Contacts & Resources

Benefits Costs

Medical Plans

Monthly medical plan premiums are based on the dependents you cover, your plan option and annual salary as of October 1, 2021. For team members newly hired in 2022, medical premiums will be based on your salary as of your date of hire.

If You Elect Coverage For

VillageMD
Value-Based Plan

Your Monthly Cost

HSA Medical Plan
Your Monthly Cost

Annual Salary Up to $49,999

Employee Only

$71.82

$80.59

Employee + Spouse/Domestic Partner

$166.62

$185.31

Employee + Child

$155.51

$172.10

Employee + Family

$258.35

$285.63

Annual Salary $50,000–$74,999

Employee Only

$89.77

$99.19

Employee + Spouse/Domestic Partner

$208.28

$226.50

Employee + Child

$194.39

$211.82

Employee + Family

$322.94

$351.54

Annual Salary $75,000–$124,999

Employee Only

$101.74

$111.58

Employee + Spouse/Domestic Partner

$236.05

$253.94

Employee + Child

$220.30

$238.29

Employee + Family

$365.99

$395.48

Annual Salary $125,000 +

Employee Only

$149.62

$161.17

Employee + Spouse/Domestic Partner

$347.13

$377.49

Employee + Child

$323.98

$350.82

Employee + Family

$398.29

$477.87

Dental PPO Plan

Monthly dental costs are based on the dependents you cover.

If You Elect Coverage For

Your Monthly Cost

Employee Only

$9.66

Employee + Spouse/Domestic Partner

$18.46

Employee + Child

$22.98

Employee + Family

$31.78

Vision Plan

Monthly vision costs are based on the dependents you cover.

If You Elect Coverage For

Your Monthly Cost

Employee Only

$2.32

Employee + Spouse/Domestic Partner

$3.73

Employee + Child

$3.80

Employee + Family

$6.11

Employee-Paid Supplemental Life and AD&D

To supplement your Basic Life and AD&D coverage, you may enroll in supplemental coverage at your own cost.

Supplemental Coverage Type

Age

Monthly Cost Per $1,000 of Coverage

Supplemental Life — Team Member or Spouse

<30

$0.071

30-34

$0.078

35-39

$0.117

40-44

$0.189

45-49

$0.292

50-54

$0.475

55-59

$0.746

60-64

$1.036

65-69

$1.912

70+

$3.160

Supplemental AD&D —
Team Member or Spouse

N/A

$0.024

Supplemental Life —
Child(ren)

N/A

$0.020

Voluntary Long-Term Disability (LTD)

For Team Members Below Director Level who choose to enroll in Voluntary LTD, the monthly cost is based on your age and covered monthly earnings.

Your Age

Your Monthly Cost
per $100 of Covered Earnings

Under 20

$0.12

20-24

$0.12

25-29

$0.17

30-34

$0.24

35-39

$0.39

40-44

$0.66

45-49

$0.77

50-54

$1.00

55-59

$1.21

60-64

$1.05

65-69

$0.44

70-74

$0.22