2025 medical premiums

2025 medical premiums

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 levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 110.77$ 20.11$ 29.87$ 43.99$ 49.50
$53,000 - $136,999$ 130.32$ 23.66$ 35.14$ 51.76$ 58.24
>$137,000$ 149.87$ 27.21$ 40.41$ 59.53$ 66.98
Teammate and spouse 
or domestic partner		$0 - $52,999$ 316.15$ 31.61$ 63.42$ 94.84$ 144.63
$53,000 - $136,999$ 371.94$ 37.19$ 74.61$ 111.58$ 170.15
>$137,000$ 427.73$ 42.77$ 85.80$ 128.32$ 195.67
Teammate and child(ren)
or domestic partner's child(ren)		$0 - $52,999$ 259.27$ 25.93$ 51.85$ 77.79$ 110.86
$53,000 - $136,999$ 305.02$ 30.50$ 61.00$ 91.51$ 130.42
>$137,000$ 350.77$ 35.07$ 70.15$ 105.23$ 149.98
Family$0 - $52,999$ 530.28$ 53.03$ 106.05$ 159.08$ 213.68
$53,000 - $136,999$ 623.86$ 62.39$ 124.77$ 187.16$ 251.39
>$137,000$ 717.44$ 71.75$ 143.49$ 215.23$ 289.10

Aetna narrow network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 89.62$ 10.55$ 22.61$ 33.99$ 37.84
$53,000 - $136,999$ 105.43$ 12.41$ 26.59$ 39.98$ 44.51
>$137,000$ 121.24$ 14.27$ 30.57$ 45.97$ 51.18
Teammate and spouse or domestic partner$0 - $52,999$ 279.67$ 31.37$ 55.93$ 83.91$ 127.10
$53,000 - $136,999$ 329.02$ 36.90$ 65.80$ 98.71$ 149.53
>$137,000$ 378.37$ 42.43$ 75.67$ 113.51$ 171.96
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 234.19$ 23.42$ 46.83$ 70.26$ 102.41
$53,000 - $136,999$ 275.52$ 27.55$ 55.10$ 82.66$ 120.48
>$137,000$ 316.85$ 31.68$ 63.37$ 95.06$ 138.55
Family$0 - $52,999$ 490.87$ 49.09$ 98.18$ 147.27$ 200.63
$53,000 - $136,999$ 577.49$ 57.75$ 115.50$ 173.25$ 236.03
>$137,000$ 664.11$ 66.41$ 132.82$ 199.23$ 271.43

$1,500 Upfront Advantage plans 

Aetna broad network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 98.06$ 17.51$ 27.65$ 38.81$ 43.08
$53,000 - $136,999$ 115.36$ 20.60$ 32.53$ 45.66$ 50.68
>$137,000$ 132.66$ 23.69$ 37.41$ 52.50$ 58.28
Teammate and spouse or domestic partner$0 - $52,999$ 247.71$ 34.27$ 53.80$ 87.63$ 131.40
$53,000 - $136,999$ 291.42$ 40.31$ 63.29$ 103.09$ 154.59
>$137,000$ 335.13$ 46.35$ 72.78$ 118.55$ 177.78
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 191.88$ 29.16$ 44.04$ 69.84$ 103.21
$53,000 - $136,999$ 225.74$ 34.30$ 51.81$ 82.16$ 121.42
>$137,000$ 259.60$ 39.44$ 59.58$ 94.48$ 139.63
Family$0 - $52,999$ 396.63$ 47.89$ 79.83$ 135.09$ 206.60
$53,000 - $136,999$ 466.62$ 56.34$ 93.91$ 158.93$ 243.06
>$137,000$ 536.61$ 64.79$ 107.99$ 182.77$ 279.52

Aetna narrow network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 79.64$ 9.17$ 20.24$ 29.57$ 32.92
$53,000 - $136,999$ 93.69$ 10.79$ 23.81$ 34.79$ 38.73
>$137,000$ 107.74$ 12.40$ 27.38$ 40.00$ 44.54
Teammate and spouse or domestic partner$0 - $52,999$ 201.90$ 20.19$ 41.29$ 73.43$ 108.35
$53,000 - $136,999$ 237.53$ 23.75$ 48.58$ 86.39$ 127.47
>$137,000$ 273.16$ 27.31$ 55.87$ 99.35$ 146.59
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 153.93$ 15.40$ 31.49$ 55.98$ 82.61
$53,000 - $136,999$ 181.09$ 18.11$ 37.04$ 65.86$ 97.18
>$137,000$ 208.25$ 20.82$ 42.59$ 75.74$ 111.75
Family$0 - $52,999$ 329.87$ 32.99$ 67.47$ 119.97$ 177.02
$53,000 - $136,999$ 388.08$ 38.81$ 79.38$ 141.14$ 208.26
>$137,000$ 446.29$ 44.63$ 91.28$ 162.31$ 239.50

