per biweekly pay period1 | |||||
| Associate + family | |||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |
| under 25 | $1.04 | $2.08 | $3.12 | $4.16 | |
| $1.24 | $2.46 | $3.68 | $4.90 | ||
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| $1.44 | $2.86 | $4.30 | $5.74 | ||
| 25–29 | $1.04 | $2.08 | $3.12 | $4.16 | |
| $1.24 | $2.46 | $3.68 | $4.90 | ||
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| $1.44 | $2.86 | $4.30 | $5.74 | ||
| 30–34 | $1.04 | $2.08 | $3.12 | $4.16 | |
| $1.24 | $2.46 | $3.68 | $4.90 | ||
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| $1.44 | $2.86 | $4.30 | $5.74 | ||
| 35–39 | $1.30 | $2.60 | $3.88 | $5.18 | |
| $1.46 | $2.92 | $4.36 | $5.82 | ||
| $1.50 | $3.00 | $4.50 | $6.00 | ||
| $1.66 | $3.34 | $5.00 | $6.66 | ||
| 40–44 | $1.92 | $3.84 | $5.76 | $7.66 | |
| $2.20 | $4.40 | $6.58 | $8.78 | ||
| $2.24 | $4.48 | $6.72 | $8.96 | ||
| $2.52 | $5.04 | $7.56 | $10.06 | ||
| 45–49 | $2.94 | $5.86 | $8.80 | $11.74 | |
| $3.40 | $6.80 | $10.18 | $13.58 | ||
| $3.52 | $7.02 | $10.54 | $14.04 | ||
| $3.98 | $7.94 | $11.92 | $15.88 | ||
| 50–54 | $4.84 | $9.66 | $14.48 | $19.30 | |
| $5.56 | $11.14 | $16.70 | $22.26 | ||
| $5.76 | $11.50 | $17.24 | $23.00 | ||
| $6.50 | $12.98 | $19.46 | $25.94 | ||
| 55–59 | $6.40 | $12.80 | $19.18 | $25.58 | |
| $7.36 | $14.74 | $22.10 | $29.46 | ||
| $7.62 | $15.24 | $22.86 | $30.46 | ||
| $8.60 | $17.18 | $25.76 | $34.34 | ||
| 60–64 | $8.14 | $16.26 | $24.38 | $32.50 | |
| $9.42 | $18.84 | $28.26 | $37.66 | ||
| $9.76 | $19.54 | $29.30 | $39.06 | ||
| $11.06 | $22.12 | $33.16 | $44.22 | ||
| 65–69 | $9.64 | $19.26 | $28.88 | $38.50 | |
| $11.18 | $22.34 | $33.52 | $44.68 | ||
| $11.60 | $23.18 | $34.76 | $46.34 | ||
| $13.14 | $26.26 | $39.40 | $52.54 | ||
| 70+ | $12.76 | $25.54 | $38.30 | $51.06 | |
| $14.80 | $29.60 | $44.38 | $59.18 | ||
| $15.36 | $30.70 | $46.04 | $61.40 | ||
| $17.38 | $34.76 | $52.14 | $69.52 | ||
Tobacco-free user One tobacco user (associate) One tobacco user (spouse/partner) Two tobacco users |
|||||
1If you are enrolled in the Saver HSA Plan, your payroll deductions will be slightly lower because you are not eligible for the major organ transplant rider.
Accidental death and dismemberment insurance (AD&D)
| Cost per biweekly pay period | ||||||||||
| Coverage | All eligible associates | Management and FT drivers only | ||||||||
| $25,000 | $50,000 | $75,000 | $100,000 | $150,000 | $200,000 | $300k | $500k | $750k | $1M | |
| Associate only | $0.18 | $0.37 | $0.55 | $0.74 | $1.10 | $1.47 | $2.21 | $3.68 | $5.52 | $7.36 |
| Associate + dependent(s) | $0.37 | $0.74 | $1.10 | $1.47 | $2.21 | $2.95 | $4.42 | $7.36 | $11.05 | $14.73 |
Accident insurance
| Cost per biweekly pay period | |
| Coverage | Rate |
| Associate only | $0.68 |
| Associate + spouse/partner | $1.28 |
| Associate + child(ren) | $1.34 |
| Associate + family | $1.80 |
| Kaiser Hawaii | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $759.68 | $1,117.17 |
| Associate + spouse/partner | $1,823.22 | $2,681.21 |
| Associate + child(ren) | $1,443.38 | $2,122.62 |
| Associate + family | $2,506.93 | $3,686.66 |
Short-term disability enhanced insurance
| Cost per biweekly pay period1 | |||||||||||
| Age | Payroll deduction | CO only payroll deduction | CT only payroll deduction | DC only payroll deduction | DE only payroll deduction | MA only payroll deduction | MN only payroll deduction | NY only payroll deduction | OR only payroll deduction | WA only payroll deduction | |
