2024 Premiums

Cigna Medical Plan Premiums

Cigna Medical Plan Premiums - NOT in the Wilkes-Barre Distribution Center.


Non-Tobacco/Nicotine User Premiums
Coverage Tier Choice
CDHP		 Choice Plus
CDHP		 PPO
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$21.11
$66.88
$45.84
$103.15

$34.72
$105.30
$72.54
$148.64

$51.19
$151.86
$113.72
$214.45
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$45.74
$144.92
$99.32
$223.50

$75.23
$228.15
$157.18
$322.06

$110.91
$329.03
$246.40
$464.65

Tobacco/Nicotine User Premiums
Coverage Tier Choice
CDHP		 Choice Plus
CDHP		 PPO
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$36.11
$81.88
$60.84
$118.15

$49.72
$120.30
$87.54
$163.64

$66.19
$166.86
$128.72
$229.45
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$78.24
$177.42
$131.82
$256.00

$107.73
$260.65
$189.68
$354.56

$143.41
$361.53
$278.90
$497.15

Spousal Surcharge: If your spouse/domestic partner has access to coverage through their employer, and you choose to cover them on an HBC plan, you will incur a $25 surcharge on your weekly medical premium or $54.17 on your semi-monthly medical premium.

Geisinger Medical Plan Contributions
Non-Tobacco/Nicotine User Premiums
Coverage Tier CDHP Plus Core HMO Base HMO
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$25.63
$85.78
$64.69
$104.64

$22.76
$77.65
$58.33
$94.17

$14.62
$48.99
$37.39
$59.18
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$55.54
$185.85
$140.16
$226.72

$49.32
$168.24
$126.38
$204.04

$31.69
$106.15
$81.02
$128.22

Tobacco/Nicotine User Premiums
Coverage Tier CDHP Plus Core HMO Base HMO
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family

$40.63
$100.78
$79.69
$119.64

$37.76
$92.65
$73.33
$109.17

$29.62
$63.99
$52.39
$74.18
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family

$88.04
$218.35
$172.66
$259.22

$81.82
$200.74
$158.88
$236.54

$64.19
$138.65
$113.52
$160.72

Spousal Surcharge: If your spouse/domestic partner has access to coverage through their employer, and you choose to cover them on an HBC plan, you will incur a $25 surcharge on your weekly medical premium or $54.17 on your semi-monthly medical premium.

Dental Plan Contributions

Cigna Dental Premiums
Coverage Tier Core Buy-Up DHMO
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family
$7.38
$14.63
$18.97
$24.76
$13.21
$26.26
$26.91
$44.52
$4.80
$8.92
$10.60
$16.36
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family
$16.00
$31.69
$41.10
$53.65
$28.63
$56.89
$58.31
$96.47
$10.41
$19.34
$22.96
$35.46

Core and Buy-up use Total Cigna Dental DPPO network
DHMO uses Cigna Dental Care Network

Vision Plan Contributions

VSP Vision Premiums
Coverage Tier Core Buy-Up
Weekly
Associate Only
Associate + Spouse
Associate + Children
Family
$1.40
$2.80
$2.99
$4.78
$2.64
$5.29
$5.65
$9.03
Semi-Monthly
Associate Only
Associate + Spouse
Associate + Children
Family
$3.03
$6.06
$6.48
$10.36
$5.73
$11.46
$12.25
$19.57

Supplemental Term Life Insurance Contributions (Monthly)

  Associate Spouse
Age Band Tobacco/Nicotine User Premium Per $1,000 Non-Tobacco/Nicotine User Premium Per $1,000 Tobacco/Nicotine User Premium Per $1,000 Non-Tobacco/Nicotine User Premium Per $1,000
<25 $0.028 $0.021 $0.101 $0.072
25-29 $0.038 $0.028 $0.143 $0.086
30-34 $0.056 $0.044 $0.164 $0.114
35-39 $0.066 $0.051 $0.186 $0.136
40-44 $0.076 $0.059 $0.288 $0.153
45-49 $0.122 $0.098 $0.457 $0.238
50-54 $0.198 $0.160 $0.876 $0.377
55-59 $0.384 $0.315 $1.355 $0.723
60-64 $0.600 $0.493 $2.632 $1.121
65-69 $1.172 $0.965 $4.284 $2.175
70+ $1.913 $1.576 $4.284 $3.539

Supplemental Associate AD&D Contributions (Monthly)

 
$0.016 per $1,000 benefit amount (post-tax)

Supplemental Child Life Insurance Contributions (Monthly)

 
$5,000 benefit - $0.502 contribution
$10,000 benefit - $1.00 contribution

Permanent Life Insurance

Click here to view associate, spouse, and child Permanent Life Insurance premiums.

