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 - $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 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 - $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 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 - $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 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 - $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 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 - $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 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 - $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 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 - $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 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 - $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 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 - $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 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 - $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 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 - $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)