| under 25 | $0.14 | $0.04 | $0.06 | $0.07 | $0.09 | $0.03 | $0.07 | $0.23 | $0.05 | $0.04 | |
| 25–29 | $0.14 | $0.04 | $0.06 | $0.07 | $0.09 | $0.03 | $0.07 | $0.30 | $0.05 | $0.04 | |
| 30–34 | $0.14 | $0.04 | $0.06 | $0.07 | $0.09 | $0.03 | $0.07 | $0.32 | $0.05 | $0.04 | |
| 35–39 | $0.14 | $0.04 | $0.06 | $0.07 | $0.09 | $0.03 | $0.07 | $0.36 | $0.05 | $0.04 | |
| 40–44 | $0.15 | $0.04 | $0.06 | $0.08 | $0.09 | $0.03 | $0.07 | $0.30 | $0.05 | $0.05 | |
| 45–49 | $0.18 | $0.05 | $0.07 | $0.09 | $0.11 | $0.03 | $0.08 | $0.30 | $0.06 | $0.05 | |
| 50–54 | $0.22 | $0.06 | $0.09 | $0.11 | $0.14 | $0.04 | $0.10 | $0.44 | $0.08 | $0.07 | |
| 55–59 | $0.25 | $0.07 | $0.11 | $0.13 | $0.16 | $0.05 | $0.12 | $0.50 | $0.09 | $0.08 | |
| 60–64 | $0.30 | $0.08 | $0.13 | $0.15 | $0.19 | $0.06 | $0.14 | $0.73 | $0.10 | $0.09 | |
| 65–69 | $0.38 | $0.10 | $0.16 | $0.19 | $0.24 | $0.07 | $0.18 | $1.05 | $0.13 | $0.12 | |
| 70+ | $0.48 | $0.13 | $0.20 | $0.25 | $0.31 | $0.09 | $0.23 | $1.06 | $0.16 | $0.15 | |
| 1 Disability costs are based on your age and earnings. To find your cost, divide your pretax earnings by 100 and multiply by the payroll deduction above. | |||||||||||
Long-term and long-term enhanced disability insurance
| Cost per biweekly pay period1 | ||
| Age | LTD rate | LTD enhanced rate |
| under 25 | $0.05 | $0.08 |
| 25–29 | $0.09 | $0.14 |
| 30–34 | $0.13 | $0.21 |
| 35–39 | $0.25 | $0.37 |
| 40–44 | $0.37 | $0.57 |
| 45–49 | $0.56 | $0.85 |
| 50–54 | $0.80 | $1.17 |
| 55–59 | $0.95 | $1.37 |
| 60–64 | $1.02 | $1.54 |
| 65–69 | $0.91 | $1.40 |
| 70+ | $0.89 | $1.36 |
OTR truck driver long-term disability insurance
| Cost per biweekly pay period2 | ||
| Plan duration option | Driver LTD rate | Driver LTD enhanced rate |
| Five-year duration coverage | $1.73 | $2.59 |
| Full-duration coverage | $2.34 | $3.52 |
Medical plans available in most locations
| Premier PPO Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $39.80 | $79.60 | — |
| Associate + spouse/partner | $201.20 | $241.00 | $280.80 |
| Associate + child(ren) | $63.80 | $103.60 | — |
| Associate + family | $236.10 | $275.90 | $315.70 |
| Contribution HRA Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $112.50 | $225.00 | — |
| Associate + spouse/partner | $380.30 | $492.80 | $605.30 |
| Associate + child(ren) | $158.60 | $271.10 | — |
| Associate + family | $407.30 | $519.80 | $632.30 |
| Saver HSA Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $44.50 | $89.00 | — |
| Associate + spouse/partner | $210.70 | $255.20 | $299.70 |
| Associate + child(ren) | $69.70 | $114.20 | — |
| Associate + family | $243.30 | $287.80 | $332.30 |
| Saver HSA Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $42.80 | $85.60 | — |
| Associate + spouse/partner | $202.60 | $245.40 | $288.20 |
| Associate + child(ren) | $67.00 | $109.80 | — |
| Associate + family | $233.90 | $276.70 | $319.50 |
Medical plan available only in CA, KY, LA, MS, NJ, TN, WA, WV and certain other areas1
| Personalized Wellbeing Copay Plan | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $59.70 | $119.40 | — |
| Associate + spouse/partner | $301.80 | $361.50 | $421.20 |
| Associate + child(ren) | $95.60 | $155.30 | — |
| Associate + family | $354.00 | $413.70 | $473.40 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
1Other areas: 11244, 11582, 11882, 12079
HMO plans availble in select locations
| Health Net Salud Y Mas: California | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $70.60 | $141.20 | — |