Long-Term Disability Contributions (Monthly)

Salaried Associates
Core provided at no cost; Buy-up benefit contribution is $0.166 per $100 of covered monthly earnings
Hourly Associates
Age Band Core Buy-Up
<25 $0.046 $0.110
25-29 $0.059 $0.142
30-34 $0.113 $0.271
35-39 $0.177 $0.425
40-44 $0.263 $0.634
45-49 $0.355 $0.855
50-54 $0.491 $1.179
55-59 $0.521 $1.253
60-64 $0.550 $1.320
65-69 $0.571 $1.378
70+ $0.585 $1.469

Accident Insurance Contributions (Monthly)

 
Associate Only $6.49
Associate + Spouse $11.08
Associate + Children $11.90
Associate + Family $16.50

Critical Illness Insurance Contributions (Monthly)

Associate Non-Tobacco/Nicotine Weekly Premiums
Age $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000
0-29 $2.14 $4.27 $6.41 $8.54 $10.68 $12.81 $3.74 $17.08
30-39 $3.27 $6.54 $9.81 $13.08 $16.35 $19.62 $5.72 $26.16
40-49 $6.63 $13.26 $19.89 $26.52 $33.15 $39.78 $11.60 $53.04
50-59 $11.67 $23.34 $35.01 $46.68 $58.35 $70.02 $20.42 $93.36
60+ $20.33 $40.65 $60.98 $81.30 $101.63 $121.95 $35.57 $162.60
Spouse Non-Tobacco/Nicotine Weekly Premiums
Age $2,500 $5,000 $7,500 $10,000 $12,500 $15,000 $17,500 $20,000
0-29 $1.07 $2.14 $3.20 $4.27 $5.34 $6.41 $7.47 $8.54
30-39 $1.64 $3.27 $4.91 $6.54 $8.18 $9.81 $11.45 $13.08
40-49 $3.32 $6.63 $9.95 $13.26 $16.58 $19.89 $23.21 $26.52
50-59 $5.84 $11.67 $17.51 $23.34 $29.18 $35.01 $40.85 $46.68
60+ $10.16 $20.33 $30.49 $40.65 $50.81 $60.98 $71.14 $81.30
Associate Tobacco/Nicotine Weekly Premiums
Age $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000
0-29 $3.02 $6.03 $9.05 $12.06 $15.08 $18.05 $21.11 $24.12
30-39 $6.11 $12.22 $18.33 $24.44 $30.55 $36.66 $42.77 $48.88
40-49 $12.64 $25.27 $37.91 $50.54 $63.18 $75.81 $88.45 $101.08
50-59 $24.24 $48.47 $72.71 $96.94 $121.18 $145.41 $169.65 $193.88
60+ $43.58 $87.15 $130.73 $174.30 $217.88 $261.45 $305.03 $348.60
Spouse Tobacco/Nicotine Weekly Premiums
Age $2,500 $5,000 $7,500 $10,000 $12,500 $15,000 $17,500 $20,000
0-29 $1.51 $3.02 $4.52 $6.03 $7.54 $9.05 $10.55 $12.06
30-39 $3.06 $6.11 $9.17 $12.22 $15.28 $18.33 $21.39 $24.44
40-49 $6.32 $12.64 $18.95 $25.27 $31.59 $37.91 $44.22 $50.54
50-59 $12.12 $24.24 $36.35 $48.47 $60.59 $72.21 $84.82 $96.94
60+ $21.79 $43.58 $65.36 $87.15 $108.94 $130.73 $152.51 $174.30

Hospital Indemnity Insurance Contributions (Monthly)

 
Associate Only $17.68
Associate + Spouse $35.55
Associate + Children $28.10
Associate + Family $45.97

 

Identity Theft

Identity Theft Premiums
Coverage Tier Privacy Armor Privacy Armor Plus
Monthly    
Associate Only $7.95 $9.95
Associate + One or More $13.95 $17.95

Legal Coverage

MetLife Legal Premiums
Coverage Tier Premium
Monthly $15.50