Medical premiums are deducted pre-tax from your pay semi-monthly, except for premiums for domestic partners and their children, which are deducted after-tax.
The amount you save as a LifeForce participant will be credited to your pay and reflected as a medical credit in your pay.
$500 PPO Plans
Aetna broad network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$98.02
$20.11
$33.30
$44.59
$49.50
$50,000-124,999
$115.32
$23.66
$39.18
$52.47
$58.24
>$125,000
$132.63
$27.22
$45.07
$60.35
$66.99
Teammate and spouse
or domestic partner
$0-49,999
$292.94
$44.02
$90.75
$106.77
$121.42
$50,000-124,999
$344.64
$51.79
$106.78
$125.62
$142.85
>$125,000
$396.33
$59.56
$122.78
$144.46
$164.27
Teammate and child(ren)
or domestic partner's child(ren)
$0-49,999
$237.60
$33.47
$57.87
$77.31
$89.19
$50,000-124,999
$279.54
$39.38
$68.10
$90.96
$104.94
>$125,000
$321.47
$45.28
$78.31
$104.60
$120.67
Family
$0-49,999
$482.84
$65.33
$108.43
$142.11
$166.24
$50,000-124,999
$568.04
$76.85
$127.55
$167.18
$195.57
>$125,000
$653.25
$88.38
$146.69
$192.25
$224.91
Aetna narrow network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$76.86
$10.54
$23.25
$33.97
$37.83
$50,000-124,999
$90.43
$12.41
$27.36
$39.98
$44.51
>$125,000
$103.99
$14.26
$31.47
$45.97
$51.17
Teammate and spouse or domestic partner
$0-49,999
$266.92
$49.70
$86.21
$101.01
$114.35
$50,000-124,999
$314.02
$58.47
$101.42
$118.83
$134.53
>$125,000
$361.13
$67.25
$116.65
$136.67
$154.72
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$212.29
$27.90
$51.47
$69.89
$80.50
$50,000-124,999
$249.75
$32.82
$60.55
$82.22
$94.71
>$125,000
$287.21
$37.74
$69.64
$94.55
$108.91
Family
$0-49,999
$448.21
$61.74
$103.54
$135.56
$157.97
$50,000-124,999
$527.31
$72.63
$121.82
$159.49
$185.85
>$125,000
$606.40
$83.52
$140.09
$183.41
$213.72
$1,500 Upfront Advantage plans
Aetna broad network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$85.30
$17.50
$28.98
$38.81
$43.07
$50,000-124,999
$100.36
$20.60
$34.10
$45.66
$50.68
>$125,000
$115.41
$23.68
$39.21
$52.51
$58.28
Teammate and spouse or domestic partner
$0-49,999
$234.94
$48.20
$79.82
$106.89
$118.63
$50,000-124,999
$276.42
$56.74
$93.92
$125.76
$139.59
>$125,000
$317.87
$65.22
$107.99
$144.62
$160.52
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$179.12
$36.75
$60.86
$81.50
$90.44
$50,000-124,999
$210.74
$43.26
$71.60
$95.88
$106.42
>$125,000
$242.34
$49.72
$82.33
$110.26
$122.38
Family
$0-49,999
$383.85
$78.75
$130.41
$174.64
$193.81
$50,000-124,999
$451.62
$92.70
$153.45
$205.47
$228.06
>$125,000
$519.35
$106.56
$176.45
$236.30
$262.26
Aetna narrow network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$66.88
$9.17
$20.23
$29.56
$32.91
$50,000-124,999
$78.69
$10.79
$23.81
$34.79
$38.73
>$125,000
$90.50
$12.41
$27.39
$40.01
$44.54
Teammate and spouse or domestic partner
$0-49,999
$184.21
$25.26
$55.72
$81.42
$90.65
$50,000-124,999
$216.74
$29.72
$65.58
$95.83
$106.68
>$125,000
$249.26
$34.18
$75.44
$110.20
$122.67
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$140.44
$19.26
$42.48
$62.07
$69.11
$50,000-124,999
$165.24
$22.66
$50.00
$73.06
$81.33
>$125,000
$190.04
$26.06
$57.52
$84.02
$93.53
Family
$0-49,999
$300.96
$41.26
$91.03
$133.02
$148.09
$50,000-124,999
$354.11
$48.56
$107.15
$156.56
$174.29
>$125,000
$407.25
$55.84
$123.25
$180.04
$200.43
$250 ACO Plan
Aetna narrow network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$74.46
$7.44
$17.74
$27.34
$31.06
$50,000-124,999
$87.60
$8.76
$20.87
$32.16
$36.54
>$125,000
$100.75
$10.09
$24.02
$36.99
$42.02
Teammate and spouse or domestic partner
$0-49,999
$218.93
$15.33
$45.37
$65.67
$76.63
$50,000-124,999
$257.57
$18.04
$53.38
$77.27
$90.15
>$125,000
$296.20
$20.74
$61.39
$88.85
$103.67
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$175.21
$12.27
$29.80
$47.31
$56.07
$50,000-124,999
$206.12
$14.42
$35.05
$55.65
$65.96
>$125,000
$237.03
$16.58
$40.30
$63.99
$75.84
Family
$0-49,999
$371.69
$23.35
$60.80
$90.77
$109.35
$50,000-124,999
$437.29
$27.47
$71.54
$106.79
$128.65
>$125,000
$502.88
$31.59
$82.27
$122.81
$147.94
$2,500 HDHP Plans
Aetna broad network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$67.97
$32.89
$39.96