| Associate + spouse/partner | $275.90 | $346.50 | $417.10 |
| Associate + child(ren) | $96.40 | $167.00 | — |
| Associate + family | $319.20 | $389.80 | $460.40 |
| Kaiser California High Option: North and South | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $86.50 | $173.00 | — |
| Associate + spouse/partner | $347.10 | $433.60 | $520.10 |
| Associate + child(ren) | $135.00 | $221.50 | — |
| Associate + family | $406.50 | $493.00 | $579.50 |
| Kaiser California Low Option: North and South | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $55.90 | $111.80 | — |
| Associate + spouse/partner | $208.10 | $264.00 | $319.90 |
| Associate + child(ren) | $78.90 | $134.80 | — |
| Associate + family | $233.50 | $289.40 | $345.30 |
| Kaiser of Colorado Low Option | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $69.80 | $139.60 | — |
| Associate + spouse/partner | $257.20 | $327.00 | $396.80 |
| Associate + child(ren) | $98.30 | $168.10 | — |
| Associate + family | $292.50 | $362.30 | $432.10 |
| Kaiser of Georgia Low Option | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $54.20 | $108.40 | — |
| Associate + spouse/partner | $238.90 | $293.10 | $347.30 |
| Associate + child(ren) | $80.90 | $135.10 | — |
| Associate + family | $280.10 | $334.30 | $388.50 |
| Kaiser of the Mid-Atlantic Low Option: Maryland Kaiser of the Mid-Atlantic Low Option: Virginia |
Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $86.00 | $172.00 | — |
| Associate + spouse/partner | $272.80 | $358.80 | $444.80 |
| Associate + child(ren) | $113.50 | $199.50 | — |
| Associate + family | $320.20 | $406.20 | $492.20 |
| Kaiser of Oregon High Option | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $87.60 | $175.20 | — |
| Associate + spouse/partner | $336.40 | $424.00 | $511.60 |
| Associate + child(ren) | $124.40 | $212.00 | — |
| Associate + family | $399.20 | $486.80 | $574.40 |
| Kaiser of Oregon Low Option | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $70.10 | $140.20 | — |
| Associate + spouse/partner | $259.90 | $330.00 | $400.10 |
| Associate + child(ren) | $94.60 | $164.70 | — |
| Associate + family | $306.80 | $376.90 | $447.00 |
| Kaiser Foundation Health Plan of Washington | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $43.20 | $86.40 | — |
| Associate + spouse/partner | $192.20 | $235.40 | $278.60 |
| Associate + child(ren) | $60.80 | $104.00 | — |
| Associate + family | $225.70 | $268.90 | $312.10 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
HMO Plan for U.S.-based Global Tech associates
Available in select locations.
| Kaiser California: North and South | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $58.80 | $117.60 | — |
| Associate + spouse/partner | $241.60 | $300.40 | $359.20 |
| Associate + child(ren) | $93.20 | $152.00 | — |
| Associate + family | $275.90 | $334.70 | $393.50 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
Hawaii plans
| HMSA Hawaii | Cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $73.90 | $147.80 | — |
| Associate + spouse/partner | $363.40 | $437.30 | $511.20 |
| Associate + child(ren) | $175.60 | $249.50 | — |
| Associate + family | $426.30 | $500.20 | $574.10 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
| Kaiser Hawaii | Maximum cost per biweekly pay period | ||
| Tobacco-free | One tobacco user | Two tobacco users | |
| Associate only | $64.60 | $129.20 | — |
| Associate + spouse/partner | $379.10 | $443.70 | $508.30 |
