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.  

For COBRA rates, see the COBRA Benefits Guide.

$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$121.89$12.19$24.38$36.57$48.76
$53,000 - $136,999$143.40$14.34$28.68$43.02$57.36
>$137,000$164.91$16.49$32.98$49.47$65.96
Teammate and spouse or domestic partner$0 - $52,999$373.43$37.34$74.69$112.03$149.37
$53,000 - $136,999$439.33$43.93$87.87$131.80$175.73
>$137,000$505.23$50.52$101.05$151.57$202.09
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$313.72$31.38$62.75$94.11$125.49
$53,000 - $136,999$369.08$36.91$73.82$110.72$147.63
>$137,000$424.44$42.44$84.89$127.33$169.77
Family$0 - $52,999$626.36$62.64$125.28$187.91$250.55
$53,000 - $136,999$736.89$73.69$147.38$221.07$294.76
>$137,000$847.42$84.74$169.48$254.23$338.97

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$111.49$11.15$22.29$33.44$44.59
$53,000 - $136,999$131.17$13.12$26.23$39.35$52.47
>$137,000$150.85$15.09$30.17$45.26$60.34
Teammate and spouse or domestic partner$0 - $52,999$341.73$34.17$68.35$102.52$136.69
$53,000 - $136,999$402.03$40.20$80.41$120.61$160.81
>$137,000$462.33$46.23$92.47$138.70$184.93
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$293.49$29.35$58.70$88.04$117.40
$53,000 - $136,999$345.28$34.53$69.06$103.58$138.11
>$137,000$397.07$39.71$79.42$119.11$158.82
Family$0 - $52,999$595.32$59.53$119.06$178.59$238.12
$53,000 - $136,999$700.38$70.04$140.08$210.11$280.15
>$137,000$805.44$80.55$161.09$241.63$322.18

$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$108.29$10.83$21.66$32.49$43.32
$53,000 - $136,999$127.40$12.74$25.48$38.22$50.96
>$137,000$146.51$14.65$29.30$43.95$58.60
Teammate and spouse or domestic partner$0 - $52,999$280.13$28.02$56.03$84.04$112.05
$53,000 - $136,999$329.56$32.96$65.91$98.87$131.82
>$137,000$378.99$37.90$75.79$113.70$151.59
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$218.77$21.88$43.75$65.63$87.50
$53,000 - $136,999$257.38$25.74$51.48$77.21$102.95
>$137,000$295.99$29.60$59.20$88.79$118.40
Family$0 - $52,999$457.70$45.77$91.54$137.31$183.08
$53,000 - $136,999$538.47$53.85$107.69$161.54$215.39
>$137,000$619.24$61.93$123.84$185.77$247.70

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$99.25$9.92$19.84$29.77$39.70
$53,000 - $136,999$116.77$11.68$23.35$35.03$46.71
>$137,000$134.29$13.44$26.86$40.29$53.72
Teammate and spouse or domestic partner$0 - $52,999$252.37$25.24$50.48$75.71$100.95
$53,000 - $136,999$296.90$29.69$59.38$89.07$118.76
>$137,000$341.44$34.15$68.29$102.44$136.58
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$197.09$19.71$39.41$59.13$78.84
$53,000 - $136,999$231.87$23.19$46.37$69.56$92.75
>$137,000$266.65$26.67$53.32$79.99$106.66
Family$0 - $52,999$412.33$41.24$82.47$123.70$164.94
$53,000 - $136,999$485.09$48.51$97.02$145.53$194.04
>$137,000$557.85$55.78$111.57$167.36$223.14

$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$112.44$11.25$22.49$33.73$44.98
$53,000 - $136,999$132.28$13.23$26.46$39.68$52.91
>$137,000$152.12$15.21$30.43$45.63$60.84
Teammate and spouse or domestic partner$0 - $52,999$321.29$32.13$64.26$96.39$128.52
$53,000 - $136,999$377.99$37.80$75.60$113.40$151.20
>$137,000$434.69$43.47$86.94$130.41$173.88
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$260.53$26.05$52.10$78.15$104.21
$53,000 - $136,999$306.51$30.65$61.30$91.95$122.60
>$137,000$352.49$35.25$70.50$105.75$140.99
Family$0 - $52,999$538.12$53.82$107.63$161.43$215.25
$53,000 - $136,999$633.08$63.31$126.62$189.92$253.23
>$137,000$728.04$72.80$145.61$218.41$291.21