$250 ACO plan

Aetna narrow network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 88.63$ 8.87$ 17.73$ 28.76$ 32.48
$53,000 - $136,999$ 104.27$ 10.43$ 20.86$ 33.83$ 38.21
>$137,000$ 119.91$ 11.99$ 23.99$ 38.90$ 43.94
Teammate and spouse or domestic partner$0 - $52,999$ 258.59$ 25.86$ 51.72$ 77.58$ 116.28
$53,000 - $136,999$ 304.22$ 30.42$ 60.84$ 91.27$ 136.80
>$137,000$ 349.85$ 34.98$ 69.96$ 104.96$ 157.32
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 206.96$ 20.70$ 41.40$ 62.09$ 87.82
$53,000 - $136,999$ 243.48$ 24.35$ 48.70$ 73.04$ 103.32
>$137,000$ 280.00$ 28.00$ 56.00$ 83.99$ 118.82
Family$0 - $52,999$ 442.43$ 44.24$ 88.48$ 132.72$ 180.09
$53,000 - $136,999$ 520.51$ 52.05$ 104.10$ 156.15$ 211.87
>$137,000$ 598.59$ 59.86$ 119.72$ 179.58$ 243.65

$2,500 HDHP plans

Aetna broad network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 67.97$ 20.14$ 27.21$ 34.37$ 37.77
$53,000 - $136,999$ 79.97$ 23.70$ 32.02$ 40.44$ 44.44
>$137,000$ 91.97$ 27.26$ 36.83$ 46.51$ 51.11
Teammate and spouse or domestic partner$0 - $52,999$ 169.61$ 27.80$ 42.36$ 61.16$ 90.70
$53,000 - $136,999$ 199.54$ 32.70$ 49.83$ 71.95$ 106.70
>$137,000$ 229.47$ 37.60$ 57.30$ 82.74$ 122.70
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 127.34$ 14.91$ 43.59$ 65.66$ 72.03
$53,000 - $136,999$ 149.81$ 17.54$ 51.28$ 77.25$ 84.74
>$137,000$ 172.28$ 20.17$ 58.97$ 88.84$ 97.45
Family$0 - $52,999$ 268.41$ 30.99$ 55.35$ 80.52$ 122.60
$53,000 - $136,999$ 315.78$ 36.46$ 65.12$ 94.73$ 144.24
>$137,000$ 363.15$ 41.93$ 74.89$ 108.94$ 165.88

Aetna narrow network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 57.48$ 18.34$ 25.09$ 31.82$ 34.69
$53,000 - $136,999$ 67.62$ 21.57$ 29.51$ 37.43$ 40.81
>$137,000$ 77.76$ 24.80$ 33.93$ 43.04$ 46.93
Teammate and spouse or domestic partner$0 - $52,999$ 137.86$ 15.58$ 31.12$ 48.81$ 73.51
$53,000 - $136,999$ 162.19$ 18.33$ 36.61$ 57.43$ 86.49
>$137,000$ 186.52$ 21.08$ 42.10$ 66.05$ 99.46
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 110.51$ 14.56$ 45.07$ 62.73$ 68.26
$53,000 - $136,999$ 130.01$ 17.13$ 53.02$ 73.80$ 80.30
>$137,000$ 149.51$ 19.70$ 60.97$ 84.87$ 92.34
Family$0 - $52,999$ 241.82$ 31.84$ 57.62$ 72.55$ 116.42
$53,000 - $136,999$ 284.49$ 37.46$ 67.79$ 85.35$ 136.96
>$137,000$ 327.16$ 43.08$ 77.95$ 98.15$ 157.50