| Associate + child(ren) | $168.30 | $232.90 | — |
| Associate + family | $442.20 | $506.80 | $571.40 |
| Contribution HRA Plan | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $1,192.70 | $1,753.97 |
| Associate + spouse/partner | $2,862.47 | $4,209.51 |
| Associate + child(ren) | $2,266.12 | $3,332.54 |
| Associate + family | $3,935.89 | $5,788.08 |
Vision
| Cost per biweekly pay period | |
| Coverage | Payroll deduction |
| Associate only | $2.76 |
| Associate + spouse/partner | $5.52 |
| Associate + child(ren) | $5.52 |
| Associate + family | $8.26 |
Dental
| Cost per biweekly pay period | |
| Coverage | Payroll deduction |
| Associate only | $8.70 |
| Associate + spouse/partner | $20.90 |
| Associate + child(ren) | $20.30 |
| Associate + family | $35.40 |
Optional associate life insurance
| Cost per biweekly pay period | |||||||||||
| Associate’s age | All eligible associates | Management/OTR truck drivers only | |||||||||
| $25,000 | $50,000 | $75,000 | $100,000 | $150,000 | $200,000 | $300,000 | $500,000 | $750,000 | $1,000,000 | ||
| under 25 | $0.33 | $0.67 | $1.00 | $1.33 | $2.00 | $2.67 | $4.00 | $6.67 | $10.00 | $13.34 | |
| $0.37 | $0.74 | $1.10 | $1.47 | $2.21 | $2.94 | $4.42 | $7.36 | $11.04 | $14.72 | ||
| 25–29 | $0.37 | $0.74 | $1.10 | $1.47 | $2.21 | $2.94 | $4.42 | $7.36 | $11.04 | $14.72 | |
| $0.40 | $0.80 | $1.21 | $1.61 | $2.41 | $3.22 | $4.83 | $8.05 | $12.07 | $16.10 | ||
| 30–34 | $0.49 | $0.99 | $1.48 | $1.98 | $2.97 | $3.96 | $5.93 | $9.89 | $14.83 | $19.78 | |
| $0.56 | $1.13 | $1.69 | $2.25 | $3.38 | $4.51 | $6.76 | $11.27 | $16.90 | $22.54 | ||
| 35–39 | $0.61 | $1.22 | $1.83 | $2.44 | $3.66 | $4.88 | $7.31 | $12.19 | $18.28 | $24.38 | |
| $0.68 | $1.36 | $2.04 | $2.71 | $4.07 | $5.43 | $8.14 | $13.57 | $20.35 | $27.14 | ||
| 40–44 | $0.69 | $1.38 | $2.07 | $2.76 | $4.14 | $5.52 | $8.28 | $13.80 | $20.70 | $27.60 | |
| $0.79 | $1.59 | $2.38 | $3.17 | $4.76 | $6.35 | $9.52 | $15.87 | $23.80 | $31.74 | ||
| 45–49 | $1.07 | $2.14 | $3.21 | $4.28 | $6.42 | $8.56 | $12.83 | $21.39 | $32.08 | $42.78 | |
| $1.21 | $2.41 | $3.62 | $4.83 | $7.24 | $9.66 | $14.49 | $24.15 | $36.22 | $48.30 | ||
| 50–54 | $1.62 | $3.24 | $4.86 | $6.49 | $9.73 | $12.97 | $19.46 | $32.43 | $48.64 | $64.85 | |
| $1.86 | $3.73 | $5.59 | $7.45 | $11.18 | $14.90 | $22.35 | $37.26 | $55.89 | $74.51 | ||
| 55–59 | $3.01 | $6.03 | $9.04 | $12.05 | $18.08 | $24.10 | $36.15 | $60.25 | $90.38 | $120.51 | |
| $3.45 | $6.90 | $10.35 | $13.80 | $20.70 | $27.60 | $41.40 | $68.99 | $103.49 | $137.99 | ||
| 60–64 | $4.48 | $8.97 | $13.45 | $17.94 | $26.91 | $35.88 | $53.82 | $89.69 | $134.54 | $179.38 | |
| $5.13 | $10.26 | $15.39 | $20.51 | $30.77 | $41.03 | $61.54 | $102.57 | $153.86 | $205.14 | ||
| 65–69 | $8.39 | $16.79 | $25.18 | $33.58 | $50.37 | $67.15 | $100.73 | $167.89 | $251.83 | $335.77 | |
| $11.21 | $22.42 | $33.63 | $44.85 | $67.27 | $89.69 | $134.54 | $224.23 | $336.34 | $448.46 | ||
| 70+ | $13.06 | $26.13 | $39.19 | $52.25 | $78.38 | $104.50 | $156.75 | $261.26 | $391.89 | $522.51 | |
| $17.41 | $34.82 | $52.23 | $69.64 | $104.46 | $139.28 | $208.91 | $348.19 | $522.28 | $696.38 | ||
|
Tobacco-free user Tobacco user Tobacco-free user Tobacco user |
|||||||||||
Optional spouse/partner life insurance1
| Cost per biweekly pay period | |||||||||||
| Associate’s age | $5,000 | $15,000 | $25,000 | $50,000 | $75,000 | $100,000 | $150,000 | $200,000 | |||
| under 25 | $0.17 | $0.51 | $0.85 | $1.70 | $2.55 | $3.40 | $5.11 | $6.81 | |||