$47.12
$50.52
$50,000-124,999
$79.97
$38.70
$47.02
$55.44
$59.44
>$125,000
$91.97
$44.51
$54.08
$63.76
$68.36
Teammate and spouse or domestic partner
$0-49,999
$156.86
$32.79
$55.06
$70.10
$77.95
$50,000-124,999
$184.54
$38.58
$64.77
$82.47
$91.70
>$125,000
$212.22
$44.37
$74.48
$94.84
$105.45
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$127.34
$28.99
$60.34
$78.41
$84.78
$50,000-124,999
$149.81
$34.10
$70.99
$92.25
$99.74
>$125,000
$172.28
$39.21
$81.64
$106.09
$114.70
Family
$0-49,999
$268.41
$60.70
$97.96
$109.18
$122.60
$50,000-124,999
$315.78
$71.42
$115.25
$128.45
$144.24
>$125,000
$363.15
$82.14
$132.54
$147.72
$165.88
Aetna narrow network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$57.48
$31.09
$37.84
$44.57
$47.44
$50,000-124,999
$67.62
$36.57
$44.51
$52.43
$55.81
>$125,000
$77.76
$42.05
$51.18
$60.29
$64.18
Teammate and spouse or domestic partner
$0-49,999
$137.86
$30.89
$52.47
$66.62
$73.51
$50,000-124,999
$162.19
$36.34
$61.73
$78.38
$86.49
>$125,000
$186.52
$41.79
$70.99
$90.14
$99.46
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$110.51
$27.31
$58.16
$75.48
$81.01
$50,000-124,999
$130.01
$32.13
$68.42
$88.80
$95.30
>$125,000
$149.51
$36.95
$78.68
$102.12
$109.59
Family
$0-49,999
$241.82
$58.13
$94.46
$104.33
$116.42
$50,000-124,999
$284.49
$68.38
$111.13
$122.74
$136.96
>$125,000
$327.16
$78.63
$127.80
$141.15
$157.50
Kaiser Permanente
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$62.01
$20.92
$29.29
$39.05
$42.15
$50,000-124,999
$72.96
$24.62
$34.47
$45.96
$49.60
>$125,000
$83.91
$28.33
$39.65
$52.86
$57.05
Teammate and spouse or domestic partner
$0-49,999
$148.47
$43.96
$61.52
$82.03
$89.45
$50,000-124,999
$174.67
$51.71
$72.38
$96.51
$105.24
>$125,000
$200.86
$59.45
$83.23
$110.97
$121.02
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$114.04
$37.66
$52.73
$70.31
$76.01
$50,000-124,999
$134.17
$44.32
$62.04
$82.72
$89.43
>$125,000
$154.29
$50.96
$71.33
$95.13
$102.84
Family
$0-49,999
$198.78
$60.68
$84.95
$113.28
$123.22
$50,000-124,999
$233.86
$71.39
$99.95
$133.26
$144.96
>$125,000
$268.94
$82.10
$114.95
$153.25
$166.70
$4,000 HDHP plans
Aetna broad network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$48.27
$29.77
$38.27
$40.77
$48.27
$50,000-124,999
$56.79
$35.03
$45.03
$47.97
$51.79
>$125,000
$65.31
$40.29
$51.79
$55.17
$59.56
Teammate and spouse or domestic partner
$0-49,999
$132.95
$33.84
$48.39
$65.19
$71.83
$50,000-124,999
$156.41
$39.81
$56.93
$76.69
$84.51
>$125,000
$179.87
$45.78
$65.47
$88.19
$97.18
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$101.36
$32.69
$58.84
$68.65
$73.72
$50,000-124,999
$119.25
$38.46
$69.23
$80.77
$86.73
>$125,000
$137.14
$44.23
$79.62
$92.89
$99.74
Family
$0-49,999
$179.12
$49.52
$66.39
$82.65
$91.61
$50,000-124,999
$210.73
$58.26
$78.11
$97.24
$107.78
>$125,000
$242.34
$67.00
$89.83
$111.83
$123.95
Aetna narrow network
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$41.19
$29.21
$33.69
$37.44
$41.19
$50,000-124,999
$48.46
$34.37
$39.64
$44.05
$45.96
>$125,000
$55.73
$39.53
$45.59
$50.66
$52.85
Teammate and spouse or domestic partner
$0-49,999
$118.97
$32.52
$46.53
$62.72
$68.67
$50,000-124,999
$139.96
$38.25
$54.74
$73.78
$80.78
>$125,000
$160.95
$43.98
$62.95
$84.84
$92.89
Teammate and child(ren) or domestic partner's child(ren)
$0-49,999
$88.91
$31.55
$57.34
$66.56
$71.01
$50,000-124,999
$104.60
$37.12
$67.46
$78.31
$83.54
>$125,000
$120.29
$42.69
$77.58
$90.06
$96.07
Family
$0-49,999
$159.15
$47.63
$63.71
$79.03
$86.98
$50,000-124,999
$187.24
$56.04
$74.96
$92.98
$102.34
>$125,000
$215.33
$64.45
$86.21
$106.93
$117.69
Kaiser EPO plan
Coverage level
Salary (BAR) band
Semi-monthly premium
LifeForce phase 2 credit
LifeForce phase 3 credit
LifeForce phase 4 credit
LifeForce phase 5 credit
Teammate only
$0-49,999
$93.40
$24.58
$36.72
$50.87
$55.54
$50,000-124,999
$109.88
$28.91
$43.19
$59.84
$65.33
>$125,000
$126.36
$33.25
$49.67
$68.82
$75.13
Teammate and spouse or domestic partner
$0-49,999
$280.10
$63.72
$89.21
$118.94
$132.94
$50,000-124,999
$329.53
$74.96
$104.95
$139.93
$156.41
>$125,000
$378.96
$86.21
$120.69
$160.91
$179.87
Teammate and child(ren) or domestic partner's child(ren)