$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$71.37$7.14$14.27$21.41$28.55
$53,000 - $136,999$83.97$8.40$16.79$25.19$33.59
>$137,000$96.57$9.66$19.31$28.97$38.63
Teammate and spouse or domestic partner$0 - $52,999$186.12$18.62$37.23$55.84$74.45
$53,000 - $136,999$218.96$21.90$43.79$65.69$87.58
>$137,000$251.80$25.18$50.35$75.54$100.71
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$151.15$15.12$30.23$45.35$60.46
$53,000 - $136,999$177.82$17.78$35.56$53.35$71.13
>$137,000$204.49$20.44$40.89$61.35$81.80
Family$0 - $52,999$311.60$31.16$62.32$93.48$124.64
$53,000 - $136,999$366.59$36.66$73.32$109.98$146.64
>$137,000$421.58$42.16$84.32$126.48$168.64

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$64.02$6.40$12.80$19.21$25.61
$53,000 - $136,999$75.32$7.53$15.06$22.60$30.13
>$137,000$86.62$8.66$17.32$25.99$34.65
Teammate and spouse or domestic partner$0 - $52,999$169.03$16.91$33.80$50.71$67.61
$53,000 - $136,999$198.86$19.89$39.77$59.66$79.54
>$137,000$228.69$22.87$45.74$68.61$91.47
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$136.37$13.63$27.27$40.91$54.55
$53,000 - $136,999$160.44$16.04$32.09$48.13$64.18
>$137,000$184.51$18.45$36.91$55.35$73.81
Family$0 - $52,999$287.58$28.75$57.52$86.27$115.03
$53,000 - $136,999$338.33$33.83$67.67$101.50$135.33
>$137,000$389.08$38.90$77.82$116.73$155.63

$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$50.69$5.07$10.14$15.21$20.28
$53,000 - $136,999$59.63$5.96$11.93$17.89$23.85
>$137,000$68.57$6.85$13.71$20.57$27.42
Teammate and spouse or domestic partner$0 - $52,999$148.68$14.86$29.73$44.61$59.47
$53,000 - $136,999$174.92$17.49$34.98$52.48$69.97
>$137,000$201.16$20.12$40.23$60.35$80.47
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$109.46$10.94$21.89$32.83$43.78
$53,000 - $136,999$128.78$12.88$25.76$38.63$51.51
>$137,000$148.10$14.81$29.63$44.43$59.24
Family$0 - $52,999$194.42$19.44$38.89$58.33$77.77
$53,000 - $136,999$228.73$22.87$45.75$68.62$91.49
>$137,000$263.04$26.30$52.61$78.91$105.21

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$45.73$4.57$9.15$13.72$18.29
$53,000 - $136,999$53.80$5.38$10.76$16.14$21.52
>$137,000$61.87$6.19$12.37$18.56$24.75
Teammate and spouse or domestic partner$0 - $52,999$136.36$13.64$27.27$40.91$54.55
$53,000 - $136,999$160.42$16.04$32.08$48.13$64.17
>$137,000$184.48$18.44$36.89$55.35$73.79
Teammate and child(ren) or domestic partner's child(ren)$0 - $52,999$99.33$9.94$19.86$29.80$39.73
$53,000 - $136,999$116.86$11.69$23.37$35.06$46.74
>$137,000$134.39$13.44$26.88$40.32$53.75
Family$0 - $52,999$176.21$17.62$35.24$52.86$70.48
$53,000 - $136,999$207.31$20.73$41.46$62.19$82.92
>$137,000$238.41$23.84$47.68$71.52$95.36