| $0.20 | $0.59 | $0.99 | $1.98 | $2.97 | $3.96 | $5.93 | $7.91 | ||||
| 25–29 | $0.20 | $0.61 | $1.01 | $2.02 | $3.04 | $4.05 | $6.07 | $8.10 | |||
| $0.23 | $0.68 | $1.13 | $2.25 | $3.38 | $4.51 | $6.76 | $9.02 | ||||
| 30–34 | $0.27 | $0.81 | $1.36 | $2.71 | $4.07 | $5.43 | $8.14 | $10.86 | |||
| $0.30 | $0.90 | $1.51 | $3.01 | $4.52 | $6.03 | $9.04 | $12.05 | ||||
| 35–39 | $0.30 | $0.91 | $1.52 | $3.04 | $4.55 | $6.07 | $9.11 | $12.14 | |||
| $0.34 | $1.01 | $1.68 | $3.36 | $5.04 | $6.72 | $10.07 | $13.43 | ||||
| 40–44 | $0.34 | $1.01 | $1.68 | $3.36 | $5.04 | $6.72 | $10.07 | $13.43 | |||
| $0.37 | $1.12 | $1.87 | $3.75 | $5.62 | $7.50 | $11.25 | $14.99 | ||||
| 45–49 | $0.50 | $1.51 | $2.52 | $5.04 | $7.55 | $10.07 | $15.11 | $20.15 | |||
| $0.59 | $1.76 | $2.93 | $5.86 | $8.80 | $11.73 | $17.59 | $23.46 | ||||
| 50–54 | $0.78 | $2.33 | $3.88 | $7.75 | $11.63 | $15.50 | $23.25 | $31.00 | |||
| $0.90 | $2.70 | $4.50 | $8.99 | $13.49 | $17.98 | $26.98 | $35.97 | ||||
| 55–59 | $1.45 | $4.35 | $7.24 | $14.49 | $21.73 | $28.98 | $43.47 | $57.95 | |||
| $1.76 | $5.27 | $8.79 | $17.57 | $26.36 | $35.14 | $52.71 | $70.28 | ||||
| 60–64 | $2.22 | $6.67 | $11.12 | $22.24 | $33.36 | $44.48 | $66.72 | $88.96 | |||
| $2.81 | $8.42 | $14.04 | $28.08 | $42.12 | $56.16 | $84.24 | $112.32 | ||||
| 65–69 | $4.28 | $12.84 | $21.40 | $42.80 | $64.20 | $85.60 | $128.40 | $171.20 | |||
| $5.62 | $16.86 | $28.09 | $56.18 | $84.28 | $112.37 | $168.55 | $224.74 | ||||
| 70+ | $6.94 | $20.83 | $34.72 | $69.43 | $104.15 | $138.86 | $208.29 | $277.72 | |||
| $9.12 | $27.35 | $45.58 | $91.16 | $136.75 | $182.33 | $273.49 | $364.66 | ||||
|
Tobacco-free user Tobacco user |
|||||||||||
1Spouse/partner life insurance is based on associate’s age.
Optional dependent life insurance – child(ren)
| Cost per biweekly pay period | |
| Coverage | Payroll deduction |
| $5,000 per dependent | $0.31 |
| $10,000 per dependent | $0.63 |
| $20,000 per dependent | $1.25 |
| Kaiser Hawaii | Your monthly cost | |
| COBRA1 | COBRA Disability2 | |
| Associate only | $759.68 | $1,117.17 |
| Associate + spouse/partner | $1,823.22 | $2,681.21 |
| Associate + child(ren) | $1,443.38 | $2,122.62 |
| Associate + family | $2,506.93 | $3,686.66 |
Critical illness
| Cost per biweekly pay period1 | |||||
| Associate only | |||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |
| under 25 | $0.40 | $0.80 | $1.18 | $1.58 | |
| $0.58 | $1.16 | $1.74 | $2.32 | ||
| 25–29 | $0.40 | $0.80 | $1.18 | $1.58 | |
| $0.58 | $1.16 | $1.74 | $2.32 | ||
| 30–34 | $0.40 | $0.80 | $1.18 | $1.58 | |
| $0.58 | $1.16 | $1.74 | $2.32 | ||
| 35–39 | $0.52 | $1.02 | $1.54 | $2.04 | |
| $0.68 | $1.34 | $2.02 | $2.68 | ||
| 40–44 | $0.80 | $1.58 | $2.36 | $3.14 | |
| $1.06 | $2.14 | $3.20 | $4.26 | ||
| 45–49 | $1.26 | $2.50 | $3.74 | $5.00 | |
| $1.72 | $3.42 | $5.14 | $6.84 | ||
| 50–54 | $2.08 | $4.16 | $6.24 | $8.32 | |
| $2.82 | $5.64 | $8.46 | $11.26 | ||
| 55–59 | $2.76 | $5.50 | $8.24 | $11.00 | |
| $3.72 | $7.44 | $11.16 | $14.86 | ||
| 60–64 | $3.52 | $7.02 | $10.54 | $14.04 | |
| $4.80 | $9.60 | $14.40 | $19.20 | ||
| 65–69 | $4.18 | $8.36 | $12.54 | $16.72 | |
| $5.74 | $11.46 | $17.18 | $22.90 | ||
| 70+ | $5.56 | $11.14 | $16.70 | $22.26 | |
| $7.60 | $15.20 | $22.78 | $30.38 | ||
|
Tobacco-free user Tobacco user |
|||||
1If you are enrolled in the Saver HSA Plan, your payroll deductions will be slightly lower because you are not eligible for the major organ transplant rider.