Kaiser Permanente

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 62.02$ 8.18$ 16.55$ 26.32$ 29.41
$53,000 - $136,999$ 72.96$ 9.62$ 19.47$ 30.96$ 34.60
>$137,000$ 83.90$ 11.06$ 22.39$ 35.60$ 39.79
Teammate and spouse or domestic partner$0 - $52,999$ 148.47$ 29.00$ 39.79$ 65.42$ 89.45
$53,000 - $136,999$ 174.67$ 34.12$ 46.81$ 76.97$ 105.24
>$137,000$ 200.87$ 39.24$ 53.83$ 88.51$ 121.03
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 114.04$ 24.92$ 37.40$ 57.56$ 63.26
$53,000 - $136,999$ 134.17$ 29.32$ 44.01$ 67.72$ 74.43
>$137,000$ 154.30$ 33.72$ 50.62$ 77.88$ 85.60
Family$0 - $52,999$ 198.78$ 40.92$ 56.50$ 91.89$ 123.21
$53,000 - $136,999$ 233.86$ 48.14$ 66.47$ 108.11$ 144.96
>$137,000$ 268.94$ 55.36$ 76.44$ 124.33$ 166.70

$4,000 HDHP plans

Aetna broad network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 48.27$ 17.02$ 25.52$ 28.02$ 31.27
$53,000 - $136,999$ 56.79$ 20.03$ 30.03$ 32.97$ 36.79
>$137,000$ 65.31$ 23.04$ 34.54$ 37.92$ 42.31
Teammate and spouse or domestic partner$0 - $52,999$ 132.95$ 19.66$ 27.25$ 48.25$ 71.83
$53,000 - $136,999$ 156.41$ 23.13$ 32.06$ 56.76$ 84.51
>$137,000$ 179.87$ 26.60$ 36.87$ 65.27$ 97.18
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 101.36$ 19.94$ 46.09$ 55.90$ 60.97
$53,000 - $136,999$ 119.25$ 23.46$ 54.23$ 65.77$ 71.73
>$137,000$ 137.14$ 26.98$ 62.37$ 75.64$ 82.49
Family$0 - $52,999$ 179.12$ 30.97$ 38.21$ 58.54$ 91.61
$53,000 - $136,999$ 210.73$ 36.44$ 44.95$ 68.87$ 107.78
>$137,000$ 242.34$ 41.91$ 51.69$ 79.20$ 123.95

Aetna narrow network

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 41.19$ 16.46$ 20.94$ 24.69$ 26.31
$53,000 - $136,999$ 48.46$ 19.37$ 24.64$ 29.05$ 30.96
>$137,000$ 55.73$ 22.28$ 28.34$ 33.41$ 35.60
Teammate and spouse or domestic partner$0 - $52,999$ 118.97$ 19.77$ 28.42$ 48.65$ 68.67
$53,000 - $136,999$ 139.96$ 23.25$ 33.43$ 57.23$ 80.78
>$137,000$ 160.95$ 26.73$ 38.44$ 65.81$ 92.89
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 88.91$ 18.80$ 44.59$ 53.81$ 58.26
$53,000 - $136,999$ 104.60$ 22.12$ 52.46$ 63.31$ 68.54
>$137,000$ 120.29$ 25.44$ 60.33$ 72.81$ 78.82
Family$0 - $52,999$ 159.15$ 31.68$ 39.85$ 58.99$ 86.98
$53,000 - $136,999$ 187.24$ 37.27$ 46.89$ 69.41$ 102.34
>$137,000$ 215.33$ 42.86$ 53.93$ 79.83$ 117.69

Kaiser EPO plan

Coverage levelSalary (BAR) bandSemi-monthly premiumLifeForce phase 2 creditLifeForce phase 3 creditLifeForce phase 4 creditLifeForce phase 5 credit
Teammate only$0 - $52,999$ 93.40$ 11.83$ 22.54$ 38.12$ 42.78
$53,000 - $136,999$ 109.88$ 13.91$ 26.52$ 44.84$ 50.33
>$137,000$ 126.36$ 15.99$ 30.50$ 51.56$ 57.88
Teammate and spouse or domestic partner$0 - $52,999$ 280.10$ 32.75$ 56.02$ 84.03$ 132.95
$53,000 - $136,999$ 329.53$ 38.53$ 65.91$ 98.86$ 156.41
>$137,000$ 378.96$ 44.31$ 75.80$ 113.69$ 179.87
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$ 227.56$ 29.87$ 45.51$ 70.53$ 113.32
$53,000 - $136,999$ 267.72$ 35.14$ 53.54$ 82.98$ 133.32
>$137,000$ 307.88$ 40.41$ 61.57$ 95.43$ 153.32
Family$0 - $52,999$ 450.51$ 50.70$ 90.10$ 135.15$ 198.88
$53,000 - $136,999$ 530.01$ 59.64$ 106.00$ 159.00$ 233.98
>$137,000$ 609.51$ 68.58$ 121.90$ 182.85$ 269.08
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