Non-Medical Premium Rates
Non-Medical Premium Rates (dental, vision, life insurance and long-term disability), effective January 1, 2021.
Bimonthly Payroll Deductions
Plan | Single | Two-Party | EE + Spouse | EE + Child(ren) | Family |
---|---|---|---|---|---|
Davis Vision | $1.30 | $2.47 | — | — | $3.63 |
Delta Comprehensive Dental | $6.81 | — | $15.66 | $17.03 | $27.78 |
Delta Basic Dental | $3.25 | — | $6.50 | $6.84 | $11.33 |
Plan | Single | Two-Party | EE + Spouse | EE + Child(ren) | Family |
---|---|---|---|---|---|
Davis Vision | $0.98 | $1.85 | — | — | $2.72 |
Delta Comprehensive Dental | $5.11 | — | $11.75 | $12.77 | $20.84 |
Delta Basic Dental | $2.44 | — | $4.88 | $5.13 | $8.50 |
Plan | Single | Two-Party | EE + Spouse | EE + Child(ren) | Family |
---|---|---|---|---|---|
Davis Vision | $0.65 | $1.24 | — | — | $1.81 |
Delta Comprehensive Dental | $3.40 | — | $7.83 | $8.51 | $13.89 |
Delta Basic Dental | $1.62 | — | $3.25 | $3.42 | $5.66 |
The Standard Life and AD&D Insurance
Coverage is available in increments of $10,000 from $10,000 up to $400,000. Please see the Dependent Life Worksheet for Dependent Life Insurance Options.
Additional Life Coverage Age Bands | Rates per $1,000 Coverage |
---|---|
<30 | $0.032 |
30-34 | $0.043 |
35-39 | $0.049 |
40-44 | $0.054 |
45-49 | $0.085 |
50-54 | $0.114 |
55-59 | $0.206 |
60-64 | $0.315 |
65-69 | $0.592 |
70+ | $0.995 |
How to Calculate Rates
To calculate your Life bimonthly payroll deduction, follow these steps:
- Enter the amount of coverage
- Divide by 1,000 (for the number of units of $1,000)
- Multiply by the rate for Employee's age group to get the Employee Life Insurance total bimonthly premium
- Multiply total premium by employee cost share of 50%
For example: $100,000 Coverage, Age 46
- Calculate the Units: $100,000 (Amount of Coverage) divided by $1,000 = 100 Units.
- Calculate the Premium: 100 Units x $0.085 (Rate for Age Band 45-49) = $8.50
- Calculate the Employee Cost Share: $8.50 x 50% = $4.25 bimonthly
The Standard Long-Term Disability
Coverage | Rates |
---|---|
60% | $0.128 |
How to Calculate Rates
To calculate your Long-Term Disability bimonthly payroll deduction, follow these steps:
- Enter Contracted Annual Salary but not more than $100,000
- Divide Salary by 12 to get Monthly Salary
- Divide Monthly Salary by 100
- Multiply by plan rate
- Multiply total premium by employee cost share percentage
- 40% if you earn $45,000 or more
- 30% if you earn $39,500 to $44,999
- 20% if you earn less than $39,500
For example: $45,000 Yearly Salary, 60% Coverage
- Calculate Monthly Salary: $45,000 (Yearly) divided by 12 = $3,750 (Monthly)
- Calculate Units: $3,750 (Monthly) divided by 100 = $37.50 Units
- Calculate Plan Rate: $37.50 Units x $0.128 = $4.80 Plan Rate
- Calculate Employee Cost Share: $4.80 x 40% = $1.92 bimonthly