| Cost per biweekly pay period1 | |||||||||||
| Associate + spouse/partner | |||||||||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |||||||
| under 25 | $0.86 | $1.72 | $2.56 | $3.42 | |||||||
| $1.04 | $2.08 | $3.12 | $4.16 | ||||||||
| $1.06 | $2.14 | $3.20 | $4.26 | ||||||||
| $1.26 | $2.50 | $3.74 | $5.00 | ||||||||
| 25–29 | $0.86 | $1.72 | $2.56 | $3.42 | |||||||
| $1.04 | $2.08 | $3.12 | $4.16 | ||||||||
| $1.06 | $2.14 | $3.20 | $4.26 | ||||||||
| $1.26 | $2.50 | $3.74 | $5.00 | ||||||||
| 30–34 | $0.86 | $1.72 | $2.56 | $3.42 | |||||||
| $1.04 | $2.08 | $3.12 | $4.16 | ||||||||
| $1.06 | $2.14 | $3.20 | $4.26 | ||||||||
| $1.26 | $2.50 | $3.74 | $5.00 | ||||||||
| 35–39 | $1.12 | $2.22 | $3.34 | $4.44 | |||||||
| $1.28 | $2.54 | $3.82 | $5.08 | ||||||||
| $1.32 | $2.64 | $3.96 | $5.26 | ||||||||
| $1.48 | $2.96 | $4.44 | $5.92 | ||||||||
| 40–44 | $1.74 | $3.46 | $5.20 | $6.94 | |||||||
| $2.02 | $4.02 | $6.04 | $8.04 | ||||||||
| $2.06 | $4.12 | $6.16 | $8.22 | ||||||||
| $2.34 | $4.66 | $7.00 | $9.34 | ||||||||
| 45–49 | $2.76 | $5.50 | $8.24 | $11.00 | |||||||
| $3.22 | $6.42 | $9.64 | $12.84 | ||||||||
| $3.34 | $6.66 | $9.98 | $13.30 | ||||||||
| $3.80 | $7.58 | $11.36 | $15.14 | ||||||||
| 50–54 | $4.64 | $9.28 | $13.92 | $18.56 | |||||||
| $5.38 | $10.76 | $16.14 | $21.52 | ||||||||
| $5.56 | $11.14 | $16.70 | $22.26 | ||||||||
| $6.30 | $12.60 | $18.90 | $25.20 | ||||||||
| 55–59 | $6.22 | $12.42 | $18.64 | $24.84 | |||||||
| $7.18 | $14.36 | $21.54 | $28.72 | ||||||||
| $7.44 | $14.86 | $22.30 | $29.74 | ||||||||
| $8.40 | $16.80 | $25.20 | $33.60 | ||||||||
| 60–64 | $7.94 | $15.88 | $23.82 | $31.76 | |||||||
| $9.24 | $18.46 | $27.70 | $36.94 | ||||||||
| $9.58 | $19.16 | $28.74 | $38.32 | ||||||||
| $10.88 | $21.74 | $32.62 | $43.48 | ||||||||
| 65–69 | $9.44 | $18.88 | $28.32 | $37.76 | |||||||
| $11.00 | $21.98 | $32.96 | $43.94 | ||||||||
| $11.40 | $22.80 | $34.20 | $45.60 | ||||||||
| $12.96 | $25.90 | $38.84 | $51.80 | ||||||||
| 70+ | $12.58 | $25.16 | $37.74 | $50.32 | |||||||
| $14.62 | $29.22 | $43.84 | $58.44 | ||||||||
| $15.16 | $30.34 | $45.50 | $60.66 | ||||||||
| $17.20 | $34.40 | $51.58 | $68.78 | ||||||||
|
Tobacco-free user One tobacco user (associate) One tobacco user (spouse/partner) Two tobacco users |
|||||||||||
1If you are enrolled in the Saver HSA Plan, your payroll deductions will be slightly lower because you are not eligible for the major organ transplant rider.
