Below are associate costs for medical, dental and vision
care plan options. Please remember if you have a non-IRS qualified domestic
partner, the portion of the benefits that are attributed to your domestic
partner are taxed, and the portion of your contribution attributed to
your domestic partner is deducted post-tax.
To determine sales associates' contribution level, compensation
includes base pay and the prior two full year's commissions and/or sales
bonuses.
Costs shown are per pay period.
|
Medical
Plan
Tier Level
|
Full-Time Associates
Base Salary $25,000/year
or less*
|
Full-Time Associates
Base Salary Between $25,001
and $99,999/year
|
Full-Time
Associates-Base
Salary $100,000/year and above
|
Part-Time
Associates (20-37.4 hrs/week)
|
|
Weekly
Paid Hourly Associate Per
Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions
|
Weekly
Paid Hourly Associate Per
Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions |
Bi-Weekly
Per Pay Period EE Contributions
|
| BCBS
Traditional PPO |
| Individual |
$16.40
|
$32.79
|
$17.82
|
$35.64
|
$42.78
|
$52.18
|
| Individual+1 |
$51.65
|
$103.29
|
$56.14
|
$112.27
|
$125.75
|
$138.32
|
| Family |
$63.30
|
$126.61
|
$68.81
|
$137.62
|
$154.13
|
$169.55
|
| BCBS Health Choice Savings (Consumer
Driven Health Plan with Health Savings Account HSA) |
| Individual |
$9.32
|
$18.64
|
$10.13
|
$20.26
|
$22.69
|
$24.96
|
| Individual+1 |
$32.50
|
$65.00
|
$35.33
|
$70.65
|
$79.13
|
$87.05
|
| Family |
$41.77
|
$83.53
|
$45.40
|
$90.80
|
$101.70
|
$111.86
|
|
Dental
Plan
Tier Level
|
Full-Time Associates
Base Salary $25,000/year
or less*
|
Full-Time Associates
Base Salary Between $25,001
and $99,999/year
|
Full-Time
Associates-Base
Salary $100,000/year and above
|
Part-Time
Associates (20-37.4 hrs/week)
|
|
Weekly
Paid Hourly Associate Per
Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions
|
Weekly
Paid Hourly Associate Per
Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions
|
Bi-Weekly Per
Pay Period EE Contributions
|
| Cigna Dental DMO |
| Individual |
$ .74
|
$1.47
|
$.74
|
$1.74
|
$1.47
|
$2.87
|
| Individual+1 |
$1.28
|
$2.56
|
$1.28
|
$2.56
|
$2.56
|
$5.00
|
| Family |
$2.29
|
$4.58
|
$2.29
|
$4.58
|
$4.58
|
$8.94
|
| Cigna Dental Basic PPO |
| Individual |
$1.62
|
$3.23
|
$1.62
|
$3.23
|
$3.23
|
$5.97
|
| Individual+1 |
$3.06
|
$6.12
|
$3.06
|
$6.12
|
$6.12
|
$11.35
|
| Family |
$5.32
|
$10.64
|
$5.32
|
$10.64
|
$10.64
|
$19.71
|
| Cigna Dental Buy-up PPO |
| Individual |
$3.72
|
$7.44
|
$3.72
|
$7.44
|
$7.44
|
$8.68
|
| Individual+1 |
$7.06
|
$14.13
|
$7.06
|
$14.13
|
$14.13
|
$16.49
|
| Family |
$12.26
|
$24.53
|
$12.26
|
$24.53
|
$24.53
|
$28.64
|
|
Vision Plan
Tier Level
|
Full-Time Associates
Base Salary $25,000/year
or less*
|
Full-Time Associates
Base Salary Between $25,001
and $99,999/year
|
Full-Time
Associates-Base
Salary $100,000/year and above
|
Part-Time
Associates (20-37.4 hrs/week)
|
|
Weekly
Paid Hourly Associate Per
Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions)
|
Weekly
Paid Hourly Associate Per
Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions
|
Bi-Weekly
Per Pay Period EE Contributions |
Bi-Weekly Per
Pay Period EE Contributions
|
| EyeMed Vision |
| Individual |
$1.42
|
$2.85
|
$1.42
|
$2.85
|
$2.85
|
$2.85
|
| Individual+1 |
$2.85
|
$5.71
|
$2.85
|
$5.71
|
$5.71
|
$5.71
|
| Family |
$4.59
|
$9.19
|
$4.59
|
$9.19
|
$9.19
|
$9.19
|