MEDICAL PREMIUM SUMMARY (BI-WEEKLY)
Below are your per paycheck contribution amounts for 2025 (26 pay periods per year; every other week).
Note: If you are covering a domestic partner, imputed income will also apply.
BCBS PPO Plan ($1,000 / $2,000 Deductible)
BCBS HSA Plan 1 ($3,500 / $6,000 Deductible)
BCBS HSA Plan 2 ($5,000 / $10,000 Deductible)
Tobacco Surcharge
A $600 ($23.08 bi-weekly) tobacco surcharge will be added to your premium if you are a tobacco user. If you enroll in the medical plan and you do not certify your tobacco status, you will default to paying the additional monthly fee. The tobacco surcharge is in addition to the rates shown above.
Wellbeing Incentive
To earn the wellbeing incentive for 2025 you must complete a biometric screening or a wellbeing physical exam AND a health risk assessment by December 31st 2024. Catapult Health is our preferred vendor for at home biometric screenings.
Virtual Check Up with Catapult
Health Risk Assessments
- Visit wellontarget.com and log in. If you have an existing Blue Access for Members SM (BAMSM) account, use your BAM username and password. If you aren’t a registered user yet, click “Register Now” to create an account.
- If you have not taken your HA, there will be a pop-up notification after you log in. You can also take your HA by clicking on “Start” in the “Health Assessment” box at the top of your dashboard. Once you have completed the HA, your reports will be available in this section.
MEDICAL PREMIUM SUMMARY (WEEKLY)
Below are your per paycheck contribution amounts for 2025 (52 pay periods per year; one each week).
Note: If you are covering a domestic partner, imputed income will also apply.
BCBS PPO Plan ($1,000 / $2,000 Deductible)
BCBS HSA Plan 1 ($3,500 / $6,000 Deductible)
BCBS HSA Plan 2 ($5,000 / $10,000 Deductible)
Tobacco Surcharge
A $600 ($11.54 weekly) tobacco surcharge will be added to your premium if you are a tobacco user. If you enroll in the medical plan and you do not certify your tobacco status, you will default to paying the additional monthly fee. The tobacco surcharge is in addition to the rates shown above.
Wellbeing Incentive
To earn the wellbeing incentive for 2025 you must complete a biometric screening or a wellbeing physical exam AND a health risk assessment by December 31st 2024. Catapult Health is our preferred vendor for at home biometric screenings.
Virtual Check Up with Catapult
Health Risk Assessments
- Visit wellontarget.com and log in. If you have an existing Blue Access for Members SM (BAMSM) account, use your BAM username and password. If you aren’t a registered user yet, click “Register Now” to create an account.
- If you have not taken your HA, there will be a pop-up notification after you log in. You can also take your HA by clicking on “Start” in the “Health Assessment” box at the top of your dashboard. Once you have completed the HA, your reports will be available in this section.
DENTAL & VISION PREMIUM SUMMARIES
Below are your per paycheck contribution amounts for 2025, bi-weekly - (26 pay periods per year; every other week) or weekly - (52 pay periods per year; one each week).
Note: If you are covering a domestic partner, imputed income will also apply.
Dental - Cigna PPO Plan
Dental - Cigna HMO Plan
Vision - United HealthCare
VOLUNTARY LIFE & AD&D PREMIUM SUMMARY
If you elect voluntary life insurance coverage, your premium rate is calculated based on your age and the amount of coverage. Use the tables below to estimate the amount that will be deducted from your paycheck.
Voluntary Life & AD&D - Aflac (Monthly Rate per $1,000)
VOLUNTARY ACCIDENTAL INJURY, CRITICAL ILLNESS & HOSPITAL CARE PREMIUM SUMMARY
Below are your per paycheck contribution amounts for 2025, bi-weekly - (26 pay periods per year; every other week) or weekly - (52 pay periods per year; one each week).
If you elect critical illness coverage, your premium rate is calculated based on your age and the amount of coverage. Use the link to estimate the amount that will be deducted from your paycheck.
Accidental Injury Coverage - Aflac
Critical Illness Insurance - Aflac
If you elect critical illness coverage, your premium rate is calculated based on your age and the amount of coverage. Please review your rates on Workday when making the election or refer to your other benefit documents.
Hospital Care Coverage - Aflac