| Cost per biweekly pay period1 | |||||
| Associate + dependent child(ren) | |||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |
| under 25 | $0.58 | $1.16 | $1.74 | $2.32 | |
| $0.76 | $1.54 | $2.30 | $3.06 | ||
| 25–29 | $0.58 | $1.16 | $1.74 | $2.32 | |
| $0.76 | $1.54 | $2.30 | $3.06 | ||
| 30–34 | $0.58 | $1.16 | $1.74 | $2.32 | |
| $0.76 | $1.54 | $2.30 | $3.06 | ||
| 35–39 | $0.70 | $1.40 | $2.08 | $2.78 | |
| $0.86 | $1.72 | $2.56 | $3.42 | ||
| 40–44 | $0.98 | $1.94 | $2.92 | $3.88 | |
| $1.26 | $2.50 | $3.74 | $5.00 | ||
| 45–49 | $1.44 | $2.86 | $4.30 | $5.74 | |
| $1.90 | $3.80 | $5.68 | $7.58 | ||
| 50–54 | $2.26 | $4.54 | $6.80 | $9.06 | |
| $3.00 | $6.00 | $9.00 | $12.00 | ||
| 55–59 | $2.94 | $5.86 | $8.80 | $11.74 | |
| $3.90 | $7.80 | $11.70 | $15.60 | ||
| 60–64 | $3.70 | $7.40 | $11.08 | $14.78 | |
| $5.00 | $9.98 | $14.96 | $19.94 | ||
| 65–69 | $4.36 | $8.74 | $13.10 | $17.46 | |
| $5.92 | $11.82 | $17.74 | $23.64 | ||
| 70+ | $5.76 | $11.50 | $17.24 | $23.00 | |
| $7.78 | $15.56 | $23.34 | $31.12 | ||
|
Tobacco-free user Tobacco user |
|||||
| Cost per biweekly pay period1 | |||||||||||
| Associate + family | |||||||||||
| Associate’s age | $5,000 | $10,000 | $15,000 | $20,000 | |||||||
| under 25 | $1.04 | $2.08 | $3.12 | $4.16 | |||||||
| $1.24 | $2.46 | $3.68 | $4.90 | ||||||||
| $1.26 | $2.50 | $3.74 | $5.00 | ||||||||
| $1.44 | $2.86 | $4.30 | $5.74 | ||||||||
| 25–29 | $1.04 | $2.08 | $3.12 | $4.16 | |||||||
| $1.24 | $2.46 | $3.68 | $4.90 | ||||||||
| $1.26 | $2.50 | $3.74 | $5.00 | ||||||||
| $1.44 | $2.86 | $4.30 | $5.74 | ||||||||
| 30–34 | $1.04 | $2.08 | $3.12 | $4.16 | |||||||
| $1.24 | $2.46 | $3.68 | $4.90 | ||||||||
| $1.26 | $2.50 | $3.74 | $5.00 | ||||||||
| $1.44 | $2.86 | $4.30 | $5.74 | ||||||||
| 35–39 | $1.30 | $2.60 | $3.88 | $5.18 | |||||||
| $1.46 | $2.92 | $4.36 | $5.82 | ||||||||
| $1.50 | $3.00 | $4.50 | $6.00 | ||||||||
| $1.66 | $3.34 | $5.00 | $6.66 | ||||||||
| 40–44 | $1.92 | $3.84 | $5.76 | $7.66 | |||||||
| $2.20 | $4.40 | $6.58 | $8.78 | ||||||||
| $2.24 | $4.48 | $6.72 | $8.96 | ||||||||
| $2.52 | $5.04 | $7.56 | $10.06 | ||||||||
| 45–49 | $2.94 | $5.86 | $8.80 | $11.74 | |||||||
| $3.40 | $6.80 | $10.18 | $13.58 | ||||||||
| $3.52 | $7.02 | $10.54 | $14.04 | ||||||||
| $3.98 | $7.94 | $11.92 | $15.88 | ||||||||
| 50–54 | $4.84 | $9.66 | $14.48 | $19.30 | |||||||
| $5.56 | $11.14 | $16.70 | $22.26 | ||||||||
| $5.76 | $11.50 | $17.24 | $23.00 | ||||||||
| $6.50 | $12.98 | $19.46 | $25.94 | ||||||||
| 55–59 | $6.40 | $12.80 | $19.18 | $25.58 | |||||||
| $7.36 | $14.74 | $22.10 | $29.46 | ||||||||
| $7.62 | $15.24 | $22.86 | $30.46 | ||||||||
| $8.60 | $17.18 | $25.76 | $34.34 | ||||||||
| 60–64 | $8.14 | $16.26 | $24.38 | $32.50 | |||||||
| $9.42 | $18.84 | $28.26 | $37.66 | ||||||||
| $9.76 | $19.54 | $29.30 | $39.06 | ||||||||
| $11.06 | $22.12 | $33.16 | $44.22 | ||||||||
| 65–69 | $9.64 | $19.26 | $28.88 | $38.50 | |||||||
| $11.18 | $22.34 | $33.52 | $44.68 | ||||||||
| $11.60 | $23.18 | $34.76 | $46.34 | ||||||||
| $13.14 | $26.26 | $39.40 | $52.54 | ||||||||
| 70+ | $12.76 | $25.54 | $38.30 | $51.06 | |||||||
| $14.80 | $29.60 | $44.38 | $59.18 | ||||||||
| $15.36 | $30.70 | $46.04 | $61.40 | ||||||||
| $17.38 | $34.76 | $52.14 | $69.52 | ||||||||
|
Tobacco-free user One tobacco user (associate) One tobacco user (spouse/partner) Two tobacco users |
|||||||||||
1If you are enrolled in the Saver HSA Plan, your payroll deductions will be slightly lower because you are not eligible for the major organ transplant rider.
Accidental death and dismemberment insurance (AD&D)
| Cost per biweekly pay period | ||||||||||
| Coverage | All eligible associates | Management and OTR full-time truck drivers only | ||||||||
| $25,000 | $50,000 | $75,000 | $100,000 | $150,000 | $200,000 | $300k | $500k | $750k | $1M | |
| Associate only | $0.18 | $0.37 | $0.55 | $0.74 | $1.10 | $1.47 | $2.21 | $3.68 | $5.52 | $7.36 |
| Associate + dependent(s) | $0.37 | $0.74 | $1.10 | $1.47 | $2.21 | $2.95 | $4.42 | $7.36 | $11.05 | $14.73 |
Accident insurance
| Cost per biweekly pay period | |
| Coverage | Payroll deduction |
| Associate only | $0.68 |
| Associate + spouse/partner | $1.28 |
| Associate + child(ren) | $1.34 |
| Associate + family | $1.80 |
Short-term disability enhanced insurance
| Cost per biweekly pay period1 | |||||||||||
| Age | Payroll deduction | CO only payroll deduction | CT only payroll deduction | DC only payroll deduction | DE only payroll deduction | MA only payroll deduction | ME only payroll deduction | MN only payroll deduction | NY only payroll deduction | OR only payroll deduction | WA only payroll deduction |
| under 25 | $0.13 | $0.04 | $0.05 | $0.07 | $0.09 | $0.02 | $0.04 | $0.07 | $0.23 | $0.04 | $0.04 |
| 25–29 | $0.13 | $0.04 | $0.05 | $0.07 | $0.09 | $0.02 | $0.04 | $0.07 | $0.30 | $0.04 | $0.04 |
| 30–34 | $0.13 | $0.04 | $0.05 | $0.07 | $0.09 | $0.02 | $0.04 | $0.07 | $0.32 | $0.04 | $0.04 |
| 35–39 | $0.13 | $0.04 | $0.05 | $0.07 | $0.09 | $0.02 | $0.04 | $0.07 | $0.36 | $0.04 | $0.04 |
| 40–44 | $0.14 | $0.04 | $0.05 | $0.08 | $0.09 | $0.03 | $0.04 | $0.07 | $0.30 | $0.05 | $0.04 |
| 45–49 | $0.17 | $0.04 | $0.06 | $0.09 | $0.11 | $0.03 | $0.05 | $0.08 | $0.30 | $0.06 | $0.05 |
| 50–54 | $0.21 | $0.06 | $0.08 | $0.11 | $0.14 | $0.04 | $0.06 | $0.10 | $0.44 | $0.07 | $0.06 |
| 55–59 | $0.24 | $0.06 | $0.09 | $0.13 | $0.16 | $0.04 | $0.07 | $0.12 | $0.50 | $0.08 | $0.07 |
| 60–64 | $0.29 | $0.08 | $0.11 | $0.15 | $0.19 | $0.05 | $0.08 | $0.14 | $0.73 | $0.10 | $0.08 |
| 65–69 | $0.36 | $0.10 | $0.14 | $0.19 | $0.24 | $0.07 | $0.10 | $0.18 | $1.05 | $0.12 | $0.10 |
| 70+ | $0.46 | $0.12 | $0.17 | $0.25 | $0.31 | $0.08 | $0.13 | $0.23 | $1.06 | $0.15 | $0.13 |
| 1 Disability costs are based on your age and earnings. To find your cost, divide your pretax earnings by 100 and multiply by the payroll deduction above. | |||||||||||
Long-term and long-term enhanced disability insurance
| Cost per biweekly pay period1 | ||
| Age | LTD payroll deduction | LTD enhanced payroll deduction |
| under 25 | $0.05 | $0.08 |
| 25–29 | $0.09 | $0.14 |
| 30–34 | $0.13 | $0.21 |
| 35–39 | $0.25 | $0.37 |
| 40–44 | $0.37 | $0.57 |
| 45–49 | $0.56 | $0.85 |
| 50–54 | $0.80 | $1.17 |
| 55–59 | $0.95 | $1.37 |
| 60–64 | $1.02 | $1.54 |
| 65–69 | $0.91 | $1.40 |
| 70+ | $0.89 | $1.36 |
OTR truck driver long-term disability insurance
| Cost per biweekly pay period2 | ||
| Plan duration option | Driver LTD rate | Driver LTD enhanced rate |
| Five-year duration coverage | $1.73 | $2.59 |
| Full-duration coverage | $2.34 | $3.52 |
This page provides information about certain Walmart benefits. This information does not automatically entitle you to the benefits described and nothing on this page creates an express or implied contract of employment or other contractual commitment. Every effort has been made to ensure the accuracy of this information. However, if there are discrepancies between this information provided on this page and the official plan or program documents, the official plan or program document will control.
For information about most health and welfare benefits, eligibility, the 401(k) Plan and the Associate Stock Purchase Plan, see the Associate Benefits Book. It will control over any conflicting information on this page. For information about other benefits, see One.Walmart.com/Me.
Walmart, and where applicable, the plan's fiduciary, retains the discretion to interpret the terms and language used on this page according to the provisions of the plan or program documents. Walmart also reserves the right to amend or terminate any benefit plan or policy in its sole discretion at any time for any reason.